Fasudil

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A Rho-kinase inhibitor used in medical treatments


Chemical structure of Fasudil

Fasudil is a potent Rho-kinase inhibitor that has been extensively studied for its therapeutic potential in various medical conditions. It is primarily known for its vasodilatory effects and is used in the treatment of cerebral vasospasm and other vascular disorders.

Mechanism of Action[edit | edit source]

Fasudil works by inhibiting the activity of Rho-kinase, an enzyme that plays a crucial role in the regulation of the cytoskeleton and smooth muscle contraction. By blocking this enzyme, fasudil causes relaxation of smooth muscle cells, leading to vasodilation and improved blood flow. This mechanism is particularly beneficial in conditions where blood vessels are constricted, such as in cerebral vasospasm following subarachnoid hemorrhage.

Medical Uses[edit | edit source]

Fasudil is primarily used in the management of cerebral vasospasm, a condition that can occur after a subarachnoid hemorrhage, where blood vessels in the brain constrict, leading to reduced blood flow and potential brain damage. By promoting vasodilation, fasudil helps to restore adequate blood flow to the brain, reducing the risk of ischemia and improving patient outcomes.

In addition to its use in cerebral vasospasm, fasudil has been investigated for its potential benefits in other conditions, such as pulmonary hypertension, stroke, and cardiovascular diseases. Its ability to modulate the Rho-kinase pathway makes it a promising candidate for the treatment of various disorders characterized by abnormal vascular tone and remodeling.

Research and Development[edit | edit source]

Ongoing research is exploring the broader applications of fasudil in the treatment of neurodegenerative diseases, such as Alzheimer's disease and Parkinson's disease. The neuroprotective effects of fasudil, attributed to its ability to enhance blood flow and reduce inflammation, are of particular interest in these areas.

Side Effects[edit | edit source]

While fasudil is generally well-tolerated, some patients may experience side effects, including hypotension, headache, and dizziness. These effects are typically mild and transient, but they underscore the importance of careful monitoring during treatment.

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Contributors: Prab R. Tumpati, MD