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1. ³»ºÐºñ Àå¾Ö : ¿ø¹ß¼º ¹× ¼Ó¹ß¼º ºÎ½ÅÇÇÁú±â´ÉºÎÀüÁõ, ±Þ¼º ºÎ½ÅÇÇÁú±â´ÉºÎÀüÁõ, ºÎ½Å¼º±âÁõÈıº
2. ·ù¸¶Æ¼½º¼º Àå¾Ö
±Þ¼ºÁøÇà ¶Ç´Â ¾Çȸ¦ ¹æÁöÇϱâ À§ÇÑ ´Ü±â Åõ¿©¿ë º¸Á¶¿ä¹ýÀ¸·Î¼ ´ÙÀ½ÀÇ Áúȯ : ·ù¸¶Æ¼½º¾ç °üÀý¿°, ´Ù¹ß¼º °üÀý¿°, °ñ°üÀý¿°, ±Þ¼º Åëdz¼º °üÀý¿°, ±Þ¼º ¹× ¾Æ±Þ¼º Á¡¾×³¶¿°, »ó°ú¿°, ±Þ¼º ºñƯÀ̼º °ÇÃÊ¿°,
3. ±³¿ø¼º Áúȯ : Àü½Å¼º È«¹Ý¼º ·çǪ½º, ±Þ¼º ·ù¸¶Æ¼½º¼º ½É¿°, Àü½Å¼º ÇǺαٿ°(´Ù¹ß¼º ±Ù¿°), °øÇÇÁõ, ·ù¸¶Æ¼½º ¿
4. ÇǺΠÁúȯ : õÆ÷â, ÁßÁõ °Ç¼±, ½Å°æ¼º ÇǺο°, ¼ºÀÎÀÇ ºÎÁ¾¼º °æÈÁõ, ż±, ¹ÚÅ»¼º ÇǺο°
5. ¾Ë·¹¸£±â¼º Áúȯ : ±â°üÁö õ½Ä, Á¢Ã˼º ÇǺο°, ¾ÆÅäÇǼº ÇǺο°, Ç÷ûº´, °èÀý¼º ¶Ç´Â ´Ù³â¼º ¾Ë·¹¸£±â¼º ºñ¿°, ¾à¹°°ú¹Î¹ÝÀÀ, µÎµå·¯±â, °íÃÊ¿, ¾Æ³ªÇʶô½Ã¼º ¼ï
6. ¾È°ú Áúȯ : ȫä¿°, ȫä¸ð¾çä¿°, ¸Æ¶ô¸Á¸·¿°, °¢¸·¿°
7. À§Àå°ü Áúȯ : ±Ë¾ç¼º ´ëÀå¿°
8. Ç÷¾× Áúȯ : ÈÄõ¼º ¿ëÇ÷¼º ºóÇ÷, Ç÷¼ÒÆÇ °¨¼ÒÁõ
9. Á¾¾ç¼º Áúȯ : ¹éÇ÷º´(ÀϽÃÁ¶Ä¡)
10. ºÎÁ¾¼º Áúȯ : ½ÅÁõÈıº
11. ½Å°æ°è Áúȯ : È£ÁîŲº´(ÀϽÃÁ¶Ä¡)
12. ±âŸ : ÁßÁõ°¨¿°ÀÇ À§±Þ½Ã
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1) ÀÌ ¾à ¶Ç´Â ÀÌ ¾à ¼ººÐ¿¡ °ú¹ÎÁõ ¹× ±× º´·ÂÀÌ Àִ ȯÀÚ
2) »ý¹é½Å Åõ¿© ȯÀÚ
3) ´Ü¼øÆ÷Áø, ´ë»óÆ÷Áø, ¼öµÎ ȯÀÚ
4) À¯È¿ÇÑ Ç×±ÕÁ¦°¡ ¾ø´Â °¨¿°Áõ, Àü½Å Áø±Õ °¨¿°Áõ ȯÀÚ(¸é¿ª±â´É¾ïÁ¦ÀÛ¿ë¿¡ ÀÇÇØ °¨¿°ÁõÀ» ¾ÇȽÃų ¼ö ÀÖ´Ù)
