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8806419056605 |
8806419056629 |
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8806419056605 |
8806419056612 |
8mg/4ml |
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2) ÀÌ ¾àÀº À½½Ä¹°ÀÇ ´ëÀåÅë°ú ½Ã°£À» Áö¿¬½ÃŰ´Â °ÍÀ¸·Î ¾Ë·ÁÁ® ÀÖÀ¸¹Ç·Î, ¾Æ±Þ¼º ÀåÆó»öÀÇ Áõ»óÀÌ Àִ ȯÀÚ´Â Åõ¿© ÈÄ ¸ð´ÏÅ͸µÀ» ÇØ¾ß ÇÑ´Ù.
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4) ÀÌ ¾àÀº ¿ë·®-ÀÇÁ¸ÀûÀ¸·Î QT °£°ÝÀ» ¿¬Àå½ÃŲ´Ù. ¶ÇÇÑ ÀÌ ¾àÀ» Åõ¿© ¹ÞÀº ȯÀÚ¿¡¼ Torsade de PointesÀÇ ½ÃÆÇ ÈÄ »ç·Ê°¡ º¸°íµÇ¾ú´Ù. ¼±Ãµ¼º QT ¿¬Àå ÁõÈıº ȯÀÚ¿¡°Ô´Â ÀÌ ¾àÀ» Åõ¿©ÇÏÁö ¾Ê´Â´Ù. ÀÌ ¾àÀº QTc ¿¬ÀåÀ» ³ªÅ¸³»°Å³ª ³ªÅ¸³¾ ¼ö Àִ ȯÀÚ¿¡¼ ÁÖÀÇÇÏ¿© Åõ¿©µÇ¾î¾ß ÇÑ´Ù. ÀÌ·¯ÇÑ »óÅ´ ÀüÇØÁú ÀÌ»ó ȯÀÚ, ¿ïÇ÷¼º ½ÉºÎÀü ȯÀÚ, ¼¸Æ¼º ºÎÁ¤¸Æ ȯÀÚ, ¶Ç´Â QT ¿¬ÀåÀ̳ª ÀüÇØÁú ÀÌ»óÀ» À¯¹ßÇÏ´Â ´Ù¸¥ ¾à¹°À» Åõ¿© ¹Þ´Â ȯÀÚ¸¦ Æ÷ÇÔÇÑ´Ù. ÀúÄ®·ýÇ÷Áõ ¹× Àú¸¶±×³×½·Ç÷ÁõÀº ÀÌ ¾à Åõ¿© Àü¿¡ ±³Á¤µÇ¾î¾ß ÇÑ´Ù.
5) ÀÌ ¾à°ú ´Ù¸¥ ¼¼·ÎÅä´Ñ¼º ¾à¹°(¼±ÅÃÀû ¼¼·ÎÅä´Ñ ÀçÈí¼ö ¾ïÁ¦Á¦(SSRI)¿Í ¼¼·ÎÅä´Ñ ³ë¸£¾Æµå·¹³¯¸° ÀçÈí¼ö ¾ïÁ¦Á¦(SNRI)¸¦ Æ÷ÇÔ)À» º´¿ëÅõ¿©Çϰí Àִ ȯÀÚ (ÀϹÝÀû ÁÖÀÇ 4.2)ÂüÁ¶)
6) ¾Æµ¥³ëÀ̵åÆíµµ ¼ö¼ú(adenotonsillar surgery)ÀÇ ±¸¿ª ¹× ±¸ÅäÀÇ ¿¹¹æÀ» À§ÇØ ¿Â´Ü¼¼Æ®·ÐÀ» Åõ¿©½Ã ÀáÀçÀû ÃâÇ÷ÀÌ ÀºÆóµÉ ¼ö ÀÖÀ¸¹Ç·Î, Åõ¿© ÈÄ ÁÖÀDZí°Ô °üÂûÇØ¾ß ÇÑ´Ù.
7) °£µ¶¼ºÀÌ ÀÖ´Â Ç×¾ÏÈÇпä¹ý°ú ÇÔ²² ¿Â´Ü¼¼Æ®·ÐÀ» Åõ¿©¹Þ´Â ¼Ò¾Æ ȯÀÚ´Â °£±â´É ¼Õ»óÀ» ÁÖÀDZí°Ô ¸ð´ÏÅ͸µÇØ¾ß ÇÑ´Ù.
