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2D Structure
Also known as: 13114-29-9, Sodium demethylcantharidate, 129-67-9, Sodium 7-oxabicyclo[2.2.1]heptane-2,3-dicarboxylate, Disodium;7-oxabicyclo[2.2.1]heptane-2,3-dicarboxylate, Disodium endothal
Molecular Formula
C8H8Na2O5
Molecular Weight
230.13  g/mol
InChI Key
XRHVZWWRFMCBAZ-UHFFFAOYSA-L

A preparation of hog pancreatic enzymes standardized for lipase content.
1 2D Structure

2D Structure

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
disodium;7-oxabicyclo[2.2.1]heptane-2,3-dicarboxylate
2.1.2 InChI
InChI=1S/C8H10O5.2Na/c9-7(10)5-3-1-2-4(13-3)6(5)8(11)12;;/h3-6H,1-2H2,(H,9,10)(H,11,12);;/q;2*+1/p-2
2.1.3 InChI Key
XRHVZWWRFMCBAZ-UHFFFAOYSA-L
2.1.4 Canonical SMILES
C1CC2C(C(C1O2)C(=O)[O-])C(=O)[O-].[Na+].[Na+]
2.2 Synonyms
2.2.1 MeSH Synonyms

1. Cotazym S

2. Cotazym-s

3. Cotazyme

4. Creon

5. Encron

6. Ilozyme

7. Ku Zyme

8. Ku-zyme

9. Lipram

10. Pancrease

11. Pancrecarb

12. Pancrelipase

13. Pancron

14. Panokase

15. Pertzye

16. Protilase

17. Ultrase

18. Viokase

19. Zymase

2.2.2 Depositor-Supplied Synonyms

1. 13114-29-9

2. Sodium Demethylcantharidate

3. 129-67-9

4. Sodium 7-oxabicyclo[2.2.1]heptane-2,3-dicarboxylate

5. Disodium;7-oxabicyclo[2.2.1]heptane-2,3-dicarboxylate

6. Disodium Endothal

7. Sodium 3-carboxy-7-oxabicyclo[2.2.1]heptane-2-carboxylate

8. Pancrelipase

9. Sodium Norcantharidin

10. Endothall-sodium

11. Sodium-demethylcantharidate

12. 53608-75-6

13. Schembl1006891

14. Dtxsid1041899

15. Chebi:81916

16. Ft-0775390

17. C18724

18. Q27155657

19. Sodium3-carboxy-7-oxabicyclo[2.2.1]heptane-2-carboxylate

2.3 Create Date
2005-08-08
3 Chemical and Physical Properties
Molecular Weight 230.13 g/mol
Molecular Formula C8H8Na2O5
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count5
Rotatable Bond Count0
Exact Mass230.01671192 g/mol
Monoisotopic Mass230.01671192 g/mol
Topological Polar Surface Area89.5 Ų
Heavy Atom Count15
Formal Charge0
Complexity224
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count4
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count3
4 Drug and Medication Information
4.1 Drug Indication

The use of pancrelipase amylase is part of the pancreatic enzyme replacement therapy. This therapy is indicated for the treatment of pancreatic insufficiency attributed to cystic fibrosis, chronic pancreatitis or any other medically defined pancreatic disease that might require it. Pancreatic diseases are associated with the deterioration of pancreatic parenchyma and of the dual physiological functions of the pancreas. Once established, pancreatic insufficiency results in malnutrition, weight loss, and steatorrhea.


FDA Label


5 Pharmacology and Biochemistry
5.1 Pharmacology

The major maldigestion/malabsorption problems arise from incomplete fat digestion. In clinical trials, the administration of pancrelipase as a mixture of amylase, lipase, and protease demonstrated a significant improvement in the coefficient of fat absorption and nitrogen absorption. These effects are accompanied by increased in body weight and body mass index.


5.2 MeSH Pharmacological Classification

Gastrointestinal Agents

Drugs used for their effects on the gastrointestinal system, as to control gastric acidity, regulate gastrointestinal motility and water flow, and improve digestion. (See all compounds classified as Gastrointestinal Agents.)


5.3 Absorption, Distribution and Excretion

Absorption

Pancrelipase acts locally in the GI tract and it is not absorbed in any significant amount.


Route of Elimination

Pancrelipase is entirely eliminated in the feces.


Volume of Distribution

Pancrelipase acts locally in the GI tract and it is not absorbed in any significant amount thus, the volume of distribution is not relevant.


Clearance

Pancrelipase acts locally in the GI tract and it is not absorbed in any significant amount thus, the clearance rate is not relevant.


5.4 Metabolism/Metabolites

Pancrelipase acts locally in the GI tract and it is not absorbed in any significant amount thus, the metabolism is not relevant.


5.5 Biological Half-Life

Pancrelipase acts locally in the GI tract and it is not absorbed in any significant amount thus, the elimination half-life is not relevant.


5.6 Mechanism of Action

Pancrelipase is used to replace the deficiency of pancreatic enzymes. As abovementioned, pancrelipase is formed by a mixture of lipase, protease, and amylase which are able to break down fat, protein, and starches, respectively, in the small intestine. For a more specific description of each mechanism of action, please visit [DB11065], [DB11066] and [DB13147].