Trental
Intermittent Claudication, Alcoholic Liver Diseases, Peripheral Arterial Disease + 1 more
Treatment
4 FDA approvals
20 Active Studies for Trental
Treatment for
Intermittent Claudication
What is Trental
Pentoxifylline
The Generic name of this drug
Treatment Summary
Pentoxifylline (PTX) is a medication used to improve the flow of blood and also help reduce inflammation. It was originally used to treat intermittent claudication, a type of leg pain in patients with peripheral arterial disease. PTX has been studied for its potential use in other medical conditions, such as osteoradionecrosis, diabetic kidney disease, and any condition associated with fibrosis. Recently, it has been suggested as a possible treatment for COVID-19-related lung complications due to its ability to regulate the production of inflammatory cytokines. Pentoxifylline has been available in Europe since 1972
Trental
is the brand name
Trental Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Trental
Pentoxifylline
1984
37
Approved as Treatment by the FDA
Pentoxifylline, also known as Trental, is approved by the FDA for 4 uses including Intermittent Claudication and Peripheral Arterial Disease (PAD) .
Intermittent Claudication
Helps manage Intermittent Claudication
Peripheral Arterial Disease (PAD)
Helps manage Peripheral Arterial Disease (PAD)
Intermittent Claudication
Helps manage Intermittent Claudication
Peripheral Arterial Disease
Helps manage Peripheral Arterial Disease (PAD)
Effectiveness
How Trental Affects Patients
Pentoxifylline is a drug similar to theophylline and caffeine. It is commonly used to treat peripheral arterial disease (PAD), and can have anti-oxidant, anti-inflammatory, and blood-flow regulating effects. It is important to note that people with conditions such as angina, arrhythmia, or hypotension may find pentoxifylline worsens their symptoms. Patients taking warfarin should also be monitored more frequently. Additionally, those with risk factors for bleeding, such as retinal bleeding, peptic ulcers, or recent surgery, should have their blood checked regularly for
How Trental works in the body
Pentoxifylline works by increasing the flexibility of red blood cells, reducing fibrinogen levels in the plasma, and stopping white blood cells from sticking to one another. It also has antioxidant and anti-inflammatory properties. It is believed that pentoxifylline increases the response of an adenosine receptor to adenosine, leading to increased levels of a molecule called cAMP. This cAMP stops the production of pro-inflammatory molecules, increases the production of anti-inflammatory molecules, and reduces the production of molecules that make blood more viscous. Pentoxifylline metabolites have also been shown to reduce superoxide
When to interrupt dosage
The prescribed dosage of Trental is contingent upon the identified condition, including Venous Leg Ulcer (VLU), Alcoholic Liver Diseases and Peripheral Arterial Disease. The measure of dosage fluctuates, in line with the administration technique (e.g. Tablet, film coated, extended release or Gel - Topical) noted in the following table.
Condition
Dosage
Administration
Peripheral Arterial Disease
400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg
, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Topical, Kit, Tablet, film coated, Tablet, film coated - Oral, Solution, Gel, Solution - Topical, Gel - Topical
Venous Leg Ulcer (VLU)
400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg
, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Topical, Kit, Tablet, film coated, Tablet, film coated - Oral, Solution, Gel, Solution - Topical, Gel - Topical
Intermittent Claudication
400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg
, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Topical, Kit, Tablet, film coated, Tablet, film coated - Oral, Solution, Gel, Solution - Topical, Gel - Topical
Alcoholic Liver Diseases
400.0 mg, , 1.0 mg/mg, 0.02 mg/mg, 0.005 mg/mg
, Tablet, extended release, Tablet, extended release - Oral, Oral, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Kit - Topical, Topical, Kit, Tablet, film coated, Tablet, film coated - Oral, Solution, Gel, Solution - Topical, Gel - Topical
Warnings
Trental has five counter-indications and should not be administered in combination with the situations outlined in the table below.
Trental Contraindications
Condition
Risk Level
Notes
Food Intolerance
Do Not Combine
methylxanthine
Do Not Combine
Cerebral Hemorrhage
Do Not Combine
Retinal Hemorrhage
Do Not Combine
Severe Hypersensitivity Reactions
Do Not Combine
Pentoxifylline may interact with Pulse Frequency
There are 20 known major drug interactions with Trental.