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1) °ú¹ÎÁõ : ¶§¶§·Î ¹ßÁø, °¡·Á¿ò, µå¹°°Ô ¾Æ³ªÇʶô½Ã½º¸¦ Æ÷ÇÔÇÑ Áï°¢ÀûÀÎ °ú¹Î¹ÝÀÀ(¶§¶§·Î ÁßÁõ), ¾Æ³ªÇʶô½Ã¾ç Áõ»óÀÌ ³ªÅ¸³¯ ¼ö ÀÖÀ¸¹Ç·Î ÃæºÐÈ÷ °üÂûÇϰí ÀÌ·¯ÇÑ Áõ»óÀÌ ³ªÅ¸³ª´Â °æ¿ì¿¡´Â Åõ¿©¸¦ ÁßÁöÇϰí ÀûÀýÈ÷ óġÇÑ´Ù.
2) Á¤½Å½Å°æ°è : µÎÅë, ¶§¶§·Î µÎÁß°¨, Á¹À½, Á¶È«, µÎºÎ ¹× º¹ºÎÀÇ ¿Â°¨, ¾Æ¹Ì³ë±â ÀüÀÌÈ¿¼ÒÀÇ ÀϽÃÀûÀÎ ¹«ÁõÈÄÀû Áõ°¡ µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù. µå¹°°Ô ¾îÁö·³ÁõÀÌ ³ªÅ¸³¯ ¼ö ÀÖÀ¸¸ç, ´ëºÎºÐ ±Þ¼ÓÈ÷ Á¤¸ÆÁÖ»çÇÑ °æ¿ì ³ªÅ¸³´Ù. ¶ÇÇÑ ¶§¶§·Î ÀÓ»óÀû ÈÄÀ¯ÁõÀÌ ¸í¹éÇÏ°Ô ³²Áö ¾Ê´Â ¾È±¸¿îµ¿¹ßÀÛ․±ÙÀ°±äÀåÀÌ»ó¹ÝÀÀ․¿îµ¿ÀÌ»óÁõ °°Àº Ãßü¿Ü·Î¹ÝÀÀÀ» Æ÷ÇÔÇÏ´Â ¿îµ¿Àå¾Ö, ¹ßÀÛÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
3) ¼Òȱâ°è : ¶§¶§·Î ¼³»ç, º¯ºñ(À½½Ä¹°ÀÇ ´ëÀåÅë°ú ½Ã°£ ¿¬Àå)°¡³ªÅ¸³¯ ¼ö ÀÖ´Ù.
4) ¼øÈ¯±â°è : ¶§¶§·Î ½É°èÇ×Áø, Ç÷¾Ð»ó½Â, ST ÀýºÎ ¾ïÁ¦°¡ ³ªÅ¸³ª°Å³ª/³ªÅ¸³ªÁö ¾Ê´Â ÈäÅë, ºÎÁ¤¸Æ, ÀúÇ÷¾Ð, ¼¸ÆÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù. ¶ÇÇÑ µå¹°°Ô QTc ¿¬Àå(Torsade de Pointes Æ÷ÇÔ)ÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
5) °£Àå : ¶§¶§·Î °£±â´É °Ë»çÇ׸ñ(AST, ALT, LDH, ¥ã-ALT, ÃÑ ºô¸®·çºóÄ¡ µî)ÀÇ ÀϽÃÀûÀÎ ¹«ÁõÈÄÀû »ó½ÂÀÌ ³ªÅ¸³¯ ¼ö ÀÖÀ¸¸ç, ÀÌ·¯ÇÑ »ç·ÊµéÀº ÀϹÝÀûÀ¸·Î ½Ã½ºÇöóƾÀ¸·Î ÈÇпä¹ýÀ» ¹Þ°í Àִ ȯÀÚ¿¡¼ °üÂûµÇ¾ú´Ù.
6) ´« : µå¹°°Ô ÀϽÃÀûÀÎ ½Ã·ÂÀå¾Ö(È帰½Ã¾ß µî), ÀϽÃÀûÀÎ ½Ã·Â»ó½ÇÀÌ ³ªÅ¸³¯ ¼ö ÀÖÀ¸¸ç, ÀÌ·¯ÇÑ ÀÌ»ó¹ÝÀÀµéÀº Á¤¸ÆÅõ¿© ±â°£µ¿¾È ÇöÀúÈ÷ ³ªÅ¸³´Ù. ´ë´Ù¼öÀÇ ½Ã·Â»ó½ÇÀº 20ºÐ À̳»¿¡ Áõ»óÀÌ ¼Ò½ÇµÇ¾ú´Ù. ´ëºÎºÐÀÇ È¯ÀÚµéÀº ½Ã½ºÇöóƾÀ» Æ÷ÇÔÇÑ ÈÇпä¹ýÁ¦¸¦ Åõ¿© ¹Þ°í ÀÖÀ¸¸ç ÀϽÃÀû ½Ã·Â»ó½Ç Áß ÀϺÎÀÇ °æ¿ì´Â º»ÁúÀûÀ¸·Î ÇÇÁú°ú °ü·ÃµÈ °ÍÀ¸·Î º¸°íµÇ¾ú´Ù.
