Mr. Ibrahem/Temozolomide
Clinical data
Trade namesTemodar, Temodal, Temcad, others[1]
AHFS/Drugs.comMonograph
MedlinePlusa601250
License data
Pregnancy
category
  • AU: D
Routes of
administration
By mouth, intravenous
Drug classAlkylating agent[2]
Legal status
Legal status
  • UK: POM (Prescription only)[3]
  • US: ℞-only
  • EU: Rx-only
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailabilityalmost 100%
Protein binding15% (10–20%)
Metabolismhydrolysis
Metabolites3-methyl-(triazen-1-yl)imidazole-4-carboxamide (MTIC, the active species); temozolomide acid
Elimination half-life1.8 hours
Excretionmainly kidney
Identifiers
  • 4-methyl-5-oxo-2,3,4,6,8-pentazabicyclo[4.3.0]nona-2,7,9-triene-9-carboxamide
Chemical and physical data
FormulaC6H6N6O2
Molar mass194.154 g·mol−1
3D model (JSmol)
Melting point212 °C (414 °F) (decomp.)
  • O=C(c1ncn2C(=O)N(\N=N/c12)C)N
  • InChI=1S/C6H6N6O2/c1-11-6(14)12-2-8-3(4(7)13)5(12)9-10-11/h2H,1H3,(H2,7,13) checkY
  • Key:BPEGJWRSRHCHSN-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Temozolomide (TMZ), sold under the brand name Temodar among others, is a medication used to treat brain tumors such as glioblastoma and anaplastic astrocytoma.[2] It is taken by mouth or by gradual injection into a vein.[2]

Common side include nausea, vomiting, constipation, loss of appetite, hair loss, headache, tiredness, seizures, rash, low white blood cells, and low platelet.[2] People receiving the injection may also have pain, irritation, itching, redness, or bruising at the site.[2] Other side effects may include Pneumocystis jiroveci pneumonia, other cancers, and hepatitis B reactivation.[4] It is an alkylating agent.[2]

Temozolomide was approved for medical use in the United States and Europe in 1999.[4][2] It is available as a generic medication.[5] In the United Kingdom five pills of 250 mg costs the NHS about £530 as of 2021.[5] This amount in the United States costs about 135 USD.[6]

References edit

  1. ^ "Temozolomide". Drugs.com. 4 May 2020. Archived from the original on 29 August 2021. Retrieved 7 May 2020.
  2. ^ a b c d e f g h i "Temodal EPAR". European Medicines Agency (EMA). Archived from the original on 22 October 2020. Retrieved 7 May 2020. Text was copied from this source which is © European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  3. ^ "Temodal Capsules - Summary of Product Characteristics (SmPC)". (emc). 24 October 2019. Archived from the original on 20 September 2020. Retrieved 7 May 2020.
  4. ^ a b "Temozolomide Monograph for Professionals". Drugs.com. Archived from the original on 29 August 2021. Retrieved 25 September 2021.
  5. ^ a b BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 949. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  6. ^ "Temozolomide Prices and Temozolomide Coupons - GoodRx". GoodRx. Retrieved 25 September 2021.