Acenocoumarol
(Synonyms: 醋硝香豆素) 目录号 : GC32514An anticoagulant and vitamin K antagonist
Cas No.:152-72-7
Sample solution is provided at 25 µL, 10mM.
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Acenocoumarol is an anticoagulant and vitamin K antagonist.1 It inhibits the reduction of vitamin K1 epoxide to vitamin K1 by vitamin K1 epoxide reductase (VKOR) (IC50 = 1.5 and 5.8 nM for VKORC1 and VKORC1L1, respectively).1 Acenocoumarol also inhibits a variety of VKOR mutants in cell-based reporter assays (IC50s = 0.54-11.21 nM).2 It prolongs prothrombin time in rat blood when administered at a dose of 1.5 mg/kg.3
1.Czogalla, K.J., Liphardt, K., H?ning, K., et al.VKORC1 and VKORC1L1 have distinctly different oral anticoagulant dose-response characteristics and binding sitesBlood Adv.2(6)691-702(2018) 2.Chen, X., Jin, D.-Y., Stafford, D.W., et al.Evaluation of oral anticoagulants with vitamin K epoxide reductase in its native milieuBlood132(18)1974-1984(2018) 3.Meinertz, T., Kasper, W., Kahl, C., et al.Anticoagulant activity of the enantiomers of acenocoumarolBr. J. Clin. Pharmacol.5(2)187-188(1978)
Cas No. | 152-72-7 | SDF | |
别名 | 醋硝香豆素 | ||
Canonical SMILES | O=C1C(C(C2=CC=C([N+]([O-])=O)C=C2)CC(C)=O)=C(O)C3=CC=CC=C3O1 | ||
分子式 | C19H15NO6 | 分子量 | 353.33 |
溶解度 | DMSO: 100 mg/mL (283.02 mM) | 储存条件 | Store at -20°C |
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1 mg | 5 mg | 10 mg | |
1 mM | 2.8302 mL | 14.1511 mL | 28.3022 mL |
5 mM | 0.566 mL | 2.8302 mL | 5.6604 mL |
10 mM | 0.283 mL | 1.4151 mL | 2.8302 mL |
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2.
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Acenocoumarol: A Review of Anticoagulant Efficacy and Safety
J Assoc Physicians India 2016 Feb;64(2):88-93.PMID:27730796doi
Anticoagulant treatment is required for the treatment and prevention of thromboembolic disorders. Vitamin K antagonists are commonly used oral anticoagulants worldwide. Acenocoumarol is mono-coumarin derivative with racemic mixture of R (+) and S (-) enantiomers. Efficacy and safety of Acenocoumarol has been evaluated in atrial fibrillation, cardiac valve replacement, after myocardial infarction, treatment of deep vein thrombosis, after major surgeries and after critical illness requiring prolonged hospitalization. Acenocoumarol is effective and safe in all age groups. It offers an advantage over warfarin in terms of better stability of anti-coagulant effect. Due to its economic advantage Acenocoumarol may be suitable oral anticoagulant for long term use in countries like India.
Biomodification of Acenocoumarol by bifidobacteria
FEMS Microbiol Lett 2021 Oct 4;368(18):fnab125.PMID:34529059DOI:10.1093/femsle/fnab125.
The increased interest of consumers in probiotic foods requires a deeper knowledge on the possible interactions with drugs, because their pharmacological properties could be modified. In this context, these studies are relevant for drugs such as Acenocoumarol, whose dosage must be controlled due to, among other factors, food-drug interactions. Acenocoumarol is an oral anticoagulant with a narrow therapeutic range. The aim of the present research is to evaluate, in vitro, the effect of bifidobacteria on Acenocoumarol. The drug was incubated with Bifidobacterium bifidum CIDCA 5310 or Bifidobacterium adolescentis CIDCA 5317 in MRS broth at 37°C for 24 h in anaerobic conditions. The effect of incubation with sterilized spent culture supernatants (SSCS) was also evaluated. Analysis by RP-HPLC showed that both bifidobacterial strains reduced the area of the Acenocoumarol peak and two new peaks were evidenced. In addition, a decrease in the intensity of the bands at 1650, 1390 and 1110/cm was observed in the FTIR spectroscopic determinations. Moreover, a new band appeared at 1720/cm. No effect on the drug was observed when incubation was performed with SSCS. The present study showed a significant change in the concentration of the anticoagulant after incubation with bifidobacteria and results are compatible with biomodification of the drug due to enzymatic activity of bifidobacteria.
Rosuvastatin-acenocoumarol interaction
Clin Ther 2005 Jun;27(6):782-4.PMID:16117985DOI:10.1016/j.clinthera.2005.06.007.
Background: Previous evidence suggests that hydroxymethylglutaryl coenzyme A-reductase inhibitors (statins) might potentiate the effect of oral anticoagulants, but a MEDLINE search (key terms: stains, rosuvastatin, anticoagulants, Acenocoumarol, and interaction; years: 1980-2005) revealed no reports of an interaction between rosuvastatin and Acenocoumarol. Objective: The aim of this article was to describe a case of possible interaction between rosuvastatin and Acenocoumarol. Methods: We report the case of a 36-year-old male patient receiving long-term oral treatment with Acenocoumarol, a synthetic coumarin anticoagulant, who experienced an increase in international normalized ratio (INR) and a hematoma in the left leg approximately 45 days after the initiation of treatment with rosuvastatin. Results: After discontinuation of both drugs, an unexpectedly rapid decrease in INR was observed. Conclusions: Based on the results of this case, a possible pharmacologic interaction between rosuvastatin and Acenocoumarol should be considered. Rosuvastatin might enhance the anticoagulant effect of Acenocoumarol, and a rebound effect in cases of simultaneous discontinuation of both drugs might occur. Rosuvastatin should be administered with extreme caution in patients receiving long-term Acenocoumarol therapy.
[Switching from Acenocoumarol to phenprocoumon: step in personalised anticoagulation?]
Ned Tijdschr Geneeskd 2021 Sep 9;165:D5533.PMID:34523845doi
Acenocoumarol and phenprocoumon are vitamin K antagonists (VKA) with average half-lives of 11 hours and 160 hours, respectively. They are used to treat and prevent thrombosis in mechanical cardiac valve replacement, atrial fibrillation and venous thromboembolism. There are historical regional differences in preferred VKA in the Netherlands. Safe and effective treatment requires the international normalized ratios (INRs) to be in the therapeutic range, and stable. Theoretically, the longer-acting phenprocoumon would yield a higher time in therapeutic range (TTR) and lower INR variability. In practice, switching from Acenocoumarol to phenprocoumon eventually improves INR variability and in some patients TTR as well. However, during the preceding transition period, INRs are more often volatile and supratherapeutic. Furthermore, switching to an alternative VKA could weaken integrated care, as other healthcare providers are less experienced with it. Healthcare providers must coordinate an intended switch with the anticoagulation clinic.
Probable acenocoumarol-amoxycillin interaction
Acta Haematol 1993;90(4):195-7.PMID:8140860DOI:10.1159/000204457.
We present the case of a woman undergoing treatment with Acenocoumarol for deep vein thrombosis, who maintained an international normalized ratio (INR) of between 2.5 and 4 for 2 months. Seven days after the introduction of amoxycillin (500 mg/8 h) for a probable respiratory infection, the patient developed spontaneous bruising, with an INR of 7.1. Treatment with amoxycillin was discontinued, and 3 weeks later the INR had returned to previous values. In this case, the increase in the INR value with associated bruising after the addition of amoxycillin suggests a drug interaction between Acenocoumarol and amoxycillin, other possible causes having been eliminated.