7) ÇǺΠ¹× ÇÇÇÏÁ¶Á÷: ¸Å¿ì µå¹°°Ô µ¶¼ºÇ¥ÇDZ«»ç¿ëÇØ¸¦ Æ÷ÇÔÇÑ µ¶¼º ÇǺιßÁøÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
8) ±âŸ : µå¹°°Ô ºÒ¼öÀǿ, ¶§¶§·Î ¿°¨, ¾È¸éÈ«Á¶, ¹ß¿, Àü½Å±Çۨ, µþ²ÚÁúÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
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1) ÀÌ ¾à°ú ÇÔ²² ÁַΠó¹æµÇ´Â ´Ù¸¥ ¾à¹°ÀÇ ´ë»ç¸¦ Áõ°¡½ÃŰ°Å³ª °¨¼Ò½ÃŲ´Ù´Â Áõ°Å´Â ¾ø´Ù. ÀÌ ¾àÀº ¾ËÄÚ¿Ã, Å׸¶Á¦ÆÊ, Ǫ·Î¼¼¹Ìµå, ¾ËÆæÅ¸´Ò, ¸ð¸£ÇÉ, ¸®µµÄ«ÀÎ, Ä¡¿ÀÆæÅ», ÇÁ·ÎÆ÷Æú ȤÀº Æ®¶ó¸¶µ¹°ú ¾à¹°µ¿ÅÂÇÐÀû »óÈ£ÀÛ¿ëÀ» ÀÏÀ¸Å°Áö ¾Ê´Â´Ù.
2) ÀÌ ¾àÀº ´Ù¼öÀÇ °£ CYP450 È¿¼Ò¿¡ ÀÇÇØ ´ë»çµÈ´Ù : CYP3A4, CYP2D6, CYP1A2. ÀÌ ¾àÀº ´Ù¾çÇÑ ´ë»çÈ¿¼Ò¿¡ ÀÇÇØ ´ë»çµÇ¹Ç·Î, È¿¼Ò ÀúÇØ ȤÀº ÇÑ È¿¼ÒÀÇ °¨¼ÒµÈ Ȱ¼º(¿¹, CYP2D6 ÀÇ À¯ÀüÀû ºÎÁ·)Àº º¸Åë ´Ù¸¥ È¿¼Ò¿¡ ÀÇÇØ º¸»óµÇ¸ç, °á°úÀûÀ¸·Î ÀÌ ¾àÀÇ Ã»¼ÒÀ² ȤÀº ¿ë·® ¿ä±¸·®¿¡¼ÀÇ À¯ÀÇÇÑ º¯È¸¦ ÀÏÀ¸Å°Áö ¾Ê´Â´Ù.
3) Æä´ÏÅäÀÎ, Ä«¸£¹Ù¸¶Á¦ÇÉ, ¸®ÆÊÇǽŠ: CYP3A4ÀÇ °·ÂÇÑ À¯µµÁ¦(¿¹, Æä´ÏÅäÀÎ, Ä«¸£¹Ù¸¶Á¦ÇÉ, ¸®ÆÊÇǽÅ)·Î Ä¡·áÁßÀΠȯÀÚ¿¡¼ ÀÌ ¾àÀÇ °æ±¸ û¼ÒÀ²ÀÌ Áõ°¡µÇ¾ú°í, ÀÌ ¾àÀÇ Ç÷Áß ³óµµ´Â °¨¼ÒÇÏ¿´´Ù.
4) Æ®¶ó¸¶µ¹ : ¼Ò±Ô¸ðÀÇ ÀÓ»ó ¿¬±¸ µ¥ÀÌÅÍ¿¡ ÀÇÇØ ÀÌ ¾àÀÌ Æ®¶ó¸¶µ¹ÀÇ ÁøÅëÈ¿°ú¸¦ °¨¼Ò½Ãų ¼ö ÀÖÀ½ÀÌ È®ÀεǾú´Ù.
