Xiyanping
{{Short description|Chemical compound}}
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{{Drugbox
| IUPAC_name = 9-dehydro-17-hydro-andrographolide and sodium 9-dehydro-17-hydro-andrographolide-19-yl sulfate
| image = Xiyanping_structure.png
| width = 280
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| CAS_number_Ref = {{cascite|correct|CAS}}
| CAS_number = 1418130-80-9
| CAS_number2_Ref = {{cascite|correct|CAS}}
| CAS_number2 = 1443513-92-5
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = R4JE0B5I4U
| UNII2_Ref = {{fdacite|correct|FDA}}
| UNII2 = Z5RVW4Z10Q
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Xiyanping (喜炎平) is an anti-inflammatory and antiviral preparation developed and licensed for use in China. It is a semi-synthetic injectable product derived from the active component of the plant Andrographis paniculata (Chuan Xin Lian, 穿心蓮),{{cite journal | vauthors = Xiao XW, Fu HZ, Luo YH, Wei XY | title = Potential anti-angiogenic sulfates of andrographolide | journal = Journal of Asian Natural Products Research | volume = 15 | issue = 8 | pages = 809–18 | date = 2013 | pmid = 23777373 | doi = 10.1080/10286020.2013.803473 | s2cid = 42522012 }} which is used in Traditional Chinese medicine.{{cite book | vauthors = Chen JK, Chen TT | title = Chinese Medical Herbology and Pharmacology | chapter = Chapter 2, Chuan Xin Lian | pages = 214–215 | publisher = Art of Medicine Press | date = 2012 | isbn = 978-0-9740635-0-8 }} Xiyanping is primarily composed of 9-dehydro-17-hydro-andrographolide and sodium 9-dehydro-17-hydro-andrographolide-19-yl sulfate.{{cite journal | vauthors = Chong L, Chen W, Luo Y, Jiang Z | title = Simultaneous determination of 9-dehydro-17-hydro-andrographolide and sodium 9-dehydro-17-hydro-andrographolide-19-yl sulfate in rat plasma by UHPLC-ESI-MS/MS after administration of xiyanping injection: application to a pharmacokinetic study | journal = Biomedical Chromatography| volume = 27 | issue = 7 | pages = 825–30 | date = July 2013 | pmid = 23355108 | doi = 10.1002/bmc.2866 }} It is used mainly in the treatment of hand, foot and mouth disease, diarrhea, upper respiratory tract infections and viral pneumonia,{{cite journal | vauthors = Zhang P, Xu H, Ling L, Wu X | title = Meta analysis of the efficacy of Xiyanping injection in the treatment of autumnal diarrhea in children. | journal = Pharmaceutical Care and Research | date = 2012 | volume = 12 | issue = 5 | pages = 349–353 | doi = 10.5428/pcar20120511 | doi-broken-date = 2024-11-02 }}{{cite journal | vauthors = Wang J, Ren JX, Xie YM, Wang WW, Hu J, Liao X | title = [Systematic review of xiyanping injection for hand foot mouth disease] | language = zh | journal = Zhongguo Zhong Yao Za Zhi = Zhongguo Zhongyao Zazhi = China Journal of Chinese Materia Medica | volume = 38 | issue = 18 | pages = 3215–22 | date = September 2013 | pmid = 24471354 }}{{cite journal | vauthors = Wang ZF, Chen X, Zhang W, Xie YM | title = [Literature review on premarketing and postmarketing evidence of xiyanping injection] | language = zh | journal = Zhongguo Zhong Yao Za Zhi = Zhongguo Zhongyao Zazhi = China Journal of Chinese Materia Medica | volume = 39 | issue = 18 | pages = 3637–40 | date = September 2014 | pmid = 25532411 }}Sun SG, Shi YF, Yan H, Li Y, Wang R, Wang SH, Sun XD. Xiyanping Injection in Treatment of Viral Pneumonia in Children: A Meta-analysis of Random Control Trials. Chinese Herbal Medicines. 2015 May; 7(2):173-178. doi: 10.1016/S1674-6384(15)60035-1 though one case report suggested it may also be useful in the treatment of Zika fever.{{cite journal | vauthors = Deng Y, Zeng L, Bao W, Xu P, Zhong G | title = [Experience of integrated traditional Chinese and Western medicine in first case of imported Zika virus disease in China] | language = zh | journal = Zhonghua Wei Zhong Bing Ji Jiu Yi Xue | volume = 28 | issue = 2 | pages = 106–9 | date = February 2016 | pmid = 26911940 | doi = 10.3760/cma.j.issn.2095-4352.2016.02.005 }}
Side effects
Xiyanping injection may be associated with side effects typical of allergic reaction, most commonly erythema and pruritus around the injection site, but more rarely anaphylactic reactions may occur, which can be life-threatening.{{cite journal | vauthors = Wang ZF, Xiang YY, Xie YM | title = [Research on early warning signals of adverse drug reactions to parenterally administered xiyanping based on spontaneous reporting system (SRS) data] | language = zh | journal = Zhongguo Zhong Yao Za Zhi = Zhongguo Zhongyao Zazhi = China Journal of Chinese Materia Medica | volume = 38 | issue = 18 | pages = 3008–12 | date = September 2013 | pmid = 24471321 }} Also, andrographolide and related derivatives are known to be abortifacient,See reference 2 above making xiyanping unsuitable for use in pregnant women.