Phenazopyridine is metabolized in the liver, and acetaminophen has been discovered to be one metabolite of this drug. Hydroxylation is a pathway by which this drug is metabolized. In humans, 5-hydroxyl PAP is the major metabolite (48.3% of the dose) and small amounts of other hydroxy metabolites are produced. The metabolism of phenazopyridine produces aniline, which is likely associated with methemoglobinemia in some patients or in the case of an overdose. This dye accumulates in the skin, and yellow skin pigmentation has been observed when high doses of this drug have been taken. Triaminopyridine is also a metabolite of phenazopyridine. During a pharmacokinetic study, aniline contributed to approximately 6.9% of urinary metabolites. N acetyl-p-aminophenol (acetaminophen) contributes to about 18%, P-aminophenol (PAP) contributes 24%, and finally, DPP (unchanged phenazopyridine) contributes to about 41% of excreted urinary metabolites.
AFTER ORAL DOSE OF 600 MG PHENAZOPYRIDINE HYDROCHLORIDE /IN MAN/, ABOUT 80% IS ELIMINATED IN URINE WITHIN 24 HR: 41-45% APPEARS AS CONJUGATED PHENAZOPYRIDINE, 24-27% AS PARA-AMINOPHENOL, 18-20% AS CONJUGATED N-ACETYL-PARA-AMINOPHENOL, 7-8% AS ANILINE & TRACES OF ORTHO-AMINOPHENOL & 2,3,6-TRIAMINOPYRIDINE. /PHENAZOPYRIDINE HYDROCHLORIDE/
FOLLOWING ORAL ADMIN OF 150 MG/KG BODY WT PHENAZOPYRIDINE HYDROCHLORIDE TO RABBITS ... ANILINE, PARA-AMINOPHENOL (AS 50% OF DOSE), N-ACETYL-PARA-AMINOPHENOL, ORTHO-AMINOPHENOL (AS TRACES), 2,3,6-TRIAMINOPYRIDINE & UNCHANGED DRUG APPEAR IN URINE. ... IN ADDN TO REDUCTIVE METABOLISM, PHENAZOPYRIDINE ALSO UNDERGOES OXIDATIVE METABOLISM: IN URINE OF RATS TREATED WITH 50 MG/KG BODY WT PHENAZOPYRIDINE, 2,6-DIAMINO-3-((4-HYDROXYPHENYL)AZO)PYRIDINE & 2,6-DIAMINO-3-((2-HYDROXYPHENYL)AZO)PYRIDINE HAVE BEEN DETECTED. /PHENAZOPYRIDINE HYDROCHLORIDE/
FOLLOWING ORAL ADMIN OF 50 MG/KG PHENAZOPYRIDINE TO RATS & EXTRACTION OF URINE AQ SAMPLES, 4-ACETAMIDOPHENOL, 2,6-DIAMINOPYRIDINE-3-NNO-AZOXYBENZENE & AN UNIDENTIFIED AZOXY DERIV OF HYDROXYPYRIDINE WERE ISOLATED. FORMATION OF AZOXY DERIV FROM AZO-COMPD IS UNUSUAL IN MAMMALS & HAS GREAT TOXICOLOGICAL IMPORTANCE.
FOLLOWING THE ORAL ADMIN OF PHENAZOPYRIDINE (100 MG/KG) TO RATS, 2,6-DIAMINO-5-HYDROXY-3-(PHENYLAZO)PYRIDINE WAS IDENTIFIED AS A NEW METABOLITE IN URINE BY MASS SPECTRA. BASED ON THE FRAGMENTATION OF THE MASS SPECTRUM, A SELECTIVE METABOLIC OXIDN OF THE HETEROCYCLIC RING, RATHER THAN OF THE BENZENE RING, WAS EVIDENT.
Classification of carcinogenicity: 1) evidence in humans: Insufficient; 2) evidence in animals: Sufficient. Overall summary evaluation of carcinogenic risk to humans is Group 2B: The agent is possibly carcinogenic to humans. /Phenazopyridine hydrochloride; From table/
来源:Hazardous Substances Data Bank (HSDB)
毒理性
致癌性证据
盐酸非那吡啶:合理预期为人类致癌物。/盐酸非那吡啶/
Phenazopyridine hydrochloride: reasonably anticipated to be a human carcinogen. /Phenazopyridine hydrochloride/
◉ Summary of Use during Lactation:The safety of phenazopyridine is not established in infants or during breastfeeding. Because it can cause methemoglobinemia, sulfhemoglobinemia, and hemolytic anemia, it should be avoided while breastfeeding, especially with an infant under 1 month of age or with glucose-6-phosphate dehydrogenase (G6PD) deficiency.
◉ Effects in Breastfed Infants:Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk:Relevant published information was not found as of the revision date.