5) ¾ÆÆ÷¸ð¸£ÇÉ: ÀÌ ¾à°ú ¾ÆÆ÷¸ð¸£ÇÉ¿°»ê¿°À» º´¿ë Åõ¿© ½Ã ½ÉÇÑ ÀúÇ÷¾Ð ¹× ÀÇ½Ä ¼Ò½ÇÀÌ º¸°íµÇ¾úÀ¸¹Ç·Î, ÀÌ ¾àÀº ¾ÆÆ÷¸ð¸£Çɰú º´¿ë Åõ¿©Çؼ´Â ¾È µÈ´Ù.
6) QT °£°Ý ¿¬Àå ¹×/¶Ç´Â ÀüÇØÁú ÀÌ»óÀ» À¯¹ßÇÏ´Â ¾à¹°°ú ÀÌ ¾àÀ» º´¿ë Åõ¿© ½Ã¿¡´Â ÁÖÀÇÇÑ´Ù. QT °£°Ý ¿¬ÀåÇÏ´Â ¾à¹°°ú ¿Â´Ü¼¼Æ®·ÐÀ» º´¿ë Åõ¿©½Ã Ãß°¡ÀûÀÎ QT °£°Ý ¿¬ÀåÀÌ ¾ß±âµÉ ¼ö ÀÖ´Ù. ´ÙÀ½ÀÇ ¾à¹°°ú ¿Â´Ü¼¼Æ®·ÐÀ» º´¿ë Åõ¿©½Ã ºÎÁ¤¸ÆÀÇ À§ÇèÀ» Áõ°¡½Ãų ¼ö ÀÖ´Ù: ½Éµ¶¼º ¾à¹°(¿¹, µ¶¼Ò·çºñ½Å, ´Ù¿ì³ë·çºñ½Å µîÀÇ ¾ÈÆ®¶ó»çÀÌŬ¸°°è ¶Ç´Â Æ®¶ó½ºÅõÁÖ¸¿), Ç×»ýÁ¦(¿¹, ¿¡¸®½º·Î¸¶À̽еî), Ç×Áø±ÕÁ¦(¿¹, ÄÉÅäÄÚ³ªÁ¹), Ç׺ÎÁ¤¸Æ¾à(¿¹, ¾Æ¹Ì¿À´Ù·Ð), º£Å¸ Â÷´ÜÁ¦(¿¹, ¾ÆÅ׳î·Ñ, Ƽ¸ô·Ñ)
7) ½ÃÆÇÈÄ Á¶»ç¿¡¼ ¼±ÅÃÀû ¼¼·ÎÅä´Ñ ÀçÈí¼ö ¾ïÁ¦Á¦(SSRI)¿Í ¼¼·ÎÅä´Ñ ³ë¸£¾Æµå·¹³¯¸° ÀçÈí¼ö ¾ïÁ¦Á¦(SNRI)¸¦ Æ÷ÇÔÇÑ ´Ù¸¥ ¼¼·ÎÅä´Ñ¼º ¾à¹°°ú ÀÌ ¾àÀÇ º´¿ëÅõ¿© ÀÌÈÄ ¼¼·ÎÅä´Ñ ÁõÈıº(Á¤½Å»óÅ º¯È, ÀÚÀ²½Å°æºÒ¾ÈÁõ, ½Å°æ±Ù ÀÌ»óÀ» Æ÷ÇÔ)¿¡ ´ëÇÑ º¸°í°¡ ÀÖ¾ú´Ù.
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| Related FDA Approved Drug |
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¹Ýµå½Ã °ø½Å·Â ÀÖ´Â ¹®ÇåÀ» ´Ù½Ã Çѹø Âü°í ÇϽñ⠹ٶó¸ç ÀÇ»ç ¶Ç´Â ¾à»çÀÇ ÆÇ´Ü¿¡ µû¶ó Åõ¿©¿©ºÎ°¡ °áÁ¤µÇ¾î¾ß ÇÕ´Ï´Ù.
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| DUR (ÀǾàǰ»ç¿ëÆò°¡) |
º´¿ë±Ý±â :
[domperidone]
[domperidone maleate (as domperidone)]
[»óÈ£ÀÛ¿ë/º´¿ë±Ý±â°Ë»ö]
¿¬·É´ë±Ý±â :
°í½ÃµÈ ¿¬·É±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
[¿¬·É´ë±Ý±â»ó¼¼°Ë»ö]
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| Mechanism of Action |
Ondansetron¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Ondansetron is a selective serotonin 5-HT3 receptor antagonist. The serotonin 5-HT3 receptors are located on the nerve terminals of the vagus in the periphery and centrally in the chemoreceptor trigger zone of the area postrema. It is thought that chemotherapeutic agents produce nausea and vomiting by releasing serotonin from the enterochromaffin cells of the small intestine, and that the released serotonin then activates 5-HT3 receptors located on vagal efferents to initiate the vomiting reflex. Therefore Ondansetron works by blocking the reception of serotonin at these 5-HT3 receptors.
