Probenecid
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Non-proprietary name | Probenecid | ||||||||||||||||||
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Molecular formula |
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Brief description |
slightly bitter-tasting crystals with a pleasant aftertaste |
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Drug information | |||||||||||||||||||
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properties | |||||||||||||||||||
Molar mass | 285.36 g · mol -1 (probenecid) | ||||||||||||||||||
Physical state |
firmly |
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Melting point |
194–196 ° C (probenecid) |
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pK s value |
5.8 |
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solubility |
practically insoluble in water (probenecid) |
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Toxicological data | |||||||||||||||||||
As far as possible and customary, SI units are used. Unless otherwise noted, the data given apply to standard conditions . |
Probenecid is a drug used to treat hyperuricemia or gout . It belongs to the so-called uricosuric drugs . MSD Sharp & Dohme received a patent for probenecid . It is available in Switzerland under the trade name Santuril ; available in Germany as a generic .
Mechanism of action
Probenecid is a strong inhibitor of OA is - (organic anions) - secretion of the proximal tubular cells of the kidney. It inhibits the OAT1 (organic anion transporter type 1) on the basolateral side of the cell. The OAT1 takes OA - (.. P-aminohippurate, phenol red, urate, penicillin, barbiturates u a) from the blood into the tubule cells, in exchange with dicarboxylates like succinate and 2-oxoglutarate.
The main mechanism of action of probenecid is to increase the renal excretion of uric acid . It inhibits the tubular reabsorption of uric acid in the kidneys and thereby increases its excretion in the urine . Probenecid has no influence on the formation of uric acid.
Pharmacokinetics
In the online edition of the journal Nature of November 1, 2005, the substance was ascribed the property of significantly reducing the excretion of oseltamivir ( Tamiflu ® , an agent against influenza A diseases ), so that the same antiviral effect is achieved at half the dose could be. In the event of a flu pandemic, the possibly inadequate supply of this drug can be improved accordingly. However, since the effect also affects many other drugs, its use should be problematic , especially in risk groups with underlying diseases such as diabetes or conditions after a heart attack .
doping
Probenecid is on the WADA anti-doping list as a masking agent .
Individual evidence
- ↑ a b c Entry on probenecid. In: Römpp Online . Georg Thieme Verlag, accessed on November 10, 2014.
- ↑ a b c d e The Merck Index: An Encyclopedia of Chemicals, Drugs, and Biologicals , 14th Edition (Merck & Co., Inc.), Whitehouse Station, NJ, USA, 2006; P. 1333, ISBN 978-0-911910-00-1 .
- ↑ a b data sheet probenecid from Sigma-Aldrich , accessed on April 22, 2011 ( PDF ).
- ↑ Butler D: Wartime tactic doubles power of scarce bird-flu drug . In: Nature . 438 , No. 7064, November 2005, p. 6. doi : 10.1038 / 438006a . PMID 16267514 .
- ↑ List of prohibited substances and methods (DOPING LIST) ( Memento of April 23, 2016 in the Internet Archive ), valid from January 1, 2007.