Fomepizole

  • CAT Number: A000752
  • CAS Number: 7554-65-6
  • Molecular Formula: C4H6N2
  • Molecular Weight: 82.106
  • Purity: ≥95%
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Fomepizole, also known as 4-Methylpyrazole and Antizol, is an alcohol dehydrogenase inhibitor used for the treatment of ethylene glycol and methanol poisonings in adults. Fomepizole is a competitive antagonist of alcohol dehydrogenase with a binding affinity >8000 times that of ethanol.

Catalog Number A000752
CAS Number 7554-65-6
Molecular Formula

C4H6N2

Purity 95%
Target Dehydrogenase
Solubility Soluble in DMSO
Storage Store at -20°C
IUPAC Name 4-methyl-1H-pyrazole
InChI InChI=1S/C4H6N2/c1-4-2-5-6-3-4/h2-3H,1H3,(H,5,6)
InChIKey RIKMMFOAQPJVMX-UHFFFAOYSA-N
SMILES CC1=CNN=C1
Reference

1: Maskell KF, Beckett S, Cumpston KL. Methanol Kinetics in Chronic Kidney
Disease After Fomepizole: A Case Report. Am J Ther. 2016
Nov/Dec;23(6):e1949-e1951. PubMed PMID: 26658806.
<br>

2: Endo Y. [Fomepizole]. Chudoku Kenkyu. 2015 Mar;28(1):31-6. Japanese. PubMed
PMID: 26399012.

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3: Zakharov S, Pelclova D, Navratil T, Belacek J, Komarc M, Eddleston M, Hovda
KE. Fomepizole versus ethanol in the treatment of acute methanol poisoning:
Comparison of clinical effectiveness in a mass poisoning outbreak. Clin Toxicol
(Phila). 2015;53(8):797-806. doi: 10.3109/15563650.2015.1059946. Epub 2015 Jun
24. PubMed PMID: 26109326.
<br>

4: Zakharov S, Navratil T, Pelclova D. Fomepizole in the treatment of acute
methanol poisonings: experience from the Czech mass methanol outbreak 2012-2013.
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2014 Dec;158(4):641-9. doi:
10.5507/bp.2014.056. Epub 2014 Nov 6. PubMed PMID: 25482738.
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5: Frémont D, Berleur MP, Mégarbane B. Loading dose of fomepizole is safe in
children with presumed toxic alcohol exposure – a case series. Basic Clin
Pharmacol Toxicol. 2014 Sep;115(3):229-30. doi: 10.1111/bcpt.12276. Epub 2014 Jun
18. PubMed PMID: 24890990.
<br>

6: Rietjens SJ, de Lange DW, Meulenbelt J. Ethylene glycol or methanol
intoxication: which antidote should be used, fomepizole or ethanol? Neth J Med.
2014 Feb;72(2):73-9. Review. PubMed PMID: 24659589.
<br>

7: Chen TH, Kuo CH, Huang CT, Wang WL. Use of Fomepizole in Pediatric Methanol
Exposure: The First Case Report in Taiwan and a Literature Review. Pediatr
Neonatol. 2016 Aug;57(4):351-4. doi: 10.1016/j.pedneo.2013.08.009. Epub 2013 Dec
11. Review. PubMed PMID: 24332660.
<br>

8: Beatty L, Green R, Magee K, Zed P. A systematic review of ethanol and
fomepizole use in toxic alcohol ingestions. Emerg Med Int. 2013;2013:638057. doi:
10.1155/2013/638057. Epub 2013 Jan 31. PubMed PMID: 23431453; PubMed Central
PMCID: PMC3574646.
<br>

9: Darracq MA, Rentmeester LL, Clark RF, Tomaszewski CA, Schneir AB, Cantrell FL.
Cost of hemodialysis versus fomepizole-only for treatment of ethylene glycol
intoxication. Clin Toxicol (Phila). 2013 Mar;51(3):188. doi:
10.3109/15563650.2013.766750. Epub 2013 Jan 29. PubMed PMID: 23356815.
<br>

10: Gracia R, Latimer B, McMartin KE. Kinetics of fomepizole in pregnant rats.
Clin Toxicol (Phila). 2012 Sep;50(8):743-8. doi: 10.3109/15563650.2012.716518.
Epub 2012 Aug 14. PubMed PMID: 22891985.

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