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| Pharmacology |
Ondansetron¿¡ ´ëÇÑ Pharmacology Á¤º¸ Ondansetron is an antinauseant and antiemetic agent indicated for the prevention of nausea and vomiting associated with moderately-emetogenic cancer chemotherapy and for the prevention of postoperative nausea and vomiting. Ondansetron is a highly specific and selective serotonin 5-HT3 receptor antagonist, not shown to have activity at other known serotonin receptors and with low affinity for dopamine receptors.
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| Metabolism |
Ondansetron¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 3A4 (CYP3A4)Cytochrome P450 1A2 (CYP1A2)Cytochrome P450 2D6 (CYP2D6)
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| Protein Binding |
Ondansetron¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 70%-76% (Plasma protein binding)
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| Half-life |
Ondansetron¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 5.7 hours
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| Absorption |
Ondansetron¿¡ ´ëÇÑ Absorption Á¤º¸ Ondansetron is well absorbed after oral administration and undergoes limited first-pass metabolism.
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| Pharmacokinetics |
OndansetronÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- ´Ü¹é°áÇÕ : 70-76%
- ´ë»ç : ¸¹Àº ¾çÀÌ °£¿¡¼ hydroxylationµÈ ÈÄ glucuronide ¹× sulfate Æ÷ÇÕ´ë»ç¸¦ ¹Þ´Â´Ù.
- ¹Ý°¨±â :
- 15¼¼ ÀÌÇÏ ¼Ò¾Æ : 2-3 ½Ã°£
- ¼ºÀÎ : 4½Ã°£
- ¼Ò½Ç : ´¢ ¹× ´ëº¯À¸·Î ¹è¼³µÈ´Ù. (¹Ìº¯Èü·Î ½Å¹è¼³µÇ´Â ¾çÀº 10% ÀÌÇÏ)
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| Biotransformation |
Ondansetron¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic
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| Toxicity |
Ondansetron¿¡ ´ëÇÑ Toxicity Á¤º¸ Low blood pressure and fainting, sudden blindness, severe constipation
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| Drug Interactions |
Ondansetron¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸] Ondansetron¿¡ ´ëÇÑ P450 table
SUBSTRATES
CYP 2D6
Beta Blockers:
S-metoprolol
propafenone
timolol
Antidepressants:
amitriptyline
clomipramine
desipramine
imipramine
paroxetine
Antipsychotics:
haloperidol
risperidone
thioridazine
aripiprazole
codeine
dextromethorphan
duloxetine
flecainide
mexiletine
**ondansetron**
tamoxifen
tramadol
venlafaxine
INHIBITORS
CYP 2D6
amiodarone
buproprion
chlorpheniramine
cimetidine
clomipramine
duloxetine
fluoxetine
haloperidol
methadone
mibefradil
paroxetine
quinidine
ritonavir
INDUCERS
CYP 2D6
N/A
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| Food Interaction |
Ondansetron¿¡ ´ëÇÑ Food Interaction Á¤º¸ Take without regard to meals.
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| Drug Target |
[Drug Target]
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| Description |
Ondansetron¿¡ ´ëÇÑ Description Á¤º¸ A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. [PubChem]
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| Drug Category |
Ondansetron¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-anxiety AgentsAntiemeticsAntipruriticsAntipsychotic AgentsAntipsychoticsSerotonin Antagonists
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| Smiles String Canonical |
Ondansetron¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CN1C2=CC=CC=C2C2=C1CCC(CN1C=CN=C1C)C2=O
|
| Smiles String Isomeric |
Ondansetron¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CN1C2=CC=CC=C2C2=C1CC[C@@H](CN1C=CN=C1C)C2=O
|
| InChI Identifier |
Ondansetron¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C18H19N3O/c1-12-19-9-10-21(12)11-13-7-8-16-17(18(13)22)14-5-3-4-6-15(14)20(16)2/h3-6,9-10,13H,7-8,11H2,1-2H3
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| Chemical IUPAC Name |
Ondansetron¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 9-methyl-3-[(2-methylimidazol-1-yl)methyl]-2,3-dihydro-1H-carbazol-4-one
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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
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ÀüÈ: 02-3486-1061 ¤Ó À̸ÞÀÏ: webmaster@druginfo.co.kr
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