Spectral and Electrochemical Investigations of Ketorolac Tromethamine

Total Page:16

File Type:pdf, Size:1020Kb

Spectral and Electrochemical Investigations of Ketorolac Tromethamine Indian Journal of Chemistry Vol. 42B, January 2003, pp. 159-165 Spectral and electrochemical investigations of ketorolac tromethamine G S Moses t, M Sunil Kumar *, A Ramachandraiah* and K M Rao§ * Department of Chemistry, Regional Engineering College, Warangal 506 004, India t Department of Chemistry, Government College, Rajahmundry-533 105, India * School of Chemistry, University of Hyderabad, Hyderabad - 500 046., Indi a §Department of Chemistry, Regional Engineering College, Silchar-7330 10, Assam, Indi a Received 20 March 2001; accepted (revised) 12 April 2002 The spectral and electrochemical studies of ketorolac tromethamine, 1 are presented. 1 undergoes a sin gle step two­ electron transfer reduction in media of pH < 6.00 and in a two step one-electron reduction in basic media to give a second ary alcohol. 1 is also found to act as a bidentate ligand to give 3. Electrochemical investi gati ons of 1 in non-aqueous media are O presented. Relevant electrochemical data such as n, Epc. ipc ' ana, k h, Do, etc. are reported. Ketorolac Tromethamine, 1 is structurally related to pure aqueous standard solutions of the drug were pre­ Tolmetin and Zomepirac. It is prepared by neutrali sa­ pared from vials only for the investigations. 5 vials, tion of (±)2-benzoyl-dihydro-pyrrolizine-5-carboxylic each of a 30 mg/mL aqueous supply, were carefully acid with 2-amino-2-hydroxymethyl-1 ,3-propanediol'. emptied into a 50 mL standard fl ask equipped with a It is marketed through several trade names such as funnel. The empty vials were thoroughly washed :,ev­ Dolac, Ketanov, etc. eral times with water and the washings were also 1 is basically a non-steroidal analgesic drug having transferred into the standard flask. The funnel was similar pharmaco-kinetic actions as are other non­ removed after cleaning it to drain the washings into steroidal anti-inflammatory drugs (NSAID's) in inhib­ the flask and the contents of the flask were then .made iting the prostaglandin synthesis. Unlike other up to mark. From thi s solution, a second stage aque­ NSAID's, ketorolac has a stronger analgesic activity ous stock solution of the drug was prepared in another besides a moderate anti-inflammatory activity. It may 25 mL standard flask to get 1mM of the compound. cause gastrointestinal side effects, probably by reduc­ Buffers of different pH's (ionic strength = 0.1 M) 2 ing the synthesis and activity of prostaglandins. Spec­ were prepared according to literature procedures . tral and electrochemical studies of the drug in aque­ Their pH was measured by an A TI Orion Model 902 ous media at several pH's would provide useful in­ Ion Meter under thermos tatted conditions (25±0.1Q C). formation about the electron transfer characteri stics of The UV -Vi sible spectra of the solutions were re­ the drug which should provide an insight into its corded on a Shimadzu Model UV-160A Ratio Re­ pharmaco-kinetics. No detailed electrochemical inves­ cording Spectrophotometer fitted with thermos tatted tigations of this important drug molecule are reported 1 cm-path-Iength cuvette holder. The electrochemi cal yet in the literature. Further, its ability to serve as a measurements such as cyclic voltammetry and differ­ bidentate ligand through its carbonyl oxygen and pyr­ ential pul se polarography were recorded on an EG&G rolidic nitrogen, is not yet demonstrated. Prompted by PARC Model 264 A3 Polarographic Ana­ its medicinal importance, its structure and dearth of lyser/Stripping Voltammeter whereas the coulometry reports on its electrochemistry and coordination was on a BAS Model CV-27 Voltammograph, ac­ chemi