Diacerein

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Diacerein
Systematic (IUPAC) name
4,5-diacetyloxy-9,10-dioxo-anthracene-2-
carboxylic acid
Clinical data
AHFS/Drugs.com International Drug Names
Pregnancy cat. Lacking information
Legal status  ?
Routes Oral
Pharmacokinetic data
Protein binding 99%
Metabolism Hepatic: deacetylation to rhein, later glucuronidation and sulfate conjugation
Half-life 4 to 5 hours
Excretion Renal (30%)
Identifiers
CAS number 13739-02-1 YesY
ATC code M01AX21
PubChem CID 26248
ChemSpider 24456 YesY
UNII 4HU6J11EL5 YesY
KEGG D07270 YesY
ChEMBL CHEMBL41286 YesY
Synonyms Diacetylrhein; Diacerhein; 2-Anthracenecarboxylic acid, 4,5-bis(acetyloxy)-9,10-dihydro-9,10-dioxo-; 2-Anthroic acid, 9,10-dihydro-4,5-dihydroxy-9,10-dioxo-, diacetate; 9,10-Dihydro-4,5-dihydroxy-9,10-dioxo-2-anthroic acid, diacetate
Chemical data
Formula C19H12O8 
Mol. mass 368.294 g/mol
 YesY (what is this?)  (verify)

Diacerein (INN), also known as diacetylrhein, is a drug used in the treatment of osteoarthritis.[1] It works by inhibiting interleukin-1. A 2005 Cochrane review found diacerein to be slightly, but significantly, more effective than placebo in improving pain and slowing the progress of osteoarthritis in the hip.[2]

Contents

Side effects [edit]

The most common side effects of diacerein treatment are gastrointestinal, such as diarrhea.[2][3] Another side effect of diacerein is that the medicine changes the color of urine.[citation needed]

Dosage [edit]

The dosage of diacerein is 50 mg twice daily, after meals, for 3 or more years.[citation needed]

Marketing [edit]

It is marketed in Egypt and the Middle East by Evapharma.[4] The Original product company was TRB Ltd Swiss. In Pakistan, it is marketed and sold as Diora (Getz Pharma). In Greece it has been sold since 2001 by Faran Ltd under the trade name Verboril.[5]

See also [edit]

References [edit]

  1. ^ Harry Gouvas: Use of Sodium Hyaluronate in the treatment of Osteoarthritis, Greece, 2011
  2. ^ a b Fidelix TS, Soares BG, Trevisani VF (2006). "Diacerein for osteoarthritis". In Fidelix, Tania S.A. Cochrane database of systematic reviews (Online) (1): CD005117. doi:10.1002/14651858.CD005117.pub2. PMID 16437519.  Free summary
  3. ^ (French) "Diacereine". BIAM. 1999-03-24. Retrieved 2007-06-13. 
  4. ^ http://www.evapharma.com/products/Diacerein-Cap/
  5. ^ Faran AE, Brochure of Diacerein (VERBORIL), 2001