Peringatan Keamanan

Acute ingestion of > 150 mg/kg of salicylates may result in severe toxicity. Salicylate tablets may form stomach bezoars, prolonging absorption of the drug and toxicity. Chronic toxicity can occur after several days or more of high therapeutic doses; it is common, often undiagnosed, and often more serious than acute toxicity. Chronic toxicity is likely to occur in elderly patients L2692.

Treatment for salicylate poisoning consists of activated charcoal and alkaline diuresis with extra KCl L2692.

Unless contraindicated (eg, by altered mental status), activated charcoal is administered as soon as possible and, if bowel sounds are active and there is adequate gastrointestinal motility, may be repeated every 4 hours until charcoal appears in the stool L2692.

After volume and electrolyte abnormalities are corrected and maintained, alkaline diuresis can be used to increase urine pH, ideally to ? 8. Alkaline diuresis is advised for patients with any symptoms of poisoning and should not be delayed until salicylate levels are determined. This process is usually safe and greatly increases the rate of salicylate excretion. Because hypokalemia can interfere with alkaline diuresis, patients are often given a solution composed of 1 L of 5% D/W, 3 50-mEq ampules of NaHCO3, and 40 mEq of KCl at 1.5 to 2 times the maintenance IV fluid rate. Serum potassium levels are monitored. Due to the fact that fluid overload can lead to the occurrence of pulmonary edema, patients are monitored for respiratory findings L2692.

Drugs that increase urinary HCO3 (eg, acetazolamide) must be avoided because they worsen metabolic acidosis and decrease blood pH. Drugs that decrease respiratory drive should be avoided when possible because they may impair hyperventilation and respiratory alkalosis, decreasing blood pH L2694.

Glycol salicylate

DB11323

small molecule approved

Deskripsi

Glycol salicylate, also known as 2-hydroxyethyl salicylate, is a benzoate ester formed from the condensation of the carboxy group of salicylic acid with one of the hydroxy groups of ethylene glycol. It is found as an active ingredient and topical analgesic in patches used to provide relief for mild to moderate muscle and joint pain L2686.

This drug belongs to the salicylate group of drugs, which are used as analgesic agents for the treatment of mild to moderate pain L2691.

Glycol salicylate (GS), composed of salicylic acid (SA) and ethylene glycol, is a non-steroidal anti-inflammatory drug L2687.

This ingredient is an important component of many topical creams and sprays for the relief of aches, pains, and stiffness of the muscles, joints, and tendons L2696.

Struktur Molekul 2D

Berat 182.175
Wujud liquid

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) The serum half-life of [DB00945], a similar salicylate, is 20 min [L2700].
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Salicylate absorption follows first-order kinetics with an absorption half-life ranging from 5 to 16 minutes L2700.

Metabolisme

The metabolism of glycol salicylate is similar to that of DB00945 at other salicylates L2700. Metabolism of salicylic acid occurs through glucuronide formation (to produce salicyl acyl glucuronide and salicyl phenolic glucuronide), conjugation with glycine (to produce salicyluric acid), and oxidation to gentisic acid. The rate of formation of salicyl phenolic glucuronide and salicyluric acid are readily saturated at low salicylic acid concentrations and their formation is described by Michaelis-Menten kinetics. The larger the dose administered, the longer it will take to reach steady-state concentrations of salicylates. There is also evidence that enzyme induction of salicyluric acid formation occurs during the metabolism of salicylates L2700.

Rute Eliminasi

Salicylates are generally excreted L2700.

