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15) ¹ÌÆäÇÁ¸®½ºÅæ : ºñ½ºÅ×·ÎÀ̵强 ¼Ò¿°ÁøÅëÁ¦´Â ¹ÌÆäÇÁ¸®½ºÅæÀÇ È¿°ú¸¦ °¨¼Ò½Ã۱⠶§¹®¿¡ ¹ÌÆäÇÁ¸®½ºÅæ º¹¿ë ÈÄ 8¢¦12ÀÏ µ¿¾È Åõ¿©Çؼ´Â ¾ÈµÈ´Ù.
16) ÄÚ¸£Æ¼ÄÚ½ºÅ×·ÎÀ̵å : ÀÌ ¾à°ú º´¿ë ½Ã À§Àå°ü ±Ë¾ç ¶Ç´Â ÃâÇ÷ÀÇ À§ÇèÀÌ Áõ°¡ÇÒ ¼ö ÀÖ´Ù.
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20) ÀÌ ¾à°ú Æä¸ÞÆ®·º½Ãµå¸¦ º´¿ëÅõ¿©ÇÒ ¶§ °ñ¼ö ¾ïÁ¦, ½ÅÀå ¹× À§Àå°ü µ¶¼ºÀÇ À§ÇèÀÌ Áõ°¡ÇÒ ¼ö ÀÖ´Ù. Å©·¹¾ÆÆ¼´Ñ û¼ÒÀ² 45 - 79 mL/minÀÎ ½ÅÀå¾Ö ȯÀÚ¿¡ ÀÌ ¾à°ú Æä¸ÞÆ®·º½Ãµå¸¦ º´¿ëÅõ¿©ÇÏ´Â µ¿¾È °ñ¼ö ¾ïÁ¦, ½ÅÀå ¹× À§Àå°ü µ¶¼ºÀ» °üÂûÇØ¾ß ÇÑ´Ù. ¼Ò½Ç ¹Ý°¨±â°¡ ªÀº ºñ½ºÅ×·ÎÀ̵强 ¼Ò¿°ÁøÅëÁ¦(¿¹, µðŬ·ÎÆä³«, Àεµ¸ÞŸ½Å)´Â Æä¸ÞÆ®·º½Ãµå Åõ¿© Àü 2ÀÏ, ´çÀÏ, Åõ¿© ÈÄ 2ÀϱîÁöÀÇ ±â°£ µ¿¾È Åõ¿©¸¦ ÀϽÃÀûÀ¸·Î Áß´ÜÇÏ´Â °ÍÀÌ ±ÇÀåµÈ´Ù. Æä¸ÞÆ®·º½Ãµå¿Í ¹Ý°¨±â°¡ ´õ ±ä ºñ½ºÅ×·ÎÀ̵强 ¼Ò¿°ÁøÅëÁ¦(¿¹, ¸á·Ï½Ãį, ³ªºÎ¸ÞÅæ) °£ÀÇ ÀáÀçÀû »óÈ£ÀÛ¿ë¿¡ °üÇÑ ÀÚ·á°¡ ¾ø´Â °æ¿ì, ÀÌ ¾àÀ» º¹¿ëÇϴ ȯÀÚ´Â Æä¸ÞÆ®·º½Ãµå Åõ¿© Àü ÃÖ¼Ò 5ÀÏ, ´çÀÏ, Åõ¿© ÈÄ 2ÀϱîÁöÀÇ ±â°£ µ¿¾È Åõ¿©¸¦ ÀϽÃÀûÀ¸·Î Áß´ÜÇÏ´Â °ÍÀÌ ±ÇÀåµÈ´Ù. |
| Off-label Usage |
[Á¶È¸]
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Potassium¿¡ ´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 |
Diclofenac¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ The antiinflammatory effects of diclofenac are believed to be due to inhibition of both leukocyte migration and the enzyme cylooxygenase (COX-1 and COX-2), leading to the peripheral inhibition of prostaglandin synthesis. As prostaglandins sensitize pain receptors, inhibition of their synthesis is responsible for the analgesic effects of ketoprofen. Antipyretic effects may be due to action on the hypothalamus, resulting in peripheral dilation, increased cutaneous blood flow, and subsequent heat dissipation.
potassium¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Potassium is the major cation (positive ion) inside animal cells, while sodium is the major cation outside animal cells. The concentration differences of these charged particles causes a difference in electric potential between the inside and outside of cells, known as the membrane potential. The balance between potassium and sodium is maintained by ion pumps in the cell membrane. The cell membrane potential created by potassium and sodium ions allows the cell generate an action potential?”a "spike" of electrical discharge. The ability of cells to produce electrical discharge is critical for body functions such as neurotransmission, muscle contraction, and heart function. Potassium is also an essential mineral needed to regulate water balance, blood pressure and levels of acidity.
