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Pentosan polysulfate

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764:(OA) with a subcutaneous injection. The 3 mg/kg dose was the most effective. In a study conducted with 10 elderly dogs with osteoarthritis given calcium pentosan polysulfate (3 mg/kg intramuscularly) once weekly for four weeks, the improvement in symptoms (seen at 1, 2, 3 and 7 weeks after initiation of therapy) was found to correlate with plasma indices of fibrinolytic activity and lipid profiles. In a study in dogs with OA secondary to cranial cruciate ligament deficiency, although no differences were identified in either functional outcome or radiographic progression using the oral calcium pentosan polysulfate compared with placebo, there were significantly lower levels of 436: 31: 2292: 1603: 509: 705:
Various brand names include Elmiron (as sodium salt), Hemoclar, Anarthron, Fibrase, Fibrocid, Thrombocid and SP54. Pentosan polysulfate capsules are sold in India under the brand names Comfora, Pentossan-100, Cystopen and For-IC. In the veterinary field, pentosan polysulfate is sold as Cartrophen Vet
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Pentosan polysulfate is being used for this osteoarthritis in Australia. When administered to racing thoroughbreds with chronic osteoarthritis (2 to 3 mg/kg, intramuscularly, once weekly for 4 weeks, then as required), pentosan polysulfate treatment improved but did not eliminate clinical signs
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have also been reported. Due to Elmiron's anticoagulant effects, some patients report bruising more easily. In some cases, patients are asked to stop taking the medication before any major surgical procedures to reduce the likelihood of bleeding. Recent report based on clinical observation
799:(FDA) approved pentosan polysulfate (Zycosan) for the control of clinical signs associated with osteoarthritis in horses. Zycosan is for intramuscular use in horses only and is not for use in humans. Zycosan is sponsored by Anzac Animal Health LLC, based in Maryland Heights, Missouri. 1537:
Budsberg SC, Bergh MS, Reynolds LR, Streppa HK (April 2007). "Evaluation of pentosan polysulfate sodium in the postoperative recovery from cranial cruciate injury in dogs: a randomized, placebo-controlled clinical trial".
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without affecting the normal cellular isoform. As pentosan polysulfate can bind to the cellular isoform of the prion protein, it may stabilise this form and prevent its conversion to the pathological (scrapie) isoform.
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InChI=1S/C10H18O21S4/c11-3-1-26-10(8(31-35(22,23)24)5(3)28-32(13,14)15)27-4-2-25-9(12)7(30-34(19,20)21)6(4)29-33(16,17)18/h3-12H,1-2H2,(H,13,14,15)(H,16,17,18)(H,19,20,21)(H,22,23,24)/t3-,4-,5+,6+,7-,8-,9-,10+/m1/s1
1260:"Comparison of the anti-prion mechanism of four different anti-prion compounds, anti-PrP monoclonal antibody 44B1, pentosan polysulfate, chlorpromazine, and U18666A, in prion-infected mouse neuroblastoma cells" 735:(CJD). The rationale for this treatment was unclear but it was subsequently shown in prion-infected mouse neuroblastoma cells that pentosan polysulfate could rapidly reduce the levels of abnormal (scrapie) 1493:
Innes JF, Barr AR, Sharif M (April 2000). "Efficacy of oral calcium pentosan polysulphate for the treatment of osteoarthritis of the canine stifle joint secondary to cranial cruciate ligament deficiency".
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of joint disease. Articular cartilage fibrillation was substantially reduced by similar NaPPS treatment intramuscularly in nine horses with experimentally-induced carpal osteoarthritis.
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Hannon RL, Smith JG, Cullis-Hill D, Ghosh P, Cawdery MJ (May 2003). "Safety of Cartrophen Vet in the dog: review of adverse reaction reports in the UK".
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Read et al. (1996) used three different doses of sodium pentosan polysulfate to treat 40 geriatric dogs with well-established clinical signs of chronic
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Whittle IR, Knight RS, Will RG (June 2006). "Unsuccessful intraventricular pentosan polysulphate treatment of variant Creutzfeldt-Jakob disease".
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including BAY-946, HOE-946, pentosan sulfuric polyester, polypentose sulfate, polysulfated xylan, PZ-68, SP-54, xylan SP54 and xylan sulfate.
1637:"Evaluation of intramuscularly administered sodium pentosan polysulfate for treatment of experimentally induced osteoarthritis in horses" 1223:
Ghosh P (February 1999). "The pathobiology of osteoarthritis and the rationale for the use of pentosan polysulfate for its treatment".
