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    | µ¶¼ºÁ¤º¸ | 
    Ibuprofen¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â 
  Ãâó: ±¹¸³µ¶¼º°úÇпø µ¶¼º¹°ÁúÁ¤º¸DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do  | 
  
  
   
    | Mechanism of Action | 
    
       Ibuprofen¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ The exact mechanisms of action of Ibuprofen is unknown. Its antiinflammatory effects are believed to be due to inhibition of both cylooxygenase-1 (COX-1) and cylooxygenase-2 (COX-2) which leads to the inhibition of prostaglandin synthesis, and results in the inhibition of prostaglandin synthesis. Antipyretic effects may be due to action on the hypothalamus, resulting in an increased peripheral blood flow, vasodilation, and subsequent heat dissipation. 
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    | Pharmacology | 
     
       Ibuprofen¿¡ ´ëÇÑ Pharmacology Á¤º¸ Ibuprofen is a nonsteroidal antiinflammatory drug (NSAID) with analgesic and antipyretic properties. Ibuprofen has pharmacologic actions similar to those of other prototypical NSAIAs, that is thought to be associated with the inhibition of prostaglandin synthesis. Ibuprofen is used to treat rheumatoid arthritis, osteoarthritis, dysmenorrhea, and to alleviate moderate pain. 
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    | Metabolism | 
    
       Ibuprofen¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 2C9 (CYP2C9)Monoamine oxidase type B (MAO-B) 
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    | Protein Binding | 
    
       Ibuprofen¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 99% 
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    | Half-life | 
    
       Ibuprofen¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 1.8-2.0 hours 
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    | Absorption | 
    
       Ibuprofen¿¡ ´ëÇÑ Absorption Á¤º¸ rapidly absorbed 
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    | Pharmacokinetics | 
    
       IbuprofenÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
- ÁøÅëÈ¿°ú ¹ßÇö½Ã°£ : 30-60ºÐ
 
 - ÀÛ¿ëÁö¼Ó½Ã°£ : 4-6 ½Ã°£
 
 - Ç׿°È¿°ú ¹ßÇö½Ã°£ : 7ÀϱîÁö
 
 - ÃÖ´ë Ç׿°È¿°ú ¹ßÇö½Ã°£ : 1-2ÁÖ
 
 - Èí¼ö : °æ±¸ : ½Å¼ÓÇÏ°Ô Èí¼öµÊ (85%)
 
 - ´Ü¹é°áÇÕ : 90-99%
 
 - ´ë»ç : °£¿¡¼ »êÈ´ë»ç
 
 - ¹Ý°¨±â : 2-4 ½Ã°£  (¸»±â ½ÅÁúȯ¿¡¼µµ ¹Ý°¨±â´Â º¯ÈÇÏÁö ¾ÊÀ½)
 
 - Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ : 1-2 ½Ã°£ À̳»
 
 - ¼Ò½Ç : ½Å¹è¼³(¹Ìº¯Èü·Î´Â 1% ¹Ì¸¸), ÀϺΠ´ãÁó¹è¼³µµ ÀϾ
   
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    | Biotransformation | 
    
       Ibuprofen¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic 
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    | Toxicity | 
    
       Ibuprofen¿¡ ´ëÇÑ Toxicity Á¤º¸ Abdominal pain, breathing difficulties, coma, drowsiness, headache, irregular heartbeat, kidney failure, low blood pressure, nausea, ringing in the ears, seizures, sluggishness, vomiting; LD50=1255mg/kg(orally in mice) 
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    | Drug Interactions | 
    