stry , we studied the spectral and electrochemi­ cessed with an Omnigraphic 2001 x-Y /t Recorder of cal characteristics of the drug in considerable detail Di gital Electronics. A Carlo-Erba (presently Fisons) and the results of these studies are presented here. Model EA 1108 CHNS-O Elemental Analyser linked with a Sartorius Model MC5 Microbalance, was used Materials and Methods for the elemental analysis of the compounds. All the chemicals used were of AnalaR grade. Ke­ All the spectra were recorded using double wall ed torolac tromethamjne is available in the market as cuvette holders of the spectrophotometer thermostat­ both tablets and vials. As the tablets contain additives, ted by an Insref model cryostatic circul ating liquid 160 INDIAN J. CHEM., SEC B. JANUARY 2003 bath with a temperature stability of ± 0.1 DC. The cy­ the wavelength region 200-11 00 nm, suggesting either clic voltammograms and differential pulse polaro­ that the lone pair of electrons on the pyrrole nitrogen grams were run on a 6 mL sample solution transferred does not participate in the electronic transitions in the into the electrochemical cell. Before each run, nitro­ wavelength region studied because it becomes part of gen gas was purged for about 4 minutes. Buffer (5 the aromatic sextet of the pyrrole ring or that the pyr­ mL) and 1 mL of water were mixed for the blank run role nitrogen is hardly protonated because pyrrole is while buffer (5 mL) and 1 mL of the sample were an extremely poor base (pKa = OAO). The basicity of mixed for the sample run. For no~-aqueous measure­ the pyrrole moiety might be further reduced due to the ments, TEAP in acetonitrile is used as the supporting presence of the electron-withdrawing carbonyl and electrolyte. carboxy groups nearby. The drug is expected to pos­ sess three transitions, viz., the n ~ n* and n~ n* Results and Discussion transitions of the benzoyl group and the n ~ n* tran­ Spectral studies sition from the pyrrole ring. The structures of the compound and its protonated form are shown as 1 and 1H+ in Scheme I. Molecular energy minimisation studies using the software, The highest energy band below 200 nm (which PCWIN, reveals that the protonated form is stabilised could not be read due the limitation of wavelength by hydrogen bonding. The aqueous electronic spec­ range for the instrument) should be from the benzene trum of 1, recorded at pH=7 is shown in Figure 1. ring. The low intense (£ = - 8500 lil" mol -, cm-') The spectral features are near independent of pH in band at - 250 nm with a negligible shift in position as pH varies, is attributed to the n ~ n' transition of the carbonyl group. The moderately intense band (£ = - e CH;PH 24000 lil" mol -, cm-') at - 320 nm exhibits a small o 61 I red-shift in the pH range 0.16 < pH < 4.00. This band H:/'J-C-CH;PH I may be originating from the n ~ n * transition of the + CH;PH conjugated three double bonds of the pyrroyl moiety 1H (which includes the carbonyl's double bond). The spectral data of 1, in the wavelength region 1100-200 nm, are collected in Table I. CH;PH Table I - Electronic spectral data of ketorolac 61 I romethamine* Hj'J-C-CH;PH I pH ')...'(d CH;PH 0.16 317.0 (22,763) 250.0 (10,630) Scheme I 4.20 321.6 (23,515) 249.4 (8,875) 6.50 322.4 (27,576) 1 Absorbance 249.4 (9,326) 0.8 10.0 322.6 (23,816) 0.6 249.4 (8,473) a, in nm; b, lie' mor'cm- '; * in methanol at 25°C 0.4 ._----- 0.2 Electrochemical studies 0 Organic compounds containing carbonyl group 200 250 300 350 400 have evinced considerable research interest among Wavelength (nm) electrochemists for the group's versatile electro­ chemical behaviour with a mechanism that varies with Figure I-Electronic spectrum of 1 (lxlO-.5 M) atpH=7.02 the solvent, pH, nature of the electrode material and MOSES et ClI.: SPECTRAL & ELECTROCHEMICAL STUDIES OF KETOROLAC TROMETHAMINE 161 5 312 ip = 2.69 X 10 n A D"2 yll2 c where ip is the peak current, A the area of the elec­ trode, D the diffusion coefficient, y the scan rate and c t­ Z the concentration of the electroactive species'. The W value of n calculated by this method for 1 was 2 in 0::: 0::: media of pH < 6.00 and 1 for each of the two reduc­ ;::J U tion steps in basic media. Hence it is assumed that the only reducible site i.e., carbonyl group of 1 undergoes electrochemical reduction through different mechanis­ tic pathways in acid and basic media. Assigning a mechanism to the two-electron single step electro­ -1.0 -1.1. -1.8 chemical reduction in acid medium involving two H+ POTENTIAL ions is rather straight forward because it is reported V vs Ag/AgCI that keto groups undergo facile 2 e', 2 H+ reduction to Figure 2-Cyclic voltammograms of 1 (1.6 X 10-4 M) on SMDE give secondary alcohols6. In strongly acidic media, at pH of (a) 2.20 and (b) 10.02 (scan rate, 50 mY/sec) the tertiary nitrogen is protonated, even if it is to a negligible extent. Upon protonation, the -NH- hydro­ 3 6 gen is likely to be engaged in hydrogen bonding with other electrochemical experimental conditions - . Cy­ the carbonyl oxygen as shown in IH+. The carbonyl clic voltammograms of 1 are exhibited in Figure 2 at group is more polarised in IH+ than in Reduction two representative pH's. It is clear from these polaro­ 1. of IH+ is more facile in this medium because of thi s grams that the electrochemical behaviour of the drug enhanced polarisation and high concentration of H+ depends on the pH of the medium. It seems to un­ ions. The proposed mechanism is presented in dergo a single step reversible electron transfer in me­ Scheme Plots of Ep vs pH were linear with a near­ dia of pH below 6.00 and in a two step successive II.
Recommended publications
  • Biochemistry. in the Article “An Erp60-Like Protein from the Filarial
    9966 Corrections Proc. Natl. Acad. Sci. USA 96 (1999) Biochemistry. In the article “An Erp60-like protein from the Immunology. In the article “Bacteria-induced neo-biosynthe- filarial parasite Dirofilaria immitis has both transglutaminase sis, stabilization, and surface expression of functional class I and protein disulfide isomerase activity” by Ramaswamy molecules in mouse dendritic cells” by Maria Rescigno, Ste- Chandrashekar, Naotoshi Tsuji, Tony Morales, Victor Ozols, fania Citterio, Clotilde The`ry, Michael Rittig, Donata Meda- and Kapil Mehta, which appeared in number 2, January 20, glini, Gianni Pozzi, Sebastian Amigorena, and Paola Ricciardi- 1998, of Proc. Natl. Acad. Sci. USA (95, 531–536), the authors Castagnoli, which appeared in number 9, April 28, 1998, of inadvertently cited the wrong GenBank accession numbers for Proc. Natl. Acad. Sci. USA (95, 5229–5234), the following four database sequences in the figure legend of a dendrogram corrections should be noted. The changes to references 33 and (Fig. 3b) on page 534. The correct accession numbers are 34 are in bold type. shown in the table below. 33. Medaglini, D., Rush, C. M., Sestini, P. & Pozzi, G. C. (1997) Vaccine 15, 1330–1337. Sequence ID Accession no. as published Correct accession no. 34. Rittig, M. G., Kuhn, K., Dechant, C. A., Gaukler, A., Modolell, RATPDI P54001 P04785 M., Ricciardi-Castagnoli, P., Krause, A. & Burmester, G. R. HUMPDI P55059 P07237 (1996) Dev. Comp. Immunol. 20, 393–406. CHICKPDI P16924 P09102 CEPDI Q10576 U95074 Pharmacology. The article “Nonsteroid drug selectives for cyclo-oxygenase-1 rather than cyclo-oxygenase-2 are associ- Biophysics. In the article “Characterization of lipid bilayer ated with human gastrointestinal toxicity: A full in vitro phases by confocal microscopy and fluorescence correlation analysis” by Timothy D.
