Monograph
J04AA01 - 4-Aminosalicylic Acid |
Propably not porphyrinogenic |
PNP |
Rationale
This monograph refers to 4-aminosalicylic acid/para-aminosalicylic acid (PAS).
4-aminosalicylic acid is metabolized by acetylation. No data indicates that 4-aminosalicylic acid interact with CYP enzymes, which may indicate that it is not an inducer or an inhibitor of them.
Risk for gastrointestinal adverse events in the form of anorexia, nausea, vomiting and diarrhoea motivates vigilance against insufficient intake of food, especially of carbohydrate.
Chemical description
It is also known as aminosalyl.
Therapeutic characteristics
Aminosalicylic acid is indicated in the treatment of tuberculosis.
Common side effects that can be potentially porphyrinogenic through reduction in carbohydrate intake and that also can be confused with an acute porphyria attack are anorexia, nausea, vomiting and diarrhoea.
Metabolism and pharmacokinetics
4-aminosalicylic acid is metabolized in the intestine and liver mainly by acetylation. 50% or more of the dose is excreted as the acetylated metabolites. When given orally it is readily absorbed. The half-life elimination is about 1 hour (Martindale).
No data indicates that 4-aminosalicylic acid interact with CYP enzymes, which may indicate that it is not an inducer or an inhibitor of them.
References
# | Citation details | PMID |
---|---|---|
* | Scientific articles | |
1. | Para-aminosalicylic acid as a cause of intestinal malabsorption.
Akhtar AJ, Crompton GK, Schonell ME. Tubercle. 1968 Sep;49(3):328-31. |
5708525 |
* | Drug reference publications | |
2. | Martinedale. aminosalicylic acid
|
|
3. | Up to date. para-aminosalicylic acid
|
Similar drugs
Tradenames and packages
From some sources, we get a list of packages (United Kingdom, Ireland, Estonia).
Other sources contain more or less "clean" versions of the trade name (Denmark, Finland, Iceland, Lithuania, Norway).
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are the searchable terms. The gray names that follow are all mapped to the bolded term.
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Netherlands
GranuPas · GranuPas 4 g, maagsapresistent granulaatBelgium
Granupas · Granupas 4 g gran. gastro-résist. sachetUnited Kingdom
Granupas · Granupas gastro-resistant granules 4g sachets · Paser · Paser gastro-resistant granules 4g sachetsDenmark
GranupasPoland
GranupasLuxembourg
GranupasIceland
GranupasFinland
GranupasLatvia
GRANUPAS
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