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Mannitol information


Mannitol
Clinical data
Trade namesOsmitrol, Bronchitol, others
Other namesd-Mannitol, mannite, manna sugar
AHFS/Drugs.comMonograph
License data
  • US DailyMed: Mannitol
Pregnancy
category
  • AU: B2
Routes of
administration
Intravenous, By mouth
ATC code
  • A06AD16 (WHO) B05BC01 (WHO) B05CX04 (WHO) R05CB16 (WHO) V04CX04 (WHO)
Legal status
Legal status
  • CA: ℞-only[2]
  • US: WARNING[1]Rx-only[3]
  • EU: Rx-only[4]
Pharmacokinetic data
Bioavailability~7%
MetabolismLiver, negligible
Elimination half-life100 minutes
ExcretionKidney: 90%
Identifiers
IUPAC name
  • D-Mannitol
    (2R,3R,4R,5R)-Hexane-1,2,3,4,5,6-hexol
CAS Number
  • 69-65-8 checkY
PubChem CID
  • 6251
DrugBank
  • DB00742 checkY
ChemSpider
  • 6015 checkY
UNII
  • 3OWL53L36A
KEGG
  • D00062 checkY
ChEBI
  • CHEBI:16899 checkY
ChEMBL
  • ChEMBL689 checkY
E numberE421 (thickeners, ...) Edit this at Wikidata
CompTox Dashboard (EPA)
  • DTXSID1023235 Edit this at Wikidata
ECHA InfoCard100.000.647 Edit this at Wikidata
Chemical and physical data
FormulaC6H14O6
Molar mass182.172 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • O[C@H]([C@H](O)CO)[C@H](O)[C@H](O)CO
InChI
  • InChI=1S/C6H14O6/c7-1-3(9)5(11)6(12)4(10)2-8/h3-12H,1-2H2/t3-,4-,5-,6-/m1/s1 checkY
  • Key:FBPFZTCFMRRESA-KVTDHHQDSA-N checkY
  (verify)

Mannitol is a type of sugar alcohol used as a sweetener and medication.[5][6] It is used as a low calorie sweetener as it is poorly absorbed by the intestines.[5] As a medication, it is used to decrease pressure in the eyes, as in glaucoma, and to lower increased intracranial pressure.[7][6] Medically, it is given by injection or inhalation.[8][9] Effects typically begin within 15 minutes and last up to 8 hours.[8]

Common side effects from medical use include electrolyte problems and dehydration.[8] Other serious side effects may include worsening heart failure and kidney problems.[8][6] It is unclear if use is safe in pregnancy.[8] Mannitol is in the osmotic diuretic family of medications and works by pulling fluid from the brain and eyes.[8]

The discovery of mannitol is attributed to Joseph Louis Proust in 1806.[10] It is on the World Health Organization's List of Essential Medicines.[11] It was originally made from the flowering ash and called manna due to its supposed resemblance to the Biblical food.[12][13] Mannitol is on the World Anti-Doping Agency's banned drug list due to concerns that it may mask other drugs.[14]

  1. ^ "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 October 2023.
  2. ^ "Regulatory Decision Summary - Aridol". Health Canada. 23 October 2014. Retrieved 7 June 2022.
  3. ^ "Osmitrol- mannitol injection, solution". DailyMed. 15 November 2018. Retrieved 28 October 2020.
  4. ^ Cite error: The named reference Bronchitol EPAR was invoked but never defined (see the help page).
  5. ^ a b Varzakas T, Labropoulos A, Anestis S (2012). Sweeteners: Nutritional Aspects, Applications, and Production Technology. CRC Press. pp. 59–60. ISBN 9781439876732. Archived from the original on 10 September 2017.
  6. ^ a b c World Health Organization (2009). Stuart MC, Kouimtzi M, Hill SR (eds.). WHO Model Formulary 2008. World Health Organization. p. 332. hdl:10665/44053. ISBN 9789241547659.
  7. ^ Wakai A, McCabe A, Roberts I, Schierhout G (August 2013). "Mannitol for acute traumatic brain injury". The Cochrane Database of Systematic Reviews. 2013 (8): CD001049. doi:10.1002/14651858.CD001049.pub5. PMC 7050611. PMID 23918314.
  8. ^ a b c d e f "Mannitol". The American Society of Health-System Pharmacists. Archived from the original on 26 May 2015. Retrieved 8 January 2015.
  9. ^ "BRONCHITOL® (mannitol) inhalation powder Patient Site". bronchitol.com.
  10. ^ Kremers E, Sonnedecker G (1986). Kremers and Urdang's History of Pharmacy. Amer. Inst. History of Pharmacy. p. 360. ISBN 9780931292170. Archived from the original on 10 September 2017.
  11. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  12. ^ Cottrell JE, Patel P (2016). Cottrell and Patel's Neuroanesthesia. Elsevier Health Sciences. p. 160. ISBN 9780323461122.
  13. ^ Bardal S, Waechter J, Martin D (2010). Applied Pharmacology. Elsevier Health Sciences. p. 411. ISBN 978-1437735789.
  14. ^ "THE 2017 PROHIBITED LIST INTERNATIONAL STANDARD" (PDF). January 2017. p. 5. Retrieved 7 July 2018.

