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Pemirolast information


Pemirolast
Clinical data
Trade namesAlamast
AHFS/Drugs.comMonograph
Routes of
administration
Oral, ophthalmic
ATC code
  • none
Legal status
Legal status
  • US: ℞-only
  • In general: ℞ (Prescription only)
Identifiers
IUPAC name
  • 9-methyl-3-(1H-tetrazol-5-yl)-4H-pyrido[1,2-a]pyrimidin-4-one
CAS Number
  • 69372-19-6 checkY
PubChem CID
  • 57697
IUPHAR/BPS
  • 7329
DrugBank
  • DB00885 ☒N
ChemSpider
  • 51990 ☒N
UNII
  • 2C09NV773M
KEGG
  • D07476 checkY
ChEMBL
  • ChEMBL1201198 ☒N
CompTox Dashboard (EPA)
  • DTXSID1048338 Edit this at Wikidata
Chemical and physical data
FormulaC10H8N6O
Molar mass228.215 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • CC1=CC=CN2C1=NC=C(C2=O)C3=NNN=N3
 ☒NcheckY (what is this?)  (verify)

Pemirolast (INN) is a mast cell stabilizer used as an anti-allergic drug therapy. It is marketed under the tradenames Alegysal and Alamast.

Clinical trials studying treatments for allergic conjunctivitis have found that an ophthalmic solution containing levocabastine with pemirolast potassium may be more effective in alleviating symptoms than levocabastine alone.[2]

It has also been studied for the treatment of asthma.

Pemirolast has appeared as a possible candidate for SARS-CoV-2 (COVID-19) spike protein disruption and interference. Such results were ascertained by molecular dynamics calculations executed on the Summit supercomputer. By simulating compounds with FDA or similar regulatory approval, the authors found 4 interfacial molecules that could potentially disrupt the SARS-CoV-2 interface with ACE-2 receptors, suggesting that such small molecules could mitigate SARS-CoV-2 infection. The 4 candidate interfacial molecules included pemirolast, isoniazid pyruvate, nitrofurantoin, and eriodictyol.[3]

  1. ^ "Pemirolast ophthalmic (Alamast) Use During Pregnancy". Drugs.com. 2 September 2020. Retrieved 13 September 2020.
  2. ^ Castillo M, Scott NW, Mustafa MZ, Mustafa MS, Azuara-Blanco A (2015). "Topical antihistamines and mast cell stabilisers for treating seasonal and perennial allergic conjunctivitis". Cochrane Database Syst Rev. 2015 (6): CD009566. doi:10.1002/14651858.CD009566.pub2. hdl:2164/6048. PMC 10616535. PMID 26028608.
  3. ^ Smith, MD, Smith JC (April 2020). "Repurposing Therapeutics for COVID-19: Supercomputer-Based Docking to the SARS-CoV-2 Viral Spike Protein and Viral Spike Protein-Human ACE2 Interface". Preprint: 1–28.

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