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2D Structure
Also known as: 4-amino-2-hydroxybenzoic acid, 65-49-6, Aminosalicylic acid, P-aminosalicylic acid, Rezipas, Para-aminosalicylic acid
Molecular Formula
C7H7NO3
Molecular Weight
153.14  g/mol
InChI Key
WUBBRNOQWQTFEX-UHFFFAOYSA-N
FDA UNII
5B2658E0N2

An antitubercular agent often administered in association with ISONIAZID. The sodium salt of the drug is better tolerated than the free acid.
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
4-amino-2-hydroxybenzoic acid
2.1.2 InChI
InChI=1S/C7H7NO3/c8-4-1-2-5(7(10)11)6(9)3-4/h1-3,9H,8H2,(H,10,11)
2.1.3 InChI Key
WUBBRNOQWQTFEX-UHFFFAOYSA-N
2.1.4 Canonical SMILES
C1=CC(=C(C=C1N)O)C(=O)O
2.2 Other Identifiers
2.2.1 UNII
5B2658E0N2
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 4 Aminosalicylic Acid

2. Acid, Aminosalicylic

3. Alumino 4 Aminosalicylic Acid

4. Alumino-4-aminosalicylic Acid

5. Aminosalicylic Acid

6. P Aminosalicylic Acid

7. P Aminosalicylic Acid Monolithium Salt

8. P Aminosalicylic Acid Monopotassium Salt

9. P Aminosalicylic Acid Monosodium Salt

10. P-aminosalicylic Acid

11. P-aminosalicylic Acid Monolithium Salt

12. P-aminosalicylic Acid Monopotassium Salt

13. P-aminosalicylic Acid Monosodium Salt

14. P-aminosalicylic Acid, Aluminum (2:1) Salt

15. P-aminosalicylic Acid, Calcium (2:1) Salt

16. P-aminosalicylic Acid, Monosodium Salt, Dihydrate

17. Pamisyl

18. Para Aminosalicylic Acid

19. Para-aminosalicylic Acid

20. Rezipas

2.3.2 Depositor-Supplied Synonyms

1. 4-amino-2-hydroxybenzoic Acid

2. 65-49-6

3. Aminosalicylic Acid

4. P-aminosalicylic Acid

5. Rezipas

6. Para-aminosalicylic Acid

7. Aminopar

8. Pamisyl

9. Parasal

10. Paser

11. Parasalindon

12. Deapasil

13. Apacil

14. Gabbropas

15. Paramycin

16. Parasalicil

17. Pasnodia

18. Aminox

19. Benzoic Acid, 4-amino-2-hydroxy-

20. Entepas

21. Osacyl

22. Pamacyl

23. Pasalon

24. Pasara

25. Pasdium

26. Pasmed

27. Pasolac

28. Propasa

29. Pasem

30. Pasa

31. 2-hydroxy-4-aminobenzoic Acid

32. Apas

33. Pask

34. Para-pas

35. Sanipirol-4

36. Para-amino Salicylic Acid

37. Hellipidyl

38. Pascorbic

39. Pas-c

40. Pas (acid)

41. 4-aminosalicylate

42. Pas

43. Kyselina P-aminosalicylova

44. Aminosalicylate

45. Aminosalyl

46. Helipidyl

47. Salicylic Acid, 4-amino-

48. 3-hydroxy-4-carboxyaniline

49. Paser Granules

50. Amino-pas

51. Sanipriol-4

52. Nih 2939

53. Nsc 2083

54. Mfcd00007789

55. 4-asa

56. Pas (van)

57. Aminosalicylate Sodium

58. Teebacin

59. Aminosalicylic Acid [usp]

60. Neopasalate

61. A 1909

62. Benzoic Acid, 4-aminohydroxy-

63. 4-amino-2-hydroxy-benzoic Acid

64. P-amino Salicylic Acid

65. Hsdb 3203

66. Kyselina P-aminosalicylova [czech]

67. Nsc-2083

68. Einecs 200-613-5

69. Sodium Aminosalicylate

70. Brn 0473071

71. P.a.s

72. Ai3-50142

73. Mls000069418

74. Unii-5b2658e0n2

75. Chebi:27565

76. Nsc2083

77. 5b2658e0n2

78. Smr000059110

79. Aminosalicylic Acid (usp)

80. 4-carboxy-3-hydroxyaniline

81. 4-14-00-01967 (beilstein Handbook Reference)

