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Clinical pharmacy PharmD program                     Third level                          Phytochemistry-1 (PG-504)


                                                    Derivatives of Monosaccharides


              1) Sugar Alcohols:

                There are two groups of sugar alcohol:



                             a) Alditols.                b) Cyclic derivatives


                a) Alditols: (see above)

              ▪  They  are  obtained  by  reduction  of  potential  aldehyde  group  of  the  neutral

                monosaccharides, using sodium amalgam or catalytic hydrogenation.

                                                     i. Mannitol:


              ▪  Mannitol is naturally obtained from manna (the dried saccharine exudate from

                 Fraxinus ornus “Fam. Oleaceae). Manna contains up to 50% mannitol

              ▪  Or/ It is obtained by reduction of mannose





















                Use:


             1) Mannitol is used as a diagnostic aid for kidney functions.

             2) Osmotic diuretic “I.V.” to reduce cerebral edema, reduce cranial hypertension


             3) Orally, manna is used as laxative.
              4) Mannitol hexanitrate is used as a coronary vasodilator (oral dose 30 mg daily).



              5) Mannitol-nitrogen mustard is an antineoplastic agent (dose 50-100 mg I.V.)






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