5) ÀÌ ¾àÀº À¯´çÀ» ÇÔÀ¯Çϰí ÀÖÀ¸¹Ç·Î, °¥¶ôÅä¿À½º ºÒ³»¼º(galactose intolerance), Lapp À¯´çºÐÇØÈ¿¼Ò °áÇÌÁõ(Lapp lactase deficiency) ¶Ç´Â Æ÷µµ´ç-°¥¶ôÅä¿À½º Èí¼öÀå¾Ö(glucose-galactose malabsorption) µîÀÇ À¯ÀüÀûÀÎ ¹®Á¦°¡ Àִ ȯÀÚ¿¡°Ô´Â Åõ¿©ÇÏ¸é ¾È µÈ´Ù. |
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1) Åõ¿©ÇÏÁö ¾Ê´Â °ÍÀ» ¿øÄ¢À¸·Î ÇÏÁö¸¸ ´ÙÀ½ ȯÀÚ¿¡´Â ƯÈ÷ ÇÊ¿äÇÑ °æ¿ì¿¡ ÇÑÇÏ¿© ½ÅÁßÈ÷ Åõ¿©ÇÑ´Ù.
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2) °¨¿°Áõ ȯÀÚ(¸é¿ª±â´É ¾ïÁ¦ÀÛ¿ë¿¡ ÀÇÇØ Áõ»óÀÌ ¾Ç鵃 ¼ö ÀÖ´Ù)
3) ´ç´¢º´ ȯÀÚ(´ç½Å»ýÀÛ¿ë¿¡ ÀÇÇØ Ç÷´çÄ¡°¡ »ó½ÂÇÏ¿© ´ç´¢º´ÀÌ ¾Ç鵃 ¼ö ÀÖ´Ù)
4) °ñ´Ù°øÁõ ȯÀÚ(°ñÇü¼º ¾ïÁ¦ÀÛ¿ë µî¿¡ ÀÇÇØ °ñ´Ù°øÁõÀÌ ¾Ç鵃 ¼ö ÀÖ´Ù)
5) ½ÅºÎÀü, ¿ïÇ÷¼º ½ÉºÎÀü ȯÀÚ(¹è¼³ÀÌ Áö¿¬µÇ¾î ºÎÀÛ¿ëÀÌ ³ªÅ¸³ª±â ½±´Ù)
6) °©»ó¼± ±â´ÉÀúÇÏ È¯ÀÚ(ÄÚ¸£Æ¼ÄÚÀ̵åÀÇ Ç÷Áß ¹Ý°¨±â°¡ ¿¬ÀåµÇ¾ú´Ù´Â º¸°í°¡ ÀÖ´Ù)
7) °£°æº¯ ȯÀÚ(´ë»ç È¿¼Ò Ȱ¼ºÀÇ ÀúÇÏ µî¿¡ ÀÇÇØ ºÎÀÛ¿ëÀÌ ³ªÅ¸³ª±â ½±´Ù)
8) Áö¹æ°£ ȯÀÚ(ÁöÁú´ë»ç¿¡ ¿µÇâÀ» ÁÖ¾î Áõ»óÀÌ ¾Ç鵃 ¼ö ÀÖ´Ù)
9) Áö¹æ»öÀüÁõ ȯÀÚ(ÄÚ¸£Æ¼ÄÚÀÌµå °ú·®Åõ¿©¿¡ ÀÇÇØ Áö¹æ»öÀüÁõÀÌ ³ªÅ¸³µ´Ù´Â º¸°í°¡ ÀÖ´Ù)
10) ÁßÁõ ±Ù¹«·ÂÁõ ȯÀÚ(»ç¿ëÃʱ⿡ ÀϽÃÀûÀ¸·Î Áõ»óÀÌ ¾Ç鵃 ¼ö ÀÖ´Ù)
11) ³úÀüÁõ ȯÀÚ
12) °ñ´Ù°øÁõ, °íÇ÷¾Ð, ¿ïÇ÷¼º½ÉºÎÀü, ½É°¢ÇÑ °¨Á¤ÀÌ»ó, ´ç´¢º´, °áÇÙ, ³ì³»Àå, °£Àå¾Ö, ½ÉºÎÀü, ³úÀüÁõ, ¼Òȼº ±Ë¾çÀÇ º´·ÂÀÌ Àִ ȯÀÚ(º´ÀÌ ¾Ç鵃 ¼ö ÀÖ´Ù) |
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´ÙÀ½ Áõ»óÀÌ ³ªÅ¸³¯ ¼ö ÀÖÀ¸¹Ç·Î ÃæºÐÈ÷ °üÂûÇϰí, ÀÌ·¯ÇÑ Áõ»óÀÌ ³ªÅ¸³ª´Â °æ¿ì¿¡´Â ÀûÀýÇÑ Ã³Ä¡¸¦ ÇÑ´Ù.