82. P.a.s. Sodium

83. Mls000069579

84. 4-aminosalicylicacid

85. 4-amino Salicylic Acid

86. Sr-01000002990

87. Smr000058830

88. Aminosalicylic

89. Granupas

90. Alumino-4-aminosalicylic Acid

91. 4-aminosalicylsyre

92. Isonicotinic Acid Hydrazide P-aminosalicylate Salt

93. -aminosalicylic Acid

94. Pamisyl (tn)

95. Paser (tn)

96. 4-aminosalicyclic Acid

97. Spectrum_000042

98. .gamma.-aminosalicylate

99. Opera_id_614

100. Spectrum2_000001

101. Spectrum3_000297

102. Spectrum4_000145

103. Spectrum5_000804

104. Para-amino-salicyclic Acid

105. Wln: Zr Cq Dvq

106. D01wjl

107. D0q8ur

108. Salicyclic Acid, 4-amino-

109. Schembl2262

110. Chembl1169

111. Bspbio_001834

112. Kbiogr_000590

113. Kbioss_000422

114. Mls001148121

115. 4-aminosalicylic Acid, 99%

116. Bidd:gt0175

117. Divk1c_000350

118. 4-amino-2-hydroxobenzoic Acid

119. Spbio_000001

120. P-aminosalicylic Acid Standard

121. Dtxsid2022591

122. Bdbm48319

123. Hms501b12

124. Kbio1_000350

125. Kbio2_000422

126. Kbio2_002990

127. Kbio2_005558

128. Kbio3_001334

129. 4-azanyl-2-oxidanyl-benzoic Acid

130. Cid_11988145

131. Ninds_000350

132. Aminosalicylic Acid [hsdb]

133. Hms2090i07

134. Hms2093l14

135. Hms2236i04

136. Hms3371a17

137. Hms3715m08

138. Kuc106682n

139. Aminosalicylic Acid [vandf]

140. P-aminosalicylic Acid [mi]

141. Aminosalicylic Acid [mart.]

142. Amy31099

143. Bcp18565

144. Drg-0200

145. Hy-i0447

146. Aminosalicylic Acid [usp-rs]

147. Aminosalicylic Acid [who-dd]

148. Ccg-39969

149. S5211

150. Stl163955

151. Akos000121200

152. Cs-w023102

153. Db00233

154. Pb47849

155. 4-amino,2-hydroxy-benzoic Acid

156. Idi1_000350

157. Aminosalicylic Acid [orange Book]

158. Ncgc00018110-01

159. Ncgc00018110-02

160. Ncgc00018110-03

161. Ncgc00018110-04

162. Ac-12894

163. As-11043

164. Sy001079

165. Aminosalicylic Acid [usp Monograph]

166. Ksc-11-207-13

167. Sbi-0051279.p003

168. Sbi-0051279.p004

169. Ls-144220

170. Mesalazine Impurity E [ep Impurity]

171. A0420

172. Ft-0617609

173. Ft-0689453

174. En300-18730

175. C02518

176. D00162

177. Neopasalate Component Aminosalicylic Acid

178. P17508

179. Ab00051913-20

180. Aminosalicylic Acid Component Of Neopasalate

181. Q229924

182. Q-200437

183. Sr-01000002990-4

184. Sr-01000002990-6

185. 4-aminosalicylic Acid, Vetec(tm) Reagent Grade, 99%

186. Z90121065

187. F2191-0245

188. Para-aminosalicylic Acid;aminosalicylic Acid;4-aminosalicylate

189. Aminosalicylic Acid, United States Pharmacopeia (usp) Reference Standard

190. 4-aminosalicylic Acid, Pharmaceutical Secondary Standard; Certified Reference Material

