Dorzolamide
Clinical data | |
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Trade names | Trusopt |
AHFS/Drugs.com | Monograph |
MedlinePlus | a602022 |
Pregnancy category |
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Routes of administration | Topical (eye drops) |
ATC code | S01EC03 (WHO) |
Legal status | |
Legal status |
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Pharmacokinetic data | |
Protein binding | ~33% |
Biological half-life | 4 months |
Identifiers | |
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CAS Number | 130693-82-2 120279-96-1 |
PubChem (CID) | 5284549 |
IUPHAR/BPS | 6810 |
DrugBank | DB00869 |
ChemSpider | 4447604 |
UNII | 9JDX055TW1 |
KEGG | D07871 |
ChEBI | CHEBI:4702 |
ChEMBL | CHEMBL218490 |
Chemical and physical data | |
Formula | C10H16N2O4S3 |
Molar mass | 324.443 g/mol |
3D model (Jmol) | Interactive image |
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Dorzolamide (trade name Trusopt) is a carbonic anhydrase inhibitor. It is an anti-glaucoma agent, and acts by decreasing the production of aqueous humour.[1] It is administered as a topical ophthalmic in the form of a 2% solution.[2]
History
This drug, developed by Merck, was the first drug in human therapy (market introduction 1995) which resulted from structure-based drug design. It was developed to circumvent the systemic side effects of acetazolamide which has to be taken orally.[2]
Uses
Dorzolamide hydrochloride is used to lower increased intraocular pressure in open-angle glaucoma and ocular hypertension.
Pharmacodynamics
It lowers IOP by about 20%.[2]
Side effects
Ocular stinging, burning, itching and bitter taste.[2] It causes shallowing of the anterior chamber and leads to transient myopia.
References
- ↑ Dorzolamide at Drugs.com. Revised: 12/2011
- 1 2 3 4 KD Tripari MD. Essentials of Medical Pharmacology (5th ed.). Jaypee Brothers Medical Publishers(P) Ltd. p. 88. ISBN 81-8061-187-6.
Further reading
- Kubinyi H (1999). "Chance favors the prepared mind--from serendipity to rational drug design". J Recept Signal Transduct Res. 19 (1–4): 15–39. doi:10.3109/10799899909036635. PMID 10071748.
- Plummer C, MacKay E, Gelatt K (2006). "Comparison of the effects of topical administration of a fixed combination of dorzolamide-timolol to monotherapy with timolol or dorzolamide on IOP, pupil size, and heart rate in glaucomatous dogs". Vet Ophthalmol. 9 (4): 245–9. doi:10.1111/j.1463-5224.2006.00469.x. PMID 16771760.
- Grover S, Apushkin M, Fishman G (2006). "Topical dorzolamide for the treatment of cystoid macular edema in patients with retinitis pigmentosa". Am J Ophthalmol. 141 (5): 850–8. doi:10.1016/j.ajo.2005.12.030. PMID 16546110.
- Almeida G, Faria e Souza S (2006). "Effect of topical dorzolamide on rabbit central corneal thickness". Braz J Med Biol Res. 39 (2): 277–81. doi:10.1590/S0100-879X2006000200015. PMID 16470316.