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Acetazolamide

Generic Name
Acetazolamide
Drug Type
Small Molecule
Chemical Formula
C4H6N4O3S2
CAS Number
59-66-5
Unique Ingredient Identifier
O3FX965V0I
Background

One of the carbonic anhydrase inhibitors that is sometimes effective against absence seizures. It is sometimes useful also as an adjunct in the treatment of tonic-clonic, myoclonic, and atonic seizures, particularly in women whose seizures occur or are exacerbated at specific times in the menstrual cycle. However, its usefulness is transient often because of rapid development of tolerance. Its antiepileptic effect may be due to its inhibitory effect on brain carbonic anhydrase, which leads to an increased transneuronal chloride gradient, increased chloride current, and increased inhibition. (From Smith and Reynard, Textbook of Pharmacology, 1991, p337)

Indication

For adjunctive treatment of: edema due to congestive heart failure; drug-induced edema; centrencephalic epilepsies; chronic simple (open-angle) glaucoma

Associated Conditions
Acute angle-closure glaucoma, Edema, Familial periodic paralysis, Generalized Tonic-Clonic Seizures, Metabolic Alkalosis, Open Angle Glaucoma (OAG), Other and unspecified effects of high altitude, Cystine renal calculi, Drug-induced edema, Nonuveitic secondary glaucoma, Salicylate intoxication
Associated Therapies
Urine alkalinization therapy

Acetazolamide in Persons With Type 1 Diabetes - Crossover Trial

Phase 2
Recruiting
Conditions
Type 1 Diabetes
Interventions
Drug: Placebo
First Posted Date
2025-05-20
Last Posted Date
2025-05-20
Lead Sponsor
University of California, San Diego
Target Recruit Count
25
Registration Number
NCT06981234
Locations
🇺🇸

UC San Diego Altman Clinical & Translational Research Institute, La Jolla, California, United States

Venous Stenting Evaluation in Patients With Intracranial Hypertension Under Long-term Acetazolamide

Not Applicable
Not yet recruiting
Conditions
Idiopathic Intracranial Hypertension (IIH)
Interventions
Device: Stent (Tentos 4F or Precise ProRX)
First Posted Date
2025-04-25
Last Posted Date
2025-04-25
Lead Sponsor
University Hospital, Montpellier
Target Recruit Count
114
Registration Number
NCT06945848
Locations
🇫🇷

CHU de Montpellier Hôpital Gui de Chauliac, Montpellier, France

🇫🇷

CHU de Reims, Reims, France

🇫🇷

CHU de Toulouse, Toulouse, France

Safety and Efficacy Study of Sivopixant, Acetazolamide and SASS-001 in Sleep Apnea

Phase 2
Recruiting
Conditions
Sleep Apnea
Interventions
First Posted Date
2025-01-15
Last Posted Date
2025-04-29
Lead Sponsor
Shionogi Apnimed Sleep Science
Target Recruit Count
60
Registration Number
NCT06776432
Locations
🇺🇸

Teradan Clinical Trials, Brandon, Florida, United States

🇺🇸

PharmaDev Clinical Research Institute, LLC, Miami, Florida, United States

🇺🇸

Intrepid Research, LLC, Cincinnati, Ohio, United States

and more 2 locations

Acetazolamide Versus Dapagliflozin in Acute Decompensated Heart Failure Patients

Phase 3
Recruiting
Conditions
Acute Decompensated Heart Failure
Interventions
First Posted Date
2024-08-02
Last Posted Date
2024-08-05
Lead Sponsor
Helwan University
Target Recruit Count
60
Registration Number
NCT06535529
Locations
🇪🇬

Critical Care Medicine Department - Cairo University Hospitals., Cairo, Egypt

Acetazolamide in Central Sleep Apnea Patients Using Medication for Opioid Use Disorder

Phase 2
Recruiting
Conditions
Central Sleep Apnea Comorbid With Opioid Use
Interventions
Drug: Placebo
First Posted Date
2024-07-26
Last Posted Date
2025-04-03
Lead Sponsor
Sanjay R Patel
Target Recruit Count
40
Registration Number
NCT06521476
Locations
🇺🇸

University of Pittsburgh, Pittsburgh, Pennsylvania, United States

HighCycle: Effect of Acetazolamide on Pulmonary Artery Pressure in Women Compared to Men

Phase 4
Recruiting
Conditions
High Altitude
Interventions
Drug: Placebo
First Posted Date
2024-07-12
Last Posted Date
2024-07-12
Lead Sponsor
University of Zurich
Target Recruit Count
270
Registration Number
NCT06498505
Locations
🇰🇬

National Center for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

HighCycle Study: Effect of Acetazolamide on Sleep Disordered Breathing in Women Compared to Men

Phase 4
Recruiting
Conditions
Sleep-Disordered Breathing
Interventions
Drug: Placebo
First Posted Date
2024-07-12
Last Posted Date
2024-07-12
Lead Sponsor
University of Zurich
Target Recruit Count
270
Registration Number
NCT06498531
Locations
🇰🇬

National Center for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

HighCycle Study: Effect of Acetazolamide on Acute Mountain Sickness in Women Compared to Men

Phase 4
Recruiting
Conditions
Acute Mountain Sickness
Interventions
Drug: Placebo
First Posted Date
2024-07-12
Last Posted Date
2024-07-12
Lead Sponsor
University of Zurich
Target Recruit Count
270
Registration Number
NCT06499727
Locations
🇰🇬

National Center for Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

Combination Oral Acetazolamide and Intravenous Furosemide on Acute Decompensated Heart Failure Outcomes

Phase 4
Recruiting
Conditions
Acute Decompensated Heart Failure
Interventions
First Posted Date
2024-06-26
Last Posted Date
2024-10-22
Lead Sponsor
Universitas Diponegoro
Target Recruit Count
66
Registration Number
NCT06475105
Locations
🇮🇩

Department of Cardiology and Vascular Medicine, Universitas Diponegoro, Kariadi Central General Hospital, Semarang, Central Java, Indonesia

🇮🇩

Kariadi Central General Hospital, Semarang, Central Java, Indonesia

Efficacy and Safety of Combination Diuretic Therapy in Patients With Acute Decompensated Heart Failure and Volume Overload

Phase 4
Recruiting
Conditions
Acute Decompensated Heart Failure
Volume Overload
Edema
Interventions
First Posted Date
2024-05-16
Last Posted Date
2024-07-24
Lead Sponsor
Cairo University
Target Recruit Count
110
Registration Number
NCT06414759
Locations
🇪🇬

National Heart Institute, Giza, GZ, Egypt

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