Benznidazole

Benznidazole
Clinical data
Trade namesRochagan, Radanil[1]
AHFS/Drugs.comMonograph
License data
Routes of
administration
By mouth
ATC code
Legal status
Legal status
Pharmacokinetic data
BioavailabilityHigh
MetabolismLiver
Elimination half-life12 hours
ExcretionKidney and fecal
Identifiers
  • N-benzyl-2-(2-nitro-1H-imidazol-1-yl)acetamide
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.153.448 Edit this at Wikidata
Chemical and physical data
FormulaC12H12N4O3
Molar mass260.253 g·mol−1
3D model (JSmol)
Melting point188.5 to 190 °C (371.3 to 374.0 °F)
  • O=[N+]([O-])c1nccn1CC(=O)NCc2ccccc2
  • InChI=1S/C12H12N4O3/c17-11(14-8-10-4-2-1-3-5-10)9-15-7-6-13-12(15)16(18)19/h1-7H,8-9H2,(H,14,17) checkY
  • Key:CULUWZNBISUWAS-UHFFFAOYSA-N checkY
  (verify)

Benznidazole is an antiparasitic medication used in the treatment of Chagas disease.[2] While it is highly effective in early disease, the effectiveness decreases in those who have long-term infection.[3] It is the first-line treatment given its moderate side effects compared to nifurtimox.[1] It is taken by mouth.[2]

Side effects are fairly common.[4] They include rash, numbness, fever, muscle pain, loss of appetite, and trouble sleeping.[4][5] Rare side effects include bone marrow suppression which can lead to low blood cell levels.[1][5] It is not recommended during pregnancy or in people with severe liver or kidney disease.[4][3] Benznidazole is in the nitroimidazole family of medication and works by the production of free radicals.[5][6]

Benznidazole came into medical use in 1971.[2] It is on the World Health Organization's List of Essential Medicines.[7] As of 2012, Laboratório Farmacêutico do Estado de Pernambuco, a government run pharmaceutical company in Brazil was the only producer.[8][needs update]

  1. ^ a b c Bern C, Montgomery SP, Herwaldt BL, Rassi A, Marin-Neto JA, Dantas RO, et al. (November 2007). "Evaluation and treatment of chagas disease in the United States: a systematic review". JAMA. 298 (18): 2171–2181. doi:10.1001/jama.298.18.2171. PMID 18000201. Archived from the original on 2016-11-07.
  2. ^ a b c d "Benznidazole tablet". DailyMed. 12 November 2019. Retrieved 13 October 2020.
  3. ^ a b "Chagas disease". World Health Organization. March 2016. Archived from the original on 27 February 2014. Retrieved 7 December 2016.
  4. ^ a b c "Antiparasitic Treatment". Centers for Disease Control and Prevention (CDC). Archived from the original on 2016-11-06. Retrieved 2016-11-05.
  5. ^ a b c Castro JA, de Mecca MM, Bartel LC (August 2006). "Toxic side effects of drugs used to treat Chagas' disease (American trypanosomiasis)". Human & Experimental Toxicology. 25 (8): 471–479. Bibcode:2006HETox..25..471C. doi:10.1191/0960327106het653oa. hdl:11336/82805. PMID 16937919. S2CID 8980212.
  6. ^ Urbina JA. "Nuevas drogas para el tratamiento etiológico de la Enfermedad de Chagas" (in Spanish). Archived from the original on May 8, 2012. Retrieved March 24, 2012.
  7. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  8. ^ "Treatment for Chagas: Enter Supplier Number Two | End the Neglect". endtheneglect.org. 21 March 2012. Archived from the original on 6 November 2016. Retrieved 7 December 2016.

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