Definition
The fenamates are a group of nonsteroidal anti-inflammatory drugs (NSAIDs), of which there are only four major clinically used members: flufenamic acid, meclofenamic acid, mefenamic acid, and tolfenamic acid. The fenamates are nonselective NSAIDs whose general pharmacological properties are described elsewhere in this encyclopedia. Etofenamate is an ester of flufenamic acid which is hydrolyzed to flufenamic acid.
Chemistry
The fenamates are substituted derivatives of anthranilic acid (Fig. 1). Their logP values (logarithm of partition coefficient of unionized form between octanol and water) are approximately 5. Thus, the unionized forms are very lipid soluble. All the fenamates are carboxylic acids with pKa values of about 4 and are therefore >99 % ionized at physiological pH values. These physicochemical properties are typical of many acidic drugs and are associated with high...
References
Cimolai, N. (2013). The potential and promise of mefenamic acid. Expert Review of Clinical Pharmacology, 6(3), 289–305.
Conroy, M. C., Randinitis, E. J., & Turner, J. L. (1991). Pharmacology, pharmacokinetics, and therapeutic use of meclofenamate sodium. Clinical Journal of Pain, 7(Suppl 1), S44–S48.
Delgado, J., Simonin, G., Servier, C., Garcia, R., & Yoma, J. (1984). Tolfenamic acid and mefenamic acid in the treatment of primary dysmenorrhoea. Pharmacology & Toxicology, 75(Suppl 2), 89–91.
Dupre, M., Ehrich, E., Van Hecken, A., Depeieire, J., Dallob, A., Wong, P., et al. (2000). Pharmacokinetics, COX-2 specificity and tolerability of supratherapeutic doses of rofecoxib in humans. European Journal of Clinical Pharmacology, 56, 167–174.
Horng, H., & Benet, L. Z. (2013). The nonenzymatic reactivity of the acyl-linked metabolites of mefenamic acid toward amino and thiol functional group bonucleophiles. Drug Metabolism and Disposition, 41, 1923–1933.
Hynninen, V. V., Olkkola, K. T., Leino, K., Lundgren, S., Neuvonen, P. J., Rane, A., et al. (2007). Effect of voriconazole on the pharmacokinetics of diclofenac. Fundamental & Clinical Pharmacology, 21(2007), 651–656.
Isomaki, H. (1994). Tolfenamic acid: Clinical experience in rheumatic diseases. Pharmacology & Toxicology, 75(Suppl 2), 64–65.
Izzo, V., Pagnoni, B., & Rigoli, M. (1991). Recent acquisitions in pain therapy: Meclofenamic acid. Clinical Journal of Pain, 7(Suppl 1), S49–S53.
Karjalainen, M. J., Neuvonen, P. J., & Backman, J. T. (2007). Tolfenamic acid is a potent CYP1A2 inhibitor in vitro but does not interact in vivo: Correction for protein binding is needed for data interpretation. European Journal of Clinical Pharmacology, 63, 829–836.
Koup, J. R., Tucker, E., Thomas, D. J., KinkeL, A. W., Sedman, A. J., Dyer, R., et al. (1990). A single and multiple dose pharmacokinetic and metabolism study of meclofenamate sodium. Biopharmaceutics & Drug Disposition, 11(1), 1–15.
Lees, P., GiraudelI, J., Landoni, M. F., & Toutain, P. L. (2004). PK–PD integration and PK–PD modelling of nonsteroidal anti-inflammatory drugs: Principles and applications in veterinary pharmacology. Journal of Veterinary Pharmacology and Therapeutics, 27, 491–502.
Lentjes, E. G., & van Ginneken, C. A. (1987). Pharmacokinetics of flufenamic acid in man. International Journal of Clinical Pharmacology, Therapy and Toxicology, 25(4), 185–187.
Neuvonen, F. J., & Kivisto, K. T. (1988). Effect of magnesium hydroxide on the absorption of tolfenamic and mefenamic acids. European Journal of Clinical Pharmacology, 35, 495–501.
Smith, E. F., Schmunk, G. A., & Lefer, A. M. (1981). Antagonism of thromboxane analog-induced vasoconstriction by non-steroidal anti-inflammatory agents. Journal of Cardiovascular Pharmacology, 3(4), 791–800.
Venkataraman, H., den Braver, M. W., Vermeulen, N. P. E., & Commandeur, J. N. M. (2014). Cytochrome P450-mediated bioactivation of mefenamic acid to quinoneimine intermediates and inactivation by human glutathione S-transferases. Chemical Research in Toxicology, 27, 2071–2081.
Warner, T. D., GIuliano, F., Vojnovic, I., Bukasa, A., Mitchell, J. A., & Vane, J. R. (1999). Nonsteroid drug selectivities for cyclo-oxygenase-1 rather than cyclo-oxygenase-2 are associated with human gastrointestinal toxicity: A full in vitro analysis. Proceedings of the National Academy of Sciences of the United States of America, 96, 7563–7568.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer Basel
About this entry
Cite this entry
Graham, G.G. (2016). Fenamates. In: Parnham, M. (eds) Compendium of Inflammatory Diseases. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-0620-6_24-1
Download citation
DOI: https://doi.org/10.1007/978-3-0348-0620-6_24-1
Received:
Accepted:
Published:
Publisher Name: Birkhäuser, Basel
Online ISBN: 978-3-0348-0620-6
eBook Packages: Springer Reference Biomedicine and Life SciencesReference Module Biomedical and Life Sciences