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Pentosan polysulfate

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775:(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 447: 42: 2303: 1614: 520: 716:
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
810:(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. 1548:
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
1271:"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" 746:(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) 1504:
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.
1648:"Evaluation of intramuscularly administered sodium pentosan polysulfate for treatment of experimentally induced osteoarthritis in horses" 1234:
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
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Little CB, Ghosh P (1996). McIlwraith CW, Trotter GW (eds.).
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There are 40 synonyms listed for pentosan polysulfate on
928:. U.S. Food and Drug Administration. 25 September 1996. 579: 1635:. Philadelphia: WB Saunders Company. pp. 281–292. 2291: 677:, and may replace or repair the lining, reducing its 2212: 2115: 2092: 2020: 1980: 1973: 1951: 1913: 1873: 1863: 1841: 1791: 1736: 1726: 1471:
Best Practice & Research. Clinical Rheumatology
1269:Yamasaki T, Suzuki A, Hasebe R, Horiuchi M (2014). 835: 833: 831: 829: 827: 508: 495: 462: 457: 425: 397: 376: 348: 328: 308: 283: 255: 250: 240: 232: 207: 202: 137: 119: 89: 71: 63: 53: 48: 657:toxicity, mimicking pigmentary pattern dystrophy. 1646:McIlwraith CW, Frisbie DD, Kawcak CE (May 2012). 1185:Uthman I, Raynauld JP, Haraoui B (August 2003). 297: 272: 264: 1586: 1584: 1582: 1580: 1001: 999: 937: 935: 864: 862: 730:Pentosan polysulfate has been studied in knee 2065: 1699: 963: 961: 8: 108: 32: 1187:"Intra-articular therapy in osteoarthritis" 190: 180: 170: 2324:Drugs acting on the musculoskeletal system 2072: 2058: 2050: 1977: 1870: 1733: 1706: 1692: 1684: 1423:. 1 March 2005 – via news.bbc.co.uk. 869:Lindeke-Myers A, Hanif AM, Jain N (2022). 445: 337: 1663: 1353: 1304: 1294: 1210: 1074: 886: 738:Transmissible spongiform encephalopathies 365: 357: 2298: 1652:American Journal of Veterinary Research 919:"Elmiron (pentosan polysulfate sodium)" 823: 559: 539: 441: 317: 31: 1915:sclerosing agents for local injection 970:The Urologic Clinics of North America 414: 406: 81: 7: 1436:The Journal of Small Animal Practice 1236:Seminars in Arthritis and Rheumatism 1152:The Journal of Small Animal Practice 160: 150: 1421:"Research will now assess CJD drug" 1131:. U.S. National Library of Medicine 1105:. U.S. National Library of Medicine 946:. U.S. National Library of Medicine 673:coating of the inner lining of the 386: 288: 1448:10.1111/j.1748-5827.1996.tb02355.x 1164:10.1111/j.1748-5827.2003.tb00144.x 871:"Pentosan polysulfate maculopathy" 25: 888:10.1016/j.survophthal.2021.05.005 2301: 1612: 1563:10.1111/j.1532-950x.2007.00256.x 1067:10.1001/jamaophthalmol.2019.3392 474: 40: 756:one patient in Northern Ireland 612:Pentosan polysulfate sodium is 567:Key:FCCNSUIJIOOXEZ-SJYYZXOBSA-N 486: 480: 468: 1: 2329:Urologic pelvic pain syndrome 1248:10.1016/s0049-0172(99)80021-3 982:10.1016/S0094-0143(21)00597-8 2083:, including antispasmodics ( 1974:Capillary stabilising agents 1598:Food and Drug Administration 1385:(6): 677–9, discussion 679. 1296:10.1371/journal.pone.0106516 1191:Postgraduate Medical Journal 808:Food and Drug Administration 801:Food and Drug Administration 592:, sold under the brand name 626:gastrointestinal complaints 2350: 1633:Joint Disease in the Horse 779:breakdown products in the 600:used for the treatment of 458:Chemical and physical data 2334:IARC Group 2B carcinogens 1938:Sodium tetradecyl sulfate 1391:10.1007/s00701-006-0772-y 806:In December 2022, the US 785:cranial cruciate ligament 744:Creutzfeldt–Jakob disease 575: 550: 530: 39: 1923:Monoethanolamine oleate 1020:10.1023/a:1015219716583 875:Survey of Ophthalmology 2231:Salicylhydroxamic acid 1778:Fluocinolone acetonide 1483:10.1053/berh.2001.0188 1203:10.1136/pmj.79.934.449 1125:"Pentosan polysulfate" 1099:"Pentosan polysulfate" 944:"Pentosan Polysulfate" 942:Pubmed Health (2012). 