triparanol
Triparanol is a hypolipidemic agent.
according to Merck Index, 11th ed, the compound was withdrawn from the market in 1962 because of its association with the formation of irreversible cataracts.
Mechanism of effect
inhibiting 24-dehydrocholesterol reductase
Pharmacodynamic
The drug acts by inhibiting 24-dehydrocholesterol reductase, which catalyzes the final step of cholesterol biosynthesis, the conversion of desmosterol into cholesterol. This results in tissue accumulation of desmosterol, which in turn is responsible for the side effects of triparanol.[ Unlike statins, triparanol does not inhibit HMG-CoA reductase, the rate-limiting enzyme in cholesterol biosynthesis, and in contrast to triparanol, statins can significantly lower cholesterol levels without resulting in accumulation of intermediates like desmosterol.
Pharmacokinetics
not available
Side effects
nausea , Dermatit , vomiting , Cutaneous Reaction , Cataracts , burning, stinging, or irritation of the skin , Peeling , Atherosclerosis , advanced arteriosclerosisAlerts
hypolipidemic agent with high ophthalmic toxicity and irreversible cataracts
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