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of the osteoarthritic joints. The efficacy of subcutaneous sodium pentosan polysulfate (3 mg/kg) was tested in 40 dogs with
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Read RA, Cullis-Hill D, Jones MP (March 1996). "Systemic use of pentosan polysulphate in the treatment of osteoarthritis".
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Zycosan, for horses, is a heparin-like compound and is the first injectable pentosan product to receive approval by the US
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and Sylvet by Biopharm Australia, Pentosan by Naturevet Australia, Anarthron by Randlab Australia and Zydax by Parnell.
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The calcium salt of pentosan polysulfate was one of the first reported disease-modifying osteoarthritis drugs (DMOAD).
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In interstitial cystitis, pentosan polysulfate is believed to work by providing a protective coating to the damaged
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Parsons CL (February 1994). "The therapeutic role of sulfated polysaccharides in the urinary bladder".
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Hanif AM, Armenti ST, Taylor SC, Shah RA, Igelman AD, Jayasundera KT, et al. (November 2019).
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Patients who have taken pentosan polysulfate orally report a variety of side effects, primarily
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for the relief of bladder pain or discomfort associated with interstitial cystitis.
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PPS, (1->4)-β-Xylan 2,3-bis(hydrogen sulfate) with a 4 O-methyl-α-D-glucuronate
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instability and found to hasten recovery, as measured by more rapidly improved
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Kamatari YO, Hayano Y, Yamaguchi K, Hosokawa-Muto J, Kuwata K (January 2013).
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Ghosh P, Cheras PA (December 2001). "Vascular mechanisms in osteoarthritis".
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Ghosh P, Smith M (2002). "Osteoarthritis, genetic and molecular mechanisms".
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and around six other patients in mainland Britain was reported in the press.
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name for pentosan polysulfate is oxy-3-sulfooxyoxan-4-yl] hydrogen sulfate.
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hypothesizes that chronic exposure to pentosan polysulfate can cause
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Pentosan polysulfate is being studied as a potential treatment of
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wall. Pentosan polysulfate is similar in structure to the natural
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This article incorporates text from this source, which is in the
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O1CO(O2CO(O)(OS(O)(=O)=O)2OS(O)(=O)=O)(OS(O)(=O)=O)1OS(O)(=O)=O
206: 88: 830:"Elmiron- pentosan polysulfate sodium capsule, gelatin coated" 1620:
Little CB, Ghosh P (1996). McIlwraith CW, Trotter GW (eds.).
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There are 40 synonyms listed for pentosan polysulfate on
917:. U.S. Food and Drug Administration. 25 September 1996. 568: 1624:. Philadelphia: WB Saunders Company. pp. 281–292. 2280: 666:, and may replace or repair the lining, reducing its 2201: 2104: 2081: 2009: 1969: 1962: 1940: 1902: 1862: 1852: 1830: 1780: 1725: 1715: 1460:
Best Practice & Research. Clinical Rheumatology