    [Show full text]
  • Aspirin and Other Anti-Inflammatory Drugs
    Thorax 2000;55 (Suppl 2):S3–S9 S3 Aspirin and other anti-inflammatory drugs Thorax: first published as 10.1136/thorax.55.suppl_2.S3 on 1 October 2000. Downloaded from Sir John Vane Historical introduction inhibiting COX, thereby reducing prosta- Salicylic acid, the active substance in plants glandin formation, providing a unifying expla- used for thousands of years as medicaments, nation for their therapeutic actions and their was synthesised by Kolbe in Germany in 1874. side eVects. This also firmly established certain MacLagan1 and Stricker2 showed that it was prostaglandins as important mediators of eVective in rheumatic fever. A few years later inflammatory disease (see reviews by Vane and sodium salicylate was also in use as a treatment Botting7 and Vane et al8). COX first cyclises for chronic rheumatoid arthritis and gout as arachidonic acid to form prostaglandin (PG) well as an antiseptic compound. G2 and the peroxidase part of the enzyme then Felix HoVman was a young chemist working reduces PGG2 to PGH2. at Bayer. Legend has it that his father, who was taking salicylic acid to treat his arthritis, Discovery of COX-2 complained to his son about its bitter taste. Over the next 20 years several groups postu- Felix responded by adding an acetyl group to lated the existence of isoforms of COX. Then salicylic acid to make acetylsalicylic acid. Rosen et al,9 studying COX in epithelial cells Heinrich Dreser, the Company’s head of phar- from the trachea, found an increase in activity macology, showed it to be analgesic, anti- of COX during prolonged cell culture.
    [Show full text]
  • Examining Product Risk in Contextmarket Withdrawal of Zomepirac As a Case Study
    Examining Product Risk in Context. Market Withdrawal of Zomepirac as a Case Study The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Ross-Degnan, Dennis. 1993. “Examining Product Risk in Context.” JAMA 270 (16) (October 27): 1937. doi:10.1001/ jama.1993.03510160055029. Published Version doi:10.1001/jama.1993.03510160055029 Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:32692587 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA Examining Product Risk in Context Market Withdrawal of Zomepirac as a Case Study Dennis Ross-Degnan, ScD; Stephen B. Soumerai, ScD; Eric E. Fortess, ScD, MPH; Jerry H. Gurwitz, MD Objective.\p=m-\Toexamine changes in the prescribing of analgesics after the mar- as nonsteroidal anti-inflammatory drugs ket entry and subsequent withdrawal of zomepirac sodium, a nonsteroidal anti\x=req-\ (NSAIDs). The drug was first marketed inflammatory drug (NSAID), following repeated reports of zomepirac-related deaths. in the United States by McNeil Phar¬ evaluate this natural we conducted time-series maceutical, Spring House, Pa, in No¬ Design.\p=m-\To quasi experiment, vember under the analyses to compare prescribing in two cohorts of primary care physicians from July 1980, proprietary name Zomax.5 Indications for which it 1980 1983. through September was marketed included relief of moder¬ care to Setting.\p=m-\Studyphysicians provided outpatient pharmaceutical patients ate to severe as well enrolled in the New postoperative pain, Jersey Medicaid program.
