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Thalidomide

From Wikipedia
thalidomide
stereoisomers mixture
Subclass ofchemical compound Edit
Get useMedication Edit
Native labelThalidomide Edit
Has effectPhocomelia due to thalidomide Edit
Discoverer or inventorHeinrich Mückter Edit
Chemical formulaC₁₃H₁₀N₂O₄ Edit
Canonical SMILESC1CC(=O)NC(=O)C1N2C(=O)C3=CC=CC=C3C2=O Edit
Active ingredient inThalidomide Celgene, Thalomid Edit
World Health Organisation international non-proprietary namethalidomide Edit
Physically dey interact plusRing-box 1, Cullin 4A, Damage specific DNA binding protein 1, Cereblon Edit
Route of administrationoral administration Edit
Pregnancy categoryAustralian pregnancy category X, US pregnancy category X Edit
LiverTox likelihood scoreLiverTox toxicity likelihood category B Edit
MCN code2925.19.10 Edit

Thalidomide, dem sell under de brand names Contergan, Distaval den Thalomid among odas, be an oral administered medication dem use to treat a number of cancers (e.g., multiple myeloma), graft-versus-host disease, den chaw skin disorders (e.g., complications of leprosy such as skin lesions).[1][2] Na dem use thalidomide to treat conditions wey be associated plus HIV: aphthous ulcers, HIV-associated wasting syndrome, diarrhea, den Kaposi's sarcoma, buh na dem report increases insyd HIV viral load.[1]

Common side effects dey include sleepiness, rash, den dizziness.[1] Severe side effects dey include tumor lysis syndrome, blood clots, den peripheral neuropathy.[3] Thalidomide be a known human teratogen den dey carry an extremely high risk of severe, life-threatening birth defects if dem administer anaa take am during pregnancy.[1] E dey cause skeletal deformities such as amelia (absence of legs den/anaa arms), absence of bones, den phocomelia (malformation of de limbs). A single dose of thalidomide, regardless of dosage, be enough to cause teratogenic effects.[1]

Na dem first market thalidomide insyd 1957 insyd West Germany, wer na e be available as an over-the-counter drug.[4][5] Wen na dem first release am, na dem promote thalidomide for anxiety, trouble sleeping, "tension", den morning sickness.[5][6] While na dem initially think e be safe insyd pregnancy, na dem find thalidomide to cause birth defects, wey resulting in ein removal from de market insyd Europe insyd 1961.[4][5] Na de total number of infants severely harm by thalidomide use during pregnancy be estimated at over 10,000, possibly 20,000, of whom na about 40% died around de time of birth.[1][5] Na those wey survive get limb, eye, urinary tract, den heart problems.[4] Na ein initial entry into de US market be prevented by Frances Kelsey, a reviewer at de FDA.[6] De birth defects wey be caused by thalidomide lead to de development of greater drug regulation den monitoring insyd chaw countries.[4][6]

Na dem approve am insyd de United States insyd 1998 for use as a treatment give cancer.[1] E dey on de World Health Organization's List of Essential Medicines.[7] E be available as a generic medication.[3][8]

References

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  1. 1 2 3 4 5 6 7 "Thalidomide Monograph for Professionals". Drugs.com. 7 April 2023. Updated as required.
  2. "Thalidomide | C13H10N2O4". PubChem. National Center for Biotechnology Information, National Library of Medicine. CID 5426. Archived from the original on 13 February 2023. Retrieved 13 February 2023.
  3. 1 2 British national formulary: BNF 76 (76 ed.). Pharmaceutical Press. 2018. p. 936. ISBN 978-0-85711-338-2.
  4. 1 2 3 4 Cuthbert A (2003). The Oxford Companion to the Body. Oxford University Press. p. 682. doi:10.1093/acref/9780198524038.001.0001. ISBN 978-0-19-852403-8.
  5. 1 2 3 4 Miller MT (1991). "Thalidomide embryopathy: a model for the study of congenital incomitant horizontal strabismus". Transactions of the American Ophthalmological Society. 89: 623–74. PMC 1298636. PMID 1808819.
  6. 1 2 3 Loue S, Sajatovic M (2004). Encyclopedia of Women's Health (in English). Springer Science & Business Media. p. 644. ISBN 978-0-306-48073-7. Archived from the original on 15 November 2021. Retrieved 25 August 2020.
  7. Organization WH (2021). Model list of essential medicines: 22nd list. Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
  8. "First Generic Drug Approvals". U.S. Food and Drug Administration. 30 May 2023. Archived from the original on 30 June 2023. Retrieved 30 June 2023.

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