Thromboxane synthase inhibitors

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Thromboxane synthase inhibitors are a class of drugs that inhibit the enzyme thromboxane synthase. This enzyme is responsible for the conversion of prostaglandin H2 to thromboxane A2, a potent vasoconstrictor and platelet aggregator. By inhibiting this enzyme, thromboxane synthase inhibitors reduce the production of thromboxane A2, thereby reducing platelet aggregation and vasoconstriction. This makes them useful in the treatment of conditions such as thrombosis and hypertension.

Mechanism of Action[edit | edit source]

Thromboxane synthase inhibitors work by binding to the active site of the enzyme thromboxane synthase, preventing it from converting prostaglandin H2 to thromboxane A2. This reduces the amount of thromboxane A2 in the body, which in turn reduces platelet aggregation and vasoconstriction.

Clinical Uses[edit | edit source]

Thromboxane synthase inhibitors are used in the treatment of a variety of conditions. They are most commonly used to prevent blood clots in patients at risk of thrombosis, such as those with atrial fibrillation or those who have recently undergone surgery. They may also be used to treat hypertension, as they can help to relax the blood vessels and reduce blood pressure.

Side Effects[edit | edit source]

Like all drugs, thromboxane synthase inhibitors can have side effects. These may include nausea, vomiting, diarrhea, and stomach pain. In rare cases, they may cause bleeding or bruising. Patients should always consult their doctor or pharmacist for advice on managing side effects.

Examples[edit | edit source]

Examples of thromboxane synthase inhibitors include dazoxiben, picotamide, and ifetroban. These drugs are all available by prescription and should be used under the supervision of a healthcare professional.

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Contributors: Prab R. Tumpati, MD