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N-acetylcysteine amide is the amide form of N-acetylcysteine (NAC), a synthetic derivative and prodrug of the endogenous amino acid and antioxidant glutathione precursor L-cysteine. It has enhanced lipophilicity and membrane permeability compared to NAC, which may improve its pharmacokinetic properties. Upon administration, it increases glutathione levels in cells, scavenges reactive oxygen species (ROS), reduces oxidative stress, and prevents ROS-mediated cell damage and apoptosis. Its primary mechanisms are antioxidant activity and free radical scavenging. It is being developed primarily for rare eye diseases such as retinitis pigmentosa, cystinosis, Usher syndromes, and familial cerebral amyloid angiopathy[1][2].
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