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    Methazolamide molecular structure

    Methazolamide Stats & Data

    Chemical Class Benzodiazepine
    Psychoactive Class Depressant

    Pharmacology

    DrugBank
    Half-life 14 hours Protein binding 55% State Solid Vd * 17 to 23 L

    Description

    A carbonic anhydrase inhibitor that is used as a diuretic and in the treatment of glaucoma.

    Mechanism of Action

    Methazolamide is a potent inhibitor of carbonic anhydrase. Inhibition of carbonic anhydrase in the ciliary processes of the eye decreases aqueous humor secretion, presumably by slowing the formation of bicarbonate ions with subsequent reduction in sodium and fluid transport.

    Pharmacodynamics

    Methazolamide is topical carbonic anhydrase inhibitor. Methazolamide is indicated for the reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension who are insufficiently responsive to beta-blockers. Methazolamide is a sulfonamide derivative; however, it does not have any clinically significant antimicrobial properties. Although methazolamide achieves a high concentration in the cerebrospinal fluid, it is not-considered an effective anticonvulsant. Methazolamide has a weak and transient diuretic effect, therefore use results in an increase in urinary volume, with excretion of sodium, potassium and chloride.

    Absorption

    Methazolamide is well absorbed from the gastrointestinal tract.

    Toxicity

    Electrolyte imbalance, development of an acidotic state, and central nervous system effects might be expected to occur in the case of an overdose.

    Indication

    For treatment of chronic open-angle glaucoma and acute angle-closure glaucoma

    Effect Profile

    Curated
    Benzodiazepine 7.6

    Strong anxiolysis and euphoria with moderate cognitive impairment, mild sedation

    Anxiolysis×3
    10
    Sedation / Relaxation×2
    5
    Motor / Cognitive Impairment×1
    7
    Euphoria / Mood Lift×1
    10

    Tolerance & Pharmacokinetics

    drugs.wiki

    Tolerance Decay

    Full tolerance 3d Half tolerance 37d Baseline ~60d
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