Monograph
N02BG08 - Ziconotide |
Propably not porphyrinogenic |
PNP |
Rationale
Ziconotide is not a substrate, inhibitor of inducer of CYP enzymes.
Risk for gastrointestinal adverse events in the form of nausea, vomiting, diarrhoea, reduced appetite and anorexia motivates vigilance against insufficient intake of food, especially of carbohydrate.
Chemical description
Ziconitide is a peptide.
Therapeutic characteristics
Ziconotide is indicated for the treatment of severe, chronic pain in adults who require intrathecal (IT) analgesia.
Very 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 nausea and vomiting. Other common side effects are diarrhoea, upper abdominal pain, reduced appetite and anorexia, myalgia and arthralgia.
Metabolism and pharmacokinetics
Ziconotide is expected to be proteolytic cleaved by peptidases and proteases and degraded to peptide fragments and its individual constituent free amino acids. It is not listed as a substrate, inhibitor or inducer of any CYP enzymes.
References
# | Citation details | PMID |
---|---|---|
* | Summary of Product Characteristics | |
1. | The electronic Medicines Compendium (emc). Summary of Product Characteristics (SPC). Ziconotide.
|
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Tradenames and packages
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Netherlands
Prialt · Prialt 100 microgram/ml, oplossing voor infusie · Prialt 25 µg/ml, oplossing voor infusieBelgium
Prialt · Prialt 100 µg/ml sol. perf. i.théc. flac. · Prialt 25 µg/ml sol. perf. i.théc. flac.United Kingdom
Prialt · Prialt 100micrograms/1ml solution for infusion vials · Prialt 500micrograms/5ml solution for infusion vialsDenmark
PrialtNorway
PrialtPoland
PrialtLuxembourg
PRIALTIceland
PrialtFinland
PrialtLatvia
Prialt
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