Monograph
S01EC04 - Brinzolamide |
Propably not porphyrinogenic |
PNP |
Rationale
sulfonamide derivative preferentially distributed to red blood cells. Probably insignificant hepatic load. Very long final elimination time from erythrocytes.
Chemical description
sulfonamide used in eyedrops (10 mg/mL) to reduce the intraocular pressure in glaucoma. Isopropyl ester prodrug to an active prostaglandine analogue. Conversion to the active acid form takes place through hydrolysis. Reaches circulation in topical application but due to effective bindnding to erytrocyte carboanhydrases the plasma levels are very low, often lower than 10 ng/ml. Long elimination time in blood; half time about six months. Metabolized by CYPs 3A4 (major enzyme), 2A6, 2C8, 2C9. Brinzolamide and its N-desethyl metabolite is excreted in urine, 20 % as metabolites.
IPNet drug reports
Uneventful use reported in 1 patient with acute porphyria.
Similar drugs
Tradenames and packages
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Netherlands
AZOPT · AZOPT 10 mg/ml oogdruppels, suspensie · Brinzo-Vision · Brinzo-Vision 10 mg/ml oogdruppels, suspensie · Brinzolamide · Brinzolamide CF 10 mg/ml, oogdruppels, suspensie · Brinzolamide Mylan 10 mg/ml, oogdruppels, suspensie · Brinzolamide Pharmathen 10 mg/ml oogdruppels, suspensie · Brinzolamide Sandoz 10 mg/ml, oogdruppels, suspensie · Brinzolamide Teva 10 mg/ml, oogdruppels, suspensie · Brizadopt · Brizadopt 10 mg/ml, oogdruppels, suspensie · Optilamid · Optilamid 10 mg/ml, oogdruppels, suspensieBelgium
Azopt · Azopt 10 mg/ml collyre susp. flac. compte-gouttesUnited Kingdom
Azopt · Azopt 10mg/ml eye drops · Brinzolamide · Brinzolamide 10mg/ml eye dropsDenmark
Azopt · Brinzolamid · Brinzolamid "Nordic Prime" · Brinzolamid "Stada" · Brinzolamide · Brinzolamide "Accord" · Brinzolamide "Sandoz"Norway
Azopt · Brinzolamid al · Brinzolamid hexal · Brinzolamide accord · Brinzolamide tevaPoland
Azopt · Brinzolamide Accord · Brinzolamide Genoptim · OptilamidLuxembourg
AZOPTIceland
AzoptFinland
AZOPT · Brinzolamide · Brinzolamide Sandoz · Brinzolamide AccordLatvia
Azopt · Brinzolamide · Brinzolamide Elvim · Brinzolamide SandozSerbia
Azopt · Azopt® · Brinzuno · Brinzuno®
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