Interaksi Obat

652 Data
Aliskiren The risk or severity of renal failure and hypertension can be increased when Glycol salicylate is combined with Aliskiren.
Deferasirox The risk or severity of gastrointestinal bleeding and peptic ulcer can be increased when Glycol salicylate is combined with Deferasirox.
Desmopressin The risk or severity of hypertension, hyponatremia, and water intoxication can be increased when Glycol salicylate is combined with Desmopressin.
Digoxin Glycol salicylate may decrease the excretion rate of Digoxin which could result in a higher serum level.
Metildigoxin Glycol salicylate may decrease the excretion rate of Metildigoxin which could result in a higher serum level.
Acetyldigoxin Glycol salicylate may decrease the excretion rate of Acetyldigoxin which could result in a higher serum level.
Drospirenone The risk or severity of hyperkalemia can be increased when Glycol salicylate is combined with Drospirenone.
Haloperidol The therapeutic efficacy of Haloperidol can be increased when used in combination with Glycol salicylate.
Hydralazine Glycol salicylate may decrease the antihypertensive activities of Hydralazine.
Lithium hydroxide Glycol salicylate may decrease the excretion rate of Lithium hydroxide which could result in a higher serum level.
Lithium citrate Glycol salicylate may decrease the excretion rate of Lithium citrate which could result in a higher serum level.
Lithium carbonate Glycol salicylate may decrease the excretion rate of Lithium carbonate which could result in a higher serum level.
Methotrexate The serum concentration of Methotrexate can be increased when it is combined with Glycol salicylate.
Pemetrexed Glycol salicylate may decrease the excretion rate of Pemetrexed which could result in a higher serum level.
Pralatrexate Glycol salicylate may decrease the excretion rate of Pralatrexate which could result in a higher serum level.
Probenecid Probenecid may decrease the excretion rate of Glycol salicylate which could result in a higher serum level.
Tenofovir disoproxil Glycol salicylate may decrease the excretion rate of Tenofovir disoproxil which could result in a higher serum level.
Tenofovir alafenamide Glycol salicylate may decrease the excretion rate of Tenofovir alafenamide which could result in a higher serum level.
Tenofovir Glycol salicylate may decrease the excretion rate of Tenofovir which could result in a higher serum level.
Treprostinil The risk or severity of bleeding can be increased when Treprostinil is combined with Glycol salicylate.
Vancomycin Glycol salicylate may decrease the excretion rate of Vancomycin which could result in a higher serum level.
Alendronic acid The risk or severity of adverse effects can be increased when Glycol salicylate is combined with Alendronic acid.
Lepirudin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Lepirudin.
Bivalirudin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Bivalirudin.
Alteplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Alteplase.
Urokinase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Urokinase.
Reteplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Reteplase.
Anistreplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Anistreplase.
Tenecteplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Tenecteplase.
Abciximab The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Abciximab.
Drotrecogin alfa The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Drotrecogin alfa.
Streptokinase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Streptokinase.
Dicoumarol The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Dicoumarol.
Argatroban The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Argatroban.
Ardeparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Ardeparin.
Phenindione The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Phenindione.
Fondaparinux The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Fondaparinux.
Warfarin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Warfarin.
Pentosan polysulfate The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Pentosan polysulfate.
Phenprocoumon The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Phenprocoumon.
Edetic acid The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Edetic acid.
Dipyridamole The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Dipyridamole.
Heparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Heparin.
Enoxaparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Enoxaparin.
Epoprostenol The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Epoprostenol.
Acenocoumarol The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Acenocoumarol.
4-hydroxycoumarin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with 4-hydroxycoumarin.
Coumarin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Coumarin.
Ximelagatran The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Ximelagatran.
Desmoteplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Desmoteplase.
Defibrotide The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Defibrotide.
Ancrod The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Ancrod.
Beraprost The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Beraprost.
SR-123781A The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with SR-123781A.
Prasugrel The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Prasugrel.
Rivaroxaban The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Rivaroxaban.
Sulodexide The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Sulodexide.
Semuloparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Semuloparin.
Idraparinux The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Idraparinux.
Cangrelor The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Cangrelor.
Astaxanthin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Astaxanthin.
Apixaban The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Apixaban.
Otamixaban The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Otamixaban.
Amediplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Amediplase.
Dabigatran etexilate The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Dabigatran etexilate.
Danaparoid The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Danaparoid.
Dalteparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Dalteparin.
Tinzaparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Tinzaparin.
(R)-warfarin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with (R)-warfarin.
Ethyl biscoumacetate The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Ethyl biscoumacetate.
Nadroparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Nadroparin.
Triflusal The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Triflusal.
Ticagrelor The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Ticagrelor.
Ditazole The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Ditazole.
Vorapaxar The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Vorapaxar.
Edoxaban The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Edoxaban.
Sodium citrate The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Sodium citrate.
Dextran The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Dextran.
Bemiparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Bemiparin.
Reviparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Reviparin.
Parnaparin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Parnaparin.
Desirudin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Desirudin.
Antithrombin Alfa The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Antithrombin Alfa.
Protein C The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Protein C.
Antithrombin III human The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Antithrombin III human.
Letaxaban The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Letaxaban.
Darexaban The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Darexaban.
Betrixaban The risk or severity of bleeding can be increased when Betrixaban is combined with Glycol salicylate.
Nafamostat The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Nafamostat.
Monteplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Monteplase.
Gabexate The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Gabexate.
Troxerutin The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Troxerutin.
Fluindione The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Fluindione.
Protein S human The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Protein S human.
Brinase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Brinase.
Clorindione The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Clorindione.
Diphenadione The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Diphenadione.
Tioclomarol The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Tioclomarol.
Melagatran The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Melagatran.
Saruplase The risk or severity of bleeding and hemorrhage can be increased when Glycol salicylate is combined with Saruplase.