    [Show full text]
  • Ibuprofen-Induced Bullous Leukocytoclastic Vasculitis Kimberly A
    continuing medical education Ibuprofen-Induced Bullous Leukocytoclastic Vasculitis Kimberly A. Davidson, King of Prussia, Pennsylvania Franziska Ringpfeil, MD, Philadelphia, Pennsylvania Jason B. Lee, MD, New York, New York GOAL To discuss a case of ibuprofen-induced bullous leukocytoclastic vasculitis (LCV) OBJECTIVES Upon completion of this activity, dermatologists and general practitioners should be able to: 1. List the drugs implicated as causative agents of bullous eruptions. 2. Discuss the diagnosis of suspected drug-related bullous eruptions. 3. Describe the distinguishing characteristics that separate bullous LCV from other bullous eruptions. CME Test on page 308. This article has been peer reviewed and ACCME to provide continuing medical ed- approved by Michael Fisher, MD, Professor ucation for physicians. of Medicine, Albert Einstein College of Albert Einstein College of Medicine Medicine. Review date: March 2001. designates this educational activity for a This activity has been planned and im- maximum of 1.0 hour in category 1 credit plemented in accordance with the Essen- toward the AMA Physician’s Recognition tials and Standards of the Accreditation Award. Each physician should claim only Council for Continuing Medical Education those hours of credit that he/she actually through the joint sponsorship of Albert spent in the educational activity. Einstein College of Medicine and Quadrant This activity has been planned and HealthCom, Inc. The Albert Einstein produced in accordance with ACCME College of Medicine is accredited by the Essentials. A dramatic case of ibuprofen-induced bullous including bullous erythema multiforme, bullous leukocytoclastic vasculitis (LCV) is described in fixed drug eruption, linear IgA bullous dermatosis, a patient with a history of prior sensitization to and bullous pemphigoid.
    [Show full text]
  • Examining Product Risk in Contextmarket Withdrawal Of
    Examining Product Risk in Context. Market Withdrawal of Zomepirac as a Case Study The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Ross-Degnan, Dennis. 1993. “Examining Product Risk in Context.” JAMA 270 (16) (October 27): 1937. doi:10.1001/ jama.1993.03510160055029. Published Version doi:10.1001/jama.1993.03510160055029 Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:32692587 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA Examining Product Risk in Context Market Withdrawal of Zomepirac as a Case Study Dennis Ross-Degnan, ScD; Stephen B. Soumerai, ScD; Eric E. Fortess, ScD, MPH; Jerry H. Gurwitz, MD Objective.\p=m-\Toexamine changes in the prescribing of analgesics after the mar- as nonsteroidal anti-inflammatory drugs ket entry and subsequent withdrawal of zomepirac sodium, a nonsteroidal anti\x=req-\ (NSAIDs). The drug was first marketed inflammatory drug (NSAID), following repeated reports of zomepirac-related deaths. in the United States by McNeil Phar¬ evaluate this natural we conducted time-series maceutical, Spring House, Pa, in No¬ Design.\p=m-\To quasi experiment, vember under the analyses to compare prescribing in two cohorts of primary care physicians from July 1980, proprietary name Zomax.5 Indications for which it 1980 1983. through September was marketed included relief of moder¬ care to Setting.\p=m-\Studyphysicians provided outpatient pharmaceutical patients ate to severe as well enrolled in the New postoperative pain, Jersey Medicaid program.
    [Show full text]
  • Doping Control Analysis of 16 Non-Steroidal Anti-Inflammatory Drugs in Equine Plasma Using Liquid Chromatography-Tandem Mass Spectrometry
    American Journal of Analytical Chemistry, 2014, 5, 1184-1199 Published Online December 2014 in SciRes. http://www.scirp.org/journal/ajac http://dx.doi.org/10.4236/ajac.2014.517126 Doping Control Analysis of 16 Non-Steroidal Anti-Inflammatory Drugs in Equine Plasma Using Liquid Chromatography-Tandem Mass Spectrometry Youwen You1*, Cornelius E. Uboh2, Fuyu Guan1, Lawrence R. Soma1 1Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, USA 2PA Equine Toxicology & Research Center, West Chester University, West Chester, PA, USA Email: *[email protected] Received 28 September 2014; revised 14 November 2014; accepted 29 November 2014 Academic Editor: Schalk de Kock, The Laboratory of The National Horseracing Authority of Southern Africa Turffontein Racecourse, South Africa Copyright © 2014 by authors and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/ Abstract Non-steroidal anti-inflammatory drugs (NSAIDs) are classified as Class 4 agents by the Association of Racing Commissioners International and are banned in racehorses during competition in Pennsylvania (PA). To control the abuse of these agents in racehorses competing in PA, a forensic method for screening and confirmation of the presence of these agents is needed. Equine plasma (0.5 mL) was acidified with 75 µL 1M H3PO4 to increase recovery of the analytes by liquid-liquid extraction using methyl tert-butyl ether (MTBE). Extracted analytes were separated by reversed- phase liquid chromatography using a C8 column under gradient condition. All 16 analytes were detected, quantified and confirmed using a triple quadrupole tandem mass spectrometry with se- lected reaction monitoring (SRM) in both negative and positive electrospray ionization modes.