191. Inchi=1/c7h7no3/c8-4-1-2-5(7(10)11)6(9)3-4/h1-3,9h,8h2,(h,10,11

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 153.14 g/mol
Molecular Formula C7H7NO3
XLogP31.3
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count4
Rotatable Bond Count1
Exact Mass g/mol
Monoisotopic Mass g/mol
Topological Polar Surface Area83.6
Heavy Atom Count11
Formal Charge0
Complexity160
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Therapeutic Uses

Antitubercular Agents

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


EXPTL USE: LIPID LOWERING AGENT. 6 G GIVEN FOR 4 WK. IT WAS CONCLUDED THAT IT LOWERS ELEVATED SERUM TRIGLYCERIDE LEVELS AS WELL AS ELEVATED SERUM CHOLESTEROL LEVELS.

VESSBY ET AL; PARA-AMINOSALICYLIC ACID AS A LIPID LOWERING AGENT; CLIN PHARMACOL THER 23 (JUN) 651-7 (1978)


USED ALONE, IT CAN SOMETIMES SUCCESSFULLY MANAGE /TUBERCULOSIS/...BUT RESISTANCE EMERGES & ALSO TOXICITY LIMITS THE DOSE. THEREFORE, PAS IS NEARLY ALWAYS USED IN COMBINATION WITH 1 OR 2 OTHER ANTITUBERCULAR DRUGS. ...PAS SUPPORTS THE OTHER DRUGS & DELAYS THE EMERGENCY OF RESISTANCE.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1150


AMINOSALICYLIC ACID...HAS POTENT HYPOLIPIDEMIC ACTION & REDUCES BOTH CHOLESTEROL & TRIGLYCERIDES. HOWEVER IT HAS NOT BEEN WELL TOLERATED BECAUSE OF GI REACTION.

American Medical Association, AMA Department of Drugs, AMA Drug Evaluations. 3rd ed. Littleton, Massachusetts: PSG Publishing Co., Inc., 1977., p. 161


For more Therapeutic Uses (Complete) data for P-AMINOSALICYLIC ACID (15 total), please visit the HSDB record page.


4.2 Drug Warning

UNDER NO CIRCUMSTANCES USE SOLN IF ITS COLOR IS DARKER THAN THAT OF FRESHLY PREPD SOLN. ... PREPARE SOLN OF CALCIUM, /POTASSIUM, & SODIUM SALTS/ WITHIN 24 HR OF ADMIN.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1149


FOR THE VARIOUS DEFECTS /FOR EXAMPLE, DEFICIENCY IN ERYTHROCYTE GLUCOSE-6-PHOSPHATE DEHYDROGENASE/ THAT SEEM TO BE SPECIFIC TO PARTICULAR RACES, DIFFERENT DRUGS ELICIT HEMOLYSIS. MOST IMPORTANT OF THESE ARE NITROFURANTOIN, AMINOSALICYLIC ACID...

The Chemical Society. Foreign Compound Metabolism in Mammals. Volume 1: A Review of the Literature Published Between 1960 and 1969. London: The Chemical Society, 1970., p. 429


IN PT WITH IMPAIRMENT OF KIDNEY OR OTHER MECHANISMS FOR CONTROLLING PLASMA CONCN, THE DRUG CAN CAUSE HYPERCALCEMIA. IT MAY ALSO CONTRIBUTE TO UROLITHIASIS. /CA SALT/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1149


The most frequent adverse effects of aminosalicylic acid or its salt are GI disturbances including nausea, vomiting, abdominal pain, diarrhea, and anorexia. Rarely, aminosalicylic acid has caused peptic ulcer and gastric hemorrhage. Adverse GI effects may be minimized in some patients by administering the aminosalicylates with meals; however, symptoms may be severe enough to require discontinuation of the drugs. Malabsorption of vitamin B12 folic acid, iron, and lipids has also occurred occasionally in patients receiving aminosalicylic acid or its salt, possibly as the result of increased peristalsis. The manufacturer states that maintenance therapy with vitamin B12 should be considered in patients receiving aminosalicylic acid for longer than 1 month.

