拉坦前列素拉坦前列腺素(Latanoprost)是一種治療眼壓升高的藥物,是滴入眼睛眼藥水[5]。包括高眼壓症英語Ocular hypertension和隅角開放型青光眼[5]。藥效通常在四小時內出現,可持續長達一天[5]

拉坦前列素
臨床資料
商品名英語Drug nomenclatureXalatan, others
AHFS/Drugs.comMonograph
MedlinePlusa697003
核准狀況
懷孕分級
給藥途徑外用眼科藥物服用英語Ophthalmic drug administration
ATC碼
法律規範狀態
法律規範
藥物動力學數據
藥物代謝酯類水解後啟動,Β-氧化後失效
藥效起始時間英語Onset of action3–4小時
生物半衰期17分鐘(血漿)
作用時間≥ 24小時
排泄途徑主要透過腎臟排泄
識別資訊
  • Isopropyl (Z)-7-[(1R,2R,3R,5S)-3,5-dihydroxy-2- [(3R)3-hydroxy-5-phenylpentyl]-cyclopentyl] hept-5-enoate
CAS號130209-82-4  checkY
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard英語CompTox Chemicals Dashboard (EPA)
ECHA InfoCard100.162.178 編輯維基數據鏈接
化學資訊
化學式C26H40O5
摩爾質量432.60 g·mol−1
3D模型(JSmol英語JSmol
  • O=C(OC(C)C)CCC/C=C\C[C@H]2[C@@H](O)C[C@@H](O)[C@@H]2CC[C@@H](O)CCc1ccccc1
  • InChI=1S/C26H40O5/c1-19(2)31-26(30)13-9-4-3-8-12-22-23(25(29)18-24(22)28)17-16-21(27)15-14-20-10-6-5-7-11-20/h3,5-8,10-11,19,21-25,27-29H,4,9,12-18H2,1-2H3/b8-3-/t21-,22+,23+,24-,25+/m0/s1 checkY
  • Key:GGXICVAJURFBLW-CEYXHVGTSA-N checkY

常見副作用包括視力模糊、眼睛發紅、瘙癢和虹膜變黑[5]。拉坦前列腺素屬於前列腺素衍生物英語Prostaglandin analogue藥物家族[5]。作用機轉是增加房水通過葡萄膜鞏膜通道流出眼睛[6]

拉坦前列腺素在1996年取得美國的醫療使用許可[5]。名列世界衛生組織基本藥物標準清單[7]。有學名藥流通於市[8]。2017 年在美國,名列最常用處方藥第 81 名,共開出超過 900 萬張處方[9] [10]

參考文獻

編輯
  1. ^ Latanoprost 50 micrograms/ml eye drops, solution - Summary of Product Characteristics (SmPC). (emc). 1 July 2022 [1 July 2022]. (原始內容存檔於1 July 2022). 
  2. ^ Xalatan- latanoprost solution. DailyMed. 27 December 2022 [30 March 2023]. (原始內容存檔於30 March 2023). 
  3. ^ Catiolanze EPAR. European Medicines Agency (EMA). 14 September 2023 [11 December 2023]. (原始內容存檔於5 December 2023). 
  4. ^ Catiolanze Product information. Union Register of medicinal products. 16 November 2023 [11 December 2023]. 
  5. ^ 5.0 5.1 5.2 5.3 5.4 5.5 Latanoprost. The American Society of Health-System Pharmacists. [8 December 2016]. (原始內容存檔於28 December 2016). "Latanoprost". The American Society of Health-System Pharmacists. Archived from the original on 28 December 2016. Retrieved 8 December 2016.
  6. ^ 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, 9 (5): 363–378. PMID 8922563. doi:10.2165/00002512-199609050-00007. 
  7. ^ World Health Organization. World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. 2019. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO. 
  8. ^ Hamilton, Richart. Tarascon Pocket Pharmacopoeia 2015 Deluxe Lab-Coat Edition. Jones & Bartlett Learning. 2015: 413. ISBN 9781284057560. 
  9. ^ The Top 300 of 2020. ClinCalc. [11 April 2020]. (原始內容存檔於12 February 2021). 
  10. ^ Latanoprost - Drug Usage Statistics. ClinCalc. [11 April 2020]. (原始內容存檔於8 July 2020).