    [Show full text]
  • Family Practice
    THE JOURNAL OF FAMILY PRACTICE Arianne P.Verhagen, PhD, Is any one analgesic Léonie Damen, PhD, Marjolein Y.Berger, MD, PhD, Jan Passchier, PhD, superior for episodic Vivian Merlijn, PhD, and Bart W. Koes, PhD tension-type headache? Department of General Practice, Erasmus Medical This systematic review suggests good tolerance Centre, Rotterdam, The Netherlands. of any given agent may be the deciding factor From the Department of General Practice (APV, LD, MYB, BWK) and the Practice recommendation drug that is well tolerated by a patient is a Department of Medical T Though all non-narcotic analgesics have reasonable basis for selection. Ibuprofen, Psychology and Psychotherapy equivalent efficacy against tension-type therefore, generally may be advocated. (JP, VM) ® Dowden Health Media headache, ibuprofen’s generally favorable When acetaminophen is preferred. Our side-effect profile makes it a reasonable results suggest NSAIDs might be more firCopyrightst choice. For personal use onlyeffective than acetaminophen for TTH. However, because NSAIDs are allergenic hereas quantitative and qualita- for some people, and they must not be tive analyses of 41 randomized used in association with anticoagulants,2 W controlled trials (RCTs) strongly acetaminophen might be an alternative in suggests that all types of NSAIDs are more these situations. When giving acetamino- effective than placebo (>50% pain relief) phen, the dose of the medication might be against an acute episode of tension-type important due to a possible dose-response headache (TTH), the evidence also shows relationship. that no single nonsteroidal anti-inflamma- tory drug (NSAID) is more effective than Why this review was needed another in this setting.
    [Show full text]
  • Anti-Inflammatory/Analgesic Combination of Alpha
    Patentamt JEuropàischesEuropean Patent Office ® Publication number: 0 1 09 036 Office européen des brevets g "j © EUROPEAN PATENT SPECIFICATION (45) Dateof publication of patent spécification: 02.09.87 (jjj) jnt ci 4- A 61 K 31/415, A 61 K 31/62, (22) Dateoffiling: 08.11.83 (54) Anti-inf lammatory/analgesic combination of alpha-fluoromethylhistidine and a selected non-steroidal anti-inflammatory drug (NSAID). (§) Priority: 15.11.82 US 441581 (73) Proprietor: MERCK & CO. INC. 126, East Lincoln Avenue P.O. Box 2000 Rahway New Jersey 07065 (US) (43) Date of publication of application: 23.05.84 Bulletin 84/21 @ Inventor: Goldenberg, Marvin M. 721 Shackamaxon Drive (45) Publication of the grant of the patent: Westfield New Jersey 07090 (US) 02.09.87 Bulletin 87/36 (74) Representative: Abitz, Walter, Dr.-lng. et al (84) Designated Contracting States: Abitz, Morf, Gritschneder, Freiherr von CH DE FR GB IT LI NL Wittgenstein Postfach 86 01 09 D-8000 Munchen 86 (DE) (§) References cited: EP-A-0 046290 US-A-4325 961 CÛ (£> o o> o Note: Within nine months from the publication of the mention of the grant of the European patent, any person may give notice to the European Patent Office of opposition to the European patent granted. Notice of opposition shall CL be filed in a written reasoned statement. It shall not be deemed to have been filed until the opposition fee has been LU paid. (Art. 99( 1 ) European patent convention). Courier Press, Leamington Spa, England. BACKGROUND OF THE INVENTION This invention relates to novel pharmaceutical combinations comprising a-fluoromethylhistidine (FMH) and a non-steroidal anti-inflammatory/analgesic drug (NSAID) particularly indomethacin, diflunisal and naproxen.
