Peringatan Keamanan

Overdose of drug and/or light in the treated eye may result in nonperfusion of normal retinal vessels with the possibility of severe decrease in vision that could be permanent. An overdose of drug will also result in the prolongation of the period during which the patient remains photosensitive to bright light.

Verteporfin

DB00460

small molecule approved investigational

Deskripsi

Verteporfin, marketed as Visudyne, is a benzoporphyrin derivative comprising a 50:50 mixture of two isomers: CL-315555 and CL-315585. It is used as a photosensitizer in photodynamic therapy to eliminate abnormal blood vessels in wet form macular degeneration. Verteporfin accumulates in these abnormal blood vessels and, when stimulated by nonthermal red light with a wavelength of 693 nm in the presence of oxygen, produces highly reactive short-lived singlet oxygen and other reactive oxygen radicals, resulting in local damage to the endothelium and blockage of the vessels.

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Following intravenous infusion, verteporfin exhibits a bi-exponential elimination with a terminal elimination half-life of approximately 5-6 hours. Mild hepatic insufficiency increases half-life by approximately 20%.
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Data absorpsi tidak tersedia.

Metabolisme

Metabolized to a small extent to its diacid metabolite by liver and plasma esterases. NADPH-dependent liver enzyme systems (including the cytochrome P450 isozymes) do not appear to play a role in the metabolism of verteporfin.

Rute Eliminasi

Elimination is by the fecal route, with less than 0.01% of the dose recovered in urine.

Interaksi Obat

39 Data
Porfimer sodium Verteporfin may increase the photosensitizing activities of Porfimer sodium.
Riboflavin Riboflavin may increase the photosensitizing activities of Verteporfin.
Methoxsalen Methoxsalen may increase the photosensitizing activities of Verteporfin.
Carprofen Carprofen may increase the photosensitizing activities of Verteporfin.
Aminolevulinic acid Aminolevulinic acid may increase the photosensitizing activities of Verteporfin.
Tiaprofenic acid Tiaprofenic acid may increase the photosensitizing activities of Verteporfin.
Protoporphyrin Protoporphyrin may increase the photosensitizing activities of Verteporfin.
Trioxsalen Trioxsalen may increase the photosensitizing activities of Verteporfin.
Acetophenone Acetophenone may increase the photosensitizing activities of Verteporfin.
Motexafin lutetium Motexafin lutetium may increase the photosensitizing activities of Verteporfin.
Motexafin gadolinium Motexafin gadolinium may increase the photosensitizing activities of Verteporfin.
Hexaminolevulinate Hexaminolevulinate may increase the photosensitizing activities of Verteporfin.
Rostaporfin Rostaporfin may increase the photosensitizing activities of Verteporfin.
Cyamemazine Cyamemazine may increase the photosensitizing activities of Verteporfin.
Temoporfin Temoporfin may increase the photosensitizing activities of Verteporfin.
Talaporfin Talaporfin may increase the photosensitizing activities of Verteporfin.
Bergapten Bergapten may increase the photosensitizing activities of Verteporfin.
Dihematoporphyrin ether Dihematoporphyrin ether may increase the photosensitizing activities of Verteporfin.
Titanium dioxide Titanium dioxide may increase the photosensitizing activities of Verteporfin.
Clofazimine Clofazimine may increase the photosensitizing activities of Verteporfin.
Vemurafenib Vemurafenib may increase the photosensitizing activities of Verteporfin.
Metoprolol Metoprolol may increase the photosensitizing activities of Verteporfin.
Methotrimeprazine Methotrimeprazine may increase the photosensitizing activities of Verteporfin.
Nilotinib Nilotinib may increase the photosensitizing activities of Verteporfin.
Methylene blue Methylene blue may increase the photosensitizing activities of Verteporfin.
Dabrafenib Dabrafenib may increase the photosensitizing activities of Verteporfin.
Febuxostat Febuxostat may increase the photosensitizing activities of Verteporfin.
Fosdenopterin Fosdenopterin may increase the photosensitizing activities of Verteporfin.
Cyproheptadine Cyproheptadine may increase the photosensitizing activities of Verteporfin.
Hemoporfin Hemoporfin may increase the photosensitizing activities of Verteporfin.
Tretinoin The risk or severity of adverse effects can be increased when Tretinoin is combined with Verteporfin.
Levofloxacin Levofloxacin may increase the photosensitizing activities of Verteporfin.
Padeliporfin Verteporfin may increase the photosensitizing activities of Padeliporfin.
Lamotrigine Lamotrigine may increase the photosensitizing activities of Verteporfin.
Oxcarbazepine Oxcarbazepine may increase the photosensitizing activities of Verteporfin.
Dasatinib Dasatinib may increase the photosensitizing activities of Verteporfin.
Celecoxib Celecoxib may increase the photosensitizing activities of Verteporfin.
Itraconazole Itraconazole may increase the photosensitizing activities of Verteporfin.
Losartan Losartan may increase the photosensitizing activities of Verteporfin.

Referensi & Sumber

Artikel (PubMed)
  • PMID: 20162298
    Chan WM, Lim TH, Pece A, Silva R, Yoshimura N: Verteporfin PDT for non-standard indications--a review of current literature. Graefes Arch Clin Exp Ophthalmol. 2010 May;248(5):613-26. doi: 10.1007/s00417-010-1307-z. Epub 2010 Feb 17.
  • PMID: 16945338
    Nowak-Sliwinska P, Karocki A, Elas M, Pawlak A, Stochel G, Urbanska K: Verteporfin, photofrin II, and merocyanine 540 as PDT photosensitizers against melanoma cells. Biochem Biophys Res Commun. 2006 Oct 20;349(2):549-55. Epub 2006 Aug 22.

Contoh Produk & Brand

Produk: 6 • International brands: 1
Produk
  • Visudyne
    Injection, powder, lyophilized, for solution • 15 mg/1 • Intravenous • US • Approved
  • Visudyne
    Injection, powder, lyophilized, for solution • 2 mg/1mL • Intravenous • US • Approved
  • Visudyne
    Injection, powder, lyophilized, for solution • 15 mg/1 • Intravenous • US • Approved
  • Visudyne
    Powder, for solution • 15 mg / vial • Intravenous • Canada • Approved
  • Visudyne
    Injection, powder, lyophilized, for solution • 15 mg/1 • Intravenous • US • Approved
  • Visudyne
    Injection, powder, for solution • 15 mg • Intravenous • EU • Approved
International Brands
  • Visudine — Novartis

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