User:Mr. Ibrahem/Epoprostenol

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Mr. Ibrahem/Epoprostenol
Clinical data
Pronunciatione" poe pros' ten nol
Trade namesFlolan, Veletri, others
Other namesProstacyclin, prostaglandin I2 (PGI2)
AHFS/Drugs.comMonograph
License data
Pregnancy
category
  • AU: B1
Drug classProstaglandin[1]
Legal status
Legal status
Pharmacokinetic data
Elimination half-life42 seconds
Identifiers
  • (Z)-5-[(4R,5R)-5-Hydroxy-4-((S,E)-3-hydroxyoct-1-enyl)hexahydro-2H-cyclopenta[b]furan-2-ylidene]pentanoic acid
Chemical and physical data
FormulaC20H32O5
Molar mass352.471 g·mol−1
3D model (JSmol)
  • OC(=O)CCC\C=C1\C[C@@H]2[C@@H](/C=C/[C@@H](O)CCCCC)[C@H](O)C[C@@H]2O1
  • InChI=1S/C20H32O5/c1-2-3-4-7-14(21)10-11-16-17-12-15(8-5-6-9-20(23)24)25-19(17)13-18(16)22/h8,10-11,14,16-19,21-22H,2-7,9,12-13H2,1H3,(H,23,24)/b11-10+,15-8-/t14-,16+,17+,18+,19-/m0/s1 ☒N
  • Key:KAQKFAOMNZTLHT-OZUDYXHBSA-N ☒N
 ☒NcheckY (what is this?)  (verify)

Epoprostenol, also known as prostacyclin, is a medication and naturally occurring substance in the human body.[3] As a medication it used to treat pulmonary arterial hypertension and acute respiratory distress syndrome (ARDS).[2] It may also be used during dialysis when heparin cannot be used to prevent platelet aggregation.[1] It may be given by continuous injection into a vein or inhaled.[2][1]

Common side effects include headache, dizziness, nausea, muscle pain, flushing, fast heart rate, and low blood pressure.[2] Other side effects may include bleeding.[2] There is no evidence of harm in pregnancy, but such use has not been well studied.[4] It is a prostaglandin and works by blocking platelet aggregation and dilating blood vessels.[1]

Epoprostenol was approved for medical use in the United States in 1995.[2] It is available as a generic medication.[1] In the United Kingdom 1.5 mg costs the NHS about £45 as of 2021.[1] In the United States this amount costs about 50 USD.[5]

References[edit]

  1. ^ a b c d e f BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 124. ISBN 978-0857114105.
  2. ^ a b c d e f g "Epoprostenol Monograph for Professionals". Drugs.com. Archived from the original on 4 January 2022. Retrieved 15 December 2021.
  3. ^ "Prostacyclin Analogs". LiverTox: Clinical and Research Information on Drug-Induced Liver Injury. National Institute of Diabetes and Digestive and Kidney Diseases. 2012. Archived from the original on 8 May 2021. Retrieved 15 December 2021.
  4. ^ "Epoprostenol Use During Pregnancy". Drugs.com. Archived from the original on 4 January 2022. Retrieved 15 December 2021.
  5. ^ "Epoprostenol Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 4 January 2022. Retrieved 15 December 2021.