Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
								
																		
									
																											
																		
									
																											
																		
									
										
											Monoisotopic mass 
										
										
											499.165654616										
									 
																											
									
																		
									
										
											InChI 
										
										
											InChI=1S/C26H30Cl2F3NO/c1-3-5-10-32(11-6-4-2)12-9-25(33)23-16-22-21(14-18(27)15-24(22)28)20-13-17(26(29,30)31)7-8-19(20)23/h7-8,13-16,25,33H,3-6,9-12H2,1-2H3										
									 
																		
																		
										
											InChI Key 
										
										
											InChIKey=FOHHNHSLJDZUGQ-UHFFFAOYSA-N										
									 
																											
																		
										
											IUPAC Name 
										
										
											3-(dibutylamino)-1-[1,3-dichloro-6-(trifluoromethyl)phenanthren-9-yl]propan-1-ol										
									 
																											
																		
										
											Traditional IUPAC Name 
										
										
											halofantrine										
									 
																											
									
																		
										
											SMILES 
										
										
											CCCCN(CCCC)CCC(O)C1=C2C=CC(=CC2=C2C=C(Cl)C=C(Cl)C2=C1)C(F)(F)F										
									 
																		
																		
									
																		
																		
																		
																											
																		
																											
																		
																											
																		
										
											pKa (strongest acidic) 
										
										
											14.47										
									 
																											
																		
										
											pKa (Strongest Basic) 
										
										
											10.05										
									 
																											
																		
																											
																		
										
											Refractivity 
										
										
											131.66 m3·mol-1
										
									 
																			  
		  
																		
																											
																		
																		
									
																		
																		
																		
																		
																		
																		
																		
											  
		  
								 
							 	
														
															
								 Dược Lực Học : 
								
									Halofantrine is a synthetic antimalarial which acts as a blood schizonticide. It is effective against multi drug resistant (including mefloquine resistant) P. falciparum malaria.									
							
														
															
								 Cơ Chế Tác Dụng : 
								
									Halofantrine is a drug used to treat malaria. It belongs to the phenanthrene class of compounds that includes quinine and lumefantrine. It appears to inhibit polymerisation of heme molecules (by the parasite enzyme "heme polymerase"), resulting in the parasite being poisoned by its own waste. Halofantrine has been shown to preferentially block open and inactivated HERG channels leading to some degree of cardiotoxicity.								
								
									The mechanism of action of Halofantrine may be similar to that of chloroquine, quinine, and mefloquine; by forming toxic complexes with ferritoporphyrin IX that damage the membrane of the parasite.								
							
														
															
								 Dược Động Học  : 
								
									
▧ Protein binding : 
60-70%;
▧ Metabolism : 
Hepatic
▧ Half Life : 
6-10 days								
	
							 
														
														
								 Độc Tính : 
								
									Side effects incldue coughing noisy, rattling, troubled breathing, loss of appetite, aches and pain in joints, indigestion,and skin itching or rash.									
							
														
							
																					
								 Chỉ Định : 
								
									For treatment of Severe malaria								
							
	
														
									
							
							
								 Tương Tác Thuốc : 
																
																		
									- 
										Artemether
										
											Halofantrine may increase the adverse effects of artemether. Combination therapy is contraindicated unless there are no other treatment options. 										
									
- 
										Bicalutamide
										
											CYP3A4 Inhibitors like bicalutamide may increase the serum concentration of halofantrine. Extreme caution, with possibly increased monitoring of cardiac status (e.g., ECG), should be used with concurrent use of halofantrine with any moderate CYP3A4 inhibitor(s). 										
									
- 
										Clotrimazole
										
											CYP3A4 Inhibitors (Moderate) such as clotrmazole may increase the serum concentration of halofantrine. Extreme caution, with possibly increased monitoring of cardiac status (e.g., ECG), should be used with concurrent use of halofantrine with any moderate CYP3A4 inhibitor(s).
										
									
- 
										Conivaptan
										
											CYP3A4 Inhibitors (Strong) may increase the serum concentration of Fluticasone (Oral Inhalation). Concurrent use of orally inhaled fluticasone with strong CYP3A4 inhibitors is not recommended. 										
									
- 
										Lumefantrine
										
											Halofantrine may increase the adverse effects of lumefantrine. Additive QTc-prolongation may occur. Combination therapy is contraindicated and therapies should not be administered within one month of each other due to the long half-life of lumefantrine. 										
									
- 
										Mefloquine
										
											Increased risk of cardiac toxicity										
									
- 
										Mesoridazine
										
											Increased risk of cardiotoxicity and arrhythmias										
									
- 
										Posaconazole
										
											Contraindicated co-administration										
									
- 
										Quinupristin
										
											This combination presents an increased risk of toxicity										
									
- 
										Tacrolimus
										
											Additive QTc-prolongation may occur increasing the risk of serious ventricular arrhythmias. Concomitant therapy should be used with caution.										
									
- 
										Telithromycin
										
											Telithromycin may reduce clearance of Halofantrine. Consider alternate therapy or monitor for changes in the therapeutic/adverse effects of Halofantrine if Telithromycin is initiated, discontinued or dose changed.										
									
- 
										Thioridazine
										
											Increased risk of cardiotoxicity and arrhythmias										
									
- 
										Thiothixene
										
											May cause additive QTc-prolonging effects. Increased risk of ventricular arrhythmias. Consider alternate therapy. Thorough risk:benefit assessment is required prior to co-administration. 										
									
- 
										Toremifene
										
											Additive QTc-prolongation may occur, increasing the risk of serious ventricular arrhythmias. Consider alternate therapy. A thorough risk:benefit assessment is required prior to co-administration.										
									
- 
										Trimipramine
										
											Additive QTc-prolongation may occur, increasing the risk of serious ventricular arrhythmias. Concomitant therapy should be used with caution. 										
									
- 
										Verapamil
										
											Verapamil, a moderate CYP3A4 inhibitor, may increase the serum concentration of Halofantrine by decreasing its metabolism. Extreme caution with increased cardiac status monitoring should be used during concomitant therapy. 										
									
- 
										Voriconazole
										
											Voriconazole may increase the serum concentration of halofantrine by decreasing its metabolism by CYP3A4.  Concomitant therapy should be avoided due to the concentration-dependent risk of QTc prolongation related to halofantrine. 										
									
- 
										Vorinostat
										
											Additive QTc prolongation may occur. Consider alternate therapy or monitor for QTc prolongation as this can lead to Torsade de Pointes (TdP).										
									
- 
										Ziprasidone
										
											Additive QTc-prolonging effects may increase the risk of severe arrhythmias. Concomitant therapy should be avoided.										
									
- 
										Zuclopenthixol
										
											Additive QTc prolongation may occur. Consider alternate therapy or use caution and monitor for QTc prolongation as this can lead to Torsade de Pointes (TdP).