Regadenoson: Difference between revisions

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| verifiedrevid = 413312613
| verifiedrevid = 413312613
Line 50: Line 446:
| synonyms = 1-[6-amino-9-[(2''R'',3''R'',4''S'',5''R'')-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]purin-2-yl]- ''N''-methylpyrazole-4-carboxamide
| synonyms = 1-[6-amino-9-[(2''R'',3''R'',4''S'',5''R'')-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]purin-2-yl]- ''N''-methylpyrazole-4-carboxamide
}}
}}
__NOTOC__
{{SI}}
{{CMG}}


==Overview==
<!--Mechanism of Action-->
'''Regadenoson''' ([[International Nonproprietary Name|INN]], code named '''CVT-3146''') is an [[Adenosine A2a receptor|A<sub>2A</sub>]] [[adenosine receptor]] [[agonist]] that is a coronary [[vasodilator]]. It produces maximal [[hyperemia]] quickly and maintains it for an optimal duration that is practical for radionuclide [[myocardial perfusion imaging]].<ref name="pmid15261132">{{cite journal |author=Cerqueira MD |title=The future of pharmacologic stress: selective A2A adenosine receptor agonists |journal=Am. J. Cardiol. |volume=94 |issue=2A |pages=33D–40D; discussion 40D–42D |year=2004 |month=July |pmid=15261132 |doi=10.1016/j.amjcard.2004.04.017 |url=http://linkinghub.elsevier.com/retrieve/pii/S0002914904005934}}</ref>
 
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: [[File:{{PAGENAME}}01.png|thumb|none|600px|This image is provided by the National Library of Medicine.]]
 
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* Alcohol-{{PAGENAME}} interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.
 
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* ®<ref>{{Cite web | title = | url = }}</ref>
 
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* A® — B®<ref name="www.ismp.org">{{Cite web  | last = | first = | title = http://www.ismp.org | url = http://www.ismp.org | publisher =  | date =  }}</ref>
 
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<!--Category-->


It was approved by the [[United States]] [[Food and Drug Administration]] on April 10, 2008 and is marketed by [[Astellas Pharma]] under the tradename '''Lexiscan'''.<ref>[http://www.astellas.us/press_room/docs/FINAL_LEXISCANAPPROVAL041008.pdf CV Therapeutics and Astellas Announce FDA Approval for Lexiscan(TM)<!-- Bot generated title -->]</ref> It has now gained approval in the [[European Union]] and is being sold under the name of Rapiscan. It is currently being marketed by [[GE Healthcare]] and is being sold in both the United Kingdom and Germany.
[[Category:Cardiovascular Drugs]]
[[Category:Drug]]


Regadenoson has a 2- to 3-minute [[biological half-life]], as compared with [[adenosine]]'s 30-second half-life. Regadenoson stress protocols using a single [[Bolus (medicine)|bolus]] have been developed, obviating the need for an intravenous line.  Regadenoson stress tests are not affected by the presence of [[beta blockers]], as regadenoson vasodilates but does not stimulate beta [[adrenergic receptor]]s.{{Citation needed|date=December 2008}}


==References==
{{Reflist|2}}


[[Category:Vasodilators]]
[[Category:Vasodilators]]
[[Category:Cardiovascular Drugs]]
[[Category:Cardiovascular Drugs]]
[[Category:Drug]]
[[Category:Drug]]

Revision as of 19:21, 26 July 2014

{{DrugProjectFormSinglePage |authorTag=

Gerald Chi


|genericName=

Regadenoson

|aOrAn=

a

|drugClass=


|indication=


|hasBlackBoxWarning=

Yes

|adverseReactions=



|blackBoxWarningTitle= Title

|blackBoxWarningBody= ConditionName:

  • Content


|fdaLIADAdult=

Condition1
  • Dosing Information
  • Dosage
Condition2
  • Dosing Information
  • Dosage
Condition3
  • Dosing Information
  • Dosage
Condition4
  • Dosing Information
  • Dosage


|offLabelAdultGuideSupport=

Condition1
  • Developed by:
  • Class of Recommendation:
  • Strength of Evidence:
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Regadenoson in adult patients.


|offLabelAdultNoGuideSupport=

Condition1
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Regadenoson in adult patients.


|fdaLIADPed=

Condition1
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding FDA-Labeled Use of Regadenoson in pediatric patients.


|offLabelPedGuideSupport=

Condition1
  • Developed by:
  • Class of Recommendation:
  • Strength of Evidence:
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Regadenoson in pediatric patients.


|offLabelPedNoGuideSupport=

Condition1
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Regadenoson in pediatric patients.


|contraindications=

  • Condition1


|warnings=

  • Description

Precautions

  • Description


|clinicalTrials=

There is limited information regarding Clinical Trial Experience of Regadenoson in the drug label.

Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous

|postmarketing=

There is limited information regarding Postmarketing Experience of Regadenoson in the drug label.

Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous

|drugInteractions=

  • Drug
  • Description


|useInPregnancyFDA=

  • Pregnancy Category

|useInPregnancyAUS=

  • Australian Drug Evaluation Committee (ADEC) Pregnancy Category

There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Regadenoson in women who are pregnant.

|useInLaborDelivery= There is no FDA guidance on use of Regadenoson during labor and delivery.

|useInNursing= There is no FDA guidance on the use of Regadenoson with respect to nursing mothers.

|useInPed= There is no FDA guidance on the use of Regadenoson with respect to pediatric patients.

|useInGeri= There is no FDA guidance on the use of Regadenoson with respect to geriatric patients.

|useInGender= There is no FDA guidance on the use of Regadenoson with respect to specific gender populations.

|useInRace= There is no FDA guidance on the use of Regadenoson with respect to specific racial populations.

|useInRenalImpair= There is no FDA guidance on the use of Regadenoson in patients with renal impairment.

|useInHepaticImpair= There is no FDA guidance on the use of Regadenoson in patients with hepatic impairment.

|useInReproPotential= There is no FDA guidance on the use of Regadenoson in women of reproductive potentials and males.

|useInImmunocomp= There is no FDA guidance one the use of Regadenoson in patients who are immunocompromised.


|administration=

  • Oral
  • Intravenous

|monitoring=

There is limited information regarding Monitoring of Regadenoson in the drug label.

  • Description


|IVCompat=

There is limited information regarding IV Compatibility of Regadenoson in the drug label.


|overdose=

Acute Overdose

Signs and Symptoms

  • Description

Management

  • Description

Chronic Overdose

There is limited information regarding Chronic Overdose of Regadenoson in the drug label.


|drugBox=

{{Drugbox2 | Verifiedfields = changed | verifiedrevid = 413312613 | IUPAC_name = 2-{4-[(methylamino)carbonyl]- 1H-pyrazol-1-yl}adenosine | image = Regadenoson2.png | width = 300

| tradename = | Drugs.com = Multum Consumer Information | licence_US = Regadenoson | pregnancy_AU = | pregnancy_US = C | pregnancy_category = | legal_AU = | legal_CA = | legal_UK = | legal_US = Rx-only | legal_status = | routes_of_administration = Intravenous

| bioavailability = | protein_bound = | metabolism = | elimination_half-life = | excretion =

| CAS_number_Ref =  ☑Y | CAS_number = 313348-27-5 | CAS_supplemental = 875148-45-1 | ATC_prefix = C01 | ATC_suffix = EB21 | ATC_supplemental = | PubChem = 219024 | DrugBank_Ref =  ☑Y | DrugBank = | UNII_Ref =  ☒N | UNII = 7AXV542LZ4 | KEGG_Ref =  ☑Y | KEGG = D05711 | ChEMBL_Ref =  ☒N | ChEMBL = 1201750

| chemical_formula = | C=15 | H=18 | N=8 | O=5 | molecular_weight = 390.354 g/mol | synonyms = 1-[6-amino-9-[(2R,3R,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]purin-2-yl]- N-methylpyrazole-4-carboxamide }}


|mechAction=


|structure=

This image is provided by the National Library of Medicine.


|PD=

There is limited information regarding Pharmacodynamics of Regadenoson in the drug label.


|PK=

There is limited information regarding Pharmacokinetics of Regadenoson in the drug label.


|nonClinToxic=

There is limited information regarding Nonclinical Toxicology of Regadenoson in the drug label.


|clinicalStudies=

There is limited information regarding Clinical Studies of Regadenoson in the drug label.


|howSupplied=


|fdaPatientInfo=

There is limited information regarding Patient Counseling Information of Regadenoson in the drug label.


|alcohol=

  • Alcohol-Regadenoson interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.


|brandNames=


|lookAlike=


|drugShortage= }}


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  1. Empty citation (help)
  2. "http://www.ismp.org". External link in |title= (help)