Acute Porphyria Drug Database

Monograph

J04AA01 - 4-Aminosalicylic Acid
Propably not porphyrinogenic
PNP

Rationale
This monograph refers to 4-aminosalicylic acid/para-aminosalicylic acid (PAS). 4-aminosalicylic acid is metabolized by acetylation. No data indicates that 4-aminosalicylic acid interact with CYP enzymes, which may indicate that it is not an inducer or an inhibitor of them. Risk for gastrointestinal adverse events in the form of anorexia, nausea, vomiting and diarrhoea motivates vigilance against insufficient intake of food, especially of carbohydrate.
Chemical description
It is also known as aminosalyl.
Therapeutic characteristics
Aminosalicylic acid is indicated in the treatment of tuberculosis. Common side effects that can be potentially porphyrinogenic through reduction in carbohydrate intake and that also can be confused with an acute porphyria attack are anorexia, nausea, vomiting and diarrhoea.
Metabolism and pharmacokinetics
4-aminosalicylic acid is metabolized in the intestine and liver mainly by acetylation. 50% or more of the dose is excreted as the acetylated metabolites. When given orally it is readily absorbed. The half-life elimination is about 1 hour (Martindale). No data indicates that 4-aminosalicylic acid interact with CYP enzymes, which may indicate that it is not an inducer or an inhibitor of them.

References

# Citation details PMID
*Scientific articles
1. Para-aminosalicylic acid as a cause of intestinal malabsorption.
Akhtar AJ, Crompton GK, Schonell ME. Tubercle. 1968 Sep;49(3):328-31.
5708525
*Drug reference publications
2. Martinedale. aminosalicylic acid
3. Up to date. para-aminosalicylic acid

Similar drugs
Explore alternative drugs in similar therapeutic classes J04A / J04AA or go back.

Tradenames and packages
From some sources, we get a list of packages (United Kingdom, Ireland, Estonia). Other sources contain more or less "clean" versions of the trade name (Denmark, Finland, Iceland, Lithuania, Norway). What you see here is the raw data we get from each country, so there will appear to be duplicates. The bold names are the searchable terms. The gray names that follow are all mapped to the bolded term.
Note: The cleaning is done automatically by a proprietary algorithm, and it may produce errors. We strive to improve it continuously.
Netherlands
GranuPas · GranuPas 4 g, maagsapresistent granulaat
Belgium
Granupas · Granupas 4 g gran. gastro-résist. sachet
United Kingdom
Granupas · Granupas gastro-resistant granules 4g sachets · Paser · Paser gastro-resistant granules 4g sachets
Denmark
Granupas
Poland
Granupas
Luxembourg
Granupas
Iceland
Granupas
Finland
Granupas
Latvia
GRANUPAS
 
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