Mr. Ibrahem/Zanamivir
Clinical data
Pronunciation/zəˈnæmɪvɪər/
Trade namesRelenza, Dectova, others
AHFS/Drugs.comMonograph
Pregnancy
category
  • AU: B1
Routes of
administration
Inhalation, IV
Drug classNeuraminidase inhibitor[1]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: ℞-only
Pharmacokinetic data
Bioavailability2% (by mouth)
Protein binding<10%
MetabolismNegligible
Elimination half-life2.5–5.1 hours
ExcretionKidney
Identifiers
  • (2R,3R,4S)-4-guanidino-3-(prop-1-en-2-ylamino)-2-((1R,2R)-1,2,3-trihydroxypropyl)-3,4-dihydro-2H-pyran-6-carboxylic acid
Chemical and physical data
FormulaC12H20N4O7
Molar mass332.313 g·mol−1
3D model (JSmol)
  • O=C(O)C=1O[C@@H]([C@H](O)[C@H](O)CO)[C@H](NC(=O)C)[C@@H](/N=C(\N)N)C=1
  • InChI=1S/C12H20N4O7/c1-4(18)15-8-5(16-12(13)14)2-7(11(21)22)23-10(8)9(20)6(19)3-17/h2,5-6,8-10,17,19-20H,3H2,1H3,(H,15,18)(H,21,22)(H4,13,14,16)/t5-,6+,8+,9+,10+/m0/s1 checkY
  • Key:ARAIBEBZBOPLMB-UFGQHTETSA-N checkY
  (verify)

Zanamivir, sold under the brand name Relenza among others, is a medication used to treat and prevent influenza due to influenza A or B viruses.[1] It is used by breathing in the powder or by injection into a vein.[1][3]

Common side effects include headache, dizziness, bronchitis, and cough.[1] Use is not recommended in those with asthma or COPD.[1] While it does not appear to cause harm in pregnancy or breastfeeding, it has not been well studied in this population.[4] It is a neuraminidase inhibitor and works by stopping viral replication.[1]

Zanamivir was approved for medical use in the United States in 1999.[1] One course of treatment in the United States costs about 68 USD as of 2021.[5] This amount in the United Kingdom costs the NHS about £16.[2] The injectable form is available in Europe.[3]

References edit

  1. ^ a b c d e f g h i "Zanamivir Monograph for Professionals". Drugs.com. Archived from the original on 5 March 2021. Retrieved 4 August 2021.
  2. ^ a b BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 700. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  3. ^ a b "Dectova". Archived from the original on 2 January 2021. Retrieved 4 August 2021.
  4. ^ "Zanamivir (Relenza) Use During Pregnancy". Drugs.com. Archived from the original on 4 December 2020. Retrieved 4 August 2021.
  5. ^ "Zanamivir Prices, Coupons & Savings Tips - GoodRx". GoodRx. Archived from the original on 12 June 2016. Retrieved 4 August 2021.