Niridazole

Niridazole is a schistosomicide.[1] It is used to treat schistosomiasis, the helmintic disease caused by certain flatworms (trematodes) from the genus Schistosoma (formerly Bilharzia). It is also known by its trade name Ambilhar. It is usually given as tablets.

Niridazole
Clinical data
MedlinePlusa682128
ATC code
Identifiers
  • 1-(5-Nitro-1,3-thiazol-2-yl)imidazolidin-2-one
CAS Number
PubChem CID
ChemSpider
UNII
KEGG
CompTox Dashboard (EPA)
ECHA InfoCard100.000.466
Chemical and physical data
FormulaC6H6N4O3S
Molar mass214.20 g·mol−1
3D model (JSmol)
  • C1CN(C(=O)N1)C2=NC=C(S2)[N+](=O)[O-]
  • InChI=1S/C6H6N4O3S/c11-5-7-1-2-9(5)6-8-3-4(14-6)10(12)13/h3H,1-2H2,(H,7,11) ☒N
  • Key:RDXLYGJSWZYTFJ-UHFFFAOYSA-N ☒N
 ☒NcheckY (what is this?)  (verify)

Niridazole has central nervous system toxicity and can cause dangerous side effects, such as hallucinations.[2] Also, it may cause allergic reactions in sensitive people. However, it is one of the most effective schistosomicide drugs.[3]

It has recently also been investigated for use in the treatment of periodontitis.[4][5]

Mechanism of action

Niridazole is rapidly concentrated in the parasite and inhibits oogenesis and spermatogenesis. The compound also inhibits the phosphofructokinase enzyme, leading to glycogen depletion and hepatic shift.

References

  1. Tracy JW, Catto BA, Webster LT (September 1983). "Reductive metabolism of niridazole by adult Schistosoma mansoni. Correlation with covalent drug binding to parasite macromolecules". Molecular Pharmacology. 24 (2): 291–9. PMID 6193406.
  2. Toxicology Data Network – Niridazole
  3. Katz N (November 1975). "Clinical evaluation of niridazole and hycanthone in schistosomiasis mansoni endemic areas". Journal of Toxicology and Environmental Health. 1 (2): 203–9. doi:10.1080/15287397509529322. PMID 1107578.
  4. Barat R, Srinatha A, Pandit JK, Mittal N, Anupurba S (November 2007). "Ethylcellulose inserts of an orphan drug for periodontitis: preparation, in vitro, and clinical studies". Drug Delivery. 14 (8): 531–8. doi:10.1080/10717540701606517. PMID 18027183.
  5. Barat R, Srinatha A, Pandit JK, Ridhurkar D, Balasubramaniam J, Mittal N, Mishra DN (2006). "Niridazole biodegradable inserts for local long-term treatment of periodontitis: possible new life for an orphan drug". Drug Delivery. 13 (5): 365–73. doi:10.1080/10717540500398126. PMID 16877312. S2CID 31987972.
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