Nedocromil sodiumis amedicationconsidered as mast cell stabilizer which acts to prevent wheezing, shortness of breath, and other breathing problems caused byasthma.It is administered by aninhalerunder the brand nameTilade,and as aneye dropunder the brand nameAlocril.[1][2]The effects of nedocromil versus asthma are gradual rather than fast-acting and it is not indicated for acute respiratory distress compared to fast acting bronchodilators likealbuterolor other well-knowninhalermedications. Liquid preparations of nedocromil are available in theUKunder the nameRapitilfor use for allergic eye reactions.[3]Nedocromil sodium has been shown to be effective in alleviating symptoms ofallergic conjunctivitis.[4]

Nedocromil
Structural formula of nedocromil
Space-filling model of the nedocromil molecule
Clinical data
Trade namesAlocril
AHFS/Drugs.comMonograph
MedlinePlusa601243
Routes of
administration
Inhalationandeye drops
ATC code
Legal status
Legal status
Pharmacokineticdata
Protein binding89%
Metabolismnot metabolized
Eliminationhalf-life~3.3 hours
Excretionexcreted unchanged
Identifiers
  • 9-ethyl-4,6-dioxo-10-propyl-6,9-dihydro-4H-pyrano[3,2-g]quinoline-2,8-dicarboxylic acid
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.233.208Edit this at Wikidata
Chemical and physical data
FormulaC19H17NO7
Molar mass371.345g·mol−1
3D model (JSmol)
  • O=C\1c3c(N(/C(C(=O)O)=C/1)CC)c(c2O/C(=C\C(=O)c2c3)C(=O)O)CCC
  • InChI=1S/C19H17NO7/c1-3-5-9-16-10(13(21)7-12(18(23)24)20(16)4-2)6-11-14(22)8-15(19(25)26)27-17(9)11/h6-8H,3-5H2,1-2H3,(H,23,24)(H,25,26)checkY
  • Key:RQTOOFIXOKYGAN-UHFFFAOYSA-NcheckY
(verify)

Nedocromil is classified as abenzopyrone.Nedocromil acts as amast cell stabilizer,inhibits the degranulation ofmast cells,prevents release ofhistamineandtryptase,so preventing the synthesis ofprostaglandinsandleukotrienes.US Production of inhaled nedocromil ceased in April 2008 because it usedCFCsas propellant.[5]

See also

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References

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Media related toNedocromilat Wikimedia Commons

  1. ^"ALOCRIL Product Information".Allergan. Archived fromthe originalon 8 May 2013.Retrieved17 May2013.
  2. ^Allen H. Dajani S (ed.)."ALOCRIL (nedocromil sodium) solution/ drops".DailyMed.U.S. National Institutes of Health.Retrieved17 May2013.
  3. ^"Nedocromil eye drops".Patient.info.2007-02-02.Retrieved2009-08-04.
  4. ^Castillo M, Scott NW, Mustafa MZ, Mustafa MS, Azuara-Blanco A (June 2015)."Topical antihistamines and mast cell stabilisers for treating seasonal and perennial allergic conjunctivitis"(PDF).The Cochrane Database of Systematic Reviews.2015(6): CD009566.doi:10.1002/14651858.CD009566.pub2.hdl:2164/6048.PMC10616535.PMID26028608.
  5. ^"Questions and Answers:Phase-Out of CFC Metered-Dose Inhalers Containing flunisolide, triamcinolone, metaproterenol, pirbuterol, albuterol and ipratropium in combination, cromolyn, and nedocromil".U.S. Food and Drug Administration. 13 April 2010. Archived fromthe originalon 2 February 2012.