1) °¨¿°Áõ : °¨¿°ÁõÀÇ À¯¹ß, °¨¿°ÁõÀÇ ¾ÇȰ¡ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
2) ³»ºÐºñ°è : ¼Ó¹ß¼º ºÎ½ÅÇÇÁú±â´ÉºÎÀü, ´ç´¢º´, ¿ù°æÀÌ»ó, ºÎ½ÅÇÇÁúÀÚ±ØÈ£¸£¸ó ºÐºñ ¾ïÁ¦, Äí½ÌÁõÈıº(¿ù»ó¾È), buffalo hump µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
3) ¼Òȱâ°è : ¼Òȼº ±Ë¾ç, À§Àå°ü ÃâÇ÷, ÃéÀå¿°, ¼³»ç, ±¸¿ª, ±¸Åä, À§Åë, °¡½¿¾²¸², º¹ºÎ ÆØ¸¸°¨, ±¸°¥, ½Ä¿åºÎÁø, ½Ä¿åÇ×Áø µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
4) Á¤½Å¤ý½Å°æ°è : Á¤½ÅÀå¾Ö, ¿ì¿ïÁõ, ´ÙÇà°¨, ºÒ¸é, µÎÅë, ¾îÁö·¯¿ò, °æ·Ã µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
5) ±Ù¤ý°ñ°Ý°è : °ñ´Ù°øÁõ, ´ëÅð°ñ ¹× »ó¿Ï°ñ ¸»´ÜÀÇ ¹«±Õ¼º ±«»ç, ±Ùº´Áõ, ±ÙÀ°Åë, °üÀýÅë, ±ÙÀ°½ÇÁúÀÇ ¼Õ½Ç, ±ÙÀ°¾àÈ, ôÃ߾йڰñÀý, °ÇÆÄ¿ µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
6) ÁöÁú¤ý´Ü¹éÁú ´ë»ç : À½¼ºÁú¼ÒÆòÇü, Áö¹æ°£ µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
7) ü¾×¤ýÀüÇØÁú : ºÎÁ¾, °íÇ÷¾Ð, Ç÷¾Ð»ó½Â, ÀúÄ®·ý¼º ¾ËÄ®¸®Ç÷Áõ, ³ªÆ®·ýÀú·ù, ü¾×Àú·ù, Á¾¾ç¿ëÇØÁõÈıº µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
8) ´« : ȫä¿°, ¼öÁ¤Ã¼ ȥŹ, °¢¸·¿°, ½Ã½Å°æ¿° µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ°í, ¿¬¿ë¿¡ ÀÇÇØ ¾È¾ÐÇ×Áø, ³ì³»Àå, Èij¶ÇÏ ¹é³»Àå, °õÆÎÀ̳ª ¹ÙÀÌ·¯½º¿¡ ÀÇÇÑ ´«ÀÇ 2Â÷ °¨¿°À» ÃÊ·¡ÇÒ ¼ö ÀÖÀ¸¹Ç·Î Á¤±âÀûÀ¸·Î °Ë»ç¸¦ ÇÏ´Â °ÍÀÌ ¹Ù¶÷Á÷ÇÏ´Ù. Á߽ɼº Àå¾×¼º ¸Æ¶ô¸Á¸·Áõ µî¿¡ ÀÇÇØ ¸Á¸·Àå¾Ö, ¾È±¸µ¹Ãâ µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù. ºóµµºÒ¸íÀÇ ½Ã¾ßÈ帲ÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
