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2)ÀüºÎÁ¤¸ÆÈ¿°ú(proarrhythmia)
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¨ë ÀÌ ¾à Ä¡·áÁß QTc°¡ 500msec ÀÌ»óÀÎ °æ¿ì¿¡´Â Ưº°ÇÑ ÁÖÀǰ¡ ÇÊ¿äÇϰí QTc°¡ 550msec¸¦ ÃʰúÇÒ °æ¿ì¿¡´Â °¨·® ¶Ç´Â Ä¡·á¸¦ Áß´ÜÇÑ´Ù. ±×·¯³ª Å丣»çµå µå Æ÷ÀÎÆ®¿Í °ü·ÃµÈ ´ÙÁß À§ÇèÀÎÀÚ·Î ÀÎÇØ QTc°£°Ý°ú°ü°è¾øÀÌ ÁÖÀǰ¡ ÇÊ¿äÇÏ´Ù.
¨ì Åõ¿©Áß QTc¿Í Å丣»çµå µå Æ÷ÀÎÆ®¿ÍÀÇ °ü·Ã ¹× ±âº»Ä¡·ÎºÎÅÍÀÇ QTcº¯È¿¡´ëÇÑ Å丣»çµå µå Æ÷ÀÎÆ®¿Í »ó°ü°ü°è¸¦ ³ªÅ¸³»¾ú´Ù. ÇÑÆí ÁÖ¸ñÇØ¾ß ÇÒ °ÍÀº ´Ù¼ö¿¹¿¡¼ Ä¡·á½Ã QTcÀÇ ÃÖ°íÄ¡´Â Å丣»çµå µå Æ÷ÀÎÆ® ¹ßÇö½Ã¿¡ ³ªÅ¸³µ´Ù´Â »ç½ÇÀÌ´Ù.
¨í ÀÌ ¾à Åõ¿©¿¡ ±âÀÎÇÑ ÀüºÎÁ¤¸ÆÈ¿°ú´ÂÄ¡·áÃʱ⠻Ӹ¸¾Æ´Ï¶ó ¸Å »óÀ§¿ë·®À¸·Î Á¶Àý½Ã¿¡µµ ¹ßÇöµÉ ¼ö ÀÖÀ¸¸ç, Ä¡·áÃʱ⳪ ¿ë·®Áõ°¡ÈÄ 7ÀÏÀ̳»¿¡ °¡Àå ºó¹øÈ÷ ¹ß»ýÇÏ¿´´Ù. : ÁßÁõ ÀüºÎÁ¤¸Æ (Å丣»çµå µå Æ÷ÀÎÆ®, ½É½Çºó¸Æ ¾ÇÈ)ÀÇ 75%´Â ÀÌ ¾à Ä¡·áÃʱâ 7ÀÏÀ̳»¿¡¹ß»ýµÇ¸ç ±×Áß 60% Á¤µµ´Â Ä¡·áÃÊ±â ¹× ¿ë·® º¯°æÈÄ 3ÀÏÀ̳»¿¡¹ß»ýµÇ¾ú´Ù´Â º¸°í°¡ ÀÖ´Ù. µû¶ó¼ Á¡Â÷ÀûÀ¸·Î ¿ë·®À» ´Ã¸®±â ¾Õ¼ ¾à¹°ÀÇ È¿°ú(¿¹ : PES ¶Ç´Â Holter) ¹×¾ÈÀü¼º(QT°£°Ý, ½É¹ÚÀ²,ÀüÇØÁú µî)¿¡ ´ëÇÑ ÀûÀýÇÑ Æò°¡°¡ ÀüºÎÁ¤¸Æ È¿°úÀÇ À§ÇèÀ» ÁÙÀÏ ¼ö ÀÖ´Ù.