1258:Yamasaki T, Suzuki A, Hasebe R, Horiuchi M (2014). 824: 822: 820: 818: 816: 497: 484: 451: 446: 414: 386: 365: 337: 317: 297: 272: 244: 239: 229: 221: 196: 191: 126: 108: 78: 60: 52: 42: 37: 646:toxicity, mimicking pigmentary pattern dystrophy. 1635:McIlwraith CW, Frisbie DD, Kawcak CE (May 2012). 1174:Uthman I, Raynauld JP, Haraoui B (August 2003). 286: 261: 253: 1575: 1573: 1571: 1569: 990: 988: 926: 924: 853: 851: 719:Pentosan polysulfate has been studied in knee 2054: 1688: 952: 950: 8: 97: 21: 1176:"Intra-articular therapy in osteoarthritis" 179: 169: 159: 2313:Drugs acting on the musculoskeletal system 2061: 2047: 2039: 1966: 1859: 1722: 1695: 1681: 1673: 1412:. 1 March 2005 – via news.bbc.co.uk. 858:Lindeke-Myers A, Hanif AM, Jain N (2022). 434: 326: 1652: 1342: 1293: 1283: 1199: 1063: 875: 727:Transmissible spongiform encephalopathies 354: 346: 2287: 1641:American Journal of Veterinary Research 908:"Elmiron (pentosan polysulfate sodium)" 812: 548: 528: 430: 306: 20: 1904:sclerosing agents for local injection 959:The Urologic Clinics of North America 403: 395: 70: 7: 1425:The Journal of Small Animal Practice 1225:Seminars in Arthritis and Rheumatism 1141:The Journal of Small Animal Practice 149: 139: 1410:"Research will now assess CJD drug" 1120:. U.S. National Library of Medicine 1094:. U.S. National Library of Medicine 935:. U.S. National Library of Medicine 662:coating of the inner lining of the 375: 277: 1437:10.1111/j.1748-5827.1996.tb02355.x 1153:10.1111/j.1748-5827.2003.tb00144.x 860:"Pentosan polysulfate maculopathy" 14: 877:10.1016/j.survophthal.2021.05.005 2290: 1601: 1552:10.1111/j.1532-950x.2007.00256.x 1056:10.1001/jamaophthalmol.2019.3392 463: 29: 745:one patient in Northern Ireland 601:Pentosan polysulfate sodium is 556:Key:FCCNSUIJIOOXEZ-SJYYZXOBSA-N 475: 469: 457: 1: 2318:Urologic pelvic pain syndrome 1237:10.1016/s0049-0172(99)80021-3 971:10.1016/S0094-0143(21)00597-8 2072:, including antispasmodics ( 1963:Capillary stabilising agents 1587:Food and Drug Administration 1374:(6): 677–9, discussion 679. 1285:10.1371/journal.pone.0106516 1180:Postgraduate Medical Journal 797:Food and Drug Administration 790:Food and Drug Administration 581:, sold under the brand name 615:gastrointestinal complaints 2339: 1622:Joint Disease in the Horse 768:breakdown products in the 589:used for the treatment of 447:Chemical and physical data 2323:IARC Group 2B carcinogens 1927:Sodium tetradecyl sulfate 1380:10.1007/s00701-006-0772-y 795:In December 2022, the US 774:cranial cruciate ligament 733:Creutzfeldt–Jakob disease 564: 539: 519: 28: 1912:Monoethanolamine oleate 1009:10.1023/a:1015219716583 864:Survey of Ophthalmology 2220:Salicylhydroxamic acid 1767:Fluocinolone acetonide 1472:10.1053/berh.2001.0188 1192:10.1136/pmj.79.934.449 1114:"Pentosan polysulfate" 1088:"Pentosan polysulfate" 933:"Pentosan Polysulfate" 931:Pubmed Health (2012). 778:ground reaction forces 1654:10.2460/ajvr.73.5.628 1508:10.1136/vr.146.15.433 1496:The Veterinary Record 591:interstitial cystitis 2250:Pentosan polysulfate 2215:Acetohydroxamic acid 1922:Inverted sugar syrup 1894:Pentosan polysulfate 1368:Acta Neurochirurgica 625:, and stomach pain. 579:Pentosan polysulfate 99:pentosan polysulfate 23:Pentosan polysulfate 2245:Magnesium hydroxide 1276:2014PLoSO...9j6516Y 915:FDA approval letter 682:Society and culture 650:Mechanism of action 585:among others, is a 25: 2240:Dimethyl sulfoxide 1950:Calcium dobesilate 1591:. 20 December 2022 1540:Veterinary Surgery 1044:JAMA Ophthalmology 836:. 10 November 2022 2278: 2277: 2260:Phenyl salicylate 2202:Other urologicals 2188:Trospium chloride 2091:Ammonium chloride 2036: 2035: 2032: 2031: 1958: 1957: 1879:Organo-heparinoid 1848: 1847: 1783:local anesthetics 1717:Antihemorrhoidals 1050:(11): 1275–1282. 780:, over 48 weeks. 