9) Ç÷¾× : ¹éÇ÷±¸ Áõ°¡, Ç÷ÀüÁõ µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
10) ÇǺΠ: ¿©µå¸§, ´Ù¸ð, Å»¸ð, »ö¼Ò Ä§Âø, ÇÇÇÏÃâÇ÷, ÀÚ¹Ý, ¼±Á¶, °¡·Á¿ò, ¹ßÇÑ ÀÌ»ó, ¾È¸é È«¹Ý, â»óÄ¡À¯Áö¿¬, ¾ã°í ¿¬¾àÇÑ ÇǺÎ, Áö¹æÁ¶Á÷¿°, µÎµå·¯±â, ¸Æ°ü ½Å°æ¼º ºÎÁ¾, ¾Ë·¹¸£±â¼º ÇǺο° µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
11) °ú¹ÎÁõ : ¹ßÁø, ¾Æ³ªÇʶô½Ã¿Í °°Àº ¹ÝÀÀÀÌ ³ªÅ¸³ª´Â °æ¿ì¿¡´Â Åõ¿©¸¦ ÁßÁöÇÑ´Ù.
12) ±âŸ : ¹ß¿, ÇǷΰ¨, ½ºÅ×·ÎÀ̵强 ½ÅÁõ, üÁßÁõ°¡, Á¤ÀÚ¼ö ¶Ç´Â ±× ¿îµ¿¼ºÀÇ Áõ°¨, µþ²ÚÁú, ±ÇÅ µîÀÌ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.
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2) ºñ½ºÅ×·ÎÀ̵强 ¼Ò¿°Á¦¿Í º´¿ëÅõ¿©½Ã À§Àå°ü ±Ë¾çÀÇ À§ÇèÀ» Áõ°¡½Ãų ¼ö ÀÖÀ¸¸ç, ¾Æ½ºÇǸ°°ú º´¿ëÅõ¿©½Ã ¾Æ½ºÇǸ°ÀÇ ½Åû¼ÒÀ²À» Áõ°¡½ÃÄÑ »ì¸®½Ç»ê¿°ÀÇ Ç÷Áß ³óµµ¸¦ °¨¼Ò½ÃŰ°Å³ª ÀÌ ¾àÀ» Áß´ÜÇßÀ» ¶§ »ì¸®½Ç»ê¿°ÀÇ µ¶¼ºÀ» Áõ°¡½Ãų ¼ö ÀÖÀ¸¹Ç·Î ¿ë·®¿¡ ÁÖÀÇÇÑ´Ù. ƯÈ÷ ÀúÇÁ·ÎÆ®·ÒºóÇ÷Áõ ȯÀÚ¿¡¼ ÀÌ ¾à°ú ¾Æ½ºÇǸ°À» º´¿ëÅõ¿©½Ã ÁÖÀÇÇÑ´Ù.
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4) Ç÷¾Ð°ÇÏÁ¦¿Í º´¿ëÅõ¿©½Ã Ç÷¾Ð°ÇÏÈ¿°ú¸¦ °¨¼Ò½Ãų ¼ö ÀÖ´Ù(³ªÆ®·ý Áõ°¡·Î ¼öºÐÁ¤Ã¼ À§ÇèÀÌ ÀÖ´Ù).
5) »çÀÌŬ·Î½ºÆ÷¸°°ú º´¿ëÅõ¿©½Ã »çÀÌŬ·Î½ºÆ÷¸°ÀÇ Ç÷Á߳󵵸¦ »ó½Â½ÃÄÑ °æ·ÃÀÌ ¹ß»ýÇß´Ù´Â º¸°í°¡ ÀÖÀ¸¹Ç·Î º´¿ëÅõ¿©½Ã ¿ë·®¿¡ ÁÖÀÇÇÑ´Ù.
