Peringatan Keamanan

There are no available human data for the use of latanoprost bunod during pregnancy to inform any drug associated risks. Use during pregnancy must consider whether any potential benefit to the patient will justify the risk presented to the fetus FDA Label.

There are no data on the presence of latanoprost bunod in human milk, the effects on the breastfed infant, or the effects on milk production. The developmental and health benefits of breastfeeding must be considered along with the mother's potential clinical need for latanoprost bunod and any possible risk to the breastfed infant FDA Label.

Prolonged, continued use of latanoprost bunod 0.024% opthalmic solution is expected to cause increased pigmentation of the iris and eyelid. Such pigmentation is expected to increase for as long as the medication is used. Upon discontinuing the medication, although pigmentation changes of the eyelid tissue may likely reverse, pigmentation changes to the iris is likely permanent. Such pigmentation changes typically present as brown pigmentation spreading and increasing concentrically outward from the pupil. These changes may not be noticeable for several months to years. The long-term effects of increased pigmentation are not known and any prospective patients should be informed of this effect. While usage of the medication can continue in patients who do develop such pigmentation changes they should also be examined regularly FDA Label.

Prolonged, continued use of this medication is also expected to cause changes involving the increased length, thickness, and number of eyelash hairs. These changes are usually reversible upon discontinuation of the medication.

Latanoprost bunod can cause or exacerbate existing intraocular inflammation (iritis or uveitis). Use with caution in patients with a history of or active intraocular inflammation.

As a prostaglanding analog, latanoprost bunod has the potential to cuase macular edema, including cystoid macular edema. Use with caution in aphakic patients, in pseudoaphakic patients with a torn posterior lens capsule, or in patients with with known risk factors for macular edema.

Bacterial keratitis or other eye infections are commonly associated with the use of opthalmic solution containers that have been inadvertently contaminated by patients who have a concurrent corneal disease or a disruption of the ocular epithelial surfaced.

Contact lenses should be removed prior to the use of latanoprost bunod because its benzalkonium chloride preservative can affect or alter contact lenses FDA Label.

The most common adverse reactions obseved in patients treated with latanoprostene bunod during clinical trials were conjuctival hyperemica, eye irritation, eye pain, and installation site pain FDA Lable.

Latanoprostene bunod

DB11660

small molecule approved investigational

Deskripsi

Latanoprostene Bunod has been used in trials studying the treatment of Glaucoma, Ocular Hypertension, Open-Angle Glaucoma, Open Angle Glaucoma, and Intraocular Pressure.

As of November 2, 2017 the FDA approved Bausch + Lomb's Vyzulta (latanoprostene bunod opthalmic solution), 0.024% for the indication of reducing intraocular pressure in patients with open-angle glaucoma or ocular hypertension. Latanoprostene bunod is the first prostaglandin analog with one of its metabolites being nitric oxide (NO). The novelty of this agent subsequently lies in the proposed dual mechanism of action that stems from both its prostaglandin F2-alpha analog latanoprost acid metabolite and its ability to donate NO for proposed tissue/cell relaxation effects.

In comparison, both latanoprost and latanoprostene bunod contain a latanoprost acid backbone. Conversely however, latanoprostene bunod integrates an NO-donating moiety in lieu of the isopropyl ester typically found in latanoprost.

Struktur Molekul 2D

Berat 507.624
Wujud liquid

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) The half-life after application of latanoprostene bunod in rabbits was 1.8 hours in cornea, 2.1 hours in aqueous humor, and 4.6 hours in the iris/ciliary body [A31285].
Volume Distribusi Unfortunately there have been no formal ocular distribution studies performed in humans at this time [FDA Label].
Klirens (Clearance) Since latanoprost acid plasma concentration dropped below the LLOQ (Lower Limit Of Quantitation) of 30 pg/mL in the majority of study subjects by 15 minutes following ordinary ocular administration, the elimination of latanoprost acid from human plasma is considered rapid [FDA Label].