Common Trental Drug Interactions
Drug Name
Risk Level
Description
Abrocitinib
Major
The risk or severity of bleeding and thrombocytopenia can be increased when Pentoxifylline is combined with Abrocitinib.
Riociguat
Major
Pentoxifylline may increase the hypotensive activities of Riociguat.
Abacavir
Minor
Pentoxifylline may decrease the excretion rate of Abacavir which could result in a higher serum level.
Acebutolol
Minor
Pentoxifylline may increase the hypotensive activities of Acebutolol.
Aclidinium
Minor
Pentoxifylline may decrease the excretion rate of Aclidinium which could result in a higher serum level.
Trental Toxicity & Overdose Risk
Taking too much pentoxifylline can cause agitation, fever, redness of the skin, low blood pressure, seizures, drowsiness, and unconsciousness. Treatment should focus on keeping breathing and blood pressure normal, and controlling convulsions. Activated charcoal may be helpful in absorbing the excess drug in the body. People have recovered from overdoses even when taking up to 80 mg/kg.
Trental Novel Uses: Which Conditions Have a Clinical Trial Featuring Trental?
68 active clinical trials are underway to assess the potential of Trental in alleviating Venous Leg Ulcer (VLU), Intermittent Claudication and Alcoholic Liver Diseases.
Condition
Clinical Trials
Trial Phases
Intermittent Claudication
7 Actively Recruiting
Not Applicable, Phase 1, Phase 3, Phase 2
Alcoholic Liver Diseases
2 Actively Recruiting
Not Applicable, Phase 2
Peripheral Arterial Disease
36 Actively Recruiting
Not Applicable, Phase 3, Phase 1, Early Phase 1, Phase 2, Phase 4
Venous Leg Ulcer (VLU)
22 Actively Recruiting
Phase 1, Phase 2, Not Applicable, Phase 3, Phase 4
Trental Reviews: What are patients saying about Trental?
5
Patient Review
5/20/2010
Trental for Peripheral Vascular Disease
5
Patient Review
6/16/2010
Trental for Peripheral Vascular Disease
5
Patient Review
7/5/2012
Trental for Peripheral Vascular Disease
5
Patient Review
7/8/2012
Trental for Peripheral Vascular Disease
5
Patient Review
7/2/2010
Trental for Peripheral Vascular Disease
5
Patient Review
4/23/2010
Trental for Peripheral Vascular Disease
5
Patient Review
12/10/2012
Trental for Peripheral Vascular Disease
4.7
Patient Review
6/11/2010
Trental for Peripheral Vascular Disease
4.7
Patient Review
1/11/2012
Trental for Peripheral Vascular Disease
4.3
Patient Review
4/24/2011
Trental for Peripheral Vascular Disease
4.3
Patient Review
6/21/2010
Trental for Peripheral Vascular Disease
4
Patient Review
7/28/2012
Trental for Peripheral Vascular Disease
3.7
Patient Review
9/14/2015
Trental for Leg Pain when Walking; Absent at Rest
3
Patient Review
5/21/2010
Trental for Peripheral Vascular Disease
2.3
Patient Review
8/29/2010
Trental for Peripheral Vascular Disease
Patient Q&A Section about trental
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
What is the use of Trental 400?
"Trental 400 is a medicine used to improve circulation. It is used to treat the symptoms of a condition called chronic occlusive arterial disease, which can include lameness and pain."
Answered by AI
What is Trental used for?
"This medication works by improving blood flow in the legs and arms, which helps to decrease the muscle pain that occurs during exercise."
Answered by AI
Is Trental a blood thinner?
"Eliquis reduces the risk of stroke and systemic embolism by reducing blood clotting in patients with nonvalvular atrial fibrillation. Trental and Eliquis are in different drug classes; Trental is a hemorrhagic agent and Eliquis is an anticoagulant (blood thinner)."
Answered by AI
Does Trental increase blood pressure?
"Trental (pentoxifylline) could increase the effect of antihypertensive agents. Patients taking these agents should have their blood pressure monitored and their dose of antihypertensive agents might need to be reduced."
Answered by AI