6) ÀÌ´¢Á¦(Ä®·ýº¸Á¸¼º ÀÌ´¢Á¦´Â Á¦¿Ü), ¾ÏÆ÷Å׸®½Å B, Ä«¸£º£³ëÁ¹·Ð, ¿ÏÈÁ¦¿Í º´¿ë¿¡ ÀÇÇØ ÀúÄ®·ýÇ÷ÁõÀÌ ³ªÅ¸³¯ ¼ö ÀÖÀ¸¹Ç·Î, ÀÚÁÖ Ç÷Áß Ä®·ý³óµµ¸¦ °Ë»çÇÏ°í º´¿ëÅõ¿©½Ã ¿ë·®¿¡ ÁÖÀÇÇÑ´Ù.
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8) µð±âÅ»¸®½º ¹è´çü¿Í º´¿ëÅõ¿©½Ã ºÎÁ¤¸Æ, ÀúÄ®·ýÇ÷Áõ°ú °ü·ÃµÈ µ¶¼ºÀÌ Áõ°¡ÇÒ ¼ö ÀÖÀ¸¹Ç·Î Ç÷Áß Ä®·ý³óµµ¸¦ °Ë»çÇÏ°í °æ¿ì¿¡ µû¶ó¼´Â ½ÉÀüµµ °Ë»ç¸¦ ½Ç½ÃÇÑ´Ù.
9) Ç×Äݸ°Á¦´Â ¾È±¸³»¾ÐÀ» »ó½Â½Ãų ¼ö ÀÖÀ¸¹Ç·Î º´¿ëÅõ¿©½Ã ÁÖÀÇÇÑ´Ù.
10) HIVÇÁ·ÎÅ×¾ÆÁ¦ ÀúÇØÁ¦(¸®Å䳪ºô, »çŰ³ªºô µî)¿Í º´¿ë¿¡ ÀÇÇØ ÀÌ ¾àÀÇ Ç÷Áß³óµµ°¡ »ó½Â(¸®Å䳪ºô) ¶Ç´Â ÀúÇÏ(»çŰ³ªºô)µÉ ¼ö ÀÖ´Ù.
11) ´ÙÇü¼º ½É½Çºó¸ÆÀ» ÀÏÀ¸Å³ ¼ö ÀÖ´Â ¾à¹°(¾Æ½ºÅ×¹ÌÁ¹, º£ÇÁ¸®µô, ¿¡¸®½º·Î¸¶À̽ŠIV, ÇÒ·ÎÆÇÆ®¸°, ÆæÅ¸¹Ìµò, ½ºÆÄ¸£Ç÷ϻç½Å, ºóÄ«¹Î, ¼³ÅäÇÁ¸®µå)°ú º´¿ëÅõ¿©ÇÏÁö ¾Ê´Â´Ù.
12) ´ÙÇü¼º ½É½Ç ºó¸ÆÀ» ÀÏÀ¸Å³ ¼ö ÀÖ´Â Ç׺ÎÁ¤¸ÆÁ¦(¾Æ¹Ì¿À´Ù·Ð, µð¼ÒÇǶó¹Ìµå, Äû´Ïµò, ¼ÒÅ»¿Ã)¿ÍÀÇ º´¿ë¿¡ ÀÇÇØ ¼¸Æ, QT °£°Ý ¿¬Àå, ÀúÄ®·ýÇ÷Áõ µîÀÌ ³ªÅ¸³ª ºÎÁ¤¸ÆÀ» ÀÏÀ¸Å³ ¼ö ÀÖÀ¸¹Ç·Î ½ÅÁßÈ÷ Åõ¿©ÇÏ°í ½É½Ç ºó¸ÆÀÌ ³ªÅ¸³ª¸é Ç׺ÎÁ¤¸ÆÁ¦ Åõ¿©¸¦ ÁßÁöÇÑ´Ù.