McEvoy G.K. (ed.). American Hospital Formulary Service-Drug Information 96. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1996 (Plus Supplements)., p. 400


For more Drug Warnings (Complete) data for P-AMINOSALICYLIC ACID (12 total), please visit the HSDB record page.


4.3 Drug Indication

For the treatment of tuberculosis


Granupas is indicated for use as part of an appropriate combination regimen for multi-drug resistant tuberculosis in adults and paediatric patients from 28 days of age and older when an effective treatment regimen cannot otherwise be composed for reasons of resistance or tolerability (see section 4. 4).

Consideration should be given to official guidance on the appropriate use of antibacterial agents.


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

Antitubercular Agents

Drugs used in the treatment of tuberculosis. They are divided into two main classes: "first-line" agents, those with the greatest efficacy and acceptable degrees of toxicity used successfully in the great majority of cases; and "second-line" drugs used in drug-resistant cases or those in which some other patient-related condition has compromised the effectiveness of primary therapy. (See all compounds classified as Antitubercular Agents.)


5.2 ATC Code

J04AA01


J - Antiinfectives for systemic use

J04 - Antimycobacterials

J04A - Drugs for treatment of tuberculosis

J04AA - Aminosalicylic acid and derivatives

J04AA02 - Sodium aminosalicylate


J - Antiinfectives for systemic use

J04 - Antimycobacterials

J04A - Drugs for treatment of tuberculosis

J04AA - Aminosalicylic acid and derivatives

J04AA01 - 4-aminosalicylic acid


5.3 Absorption, Distribution and Excretion

BIOAVAILABILITY STUDIES ON P-AMINOSALICYLIC ACID & ITS SALTS IN 12 SUBJECTS. COLORIMETRIC ASSAY INDICATED THAT PEAK BLOOD LEVELS OCCURRED @ 0.5, 0.75, 1.5, & 3 HR FOR SODIUM, POTASSIUM, & CALCIUM SALTS & P-AMINOSALICYLIC ACID, RESPECTIVELY.

WAN ET AL; J PHARMACOKINET BIOPHARM 2 (FEB): 1-12 (1974)


URINE EXCRETION DATA SHOWED ABSORPTION TO BE ESSENTIALLY COMPLETE ALTHOUGH RATES OF ABSORPTION DIFFERED.

WAN ET AL; J PHARMACOKINET BIOPHARM 2 (FEB): 1-12 (1974)


Aminosalicyclic acid is readily absorbed from the gastrointestinal tract. A single oral dose of 4 g of the free acid produces maximal concentrations in plasma of about 75 ug/ml within 1.5 to 2 hours. The sodium salt is absorbed even more rapidly. The drug appears to be distributed throughout the total body water and reaches high concentrations in pleural fluid and caseous tissue. However, values in CSF are low, perhaps because of active outward transport.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 1164


Over 80% of the drug is excreted in the urine; more than 50% is in the form of the acetylated compound. The largest portion of the remainder is made up of the free acid.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 1164


For more Absorption, Distribution and Excretion (Complete) data for P-AMINOSALICYLIC ACID (8 total), please visit the HSDB record page.


5.4 Metabolism/Metabolites

Hepatic.


ACETYLATION IS MAJOR ROUTE FOR INACTIVATION OF MANY DRUGS SUCH AS ... P-AMINOSALICYLIC ACID... ENZYMES WHICH CATALYSE THESE REACTIONS, ACETYL COENZYME A:N-ACETYLTRANSFERASES (EC2.3.1.5), ARE LOCATED IN LIVER CYTOSOL.

The Chemical Society. Foreign Compound Metabolism in Mammals Volume 3. London: The Chemical Society, 1975., p. 545


WHEN ADMIN ORALLY TO MAN IT IS RAPIDLY ABSORBED, & IS EXCRETED IN URINE AS UNCHANGED P-AMINOSALICYLIC ACID & AS ACETYL GLUCURONYL, GLYCYL & GLUTAMINYL CONJUGATES.

