Peringatan Keamanan

The oral LD50 in the rat is > 50 mg/kg.L8360

An overdose of latanoprost is not expected to result in dangerous patient outcomes, however, conjunctival or episcleral hyperemia may occur.L8357 An intravenous infusion of 3 ?g/kg of latanoprost in healthy volunteers led to mean plasma concentrations 200 times higher than a normally administered therapeutic dose and no adverse effects were noted.L8357 One study suggested that an overdose of latanoprost leads to cystoid macular edema after a large, unintended overdose. This resolved within 4 weeks after 4 weeks following treatment with nepafenac 0.3% eye drops in addition to oral acetazolamide.A184538 Contact the local poison control center for updated guidance on managing a latanoprost overdose.

Latanoprost

DB00654

small molecule approved investigational

Deskripsi

Latanoprost is a prodrug analog of prostaglandin F2 alpha that is used to treat elevated intraocular pressure (IOP). It was initially approved by the FDA in 1998. Latanoprost is the first topical prostaglandin F2 alpha analog used for glaucoma treatment.A184493 It has been found to be well-tolerated and its use does not normally result in systemic adverse effects like other drugs used to treat elevated intraocular pressure, such as Timolol. Another benefit latanoprost is that it can be administered once a day.A184490

Struktur Molekul 2D

Berat 432.5928
Wujud liquid

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) The elimination half-life of latanoprost from the plasma is about 17 minutes.[A184493,L8357] The elimination half-life of latanoprost from the eye is estimated at 2–3 hours.[A184493]
Volume Distribusi The volume of distribution of latanoprost is 0.16 ± 0.02 L/kg. The activated acid form of latanoprost can be measured in aqueous humor in the initial 4 hours post-administration, and it is measured in the plasma only for 1 hour following ophthalmic administration.[L8357] This drug is more lipophilic than its parent prostaglandin and easily penetrates the cornea.[A184490] It has been shown to cross the placenta in rats.[L8402]
Klirens (Clearance) The systemic clearance of latanoprost is 7 mL/min/kg.[L8357]

Absorpsi

This drug is rapidly absorbed in the cornea as an isopropyl ester prodrug and is then activated by the process of hydrolysis. A small amount of this drug is systemically absorbed.A184490 The Cmax of latanoprost in the systemic circulation is reached after 5 minutes and is measured to be 53 pg/mL. The Cmax in the aqueous humor is attained within 2 hours after administration.A184493,L8357 and has been estimated to be 15-30 ng/mL.A184493

Metabolisme

After corneal uptake, this prodrug is hydrolyzed and activated by esterases to become a pharmacologically active drug. The small portion of this drug that is able to reach the circulation is found to be metabolized by the liver to the 1,2-dinor and 1,2,3,4-tetranor metabolites through fatty acid beta-oxidation.A184490,A184493,L8357

Rute Eliminasi

After hepatic beta-oxidation, the metabolites of latanoprost are primarily found to be excreted by the kidneys. About 88% of the latanoprost dose is recovered in the urine after topical administration.A184490,L8357 About 15% of a dose is reported to be excreted in the feces.L8402