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18) CYP3A4 ±âÁú: µ¦»ç¸ÞŸ¼ÕÀº CYP3A4ÀÇ Áߵ À¯µµÁ¦ÀÌ´Ù. CYP3A4¿¡ ÀÇÇØ ´ë»çµÇ´Â ´Ù¸¥ ¾à¹°(¿¡¸®½º·Î¸¶À̽Å)°ú º´¿ëÇÏ¸é ±× ¾à¹°ÀÇ Ã»¼ÒÀ²ÀÌ Áõ°¡ÇÏ¿© Ç÷Àå Áß ³óµµ°¡ °¨¼ÒµÉ ¼ö ÀÖ´Ù. |
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Dexamethasone¿¡ ´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 |
Dexamethasone¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Dexamethasone is a glucocorticoid agonist. Unbound dexamethasone crosses cell membranes and binds with high affinity to specific cytoplasmic receptors. This results in a modification of transcription and, hence, protein synthesis in order to achieve inhibition of leukocyte infiltration at the site of inflammation, interference in the function of mediators of inflammatory response, suppression of humoral immune responses, and reduction in edema or scar tissue. The antiinflammatory actions of dexamethasone are thought to involve phospholipase A2 inhibitory proteins, lipocortins, which control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes.
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| Pharmacology |
Dexamethasone¿¡ ´ëÇÑ Pharmacology Á¤º¸ Dexamethasone and its derivatives, dexamethasone sodium phosphate and dexamethasone acetate, are synthetic glucocorticoids. Used for its antiinflammatory or immunosuppressive properties and ability to penetrate the CNS, dexamethasone is used alone to manage cerebral edema and with tobramycin to treat corticosteroid-responsive inflammatory ocular conditions.
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| Metabolism |
Dexamethasone¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 3A4 (CYP3A4)
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| Protein Binding |
Dexamethasone¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 70%
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| Half-life |
Dexamethasone¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 36-54 hours
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| Absorption |
Dexamethasone¿¡ ´ëÇÑ Absorption Á¤º¸ 80-90%
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| Pharmacokinetics |
DexamethasoneÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
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| Biotransformation |
Dexamethasone¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic.
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| Toxicity |
Dexamethasone¿¡ ´ëÇÑ Toxicity Á¤º¸ Oral, rat LD50: >3 gm/kg. Signs of overdose include retinal toxicity, glaucoma, subcapsular cataract, gastrointestinal bleeding, pancreatitis, aseptic bone necrosis, osteoporosis, myopathies, obesity, edemas, hypertension, proteinuria, diabetes, sleep disturbances, psychiatric syndromes, delayed wound healing, atrophy and fragility of the skin, ecchymosis, and pseudotumor cerebri.
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| Drug Interactions |
Dexamethasone¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Ambenonium The corticosteroid decreases the effect of anticholinesterasesAminoglutethimide Aminogluthetimide decreases the effect of dexamethasoneAmobarbital The barbiturate decreases the effect of the corticosteroidAnisindione The corticosteroid alters the anticoagulant effectAprepitant Aprepitant increases the effect and toxicity of dexamethasoneAprobarbital The barbiturate decreases the effect of the corticosteroidAspirin The corticosteroid decreases the effect of salicylatesButabarbital The barbiturate decreases the effect of the corticosteroidButalbital The barbiturate decreases the effect of the corticosteroidButethal The barbiturate decreases the effect of the corticosteroidDicumarol The corticosteroid alters the anticoagulant effectDihydroquinidine barbiturate The barbiturate decreases the effect of the corticosteroidEdrophonium The corticosteroid decreases the effect of anticholinesterasesEthotoin The enzyme inducer decreases the effect of the corticosteroidFosphenytoin The enzyme inducer decreases the effect of the corticosteroidHeptabarbital The barbiturate decreases the effect of the corticosteroidHexobarbital The barbiturate decreases the effect of the corticosteroidImatinib Decreases levels of imatinibMephenytoin The enzyme inducer decreases the effect of the corticosteroidMethohexital The barbiturate decreases the effect of the corticosteroidMethylphenobarbital The barbiturate decreases the effect of the corticosteroidMidodrine Increased arterial pressureNeostigmine The corticosteroid decreases the effect of anticholinesterasesPentobarbital The barbiturate decreases the effect of the corticosteroidPhenobarbital The barbiturate decreases the effect of the corticosteroidPhenytoin The enzyme inducer decreases the effect of the corticosteroidPrimidone The barbiturate decreases the effect of the corticosteroidPyridostigmine The corticosteroid decreases the effect of anticholinesterasesQuinidine barbiturate The barbiturate decreases the effect of the corticosteroidRifampin The enzyme inducer decreases the effect of the corticosteroidSecobarbital The barbiturate decreases the effect of the corticosteroidSunitinib Possible decrease in sunitinib levelsTalbutal The barbiturate decreases the effect of the corticosteroidWarfarin The corticosteroid alters the anticoagulant effectBismuth The corticosteroid decreases the effect of salicylatesAcenocoumarol The corticosteroid alters the anticoagulant effectSalicylate-magnesium The corticosteroid decreases the effect of salicylatesSalsalate The corticosteroid decreases the effect of salicylates
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸]
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| Food Interaction |
Dexamethasone¿¡ ´ëÇÑ Food Interaction Á¤º¸ Avoid alcohol.Take with food to reduce irritation.Avoid taking with grapefruit juice.
