Mesna: Difference between revisions

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{{Drugbox|
{{Details0|Mesna (oral)}}
|IUPAC_name = sodium 2-sulfanylethanesulfonate
{{Details0|Mesna (injection)}}
| image = Mesna.svg
| CAS_number = 19767-45-4
| ATC_prefix = R05
| ATC_suffix = CB05
| ATC_supplemental = {{ATC|V03|AF01}}
| PubChem = 29769
| DrugBank =
| C= 2 | H= 5 | Na= 1 | O= 3 | S= 2
| molecular_weight = 164.181 [[Gram|g]]/[[Mole (unit)|mol]]
| bioavailability= 45–79% (Oral)
| metabolism = [[Oxidation|Oxidised]] in [[circulatory system|circulation]]
| elimination_half-life = 0.36–8.3 hours
| excretion =  [[Renal]]
| pregnancy_category = B1 <small>([[Australia|Au]])</small>, B <small>([[United States|U.S.]])</small>
| legal_status = S4 <small>(Au)</small>, POM <small>([[United Kingdom|UK]])</small>, ℞-only <small>(U.S.)</small>
| routes_of_administration= Oral, intravenous
}}
'''Mesna''' ([[International Nonproprietary Name|INN]]) ({{pronEng|ˈmɛznə}}) is an [[adjuvant]] used in cancer chemotherapy involving [[cyclophosphamide]] and [[ifosfamide]]. It is currently marketed by [[Baxter International|Baxter]] as '''Uromitexan'''® and '''Mesnex'''®.
 
Mesna is used therapeutically to reduce the incidence of [[hemorrhagic cystitis|haemorrhagic cystitis]] and [[hematuria|haematuria]] when a patient receives ifosfamide or cyclophosphamide for cancer chemotherapy. These two anticancer agents, ''in vivo'', may be converted to urotoxic metabolites such as [[acrolein]]. Mesna assists to neutralise these metabolites by binding through its [[sulfhydryl]]-moieties, and also increases urinary excretion of [[cysteine]].
 
==External links==
* [http://www.bccancer.bc.ca/HPI/DrugDatabase/DrugIndexPro/Mesna.htm BC Cancer Agency]
* [http://www.nlm.nih.gov/medlineplus/druginfo/uspdi/202352.html NIH/Medline]
 
{{Cough and cold preparations}}
{{Detoxifying agents for antineoplastic treatment}}
 
[[Category:Chemotherapeutic adjuvants]]
 
{{Pharma-stub}}
 
[[de:Mesna]]
[[fr:Mesna]]
[[pl:Mesna]]
{{WikiDoc Sources}}

Latest revision as of 16:45, 21 May 2015