789:ground reaction forces 1665:10.2460/ajvr.73.5.628 1519:10.1136/vr.146.15.433 1507:The Veterinary Record 602:interstitial cystitis 2261:Pentosan polysulfate 2226:Acetohydroxamic acid 1933:Inverted sugar syrup 1905:Pentosan polysulfate 1379:Acta Neurochirurgica 636:, and stomach pain. 590:Pentosan polysulfate 110:pentosan polysulfate 34:Pentosan polysulfate 2256:Magnesium hydroxide 1287:2014PLoSO...9j6516Y 926:FDA approval letter 693:Society and culture 661:Mechanism of action 596:among others, is a 36: 2251:Dimethyl sulfoxide 1961:Calcium dobesilate 1602:. 20 December 2022 1551:Veterinary Surgery 1055:JAMA Ophthalmology 847:. 10 November 2022 2289: 2288: 2271:Phenyl salicylate 2213:Other urologicals 2199:Trospium chloride 2102:Ammonium chloride 2047: 2046: 2043: 2042: 1969: 1968: 1890:Organo-heparinoid 1859: 1858: 1794:local anesthetics 1728:Antihemorrhoidals 1061:(11): 1275–1282. 791:, over 48 weeks. 754:The treatment of 671:glycosaminoglycan 587: 586: 521:Interactive image 427:CompTox Dashboard 221: 102: 27:Chemical compound 16:(Redirected from 2341: 2306: 2305: 2304: 2297: 2107:Calcium chloride 2074: 2067: 2060: 2051: 1978: 1871: 1734: 1708: 1701: 1694: 1685: 1678: 1677: 1667: 1643: 1637: 1636: 1628: 1622: 1616: 1615: 1611: 1609: 1607: 1588: 1575: 1574: 1545: 1539: 1538: 1501: 1495: 1494: 1466: 1460: 1459: 1431: 1425: 1424: 1417: 1411: 1410: 1374: 1368: 1367: 1357: 1346:10.1002/pro.2180 1325: 1319: 1318: 1308: 1298: 1266: 1260: 1259: 1231: 1225: 1224: 1214: 1197:(934): 449–453. 1182: 1176: 1175: 1147: 1141: 1140: 1138: 1136: 1121: 1115: 1114: 1112: 1110: 1095: 1089: 1088: 1078: 1046: 1040: 1039: 1003: 994: 993: 965: 956: 955: 953: 951: 939: 930: 929: 923: 915: 909: 908: 890: 866: 857: 856: 854: 852: 837: 583: 582: 523: 503: 488: 482: 476: 470: 450: 449: 435: 433: 418: 413:as sodium:  410: 390: 385:as sodium:  369: 364:as sodium:  361: 341: 321: 301: 291: 290: 276: 271:as sodium:  268: 219: 216: 194: 184: 174: 164: 154: 112: 101: 98: 85: 59:Elmiron, Zycosan 44: 37: 35: 21: 2349: 2348: 2344: 2343: 2342: 2340: 2339: 2338: 2314: 2313: 2312: 2302: 2300: 2292: 2290: 2285: 2266:Phenazopyridine 2208: 2139:Desfesoterodine 2125:antimuscarinics 2122: 2111: 2088: 2078: 2048: 2039: 2016: 1965: 1947: 1909: 1882:for topical use 1855: 1837: 1787: 1763:Fluorometholone 1739:corticosteroids 1730:for topical use 1722: 1715:Vasoprotectives 1712: 1682: 1681: 1645: 1644: 1640: 1630: 1629: 1625: 1613: 1605: 1603: 1590: 1589: 1578: 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995: 957: 931: 910: 858: 822: 821: 819: 816: 796: 793: 781:synovial fluid 773:osteoarthritis 768: 765: 763: 760: 739: 736: 732:osteoarthritis 727: 726:Osteoarthritis 724: 722: 719: 699: 696: 694: 691: 686: 683: 662: 659: 621: 618: 609: 606: 585: 584: 573: 572: 570: 569: 566: 564: 561: 553: 552: 551: 548: 547: 545: 544: 541: 533: 532: 531: 528: 527: 525: 524: 516: 514: 506: 505: 499: 493: 492: 489: 483: 477: 471: 466: 460: 459: 455: 454: 452: 451: 443:DTXSID10190764 438: 436: 423: 422: 420: 419: 411: 403: 401: 395: 394: 392: 391: 382: 380: 374: 373: 371: 370: 362: 354: 352: 346: 345: 343: 342: 334: 332: 326: 325: 323: 322: 314: 312: 306: 305: 303: 302: 294: 292: 281: 280: 278: 277: 269: 261: 259: 253: 252: 248: 247: 244: 238: 237: 230: 229: 227: 226: 213: 211: 205: 204: 200: 199: 197: 196: 143: 141: 135: 134: 125: 123:administration 117: 116: 114: 113: 95: 93: 87: 86: 79: 69: 68: 65: 61: 60: 57: 51: 50: 46: 45: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2346: 2335: 2332: 2330: 2327: 2325: 2322: 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Index

Elmiron

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

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