Interaksi Obat

111 Data
Bimatoprost The risk or severity of intraocular pressure can be increased when Latanoprost is combined with Bimatoprost.
Icosapent The therapeutic efficacy of Latanoprost can be decreased when used in combination with Icosapent.
Indomethacin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Indomethacin.
Nabumetone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Nabumetone.
Ketorolac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Ketorolac.
Tenoxicam The therapeutic efficacy of Latanoprost can be decreased when used in combination with Tenoxicam.
Celecoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Celecoxib.
Tolmetin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Tolmetin.
Rofecoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Rofecoxib.
Piroxicam The therapeutic efficacy of Latanoprost can be decreased when used in combination with Piroxicam.
Fenoprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Fenoprofen.
Valdecoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Valdecoxib.
Diclofenac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Diclofenac.
Sulindac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Sulindac.
Flurbiprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Flurbiprofen.
Etodolac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Etodolac.
Mefenamic acid The therapeutic efficacy of Latanoprost can be decreased when used in combination with Mefenamic acid.
Naproxen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Naproxen.
Sulfasalazine The therapeutic efficacy of Latanoprost can be decreased when used in combination with Sulfasalazine.
Phenylbutazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Phenylbutazone.
Meloxicam The therapeutic efficacy of Latanoprost can be decreased when used in combination with Meloxicam.
Carprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Carprofen.
Diflunisal The therapeutic efficacy of Latanoprost can be decreased when used in combination with Diflunisal.
Salicylic acid The therapeutic efficacy of Latanoprost can be decreased when used in combination with Salicylic acid.
Meclofenamic acid The therapeutic efficacy of Latanoprost can be decreased when used in combination with Meclofenamic acid.
Acetylsalicylic acid The therapeutic efficacy of Latanoprost can be decreased when used in combination with Acetylsalicylic acid.
Oxaprozin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Oxaprozin.
Ketoprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Ketoprofen.
Balsalazide The therapeutic efficacy of Latanoprost can be decreased when used in combination with Balsalazide.
Ibuprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Ibuprofen.
Lumiracoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Lumiracoxib.
Magnesium salicylate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Magnesium salicylate.
Salsalate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Salsalate.
Choline magnesium trisalicylate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Choline magnesium trisalicylate.
Antrafenine The therapeutic efficacy of Latanoprost can be decreased when used in combination with Antrafenine.
Aminophenazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Aminophenazone.
Antipyrine The therapeutic efficacy of Latanoprost can be decreased when used in combination with Antipyrine.
Tiaprofenic acid The therapeutic efficacy of Latanoprost can be decreased when used in combination with Tiaprofenic acid.
Etoricoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Etoricoxib.
Taxifolin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Taxifolin.
Oxyphenbutazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Oxyphenbutazone.
Licofelone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Licofelone.
Nimesulide The therapeutic efficacy of Latanoprost can be decreased when used in combination with Nimesulide.
Benoxaprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Benoxaprofen.
Zomepirac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Zomepirac.
Cimicoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Cimicoxib.
Lornoxicam The therapeutic efficacy of Latanoprost can be decreased when used in combination with Lornoxicam.
Aceclofenac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Aceclofenac.
Zaltoprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Zaltoprofen.
Azapropazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Azapropazone.
Parecoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Parecoxib.
Salicylamide The therapeutic efficacy of Latanoprost can be decreased when used in combination with Salicylamide.
Kebuzone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Kebuzone.
Isoxicam The therapeutic efficacy of Latanoprost can be decreased when used in combination with Isoxicam.
Indoprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Indoprofen.
Ibuproxam The therapeutic efficacy of Latanoprost can be decreased when used in combination with Ibuproxam.
Floctafenine The therapeutic efficacy of Latanoprost can be decreased when used in combination with Floctafenine.
Fenbufen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Fenbufen.
Etofenamate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Etofenamate.
Epirizole The therapeutic efficacy of Latanoprost can be decreased when used in combination with Epirizole.
Benzydamine The therapeutic efficacy of Latanoprost can be decreased when used in combination with Benzydamine.
Dexibuprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Dexibuprofen.
Dexketoprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Dexketoprofen.
Droxicam The therapeutic efficacy of Latanoprost can be decreased when used in combination with Droxicam.
Tolfenamic acid The therapeutic efficacy of Latanoprost can be decreased when used in combination with Tolfenamic acid.
Firocoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Firocoxib.
Clonixin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Clonixin.
Morniflumate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Morniflumate.
Propacetamol The therapeutic efficacy of Latanoprost can be decreased when used in combination with Propacetamol.
Talniflumate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Talniflumate.
Robenacoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Robenacoxib.
Tepoxalin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Tepoxalin.
Flunixin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Flunixin.
Polmacoxib The therapeutic efficacy of Latanoprost can be decreased when used in combination with Polmacoxib.
Nitroaspirin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Nitroaspirin.
Indobufen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Indobufen.
Ebselen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Ebselen.
Tinoridine The therapeutic efficacy of Latanoprost can be decreased when used in combination with Tinoridine.
Alclofenac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Alclofenac.
Fentiazac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Fentiazac.
Suxibuzone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Suxibuzone.
Bumadizone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Bumadizone.
Alminoprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Alminoprofen.
Difenpiramide The therapeutic efficacy of Latanoprost can be decreased when used in combination with Difenpiramide.
Nifenazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Nifenazone.
Lonazolac The therapeutic efficacy of Latanoprost can be decreased when used in combination with Lonazolac.
Tenidap The therapeutic efficacy of Latanoprost can be decreased when used in combination with Tenidap.
Propyphenazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Propyphenazone.
Proglumetacin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Proglumetacin.
Guacetisal The therapeutic efficacy of Latanoprost can be decreased when used in combination with Guacetisal.
Ethenzamide The therapeutic efficacy of Latanoprost can be decreased when used in combination with Ethenzamide.
Carbaspirin calcium The therapeutic efficacy of Latanoprost can be decreased when used in combination with Carbaspirin calcium.
Mofebutazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Mofebutazone.
Proquazone The therapeutic efficacy of Latanoprost can be decreased when used in combination with Proquazone.
Benorilate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Benorilate.
Pirprofen The therapeutic efficacy of Latanoprost can be decreased when used in combination with Pirprofen.
Acemetacin The therapeutic efficacy of Latanoprost can be decreased when used in combination with Acemetacin.
Imidazole salicylate The therapeutic efficacy of Latanoprost can be decreased when used in combination with Imidazole salicylate.
SC-236 The therapeutic efficacy of Latanoprost can be decreased when used in combination with SC-236.
NS-398 The therapeutic efficacy of Latanoprost can be decreased when used in combination with NS-398.

