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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

Effect of Acetazolamide on Postural Control in Lowlanders Older Than 40 Years at Altitude

Phase 4
Completed
Conditions
Altitude Hypoxia
Interventions
Drug: Placebo oral capsule
First Posted Date
2018-05-24
Last Posted Date
2021-10-12
Lead Sponsor
University of Zurich
Target Recruit Count
99
Registration Number
NCT03536429
Locations
🇰🇬

National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

Effect of Acetazolamide on Maximal Exercise Performance in Lowlanders Older Than 40 Years at Altitude

Phase 4
Completed
Conditions
Altitude Hypoxia
Interventions
Drug: Placebo oral capsule
First Posted Date
2018-05-24
Last Posted Date
2021-10-12
Lead Sponsor
University of Zurich
Target Recruit Count
92
Registration Number
NCT03536455
Locations
🇰🇬

National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

Acetazolamide and Exercise Performance at Altitude

Early Phase 1
Completed
Conditions
Hypoxia
Dexterity
Exercise Performance
Cognitive Function
Interventions
Drug: Placebo pill
First Posted Date
2018-05-15
Last Posted Date
2019-07-05
Lead Sponsor
United States Army Research Institute of Environmental Medicine
Target Recruit Count
10
Registration Number
NCT03525561
Locations
🇺🇸

Natick Soldier Systems Center, Natick, Massachusetts, United States

Acetazolamide in Decompensated Heart Failure With Volume OveRload (ADVOR)

Phase 4
Completed
Conditions
Acute Decompensated Heart Failure
Volume Overload
Interventions
Drug: Placebo
First Posted Date
2018-04-23
Last Posted Date
2024-10-28
Lead Sponsor
Ziekenhuis Oost-Limburg
Target Recruit Count
519
Registration Number
NCT03505788
Locations
🇧🇪

Ziekenhuis Oost-Limburg AV, Genk, Limburg, Belgium

Surgical Idiopathic Intracranial Hypertension Treatment Trial

Phase 3
Terminated
Conditions
Idiopathic Intracranial Hypertension
Interventions
Procedure: Ventriculoperitoneal CSF Shunting
Procedure: Optic Nerve Sheath Fenestration
First Posted Date
2018-04-18
Last Posted Date
2022-06-16
Lead Sponsor
Jaeb Center for Health Research
Target Recruit Count
7
Registration Number
NCT03501966
Locations
🇺🇸

New York Eye & Ear Infirmary of Mount Sinai, New York, New York, United States

🇺🇸

Stanford University, Palo Alto, California, United States

🇺🇸

State University of New York at Stony Brook, East Setauket, New York, United States

and more 33 locations

Effect of Acetazolamide on Subclinical High-Altitude Pulmonary Edema Detected by Lung Ultrasonography

Phase 4
Terminated
Conditions
High Altitude Pulmonary Edema
Interventions
Drug: Placebo
First Posted Date
2018-04-06
Last Posted Date
2019-05-10
Lead Sponsor
Vincent Kan
Target Recruit Count
18
Registration Number
NCT03490916
Locations
🇺🇸

UMass Medical School, Worcester, Massachusetts, United States

Phase I Trial of CArbonic Anhydrase Inhibition in Combination with Radiochemotherapy or Radioimmunotherapy in Small Cell Lung Carcinoma

First Posted Date
2018-03-16
Last Posted Date
2025-01-03
Lead Sponsor
Centre Antoine Lacassagne
Target Recruit Count
30
Registration Number
NCT03467360
Locations
🇫🇷

Centre Antoine Lacassagne, Nice, France

Sickness Evaluation at Altitude With Acetazolamide at Relative Dosages

Phase 1
Completed
Conditions
Acute Mountain Sickness
Interventions
First Posted Date
2018-02-06
Last Posted Date
2018-11-20
Lead Sponsor
Stanford University
Target Recruit Count
105
Registration Number
NCT03424226
Locations
🇺🇸

Stanford University, Stanford, California, United States

Acetazolamide Challenge With Perfusion in the Prediction of Cerebral Vasospasm

Phase 4
Completed
Conditions
Subarachnoid Hemorrhage, Aneurysmal
Vasospasm, Cerebral
Interventions
First Posted Date
2017-12-19
Last Posted Date
2023-07-27
Lead Sponsor
University of Wisconsin, Madison
Target Recruit Count
11
Registration Number
NCT03377049
Locations
🇺🇸

University of Wisconsin, Madison, Wisconsin, United States

Effect of Acetazolamide on Sleep Related Breathing Disturbances in Patients With Respiratory Disease at Altitude

Phase 4
Completed
Conditions
Chronic Obstructive Pulmonary Disease
Interventions
Drug: Placebo oral capsule
First Posted Date
2017-06-06
Last Posted Date
2019-01-29
Lead Sponsor
University of Zurich
Target Recruit Count
185
Registration Number
NCT03177850
Locations
🇰🇬

National Center of Cardiology and Internal Medicine, Bishkek, Kyrgyzstan

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