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| Drug Target |
[Drug Target]
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| Description |
Dexamethasone¿¡ ´ëÇÑ Description Á¤º¸ An anti-inflammatory 9-fluoro-glucocorticoid. [PubChem]
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| Drug Category |
Dexamethasone¿¡ ´ëÇÑ Drug_Category Á¤º¸ Adrenergic AgentsAnti-inflammatory AgentsAntiemeticsAntineoplastic Agents, HormonalGlucocorticoids
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| Smiles String Canonical |
Dexamethasone¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CC1CC2C3CCC4=CC(=O)C=CC4(C)C3(F)C(O)CC2(C)C1(O)C(=O)CO
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| Smiles String Isomeric |
Dexamethasone¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ C[C@@H]1C[C@H]2[C@@H]3CCC4=CC(=O)C=C[C@]4(C)[C@@]3(F)[C@@H](O)C[C@]2(C)[C@@]1(O)C(=O)CO
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| InChI Identifier |
Dexamethasone¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C22H29FO5/c1-12-8-16-15-5-4-13-9-14(25)6-7-19(13,2)21(15,23)17(26)10-20(16,3)22(12,28)18(27)11-24/h6-7,9,12,15-17,24,26,28H,4-5,8,10-11H2,1-3H3/t12-,15+,16+,17+,19+,20+,21+,22+/m1/s1
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| Chemical IUPAC Name |
Dexamethasone¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ (8S,9R,10S,11S,13S,14S,16R,17R)-9-fluoro-11,17-dihydroxy-17-(2-hydroxyacetyl)-10,13,16-trimethyl-6,7,8,11,12,14,15,16-octahydrocyclopenta[a]phenanthren-3-one
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| Drug-Induced Toxicity Related Proteins |
DEXAMETHASONE ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Brain-cadherin (BR-cadherin) Drug:dexamethasone Toxicity:osteoblast differentiation. [¹Ù·Î°¡±â] Replated Protein:Glucocorticoid-induced leucine zipper (GILZ) Drug:dexamethasone Toxicity:apoptosis. [¹Ù·Î°¡±â] Replated Protein:Signal transducer and activator of transcription 3 Drug:dexamethasone Toxicity:apoptosis. [¹Ù·Î°¡±â] Replated Protein:Heme oxygenase 1 Drug:dexamethasone Toxicity:oxidative injury. [¹Ù·Î°¡±â] Replated Protein:Alkaline phosphatase Drug:dexamethasone Toxicity:osteoblast differentiation. [¹Ù·Î°¡±â] Replated Protein:Interleukin-6 Drug:dexamethasone Toxicity:apoptosis. [¹Ù·Î°¡±â] Replated Protein:Ornithine decarboxylase Drug:dexamethasone Toxicity:pathogenesis of peptic ulcers. [¹Ù·Î°¡±â] Replated Protein:Aromatic-L-amino-acid decarboxylase Drug:dexamethasone Toxicity:pathogenesis of peptic ulcers. [¹Ù·Î°¡±â] Replated Protein:Interleukin-4 Drug:dexamethasone Toxicity:dexamethasone-induced differentiation of mouse myeloid leukemia cells. [¹Ù·Î°¡±â] Replated Protein:Gastrin Drug:dexamethasone Toxicity:pathogenesis of peptic ulcers. [¹Ù·Î°¡±â] Replated Protein:Interleukin-4 Drug:dexamethasone Toxicity:dexamethasone-induced differentiation of mouse myeloid leukemia cells. [¹Ù·Î°¡±â] Replated Protein:Cadherin-11 Drug:dexamethasone Toxicity:osteoblast differentiation. [¹Ù·Î°¡±â] Replated Protein:Haptoglobin Drug:dexamethasone Toxicity:hepatic lipidosis(fatty liver). [¹Ù·Î°¡±â] Replated Protein:Interferon alpha-7 Drug:dexamethasone Toxicity:apoptosis. [¹Ù·Î°¡±â] Replated