name: | Inosine |
ATC code: | S01XA10 | route: | oral |
n-compartments | 1 |
Inosine is a purine nucleoside that forms when hypoxanthine is attached to a ribose ring via a β-N9-glycosidic bond. It has been investigated for several indications, including ophthalmic use as a cytoprotective and metabolic enhancer (mainly in Eastern Europe and Russia), and as an adjunct in neurology (such as in multiple sclerosis and Parkinson's disease investigational studies). Inosine is not approved for widespread therapeutic use in most countries but may be used in some as a supportive or off-label medication.
No formal published pharmacokinetic (PK) parameters are available for inosine in humans or in published ophthalmic studies; estimates are provided based on analogous nucleoside compounds and general pharmacokinetic principles.
Staatz, CE, & Tett, SE (2007). Clinical pharmacokinetics and pharmacodynamics of mycophenolate in solid organ transplant recipients. Clinical pharmacokinetics 46(1) 13–58. DOI:10.2165/00003088-200746010-00002 PUBMED:https://pubmed.ncbi.nlm.nih.gov/17201457
Li, H, et al., & McCune, JS (2014). Pharmacokinetic and pharmacodynamic analysis of inosine monophosphate dehydrogenase activity in hematopoietic cell transplantation recipients treated with mycophenolate mofetil. Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation 20(8) 1121–1129. DOI:10.1016/j.bbmt.2014.03.032 PUBMED:https://pubmed.ncbi.nlm.nih.gov/24727337
McHutchison, JG, et al., & Alam, J (2005). A randomized, double-blind, placebo-controlled dose-escalation trial of merimepodib (VX-497) and interferon-alpha in previously untreated patients with chronic hepatitis C. Antiviral therapy 10(5) 635–643. PUBMED:https://pubmed.ncbi.nlm.nih.gov/16152757