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Benzamil, also known as benzyl amiloride, is a synthetic small molecule, potent analog of amiloride, and is marketed as the hydrochloride salt[1][4]. It is a selective and potent blocker of the epithelial sodium channel (ENaC), with activity several hundredfold greater than amiloride[1]. Benzamil also inhibits the sodium-calcium exchanger and certain transient receptor potential channels, such as TRPP3 and TRPA1[6]. While studied as a potential treatment for cystic fibrosis lung disease, it did not show superior efficacy to amiloride and is not clinically approved for this indication[1][3]. Recent research suggests repurposing potential for benzamil in non-small molecule indications, such as suppression of osteosarcoma cell growth and amelioration of skin inflammation, but this is preclinical[3][9]. Benzamil is primarily used as a research compound in ion transport studies[5].
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