Mr. Ibrahem/Netarsudil
Clinical data
Pronunciationne TAR soo dil
Trade namesRhopressa, Rhokiinsa
Other namesAR-11324
AHFS/Drugs.comMonograph
MedlinePlusa618014
License data
Routes of
administration
Eye drops, topical
Drug classRho kinase inhibitor[1]
Legal status
Legal status
Pharmacokinetic data
MetabolismEsterases in the cornea
MetabolitesAR-13503 (active metabolite)
Elimination half-life16–17 hrs
Duration of action≥ 24 hrs
Identifiers
  • [4-[(2S)-3-Amino-1-(isoquinolin-6-ylamino)-1-oxopropan-2-yl]phenyl]methyl 2,4-dimethylbenzoate
Chemical and physical data
FormulaC28H27N3O3
Molar mass453.542 g·mol−1
3D model (JSmol)
  • Cc1ccc(c(c1)C)C(=O)OCc2ccc(cc2)[C@@H](CN)C(=O)Nc3ccc4cnccc4c3
  • InChI=1S/C28H27N3O3/c1-18-3-10-25(19(2)13-18)28(33)34-17-20-4-6-21(7-5-20)26(15-29)27(32)31-24-9-8-23-16-30-12-11-22(23)14-24/h3-14,16,26H,15,17,29H2,1-2H3,(H,31,32)/t26-/m1/s1
  • Key:OURRXQUGYQRVML-AREMUKBSSA-N

Netarsudil, sold under the brand name Rhopressa and Rhokiinsa, is a medication used to treat increased intraocular pressure including open-angle glaucoma.[3][1] It is used as an eye drop.[3]

Common side effects include red eyes, conjunctival bleeding, blurry vision, and tearing.[1] Other side effects may include bacterial keratitis.[1] It is a rho kinase inhibitor.[1]

Netarsudil was approved for medical use in the United States in 2017 and Europe in 2019.[1][3] In the United States a 2.5 ml bottle costs about 305 USD as of 2021.[4] It is also available as the combination netarsudil/latanoprost.[1] It is not commercially available in Europe and the United Kingdom as of 2021.[5]

References

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  1. ^ a b c d e f g h i "Netarsudil Mesylate Monograph for Professionals". Drugs.com. Archived from the original on 3 June 2020. Retrieved 12 November 2021.
  2. ^ "Rhopressa- netarsudil solution/ drops". DailyMed. Archived from the original on 25 March 2021. Retrieved 2 May 2021.
  3. ^ a b c d e "Rhokiinsa EPAR". European Medicines Agency (EMA). 16 September 2019. Archived from the original on 29 December 2019. Retrieved 27 September 2020.
  4. ^ "Rhopressa Prices, Coupons & Patient Assistance Programs". Drugs.com. Retrieved 12 November 2021.
  5. ^ "Netarsudil". SPS - Specialist Pharmacy Service. 25 January 2016. Archived from the original on 13 November 2021. Retrieved 12 November 2021.