Absorpsi

In a study with 22 healthy subjects monitored for 28 days, there were no quantifiable plasma concentrations of latanoprostene bunod (Lower Limit Of Quantitation, LLOQ, of 10.0 pg/mL) or butanediol mononitrate (LLOQ of 200 pg/mL) post daily dose of one drop bilaterally in the morning on Day 1 and 28 FDA Label. The mean time of maximum plasma concentration (Tmax) for latanoprost acid was about 5 minutes post dosage on both Day 1 and 28 of therapy FDA Label. The mean maximum plasma concentrations (Cmax) of latanoprost acid (LLOQ of 30 pg/mL) were 59.1 pg/mL on Day 1 and 28, respectively FDA Label.

Metabolisme

Upon topical administration at the ocular surface, latanoprostene bunod undergoes rapid carboxyl ester hydrolysis by endogenous corneal esterases into latanoprost acid and butanediol mononitrate FDA Label. After the latanoprost acid reaches the systemic circulation, it is largely metabolized by the liver to the 1,2-dinor and 1,2,3,4-tetranor metabolites by way of fatty acid beta-oxidation FDA Label. The butanediol monohidrate undergoes further metabolism (reduction) to 1,4-butanediol and nitric oxide (NO). Furthermore, this 1,4-butanediol metabolite is further oxidized to succinic acid that is subsequently then primarily taken up as a component in the tricarboxylic acid (TCA) cycle in cellular aerobic respiration FDA Label.

Rute Eliminasi

The latanoprost acid component of latanoprostene bunod is predominantly metabolized by the liver and excreted primarily in the urine FDA Label.

Interaksi Obat

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

Target Protein

Prostaglandin F2-alpha receptor PTGFR

Referensi & Sumber

Artikel (PubMed)
  • PMID: 27457469
    Kawase K, Vittitow JL, Weinreb RN, Araie M: Long-term Safety and Efficacy of Latanoprostene Bunod 0.024% in Japanese Subjects with Open-Angle Glaucoma or Ocular Hypertension: The JUPITER Study. Adv Ther. 2016 Sep;33(9):1612-27. doi: 10.1007/s12325-016-0385-7. Epub 2016 Jul 25.
  • PMID: 27210275
    Medeiros FA, Martin KR, Peace J, Scassellati Sforzolini B, Vittitow JL, Weinreb RN: Comparison of Latanoprostene Bunod 0.024% and Timolol Maleate 0.5% in Open-Angle Glaucoma or Ocular Hypertension: The LUNAR Study. Am J Ophthalmol. 2016 Aug;168:250-259. doi: 10.1016/j.ajo.2016.05.012. Epub 2016 May 20.
  • PMID: 26875002
    Weinreb RN, Scassellati Sforzolini B, Vittitow J, Liebmann J: Latanoprostene Bunod 0.024% versus Timolol Maleate 0.5% in Subjects with Open-Angle Glaucoma or Ocular Hypertension: The APOLLO Study. Ophthalmology. 2016 May;123(5):965-73. doi: 10.1016/j.ophtha.2016.01.019. Epub 2016 Feb 11.
  • PMID: 28234563
    Kaufman PL: Latanoprostene bunod ophthalmic solution 0.024% for IOP lowering in glaucoma and ocular hypertension. Expert Opin Pharmacother. 2017 Mar;18(4):433-444. doi: 10.1080/14656566.2017.1293654. Epub 2017 Feb 20.
  • PMID: 27799730
    Garcia GA, Ngai P, Mosaed S, Lin KY: Critical evaluation of latanoprostene bunod in the treatment of glaucoma. Clin Ophthalmol. 2016 Oct 18;10:2035-2050. eCollection 2016.

Contoh Produk & Brand

Produk: 2 • International brands: 0
Produk
  • Vyzulta
    Solution • 0.024 % w/v • Ophthalmic • Canada • Approved
  • Vyzulta
    Solution / drops • 0.24 mg/1mL • Ophthalmic • US • Approved

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
© 2025 Digital Pharmacy Research - Universitas Esa Unggul