    [Show full text]
  • The Multiple Faces of Nonsteroidal Antiinflammatory Drug Hypersensitivity M
    M. Sánchez-Borges, et al. Original Article The multiple faces of nonsteroidal antiinflammatory drug hypersensitivity M. Sánchez-Borges1,2, A. Capriles-Hulett1,3, F. Caballero-Fonseca1,3 1 Centro Médico-Docente La Trinidad, 2 Clínica El Avila, 3 Centro Médico de Caracas, Caracas, Venezuela Summary. Based on the clinical picture and triggering drugs, allergic and pseudoallergic adverse reactions to nonsteroidal anti-inflammatory drugs (NSAIDs) can be classified in four patterns : respiratory, cutaneous, mixed and systemic. This categorization is useful for the purpose of describing patient populations included in studies about NSAID adverse reactions as well as for the routine management of the patient in the clinical setting. Key words: Non steroidal anti-inflammatory drugs. Urticaria. Angioedema. Asthma. Cysteinil-leukotrienes. Cyclooxygenases. Introduction and pseudoallergic reactions to drugs that inhibit cyclooxygenase enzymes [2]. In this paper we would like Nonsteroidal anti-inflammatory drugs (NSAIDs) are to discuss in detail the clinical features of these reactions recognized among the most frequently used therapeutic in an attempt to give clinicians further insights for the agents all over the world, and average consumption has better management of patients suffering from them. For been estimated as high as 80 tablets per person per year the purpose of this article, four clinical patterns will be [1]. Due to the magnitude of exposure, it is not surprising analyzed: 1) Respiratory 2) Cutaneous 3) Mixed 4) Sys- that NSAIDs are one
    [Show full text]
  • Zomepirac Elisa Kit Instructions Product #109619 & 109616 Forensic Use Only
    Neogen Corporation 944 Nandino Blvd., Lexington KY 40511 USA 800/477-8201 USA/Canada | 859/254-1221 Fax: 859/255-5532 | E-mail: [email protected] | Web: www.neogen.com/Toxicology ZOMEPIRAC ELISA KIT INSTRUCTIONS PRODUCT #109619 & 109616 FORENSIC USE ONLY INTENDED USE: For the determination of trace quantities of Zomepirac and/or other metabolites in human urine, blood, oral fluid. DESCRIPTION Neogen Corporation’s Zomepirac ELISA (Enzyme-Linked ImmunoSorbent Assay) test kit is a qualitative one-step kit designed for use as a screening device for the detection of drugs and/or their metabolites. The kit was designed for screening purposes and is intended for forensic use only. It is recommended that all suspect samples be confirmed by a quantitative method such as gas chromatography/mass spectrometry (GC/MS). ASSAY PRINCIPLES Neogen Corporation’s test kit operates on the basis of competition between the drug or its metabolite in the sample and the drug-enzyme conjugate for a limited number of antibody binding sites. First, the sample or control is added to the microplate. Next, the diluted drug-enzyme conjugate is added and the mixture is incubated at room temperature. During this incubation, the drug in the sample or the drug-enzyme conjugate binds to antibody immobilized in the microplate wells. After incubation, the plate is washed 3 times to remove any unbound sample or drug-enzyme conjugate. The presence of bound drug-enzyme conjugate is recognized by the addition of K-Blue® Substrate (TMB). After a 30 minute substrate incubation, the reaction is halted with the addition of Red Stop Solution.