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Mannitol

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Mannitol is a type of sugar alcohol used as a sweetener and medication. It is used as a low calorie sweetener as it is poorly absorbed by the intestines...

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Mannitol salt agar

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Mannitol salt agar or MSA is a commonly used selective and differential growth medium in microbiology. It encourages the growth of a group of certain bacteria...

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Mannitol hexanitrate

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Mannitol hexanitrate is a powerful explosive. Physically, it is a powdery solid at normal temperature ranges, with density of 1.73 g/cm3. The chemical...

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Sugar alcohol

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converting sugars to sugar alcohols. Mannitol is no longer obtained from natural sources; currently, sorbitol and mannitol are obtained by hydrogenation of...

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Isomalt

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1-O-α-D-glucopyranosido-D-mannitol (1,1-GPM) and 6-O-α-D-glucopyranosido-D-sorbitol (1,6-GPS). Each of these is composed of two sugars: glucose and mannitol in the case...

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Mannitol motility medium

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Mannitol motility medium is a bacterial growth medium used to detect the ability of bacteria to ferment mannite and produce nitrogen gas; and to indicate...

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Ciguatera fish poisoning

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humans also found benefit from mannitol. However, a randomized, double-blind clinical trial found no difference between mannitol and normal saline. Despite...

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Diuretic

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urine.[citation needed] Glucose, like mannitol, is a sugar that can behave as an osmotic diuretic. Unlike mannitol, glucose is commonly found in the blood...

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Mannitol dehydrogenase

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In enzymology, a mannitol dehydrogenase (EC 1.1.1.255) is an enzyme that catalyzes the chemical reaction D-mannitol + NAD+ ⇌ {\displaystyle \rightleftharpoons...

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Mitobronitol

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Mitobronitol (1,6-dibromo-1,6-dideoxy-D-mannitol) is a brominated analog of mannitol. It is an anticancer drug that is also classified as an alkylating...

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Osmotherapy

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renal failure, hyperkalemia and hemolysis. If mannitol is administered, the dosage used is mannitol 20% solution of 1-1.5 g/kg, followed by 0.25-1 g/kg...

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Osmotic diuretic

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renal filtrate. This fluid eventually becomes urine. Two examples are mannitol and isosorbide. In the nephron, osmotic diuretics act at the portions of...

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Cerebral edema

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currently controversial. When compared to mannitol, hypertonic saline has been shown to be as effective as mannitol in decreased ICP in neurocritical care...

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Xylitol

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sweetness as sucrose, but is sweeter than similar compounds like sorbitol and mannitol. Xylitol is stable enough to be used in baking, but because xylitol and...

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Sorbitol

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fructose by sorbitol-6-phosphate 2-dehydrogenase. Sorbitol is an isomer of mannitol, another sugar alcohol; the two differ only in the orientation of the hydroxyl...

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Reye syndrome

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diagnosis of the syndrome improves outcomes. Treatment is supportive; mannitol may be used to help with the brain swelling. The first detailed description...

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Boric acid

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adjacent carbon atoms, (R1,R2)=C(OH)−C(OH)=(R3,R4)) such as glycerol and mannitol. The tetrahydroxyborate anion formed in the dissolution spontaneously reacts...

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Growth medium

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lacks the amino acid histidine. Mannitol salt agar is selective for gram-positive bacteria and differential for mannitol. Xylose lysine deoxycholate is...

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Agar plate

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similar purpose. Mannitol salt agar is also a selective and differential medium. The mannitol indicates organisms that ferment mannitol: mannitol fermentation...

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Lacticaseibacillus casei

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Biochemical characteristics Oxidase - Catalase - Glucose - Lactose + Sucrose + Mannitol + Starch + Liquid hydrolysis + Indole - Methyl red - Voges-Proskauer -...

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Rhabdomyolysis

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severe cases. Once urine output is established, sodium bicarbonate and mannitol are commonly used but they are poorly supported by the evidence. Outcomes...

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