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'''Suramin''' is a medication primarily used to treat African sleeping sickness and river blindness. It is a polysulfonated naphthylurea that inhibits the binding of various growth factors and other ligands to their cell-surface receptors.
{{Short description|A medication used to treat African sleeping sickness and river blindness}}


== History ==
[[File:Suramin_2D_skeletal.svg|2D skeletal structure of Suramin|thumb|right]]
[[File:Suramin_ball-and-stick_2H9T.png|Ball-and-stick model of Suramin|thumb|left]]


[[Suramin]] was first synthesized by [[Oskar Dressel]] and [[Richard Kothe]] of [[Bayer AG]] in 1916. It was initially used in the treatment of [[trypanosomiasis]] and [[onchocerciasis]], also known as river blindness.  
'''Suramin''' is a medication primarily used to treat [[African trypanosomiasis]], also known as African sleeping sickness, and [[onchocerciasis]], commonly referred to as river blindness. It is classified as an antiparasitic drug and is administered via intravenous injection.


== Medical Uses ==
==History==
Suramin was first synthesized in 1916 by the German pharmaceutical company [[Bayer AG]]. It was developed as part of a series of compounds aimed at treating trypanosomiasis, a disease caused by the [[Trypanosoma]] parasite. Suramin was one of the first drugs to be used in the treatment of this disease and remains in use today, particularly for the early stages of the illness.


Suramin is used for treatment of human [[African trypanosomiasis]], also known as sleeping sickness. It is effective for both stages of the disease. Suramin is also used for treatment of [[onchocerciasis]], or river blindness.  
==Mechanism of Action==
Suramin works by inhibiting the enzymes necessary for the energy metabolism of the parasites. It interferes with the function of the [[glycolytic pathway]] and the [[pentose phosphate pathway]], which are crucial for the survival of the parasites. This action effectively starves the parasites of energy, leading to their death.


== Mechanism of Action ==
==Medical Uses==
Suramin is used in the treatment of:


Suramin works by inhibiting the growth of the parasites that cause the diseases. It does this by blocking the enzymes that the parasites need to multiply and spread.  
* '''African trypanosomiasis''': It is effective in the early stages of the disease before the central nervous system is involved. Suramin is not effective in the later stages when the parasite has crossed the blood-brain barrier.


== Side Effects ==
* '''Onchocerciasis''': Suramin is used to kill the adult worms of the parasite [[Onchocerca volvulus]], which causes river blindness. However, it is not effective against the microfilariae, the larval stage of the parasite.


Common side effects of suramin include nausea, vomiting, diarrhea, and abdominal pain. More serious side effects can include kidney damage, allergic reactions, and neurological effects such as confusion and seizures.
==Side Effects==
The use of Suramin can lead to several side effects, including:


== Research ==
* Nausea and vomiting
* Skin rashes
* Kidney damage
* Adrenal gland dysfunction
* Neurological symptoms such as headache and dizziness


Suramin has been studied for use in a number of other conditions including cancer and [[HIV/AIDS]]. However, its use in these conditions is not currently approved.
Due to these potential side effects, the administration of Suramin requires careful monitoring by healthcare professionals.


== See Also ==
==Pharmacokinetics==
Suramin is administered intravenously and has a long half-life, which allows for infrequent dosing. It is not metabolized by the liver and is excreted unchanged in the urine. The drug's long half-life is due to its high degree of protein binding and its large volume of distribution.


==Research and Development==
Suramin has been studied for its potential use in other diseases, including certain types of cancer and [[autism spectrum disorder]]. However, these uses are still under investigation and are not approved by regulatory agencies.
==Related Pages==
* [[African trypanosomiasis]]
* [[African trypanosomiasis]]
* [[Onchocerciasis]]
* [[Onchocerciasis]]
* [[Oskar Dressel]]
* [[Antiparasitic drugs]]
* [[Richard Kothe]]
* [[Bayer AG]]


[[Category:Medications]]
[[Category:Antiparasitic agents]]
[[Category:Antiparasitic agents]]
[[Category:World Health Organization essential medicines]]
[[Category:World Health Organization essential medicines]]
{{Medicine-stub}}
[[Category:German inventions]]

Latest revision as of 11:15, 23 March 2025

A medication used to treat African sleeping sickness and river blindness


2D skeletal structure of Suramin
Ball-and-stick model of Suramin

Suramin is a medication primarily used to treat African trypanosomiasis, also known as African sleeping sickness, and onchocerciasis, commonly referred to as river blindness. It is classified as an antiparasitic drug and is administered via intravenous injection.

History[edit]

Suramin was first synthesized in 1916 by the German pharmaceutical company Bayer AG. It was developed as part of a series of compounds aimed at treating trypanosomiasis, a disease caused by the Trypanosoma parasite. Suramin was one of the first drugs to be used in the treatment of this disease and remains in use today, particularly for the early stages of the illness.

Mechanism of Action[edit]

Suramin works by inhibiting the enzymes necessary for the energy metabolism of the parasites. It interferes with the function of the glycolytic pathway and the pentose phosphate pathway, which are crucial for the survival of the parasites. This action effectively starves the parasites of energy, leading to their death.

Medical Uses[edit]

Suramin is used in the treatment of:

  • African trypanosomiasis: It is effective in the early stages of the disease before the central nervous system is involved. Suramin is not effective in the later stages when the parasite has crossed the blood-brain barrier.
  • Onchocerciasis: Suramin is used to kill the adult worms of the parasite Onchocerca volvulus, which causes river blindness. However, it is not effective against the microfilariae, the larval stage of the parasite.

Side Effects[edit]

The use of Suramin can lead to several side effects, including:

  • Nausea and vomiting
  • Skin rashes
  • Kidney damage
  • Adrenal gland dysfunction
  • Neurological symptoms such as headache and dizziness

Due to these potential side effects, the administration of Suramin requires careful monitoring by healthcare professionals.

Pharmacokinetics[edit]

Suramin is administered intravenously and has a long half-life, which allows for infrequent dosing. It is not metabolized by the liver and is excreted unchanged in the urine. The drug's long half-life is due to its high degree of protein binding and its large volume of distribution.

Research and Development[edit]

Suramin has been studied for its potential use in other diseases, including certain types of cancer and autism spectrum disorder. However, these uses are still under investigation and are not approved by regulatory agencies.

Related Pages[edit]