Delavirdine
Structural formula | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
General | |||||||||||||
Non-proprietary name | Delavirdine | ||||||||||||
other names | |||||||||||||
Molecular formula |
|
||||||||||||
External identifiers / databases | |||||||||||||
|
|||||||||||||
Drug information | |||||||||||||
ATC code | |||||||||||||
Drug class |
Antivirals , non-nucleoside reverse transcriptase inhibitors |
||||||||||||
Mechanism of action |
non-competitive inhibition of reverse transcriptase |
||||||||||||
properties | |||||||||||||
Molar mass | |||||||||||||
Physical state |
firmly |
||||||||||||
Melting point |
226–228 ° C (delavirdine) |
||||||||||||
safety instructions | |||||||||||||
|
|||||||||||||
As far as possible and customary, SI units are used. Unless otherwise noted, the data given apply to standard conditions . |
Delavirdine (DLV) is a drug used to treat HIV- infected patients as part of combination therapy for HIV . The active ingredient is used pharmaceutically as a salt of methanesulfonic acid ( mesilate ).
Delavirdine is approved under the trade name Rescriptor (pharmaceutical company Pfizer ) in the USA and Canada ; there is no approval in Europe .
pharmacology
Delavirdine belongs to the class of non-nucleoside reverse transcriptase inhibitors (NNRTIs). The active ingredient binds non-competitively to the reverse transcriptase of HIV-I , near the substrate binding site for nucleosides . This blocks the catalytically active binding site. Only a few nucleosides can bind and the polymerization is slowed down significantly.
Pharmacokinetics
The active ingredient is taken orally in the form of tablets (usually three times a day). The absorption takes place quickly with a half-life of approx. Six hours. Excretion takes place hepatically , which means that interactions with other substances metabolized in this way cannot be ruled out.
literature
- Conway B .: Initial therapy with protease inhibitor-sparing regimens: evaluation of nevirapine and delavirdine . In: Clin Infect Dis . Volume 30 Suppl 2, June 2000, pp. S130-S134, doi : 10.1086 / 313850 , PMID 10860897 . (free full text access)
- M. Harris, C. Alexander, M. O'Shaughnessy, JS Montaner: Delavirdine increases drug exposure of ritonavir-boosted protease inhibitors. In: AIDS. Volume 16, Number 5, March 2002, pp. 798-799, PMID 11964540 .
Individual evidence
- ^ A b The Merck Index: An Encyclopedia of Chemicals, Drugs, and Biologicals , 14th Edition (Merck & Co., Inc.), Whitehouse Station, NJ, USA, 2006; P. 487, ISBN 978-0-911910-00-1 .
- ↑ This substance has either not yet been classified with regard to its hazardousness or a reliable and citable source has not yet been found.