Parke, D. V. The Biochemistry of Foreign Compounds. Oxford: Pergamon Press, 1968., p. 176


YIELDS 5-AMINO-2-CARBOXYPHENYL-BETA-D-GLUCURONIDE IN MAN. 4-AMINOCATECHOL IN PSEUDOMONAS. 4-AMINOSALICYLOYLGLUTAMINE & 4-AMINOSALICYLOYLGLYCINE IN MAN. /TABLE/

Goodwin, B.L. Handbook of Intermediary Metabolism of Aromatic Compounds. New York: Wiley, 1976., p. A-52


Blood from tuberculosis patients was cultured before, during, and after withdrawal of therapy involving five different drug combinations if isoniazid, thiacetazone, p-aminosalicyclic acid, and streptomycin. The approaches used to detect DNA damage were chromosome aberrations and sister chromatid exchanges (SCEs). A total of 179 subjects were analyzed. In combo these drugs showed synergistic, additive, and antagonistic effects, though they were found to be nonclastogenic individually. Four of the drug combinations, isoniazid plus thiacetazone, isoniazid plus p-aminosalicyclic acid, isoniazid plus thiacetazone plus streptomycin, and isoniazid plus p-aminosalicyclic acid plus streptomycin, induced a significant incr in the frequency of aberrations, whereas isoniazid plus streptomycin did not induce aberrations. In fact, streptomycin appeared to reduce the frequency of aberrations. SCEs were incr in only two patients: one treated with isoniazid plus thiacetazone and the other with isoniazid plus p-aminosalicyclic acid. The frequency of aberrations after withdrawal of therapy was decr; it was slightly higher than the controls, though it was insignificant. The return to normalcy could be due to elimination of damaged cells or the repair of DNA in lymphocytes. Though the drug-induced aberrations do not persist after withdrawal of therapy, the chromosome damaging combo of drugs should be used with caution, because the possibility of meiotic chromosome damage in germ cells (during therapy), which might be passed on to the next generation, cannot be ruled out.

PMID:6205465 Jaju M et al; Teratog Carcinog Mutagen 4 (3): 261-72 (1984)


For more Metabolism/Metabolites (Complete) data for P-AMINOSALICYLIC ACID (9 total), please visit the HSDB record page.


5.5 Biological Half-Life

The drug has a half life of about 1 hour, and concentrations in plasma are negligible within 4 to 5 hours after a single conventional dose.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 1164


5.6 Mechanism of Action

There are two mechanisms responsible for aminosalicylic acid's bacteriostatic action against Mycobacterium tuberculosis. Firstly, aminosalicylic acid inhibits folic acid synthesis (without potentiation with antifolic compounds). The binding of para-aminobenzoic acid to pteridine synthetase acts as the first step in folic acid synthesis. Aminosalicylic acid binds pteridine synthetase with greater affinity than para-aminobenzoic acid, effectively inhibiting the synthesis of folic acid. As bacteria are unable to use external sources of folic acid, cell growth and multiplication slows. Secondly, aminosalicylic acid may inhibit the synthesis of the cell wall component, mycobactin, thus reducing iron uptake by M. tuberculosis.


The antimicrobial activity of aminosalicylic acid is highly specific, and microorganisms other than Mycobacterium tuberculosis are unaffected. Most nontuberculous mycobacteria are not inhibited by the drug.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 1164


Aminosalicyclic acid is a structural analog of paraaminobenzoic acid, and its mechanism of action appears to be very similar to that of the sulfonamides. Since the sulfonamides are ineffective against Mycobacterium tuberculosis, and aminosalicyclic is inactive against sulfonamide susceptible bacteria, it is probable that the enzymes responsible for folate biosynthesis in various microorganisms may be quite exacting in their capacity to distinguish various analogs from the true metabolite.

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 1164