743:The treatment of 660:glycosaminoglycan 576: 575: 510:Interactive image 416:CompTox Dashboard 210: 91: 16:Chemical compound 2330: 2295: 2294: 2293: 2286: 2096:Calcium chloride 2063: 2056: 2049: 2040: 1967: 1860: 1723: 1697: 1690: 1683: 1674: 1667: 1666: 1656: 1632: 1626: 1625: 1617: 1611: 1605: 1604: 1600: 1598: 1596: 1577: 1564: 1563: 1534: 1528: 1527: 1490: 1484: 1483: 1455: 1449: 1448: 1420: 1414: 1413: 1406: 1400: 1399: 1363: 1357: 1356: 1346: 1335:10.1002/pro.2180 1314: 1308: 1307: 1297: 1287: 1255: 1249: 1248: 1220: 1214: 1213: 1203: 1186:(934): 449–453. 1171: 1165: 1164: 1136: 1130: 1129: 1127: 1125: 1110: 1104: 1103: 1101: 1099: 1084: 1078: 1077: 1067: 1035: 1029: 1028: 992: 983: 982: 954: 945: 944: 942: 940: 928: 919: 918: 912: 904: 898: 897: 879: 855: 846: 845: 843: 841: 826: 572: 571: 512: 492: 477: 471: 465: 459: 439: 438: 424: 422: 407: 402:as sodium:  399: 379: 374:as sodium:  358: 353:as sodium:  350: 330: 310: 290: 280: 279: 265: 260:as sodium:  257: 208: 205: 183: 173: 163: 153: 143: 101: 90: 87: 74: 48:Elmiron, Zycosan 33: 26: 24: 2338: 2337: 2333: 2332: 2331: 2329: 2328: 2327: 2303: 2302: 2301: 2291: 2289: 2281: 2279: 2274: 2255:Phenazopyridine 2197: 2128:Desfesoterodine 2114:antimuscarinics 2111: 2100: 2077: 2067: 2037: 2028: 2005: 1954: 1936: 1898: 1871:for topical use 1844: 1826: 1776: 1752:Fluorometholone 1728:corticosteroids 1719:for topical use 1711: 1704:Vasoprotectives 1701: 1671: 1670: 1634: 1633: 1629: 1619: 1618: 1614: 1602: 1594: 1592: 1579: 1578: 1567: 1536: 1535: 1531: 1502:(15): 433–437. 1492: 1491: 1487: 1457: 1456: 1452: 1422: 1421: 1417: 1408: 1407: 1403: 1365: 1364: 1360: 1323:Protein Science 1316: 1315: 1311: 1257: 1256: 1252: 1222: 1221: 1217: 1173: 1172: 1168: 1138: 1137: 1133: 1123: 1121: 1112: 1111: 1107: 1097: 1095: 1086: 1085: 1081: 1037: 1036: 1032: 994: 993: 986: 956: 955: 948: 938: 936: 930: 929: 922: 910: 906: 905: 901: 857: 856: 849: 839: 837: 828: 827: 814: 809: 786: 758: 753: 751:Veterinary uses 729: 717: 712: 689: 684: 676: 652: 611: 609:Adverse effects 599: 567: 565: 560: 557: 552: 547: 546: 535: 532: 527: 526: 515: 490: 480: 474: 468: 462: 442: 418: 410: 382: 361: 333: 313: 293: 276: 268: 223:Pharmacokinetic 217: 187: 111: 104: 17: 12: 11: 5: 2336: 2334: 2326: 2325: 2320: 2315: 2305: 2304: 2300: 2299: 2276: 2275: 2273: 2272: 2267: 2262: 2257: 2252: 2247: 2242: 2237: 2232: 2223: 2222: 2217: 2205: 2203: 2199: 2198: 2196: 2195: 2190: 2185: 2180: 2175: 2170: 2165: 2160: 2155: 2150: 2145: 2140: 2135: 2130: 2125: 2119: 2117: 2109:antispasmodics 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785: 782: 770:synovial fluid 762:osteoarthritis 757: 754: 752: 749: 728: 725: 721:osteoarthritis 716: 715:Osteoarthritis 713: 711: 708: 688: 685: 683: 680: 675: 672: 651: 648: 610: 607: 598: 595: 574: 573: 562: 561: 559: 558: 555: 553: 550: 542: 541: 540: 537: 536: 534: 533: 530: 522: 521: 520: 517: 516: 514: 513: 505: 503: 495: 494: 488: 482: 481: 478: 472: 466: 460: 455: 449: 448: 444: 443: 441: 440: 432:DTXSID10190764 427: 425: 412: 411: 409: 408: 400: 392: 390: 384: 383: 381: 380: 371: 369: 363: 362: 360: 359: 351: 343: 341: 335: 334: 332: 331: 323: 321: 315: 314: 312: 311: 303: 301: 295: 294: 292: 291: 283: 281: 270: 269: 267: 266: 258: 250: 248: 242: 241: 237: 236: 233: 227: 226: 219: 218: 216: 215: 202: 200: 194: 193: 189: 188: 186: 185: 132: 130: 124: 123: 114: 112:administration 106: 105: 103: 102: 84: 82: 76: 75: 68: 58: 57: 54: 50: 49: 46: 40: 39: 35: 34: 15: 13: 10: 9: 6: 4: 3: 2: 2335: 2324: 2321: 2319: 2316: 2314: 2311: 2310: 2308: 2298: 2288: 2284: 2271: 2268: 2266: 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Index


Trade names
AHFS
Drugs.com
Monograph
License data
DailyMed
pentosan polysulfate
Routes of
administration

By mouth
intramuscular
ATC code
C05BA04
WHO
G04BX15
WHO
QC05BA04
WHO
QG04BX15
WHO
QM01AX90
WHO
Legal status
℞-only
Pharmacokinetic
Excretion
CAS Number
37300-21-3
140207-93-8
PubChem

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