In acute overdosage of phenazopyridine hydrochloride, the stomach should be emptied immediately by inducing emesis or by gastric lavage. If the patient is comatose, having seizures, or lacks the gag reflex, gastric lavage may be performed if an endotracheal tube with cuff inflated is in place to prevent aspiration of gastric contents. Supportive and sympotmatic treatment should be initiated. IV administration of methylene blue 1-2 mg/kg or oral administration of ascorbic acid 100-200 mg should cause prompt reduction of methemoglobinemia and disappearance of cyanosis. Exchange transfusions have been used successfully in acute phenazopyridine overdosage in infants. Peritoneal dialysis may be useful for managing fluid and electrolyte disturbances in phenazopyridine-induced acute renal failure. /Phenazopyridine hydrochloride/
METHEMOGLOBINEMIA WITH OR WITHOUT HEINZ BODY HEMOLYTIC COMPONENT CONSTITUTED KEY FEATURE IN AT LEAST 7 HUMAN INTOXICATIONS. /PHENAZOPYRIDINE HYDROCHLORIDE/
Phenazopyridine is absorbed in the gastrointestinal tract. The mean Cmax is 65.00 ± 29.23 ng/mL, the mean Tmax is 2.48 ± 0.50 h, and the mean AUC(0 – ∞)is 431.77 ± 87.82 ng.h/mL.
Up to 65% of an oral phenazopyridine dose is quickly excreted by the kidneys as unchanged drug measured in the urine. The pharmacokinetics of this drug have not been evaluated in depth in man. In a small group of healthy research volunteers, 90% of a daily 600 mg oral dose of phenazopyridine hydrochloride was found to be excreted within 1 day, with 41% as unchanged drug and 49% as phenazopyridine metabolites. Another study in humans determined that 80.07 ± 4.54 percent of the dose was cleared in the urine within 48 hours of administration. In rats, biliary excretion was high, with 40.7% of a dose excreted in 8 hours.
Small, trace quantities of phenazopyridine are thought to cross the placenta and the blood-brain barrier, reaching cerebrospinal fluid. A pharmacokinetic study in rats determined that phenazopyridine metabolites were present in high levels in the kidney and liver.
This drug is rapidly excreted by the kidneys, up to 65% of a dose administered orally may be excreted as unchanged drug in the urine. The clearance of phenazopyridine may be decreased with impaired renal or hepatic function and is contraindicated in these conditions.
IN HUMANS, ORALLY ADMIN DOSES OF 200 MG PYRIDIUM ... EXCRETED WITHIN 14-48 HR, MAINLY IN URINE BUT PARTLY IN FECES: ABOUT 80% OF ORALLY ADMIN DOSE OF 600 MG IS ELIMINATED IN URINE WITHIN 24 HR. /PHENAZOPYRIDINE HYDROCHLORIDE/
[EN] PHENAZOPYRIDINE COMPOUNDS<br/>[FR] COMPOSÉS DE PHÉNAZOPYRIDINE
申请人:PINNACLE PHARMACEUTICALS INC
公开号:WO2010071878A1
公开(公告)日:2010-06-24
The present invention is directed to substituted phenazopyridines represented by Formula I. The present invention also relates to the discovery that compounds of Formula I have increased bioavailability as compared to unconjugated phenazopyridine.
Polymorphic Forms of a Molecular Salt of Phenazopyridine with 3,5-Dihydroxybenzoic Acid: Crystal Structures, Theoretical Calculations, Thermodynamic Stability, and Solubility Aspects
作者:Qian Tao、Qian-Qian Hao、Alexander P. Voronin、Xia-Lin Dai、Yu Huang、German L. Perlovich、Tong-Bu Lu、Jia-Mei Chen
DOI:10.1021/acs.cgd.9b00618
日期:2019.10.2
of multicomponent crystals has not been studied as widely as that of single-component crystals. In this work, two polymorphic forms of a pharmaceutical salt of phenazopyridine with 3,5-dihydroxybenzoic acid in a 1:1 stoichiometry were successfully obtained and fully characterized by X-ray diffraction, thermal analysis, and dynamic vapor sorption measurement. The crystalstructure study exhibited similarities
The present invention is directed to substituted phenazopyridines represented by Formula I. The present invention also relates to the discovery that compounds of Formula I have increased bioavailability as compared to unconjugated phenazopyridine.
Phenazopyridine Cocrystal and Salts That Exhibit Enhanced Solubility and Stability
作者:Qian Tao、Jia-Mei Chen、Lei Ma、Tong-Bu Lu
DOI:10.1021/cg300327x
日期:2012.6.6
One phenazopyridine monohydrate (1 center dot H2O), one cocrystal of phenazopyridine with phthalimide (2), and three salts of phenazopyridine with benzoic acid (3), 4-hydroxyphenylacetic acid (4), and scaaharin (5) were synthesized, and their structures were determined by single crystal X-ray diffraction. The results of dissolution experiments indicate that the solubility of phenazopyridine can be enhanced after the formations of cocrystal and salts, in which the apparent solubility value of 5 is approximately 9 times as large as that of phenazopyridine in water, and the apparent solubility value of 4 is approximately 10 times as large as that of phenazopyridine hydrochloride (1 center dot HCl) in 0.1 M HCl aqueous solution. The results of the stability study demonstrate that 2-5 are less hygroscopic than 1 center dot H2O and 1 center dot HCl at both 85% and 98% RH.
Charrier; Jorio, Gazzetta Chimica Italiana, 1938, vol. 68, p. 640,647