    [Show full text]
  • Plants As Sources of Anti-Inflammatory Agents
    molecules Review Plants as Sources of Anti-Inflammatory Agents Clara dos Reis Nunes 1 , Mariana Barreto Arantes 1, Silvia Menezes de Faria Pereira 1, Larissa Leandro da Cruz 1, Michel de Souza Passos 2, Luana Pereira de Moraes 1, Ivo José Curcino Vieira 2 and Daniela Barros de Oliveira 1,* 1 Laboratório de Tecnologia de Alimentos, Centro de Ciências e Tecnologias Agropecuárias, Universidade Estadual do Norte Fluminense Darcy Ribeiro, Campos dos Goytacazes, RJ 28013-602, Brazil; [email protected] (C.d.R.N.); [email protected] (M.B.A.); [email protected] (S.M.d.F.P.); [email protected] (L.L.d.C.); [email protected] (L.P.d.M.) 2 Laboratório de Ciências Químicas, Centro de Ciências e Tecnologia, UniversidadeEstadual do Norte Fluminense Darcy Ribeiro, Campos dos Goytacazes, RJ 28013-602, Brazil; [email protected] (M.d.S.P.); [email protected] (I.J.C.V.) * Correspondence: [email protected]; Tel.: +55-22-988395160 Academic Editors: Thea Magrone, Rodrigo Valenzuela and Karel Šmejkal Received: 29 June 2020; Accepted: 5 August 2020; Published: 15 August 2020 Abstract: Plants represent the main source of molecules for the development of new drugs, which intensifies the interest of transnational industries in searching for substances obtained from plant sources, especially since the vast majority of species have not yet been studied chemically or biologically, particularly concerning anti-inflammatory action. Anti-inflammatory drugs can interfere in the pathophysiological process of inflammation, to minimize tissue damage and provide greater comfort to the patient. Therefore, it is important to note that due to the existence of a large number of species available for research, the successful development of new naturally occurring anti-inflammatory drugs depends mainly on a multidisciplinary effort to find new molecules.
    [Show full text]
  • Selecting Nonsteroidal Anti-Inflammatory Drugs: J Am Board Fam Pract: First Published As 10.3122/Jabfm.2.4.257 on 1 October 1989
    Selecting Nonsteroidal Anti-Inflammatory Drugs: J Am Board Fam Pract: first published as 10.3122/jabfm.2.4.257 on 1 October 1989. Downloaded from Pharmacologic And Clinical Considerations Lucinda G. Miller, Pharm.D., andJohn G. Prichard, M.D. Abstract: An increasing number of nonsteroidal anti·infIammatory drugs (NSAIDs) are available to treat a variety of conditions. There exist little comparative data examining efficacy for all NSAIDs for a particular illness. The major factors governing selection of these agents relate to the patient's condition and the drug's characteristics. Once efficacy has been established, selection of an NSAID is then determined by side-effect profile, potential for drug interactions, dosing frequency, and cost. This review presents a listing of commerciaIly available NSAIDs, cost comparisons for average daily doses of NSAIDs, and the conditions and drug characteristics that might influence the choice of an NSAID.(J Am Bd Fam Pract 1989; 2:257·71.) Initially, nonsteroidal anti-inflammatory drugs the issue of potency is a minimal consideration (NSAIDs) were developed to provide aspirin when selecting therapy, as dosage recommenda­ alternatives that would have fewer side effects. tions accommodate this factor. Phenylbutazone was first released in 1949, fol­ NSAIDs differ in potency, duration of action, lowed by oxyphenbutazone, I but their use has side-effect profile, potential for drug interactions, been limited by associated blood dyscrasias. In and cost. There exists considerable variability in 1963, indomethacin was introduced and repre­ clinical response to the same agent by different sented an improvement in the side-effect pro­ patients. Although each NSAID must fulfill cri­ file of NSAIDs.
    [Show full text]