Amlenox Oral Paste

Amlexanox 5% w/w

Amlexanox is a novel anti-inflammatory and antiallergic agent.

Molecular Formula :C₁₆H₁₄N₂O₄

Chemical Name : 2-amino-7-isopropyl-5-oxo-5H-chromeno[2,3-b]pyridine-3 carboxylic acid

Molecular Weight : 298.3 g/mol

Mechanism of Action

Antihistaminic action

• Inhibits IL-3 induced release of histamine from mast cells
• Inhibits the release of histamine and leukotrienes from neutrophils and basophils

Anti-inflammatory action

Potent inhibitor of the formation and/or antigen induced release of inflammatory mediators from cells including neutrophils and mast cells

Potent inhibitor of generation of 5- and 12- lipoxygenase

Increases levels of cyclic AMP (cAMP) that inhibits the chemotactic and phagocytic activity of neutrophils

Pharmacokinetics

Absorption

After a single oral application of 100 mg of the paste (5 mg Amlexanox), maximum serum levels (Cmax) of 120 ± 70 ng/ml are observed at 2.4 ± 0.9 hours (Tmax). The area under the curve (AUC0-24h) values range from 30 to 973 ng.hr/mlwith amean value of 360 ± 240 ng.hr/ml.Most of the systemic absorption of Amlexanox is via the gastrointestinal tract, and the amount absorbed through the active ulceris not a significant portion of the applied dose.

Metabolism

The major metabolite of Amlexanox is its hydroxylated metabolite. Other metabolites include conjugates of the hydroxylated metabolite.

Excretion

A total of 17 ± 12% of the applied dose of Amlexanox from 100 mg of 5% Amlexanox paste was recovered in the urine within 24 hours after application. Amlexanox and its conjugates accounted for 7.8% of the dose; the hydroxylated metabolite accounted for 6.2% of the dose and an additional 3% of the dose was conjugates of the hydroxylated metabolite. The half-life for elimination (T½) is 3.5 ± 1.1 hours.

For aphthous ulcers in people with normal immune system

Amlenox is contraindicated in patients with known hypersensitivity to Amlexanox or other ingredients in the formulation.

Occurrence < 2%

Transient pain, stinging and/or burning at the site of application.

Occurrence < 1%

Contact mucositis, nausea, and diarrhea.

The paste should be applied as soon as possible after noticing the symptoms of an aphthous ulcer and should be used four times daily, preferably following oral hygiene after breakfast, lunch, dinner, and at bedtime. Wash your hands before applying Amlenox. Dry the ulcer by gently patting it with a soft, clean cloth. Moisten the tip th of your index finger. Squeeze a dab of paste approximately 1/4 inch (0.5 cm) onto a finger tip. With gentle pressure dab the paste onto the ulcer. Repeat the process if you have more than one ulcer. If significant healing or pain relief has not occurred in 10 days, consult your dentist or physician.

There are no reports of human ingestion overdosage. Ingestion of a full tube of 5 grams of paste would result in systemic exposure well below the maximum non-toxic dose of Amlexanox in animals. Gastrointestinal upset such as diarrhea and vomiting could result from an overdose.

Wash hands immediately after applying Amlenox directly to ulcers with finger tips. In the event that a rash or contact mucositis occurs, discontinue the use of Amlenox.

Pregnancy

The drug falls under category B. Since there are no adequate and well controlled studies in pregnant women, Amlexanox should be used during pregnancy only if clearly needed.

Nursing mothers

Amlexanox was found in the milk of lactating rats; therefore caution should be exercised when administering Amlexanox oral paste 5% to a nursing mother.

Pediatric

Safety and effectiveness of Amlexanox oral paste 5% have not been established in pediatric patients.

Geriatric

Clinical studies have established no significant differences in responses between elderly and younger patients. In general, the dose selection for elderly patients should be done cautiously, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function, and of concomitant disease or other drug therapy.

Store below 30°C. Do not freeze

Keep out of reach of children. Keep the tube tightly closed after use.

Refer on the pack.

A tube of 5 g.