3)¿ïÇ÷¼º½ÉºÎÀü
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4)ÀüÇØÁúÀÌ»ó : ÀÌ ¾àÀº ÀüÇØÁúÆòÇü½ÇÁ¶¸¦ º¸Á¤Çϱâ Àü¿¡ ÀúÄ®·ýÇ÷Áõ, Àú¸¶±×³×½·Ç÷ÁõȯÀÚ¿¡´Â Åõ¿©ÇÏÁö ¾Ê´Â´Ù. À§ÀÇ »óÅ¿¡¼´Â QT°£°ÝÀÌ ¿¬ÀåµÇ°íÅ丣»çµå µå Æ÷ÀÎÆ®ÀÇ °¡´É¼ºÀÌ Áõ°¡ÇÒ ¼ö ÀÖ´Ù. ÁßÁõ ¶Ç´Â Áö¼Ó¼º ¼³»çȯÀÚ ¹× ÀÌ´¢Á¦¸¦ º´¿ëÅõ¿©ÇϰíÀִ ȯÀÚÀÇ °æ¿ì¿¡´Â ÀüÇØÁú, »ê-¿°±â ÆòÇü¿¡ ´ëÇØ ƯÈ÷ÁÖÀÇÇÑ´Ù.
5)ÀüµµÀå¾Ö : QT°£°ÝÀÇ °ú¿¬Àå(>550msec)Àº ÁßÁõÀÇ ºÎÁ¤¸ÆÀ» À¯¹ßÇÒ¼ö ÀÖÀ¸¹Ç·Î ÇÇÇÑ´Ù. ÀÌ ¾à Åõ¿©Áß ¼¸Æ(50ȸ/ºÐ ÀÌÇÏ)ÀÌ ¹ß»ýÇÏ¿© Åõ¿©¸¦ ÁßÁöÇÏ¿´´Ù´Â º¸°í°¡ ÀÖ´Ù. ¼¸ÆÀº Å丣»çµå µå Æ÷ÀÎÆ® ¹ßÇöÀ²À» Áõ°¡½Ã۸ç, ¶§¶§·Î µ¿¼º ÈÞÁö(sinus pause), µ¿¼º ½ÉÁ¤Áö, µ¿°áÀý ±â´ÉºÎÀü ¹× ¹æ½Çºí·Ï(2, 3µµ)ÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
6)±Þ¼º½É±Ù°æ»öÃʱâ : ÀÌ ¾àÀº ½É±Ù°æ»ö¿¡ µû¸¥ Ä¡¸íÀû ½É½ÇºÎÁ¤¸ÆÀÇ Àå±âÄ¡·á¿¡ ¾ÈÀüÇϰí À¯È¿ÇÑ ¾à¹°·Î »ç¿ëµÉ¼ö ÀÖÀ¸³ª, ±Þ¼º ½É±Ù°æ»öÀÇ È¸º¹±â Ãʱ⿡ ÀÌ ¾àÀ» Åõ¿©ÇÏ´Â °ÍÀº Á¦ÇÑÇϸç, ƯÈ÷ Ãʱ⿡ °í¿ë·® Åõ¿©´Â ¾ÈÀü¼ºÀ» È®½ÅÇÒ ¼ö ¾ø´Ù. ½É±Ù°æ»ö ÈÄù 2ÁÖ°£¿¡´Â ÁÖÀǰ¡ ÇÊ¿äÇÏ¸ç Æ¯È÷ ÇöÀúÇÑ ½É½Ç±â´ÉÀå¾Ö ȯÀÚÀÇ °æ¿ì ½ÅÁßÇÑ ¿ë·®°áÁ¤ÀÌ ¸Å¿ì Áß¿äÇÏ´Ù.
7)´ÙÀ½ÀºÀÌ ¾àÀÇ ¥â-Â÷´ÜÀÛ¿ë°ú °ü·ÃÀÌ ÀÖÀ¸¹Ç·Î ÀÌ ¾à Åõ¿©½Ã ÁÖÀÇÇÑ´Ù.
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14) ºÎÁ¤¸Æ¿ëÁ¦ : µð¼ÒÇǶó¹Ìµå, Äû´Ïµò, ÇÁ·ÎÄ«Àξƹ̵åµîÀÇ class Ia ºÎÁ¤¸Æ¿ëÁ¦ ¹× ¾Æ¹Ì¿À´Ù·Ð µîÀÇ class IIIºÎÁ¤¸Æ¿ëÁ¦ ¹× ¾Æ¹Ì¿À´Ù·Ð µîÀÇ class III ºÎÁ¤¸Æ¿ëÁ¦¿ÍÀÇ º´¿ëÅõ¿©´Â ½ÉÀåºÒÀÀ±â¸¦ ¿¬Àå½Ãų¼ö ÀÖÀ¸¹Ç·Î º´¿ëÅõ¿©ÇÏÁö ¾Ê´Â´Ù.