Target Protein

Prostaglandin G/H synthase 1 PTGS1
Prostaglandin G/H synthase 2 PTGS2

Referensi & Sumber

Artikel (PubMed)
  • PMID: 19633779
    Baenkler HW: Salicylate intolerance: pathophysiology, clinical spectrum, diagnosis and treatment. Dtsch Arztebl Int. 2008 Feb;105(8):137-42. doi: 10.3238/arztebl.2008.0137. Epub 2008 Feb 22.
  • PMID: 19641282
    Pearlman BL, Gambhir R: Salicylate intoxication: a clinical review. Postgrad Med. 2009 Jul;121(4):162-8. doi: 10.3810/pgm.2009.07.2041.
  • PMID: 16441948
    Paterson J, Baxter G, Lawrence J, Duthie G: Is there a role for dietary salicylates in health? Proc Nutr Soc. 2006 Feb;65(1):93-6.
  • PMID: 17364628
    Chyka PA, Erdman AR, Christianson G, Wax PM, Booze LL, Manoguerra AS, Caravati EM, Nelson LS, Olson KR, Cobaugh DJ, Scharman EJ, Woolf AD, Troutman WG: Salicylate poisoning: an evidence-based consensus guideline for out-of-hospital management. Clin Toxicol (Phila). 2007;45(2):95-131. doi: 10.1080/15563650600907140.
  • PMID: 1554971
    Durnas C, Cusack BJ: Salicylate intoxication in the elderly. Recognition and recommendations on how to prevent it. Drugs Aging. 1992 Jan-Feb;2(1):20-34.
  • PMID: 9690946
    Cross SE, Anderson C, Roberts MS: Topical penetration of commercial salicylate esters and salts using human isolated skin and clinical microdialysis studies. Br J Clin Pharmacol. 1998 Jul;46(1):29-35.
  • PMID: 7851817
    Taniguchi Y, Deguchi Y, Saita M, Noda K: Antinociceptive effects of counterirritants. Nihon Yakurigaku Zasshi. 1994 Dec;104(6):433-46.
  • PMID: 7437270
    Levy G: Clinical pharmacokinetics of salicylates: a re-assessment. Br J Clin Pharmacol. 1980 Oct;10 Suppl 2:285S-290S.

Contoh Produk & Brand

Produk: 10 • International brands: 0
Produk
  • Family Care Thera Flex
    Patch • - • Topical • US • OTC
  • Jupiter Pain Patch
    Patch • - • Topical • Canada • OTC • Approved
  • Midalgan
    Ointment • - • Topical • Canada • OTC • Approved
  • New Ammeltz
    Liquid • - • Topical • Canada • OTC • Approved
  • Nopen Cool
    Patch • - • Transdermal • US • OTC
  • Nopen Hot
    Patch • - • Transdermal • US • OTC
  • Salonpas - Pls Top
    Plaster • - • Topical • Canada • OTC • Approved
  • Salonpas Gel-patch
    Plaster • - • Topical • Canada • OTC • Approved
Menampilkan 8 dari 10 produk.

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