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PENTAMIDINE ISETHIONATE

IUPAC Name: 4-[5-(4-carbamimidoylphenoxy)pentoxy]benzenecarboximidamide;2-hydroxyethanesulfonic acid

Symbol: PI

Molecular Formula: C19H24N4O2.2C2H6O4S

Molecular weight: 592.7 g/mol

CAS No: 140-64-7;

ATC Code: P01CX01

Drug Class: Antimicrobial

General Properties:

Pentamidine isethionate appears as odorless white or almost white crystals or powder. Odor also reported as a slight butyric odor. Very bitter taste. pH (5% aqueous solution) 4.5-6.5.

National Toxicology Program, Institute of Environmental Health Sciences, National Institutes of Health (NTP). 1992. National Toxicology Program Chemical Repository Database. Research Triangle Park, North Carolina.

Pentamidine isethionate is an organosulfonate salt obtained by reaction of pentamidine with two equivalents of 2-hydroxyethylsulfonic acid. It has a role as a trypanocidal drug. It contains a pentamidinium(2+).

Pentamidine isethionate is an antifungal prescription medicine approved by the U.S. Food and Drug Administration (FDA) for the treatment and prevention of Pneumocystis pneumonia (PCP).  The FDA-approved uses for pentamidine isethionate depend on the dosage form of the drug. Specifically, pentamidine isethionate injection is approved to treat PCP, and pentamidine isethionate inhalant is approved to prevent PCP in people with HIV who are at high risk of developing PCP.

PCP can be an opportunistic infection (OI) of HIV.

Indication:

Pentamidine isethionate  is used to prevent and treat Pneumocystis carinii pneumonia, a very serious type of pneumonia, following liver transplantation. It may be prescribed for patients who cannot take Bactrim

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