Protein:C-jun-amino-terminal kinase-interacting protein Drug:dexamethasone Toxicity:apoptosis of multiple myeloma cells. [¹Ù·Î°¡±â] Replated Protein:Mitogen-activated protein kinase Drug:dexamethasone Toxicity:Dex-induced apoptosis. [¹Ù·Î°¡±â] Replated Protein:Cadherin-4 Drug:dexamethasone Toxicity:osteoblast differentiation. [¹Ù·Î°¡±â] Replated Protein:Glucose transporter 4 Drug:dexamethasone Toxicity:cushing's syndrome. [¹Ù·Î°¡±â] Replated Protein:Nuclear factor NF-kappa-B Drug:dexamethasone Toxicity:pulmonary inflammation. [¹Ù·Î°¡±â] Replated Protein:Signal transducer and activator of transcription 3 Drug:dexamethasone Toxicity:oxidative injury such as endotoxins and heme. [¹Ù·Î°¡±â] Replated Protein:Thrombomodulin Drug:dexamethasone Toxicity:deep venous thrombosis (DVT). [¹Ù·Î°¡±â] Replated Protein:Islet amyloid polypeptide Drug:dexamethasone Toxicity:marked stimulatory effect. [¹Ù·Î°¡±â]
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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.
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The database contains the following fields: The generic name of each chemical For module A10 (liver enzyme composite module): Overall activity category for each compound (A for active, M for marginally active, or I for inactive) based on the number of active and marginally active scores for each compound at the five individual endpoints (see research article for full description of method) Number of endpoints at which each compound is marginally active (M) Number of endpoints at which each compound is active (A) For modules A11 to A15 (alkaline phosphatase increased, SGOT increased, SGPT increased, LDH increased, and GGT increased, respectively): Overall activity category for each compound (A for active, M for marginally active, or I for inactive) based on the RI and ADR values (see the research article for full description of method) Number of ADR reports for each compound, given as <4 or ¡Ã4 Reporting Index value for each compound, except where no shipping units were available (NSU) Group 1 comprises of compounds for which ADR data were available for the first five years of marketing, so when no ADR reports were listed during this period the compounds were evaluated as inactive. Group 2 comprises of compounds for which a 'steady state' period of ADR data were available (1992-1996). In cases where no ADR reports were filed during this period, the compounds were scored as 'NA' (data not available) since they may have had one or more ADR reports during their first five years of marketing which should not be negated by a lack of ADR reports during the steady-state period. DEXAMETHASONE[GGT Increase][Composite Activity](Score) NA(Marginal) 0(Active) 0[Alkaline Phosphatase Increase](Activity Score) NA(Number of Rpts) NA(Index value) NA[SGOT Increase](Activity Score) NA(Number of Rpts) NA(Index value) NA[SGPT Increase](Activity Score) NA(Number of Rpts) NA(Index value) NA[LDH Increase](Activity Score) NA(Number of Rpts) NA(Index value) NA[GGT Increase](Activity Score) NA(Number of Rpts) NA(Index value) NA
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