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Sotalol¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Sotalol has both beta-adrenoreceptor blocking (Vaughan Williams Class I) and cardiac action potential duration prolongation (Vaughan Williams Class I) antiarrhythmic properties. Sotalol is a racemic mixture of d- and l-sotalol. Both isomers have similar Class I antiarrhythmic effects, while the l-isomer is responsible for virtually all of the beta-blocking activity.
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Sotalol¿¡ ´ëÇÑ Pharmacology Á¤º¸ Sotalol is an antiarrhythmic drug. It falls into the class of beta blockers (and class II antiarrhythmic agents) because of its primary action on the ¥â-adrenergic receptors in the heart. In addition to its actions on the beta receptors in the heart, sotalol inhibits the inward potassium ion channels of the heart. In so doing, sotalol prolongs repolarization, therefore lengthening the QT interval and decreasing automaticity. It also slows atrioventricular (AV) nodal conduction. Because of these actions on the cardiac action potential, it is also considered a class III antiarrhythmic agent. The beta-blocking effect of sotalol is non-cardioselective, half maximal at about 80mg/day and maximal at doses between 320 and 640 mg/day. Sotalol does not have partial agonist or membrane stabilizing activity. Although significant beta-blockade occurs at oral doses as low as 25 mg, significant Class Ieffects are seen only at daily doses of 160 mg and above.
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Sotalol¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ Sotalol does not bind to plasma proteins.
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Sotalol¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ Mean elimination half-life is 12 hours. Impaired renal function in geriatric patients can increase the terminal elimination half-life.
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Sotalol¿¡ ´ëÇÑ Absorption Á¤º¸ In healthy subjects, the oral bioavailability of sotalol is 90-100%. Absorption is reduced by approximately 20% compared to fasting when administered with a standard meal.
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- »ýü³»ÀÌ¿ë·ü : 90-100%
- ºÐÆ÷ : ³·Àº Áö¿ë¼º. ½ÇÇ赿¹°ÀÇ ¸ðÀ¯·Î ¹è¼³. »ç¶÷ÀÇ ¸ðÀ¯¿¡µµ Á¸ÀçÇÑ´Ù°í º¸°íµÇ¾ú´Ù.
- ´ë»ç : ´ë»çµÇÁö ¾ÊÀ½.
- ´Ü¹é°áÇÕ : ´Ü¹é°áÇÕ ¾øÀ½.
- ¹Ý°¨±â : 12½Ã°£
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- Ç÷û³óµµ´Â ü°èÀûÀ¸·Î Æò°¡µÇÁö ¾Ê¾ÒÀ¸³ª, sotalolÀÇ ¥â-Â÷´Ü°ú Ç׺ÎÁ¤¸ÆÈ¿°ú¿¡¼ ³óµµ-È¿°ú °ü°è°î¼±Àº ´Ù¸£´Ù. Ç÷û³óµµ 340-3,440 ng/mL´Â PVBs¿¡¼ 70-100% °¨¼Ò¸¦ º¸ÀδÙ.
- À¯ÀǼºÀÖ°Ô Q-T ¿¬Àå°ú °ü·ÃÀÖ´Â Æò±Õ Ç÷û³óµµ : 2,550 ng/mL
- 50%¸¸Å ÃÖ´ë½ÉÀå¾ïÁ¦¸¦ ÀÏÀ¸Å°´Â Æò±ÕÇ÷û³óµµ : 804 ng/mL
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| Biotransformation |
Sotalol¿¡ ´ëÇÑ Biotransformation Á¤º¸ Sotalol is not metabolized.
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| Toxicity |
Sotalol¿¡ ´ëÇÑ Toxicity Á¤º¸ The most common signs to be expected are bradycardia, congestive heart failure, hypotension, bronchospasm and hypoglycemia. In cases of massive intentional overdosage (2-16 grams) of sotalol the following clinical findings were seen: hypotension, bradycardia, cardiac asystole, prolongation of QT interval, Torsade de Pointes, ventricular tachy-cardia, and premature ventricular complexes.