Target Protein

Prostaglandin F2-alpha receptor PTGFR

Referensi & Sumber

Synthesis reference: Arie Gutman, "Process for the preparation of latanoprost." U.S. Patent US20030149294, issued August 07, 2003.
Artikel (PubMed)
  • PMID: 11406947
    Hara T: Increased iris pigmentation after use of latanoprost in Japanese brown eyes. Nippon Ganka Gakkai Zasshi. 2001 May;105(5):314-21.
  • PMID: 8922563
    Patel SS, Spencer CM: Latanoprost. A review of its pharmacological properties, clinical efficacy and tolerability in the management of primary open-angle glaucoma and ocular hypertension. Drugs Aging. 1996 Nov;9(5):363-78. doi: 10.2165/00002512-199609050-00007.
  • PMID: 25328381
    Alm A: Latanoprost in the treatment of glaucoma. Clin Ophthalmol. 2014 Sep 26;8:1967-85. doi: 10.2147/OPTH.S59162. eCollection 2014.
  • PMID: 29921209
    Makri OE, Tsekouras IK, Plotas P, Tsapardoni F, Pallikari A, Georgakopoulos CD: Cystoid Macular Edema Due to Accidental Latanoprost Overdose After Uncomplicated Phacoemulsification. Curr Drug Saf. 2018;13(3):208-210. doi: 10.2174/1574886313666180619163845.
  • PMID: 12204697
    Sjoquist B, Stjernschantz J: Ocular and systemic pharmacokinetics of latanoprost in humans. Surv Ophthalmol. 2002 Aug;47 Suppl 1:S6-12.

Contoh Produk & Brand

Produk: 78 • International brands: 19
Produk
  • Act Latanoprost/timolol
    Solution • - • Ophthalmic • Canada • Approved
  • Ag-latanoprost
    Solution • 50 mcg / mL • Ophthalmic • Canada • Generic • Approved
  • Apo-latanoprost
    Solution • 50 mcg / mL • Ophthalmic • Canada • Generic • Approved
  • Apo-latanoprost-timop
    Solution • - • Ophthalmic • Canada • Generic • Approved
  • Bl Latanoprost
    Solution • 50 mcg / mL • Ophthalmic • Canada • Approved
  • Catiolanze
    - • 50 μg/ml • Ophthalmic • EU • Approved
  • Catiolanze
    - • 50 μg/ml • Ophthalmic • EU • Approved
  • Catiolanze
    - • 50 μg/ml • Ophthalmic • EU • Approved
Menampilkan 8 dari 78 produk.
International Brands
  • Arulatan — Dr. Gerhard Mann
  • Gaap — Sophia
  • Gaap Ofteno — Sophia
  • Gaax — Chile
  • Glaucogesic — Atlas
  • Glaumax — Kevelt
  • Glauprost — Arrow
  • Hysite — Pfizer
  • Iopize — SIFI
  • Ioprost — FDC

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