       Ibuprofen¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Acebutolol	Risk of inhibition of renal prostaglandinsAtenolol	Risk of inhibition of renal prostaglandinsBetaxolol	Risk of inhibition of renal prostaglandinsBevantolol	Risk of inhibition of renal prostaglandinsBisoprolol	Risk of inhibition of renal prostaglandinsCarteolol	Risk of inhibition of renal prostaglandinsCarvedilol	Risk of inhibition of renal prostaglandinsEsmolol	Risk of inhibition of renal prostaglandinsLabetalol	Risk of inhibition of renal prostaglandinsNadolol	Risk of inhibition of renal prostaglandinsMetoprolol	Risk of inhibition of renal prostaglandinsOxprenolol	Risk of inhibition of renal prostaglandinsPenbutolol	Risk of inhibition of renal prostaglandinsPindolol	Risk of inhibition of renal prostaglandinsPractolol	Risk of inhibition of renal prostaglandinsPropranolol	Risk of inhibition of renal prostaglandinsSotalol	Risk of inhibition of renal prostaglandinsTimolol	Risk of inhibition of renal prostaglandinsWarfarin	The NSAID increases the anticoagulant effectAcenocoumarol	The NSAID increases the anticoagulant effectDicumarol	The NSAID increases the anticoagulant effectAnisindione	The NSAID increases the anticoagulant effectEthacrynic acid	The NSAID decreases the diuretic and antihypertensive effect of the loop diureticFurosemide	The NSAID decreases the diuretic and antihypertensive effect of the loop diureticTorasemide	The NSAID decreases the diuretic and antihypertensive effect of the loop diureticBumetanide	The NSAID decreases the diuretic and antihypertensive effect of the loop diureticAspirin	Ibuprofen reduces ASA cardioprotective effectsMethotrexate	The NSAID increases the effect and toxicity of methotrexateAlendronate	Increased risk of gastric toxicityCyclosporine	Monitor for nephrotoxicityLithium	The NSAID increases serum levels of lithium 
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    CYP450  Drug Interaction | 
    
      [CYP450 TableÁ÷Á¢Á¶È¸] Ibuprofen¿¡ ´ëÇÑ P450 table
  SUBSTRATES 
CYP 2C9 
NSAIDs: 
diclofenac 
**ibuprofen** 
piroxicam 
Oral Hypoglycemic Agents: 
tolbutamide 
glipizide 
Angiotensin II Blockers: 
NOT candesartan 
irbesartan 
losartan 
NOT valsartan 
celecoxib 
fluvastatin naproxen 
phenytoin 
sulfamethoxazole 
tamoxifen 
tolbutamide 
torsemide 
warfarin 
 INHIBITORS 
CYP 2C9 
amiodarone 
fluconazole 
isoniazid 
 INDUCERS 
CYP 2C9 
rifampin 
secobarbital 
 
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    | Food Interaction | 
    
       Ibuprofen¿¡ ´ëÇÑ Food Interaction Á¤º¸ Avoid alcohol.Take with food to reduce irritation. 
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    | Drug Target | 
    
      
      [Drug Target]
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    | Description | 
    
       Ibuprofen¿¡ ´ëÇÑ Description Á¤º¸ A nonsteroidal anti-inflammatory agent with analgesic properties used in the therapy of rheumatism and arthritis. [PubChem] 
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    | Dosage Form | 
    
       Ibuprofen¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Capsule	OralSuspension	OralTablet	OralTablet, chewable	Oral 
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    | Drug Category | 
    
       Ibuprofen¿¡ ´ëÇÑ Drug_Category Á¤º¸ AnalgesicsAnalgesics, Non-NarcoticAnti-Inflammatory Agents, Non-SteroidalAnti-inflammatory AgentsCyclooxygenase InhibitorsNonsteroidal Antiinflammatory Agents (NSAIDs) 
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    | Smiles String Canonical | 
    
       Ibuprofen¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC(C)CC1=CC=C(C=C1)C(C)C(O)=O 
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    | Smiles String Isomeric | 
    
       Ibuprofen¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CC(C)CC1=CC=C(C=C1)[C@@H](C)C(O)=O 
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    | InChI Identifier | 
    
       Ibuprofen¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C13H18O2/c1-9(2)8-11-4-6-12(7-5-11)10(3)13(14)15/h4-7,9-10H,8H2,1-3H3,(H,14,15)/f/h14H 
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    | Chemical IUPAC Name | 
    
       Ibuprofen¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 2-[4-(2-methylpropyl)phenyl]propanoic acid 
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    | Drug-Induced Toxicity Related Proteins | 
    
      IBUPROFEN ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Myeloperoxidase  Drug:ibuprofen Toxicity:increase the incidence of ventricular fibrillation.  [¹Ù·Î°¡±â] Replated Protein:Myeloperoxidase  Drug:ibuprofen Toxicity:increase the incidence of haemorrhagic infarction.  [¹Ù·Î°¡±â] Replated Protein:Arylamine N-acetyltransferase 2 Drug:ibuprofen  Toxicity:ibuprofen inhibition.  [¹Ù·Î°¡±â] 
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