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EntityQ44944· pop 16· linked from 1,418 articles

Also known as HTF919, SDZ-HTF-919, 1-{[(5-Methoxyindol-3-yl)methylene]amino}-3-pentylguanidine, (E)-tegaserod

Tegaserod is a 5-HT4 agonist manufactured by Novartis and sold under the names Zelnorm and Zelmac for the management of irritable bowel syndrome and constipation. Approved by the FDA in 2002, it was subsequently removed from the market in 2007 due to FDA concerns about possible adverse cardiovascular effects. Before then, it was the only drug approved by the United States Food and Drug Administration to help relieve the abdominal discomfort, bloating, and constipation associated with irritable bowel syndrome. Its use was also approved to treat chronic idiopathic constipation.

Research

542 papers

via PubMed

Wikidata facts

Mass
301.190260356
Show 7 more facts
defined daily dose
12
chemical formula
C₁₆H₂₃N₅O
canonical SMILES
CCCCCNC(=N)NN=CC1=CNC2=C1C=C(OC)C=C2
World Health Organisation international non-proprietary name
tegaserod
NCI Thesaurus ID
C66583
Commons category
Tegaserod
isomeric SMILES
CCCCCNC(=N)N/N=C/c1c[nH]c2ccc(OC)cc12
Sources (5)

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Article

3 sections
Contents
  • Mechanism of action
  • Withdrawal from market
  • References

Tegaserod is a 5-HT4 agonist manufactured by Novartis and sold under the names Zelnorm and Zelmac for the management of irritable bowel syndrome and constipation. Approved by the FDA in 2002, it was subsequently removed from the market in 2007 due to FDA concerns about possible adverse cardiovascular effects. Before then, it was the only drug approved by the United States Food and Drug Administration to help relieve the abdominal discomfort, bloating, and constipation associated with irritable bowel syndrome. Its use was also approved to treat chronic idiopathic constipation.

==Mechanism of action== The drug functions as a motility stimulant, achieving its desired therapeutic effects through activation of the 5-HT4 receptors of the enteric nervous system in the gastrointestinal tract. It also stimulates gastrointestinal motility and the peristaltic reflex, and allegedly reduces abdominal pain. Additionally, tegaserod is a 5-HT2B receptor antagonist.

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