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| Drug Interactions |
Sotalol¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸]
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| Drug Target |
[Drug Target]
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| Description |
Sotalol¿¡ ´ëÇÑ Description Á¤º¸ An adrenergic beta-antagonist that is used in the treatment of life-threatening arrhythmias. [PubChem]
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| Dosage Form |
Sotalol¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Tablet Oral
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| Drug Category |
Sotalol¿¡ ´ëÇÑ Drug_Category Á¤º¸ Adrenergic beta-AntagonistsAnti-Arrhythmia AgentsSympatholytics
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| Smiles String Canonical |
Sotalol¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC(C)NCC(O)C1=CC=C(NS(C)(=O)=O)C=C1
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| Smiles String Isomeric |
Sotalol¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CC(C)NC[C@@H](O)C1=CC=C(NS(C)(=O)=O)C=C1
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| InChI Identifier |
Sotalol¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C12H20N2O3S/c1-9(2)13-8-12(15)10-4-6-11(7-5-10)14-18(3,16)17/h4-7,9,12-15H,8H2,1-3H3
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| Chemical IUPAC Name |
Sotalol¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ N-[4-[1-hydroxy-2-(propan-2-ylamino)ethyl]phenyl]methanesulfonamide
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| Drug-Induced Toxicity Related Proteins |
SOTALOL ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:CYP2D6 Drug:Sotalol Toxicity:Increased beta-blockade. [¹Ù·Î°¡±â]
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ÃÖ±ÙÁ¤º¸¼öÁ¤ÀÏ 2021-12-09
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º» ¼öÁ¤ÀÏ Á¤º¸´Â Çã°¡Á¤º¸ ÀÌ¿ÜÀÇ ±âŸÁ¤º¸ ¼öÁ¤ÀÏÀ» ÀǹÌÇϹǷÎ, Çã°¡Á¤º¸¼öÁ¤ÀÏÀº º»¹®¿¡ Ç¥±âµÈ ³¯Â¥¸¦ ÂüÁ¶ÇϽñ⠹ٶø´Ï´Ù.
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»ó¼¼Á¤º¸´Â ½ÄǰÀǾàǰ¾ÈÀüóÀÇ Á¦Ç°Çã°¡»çÇ×À» Åä´ë·Î ÀÛ¼ºµÇ¾úÀ¸¸ç ¿ä¾àÁ¤º¸´Â »ó¼¼Á¤º¸ ¹× ±âŸ¹®ÇåÀ» ±â¹ÝÀ¸·Î µå·°ÀÎÆ÷¿¡¼ ÆíÁýÇÑ ³»¿ëÀÔ´Ï´Ù. Á¦Ç°Çã°¡»çÇ×ÀÇ ¸ñÂ÷¿Í ´Ù¼Ò »óÀÌÇÒ ¼ö ÀÖ½À´Ï´Ù. |
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µå·°ÀÎÆ÷ ÀǾàÇмúÁ¤º¸´Â ½ÄǰÀǾàǰ¾ÈÀüóÀÇ Á¦Ç°Çã°¡»çÇ×, Çмú¹®Çå, Á¦¾àȸ»ç Á¦°øÁ¤º¸ µîÀ» ±Ù°Å·Î ÀÛ¼ºµÈ Âü°í Á¤º¸ÀÔ´Ï´Ù.
Á¤º¸ÀÇ Á¤È®¼ºÀ» À§ÇØ ³ë·ÂÇϰí ÀÖÀ¸³ª ÆíÁý»óÀÇ ¿À·ù, Çã°¡»çÇ× º¯°æ, Ãß°¡ÀûÀÎ Çмú¿¬±¸ ¶Ç´Â Àӻ󿬱¸ ¹ßÇ¥ µîÀ¸·Î ÀÎÇØ ¹ß»ýÇÏ´Â ¹®Á¦¿¡ ´ëÇØ µå·°ÀÎÆ÷´Â
Ã¥ÀÓÀ» ÁöÁö ¾Ê½À´Ï´Ù. ÀÚ¼¼ÇÑ ³»¿ëÀº ¡°Ã¥ÀÓÀÇ ÇÑ°è ¹× ¹ýÀû°íÁö¡±¸¦ ÂüÁ¶ÇØ ÁֽʽÿÀ.
¹Ýµå½Ã Á¦Á¶¡¤¼öÀÔ»ç, ÆÇ¸Å»ç, ÀÇ»ç, ¾à»ç¿¡°Ô ÃÖÁ¾ÀûÀ¸·Î È®ÀÎÇϽñ⠹ٶø´Ï´Ù.
ÀüÈ: 02-3486-1061 ¤Ó À̸ÞÀÏ: webmaster@druginfo.co.kr
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