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Zafirlukast is an oral
leukotriene receptor antagonist (LTRA) for the maintenance treatment of
asthma, often used in conjunction with an inhaled steroid and/or long-acting bronchodilator. It is available as a tablet and is usually dosed twice daily. Another leukotriene receptor antagonist is
montelukast (Singulair), taken once daily.
Zileuton (Zyflo), also used in the treatment of asthma via its inhibition of 5-lipoxygenase, is taken four times per day.
Zafirlukast blocks the action of the cysteinyl
leukotrienes on the CysLT1
receptors, thus reducing constriction of the
airways, build-up of
mucus in the
lungs and
inflammation of the breathing passages.
Zafirlukast is marketed by
Astra Zeneca with the brand names
Accolate,
Accoleit, and
Vanticon. It was the first LTRA to be marketed in the USA and is now approved in over 60 countries, including the UK, Japan, Taiwan, Italy, Spain, Canada, Brazil, China and Turkey.
Pharmacokinetics
Healthy young men who received a single oral 40 mg dose attained peak plasma zafirlukast concentrations that averaged 607 μg/L at 3.4 hours. The elimination half-life ranged from 12 to 20 hours. In another study involving a 20 mg single oral dose in healthy men, the elimination half-life averaged 5.6 hours.Fischer JD, Song MH, Suttle AB, Heizer WD, Burns CB, Vargo DL, Brouwer KL....
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