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| Pharmacology |
Diclofenac¿¡ ´ëÇÑ Pharmacology Á¤º¸ Diclofenac is an acetic acid nonsteroidal antiinflammatory drug (NSAID) with analgesic and antipyretic properties. Diclofenac is used to treat pain, dysmenorrhea, ocular inflammation, osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, and actinic keratosis
potassium¿¡ ´ëÇÑ Pharmacology Á¤º¸ Not Available
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| Metabolism |
Diclofenac¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 2C9 (CYP2C9)Cytochrome P450 2C19 (CYP2C19)Cytochrome P450 1A2 (CYP1A2)Cytochrome P450 2C8 (CYP2C8)Cytochrome P450 2D6 (CYP2D6)Glucuronosyltransferase
potassium¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 11B2 (CYP11B2)
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| Protein Binding |
Diclofenac¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ More than 99%
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| Half-life |
Diclofenac¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 2 hours
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| Absorption |
Diclofenac¿¡ ´ëÇÑ Absorption Á¤º¸ Completely absorbed from the gastrointestinal tract.
potassium¿¡ ´ëÇÑ Absorption Á¤º¸ Not Available
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| Pharmacokinetics |
Diclofenac potassiumÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- ´Ü¹é°áÇÕ : 99%
- ´ë»ç : °£¿¡¼ ºñȰ¼ºÇü ´ë»çü·Î ´ë»çµÊ
- ¹Ý°¨±â : 2½Ã°£
- Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ : 1-2 ½Ã°£ À̳»
- ¼Ò½Ç : ÁÖ·Î ½Å¹è¼³
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| Biotransformation |
Diclofenac¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic
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| Toxicity |
Diclofenac¿¡ ´ëÇÑ Toxicity Á¤º¸ Symptoms of overdose include loss of consciousness, increased intracranial pressure, and aspiration pneumonitis. LD50=390mg/kg (orally in mice)
potassium¿¡ ´ëÇÑ Toxicity Á¤º¸ Not Available
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| Drug Interactions |
Diclofenac¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Alendronate Increased risk of gastric toxicityAnisindione The NSAID increases the anticoagulant effectCyclosporine Monitor for nephrotoxicityDicumarol The NSAID increases the anticoagulant effectWarfarin The NSAID increases the anticoagulant effectRifampin Decreased levels/effect of the NSAID
potassium¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Amiloride Increased risk of hyperkaliemiaBenazepril Increased risk of hyperkaliemiaCandesartan Increased risk of hyperkaliemiaCaptopril Increased risk of hyperkaliemiaCilazapril Increased risk of hyperkaliemiaDrospirenone Increased risk of hyperkaliemiaEnalapril Increased risk of hyperkaliemiaEplerenone This association presents an increased risk of hyperkaliemiaEprosartan Increased risk of hyperkaliemiaForasartan Increased risk of hyperkaliemiaFosinopril Increased risk of hyperkaliemiaIrbesartan Increased risk of hyperkaliemiaLisinopril Increased risk of hyperkaliemiaLosartan Increased risk of hyperkaliemiaMoexipril Increased risk of hyperkaliemiaPerindopril Increased risk of hyperkaliemiaPolystyrene sulfonate Antagonism of actionQuinapril Increased risk of hyperkaliemiaRamipril Increased risk of hyperkaliemiaSaprisartan Increased risk of hyperkaliemiaSpirapril Increased risk of hyperkaliemiaSpironolactone Increased risk of hyperkaliemiaTasosartan Increased risk of hyperkaliemiaTelmisartan Increased risk of hyperkaliemiaTrandolapril Increased risk of hyperkaliemiaTriamterene Increased risk of hyperkaliemiaValsartan Increased risk of hyperkaliemia
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸] Diclofenac¿¡ ´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 |
Diclofenac¿¡ ´ëÇÑ Food Interaction Á¤º¸ Take with food to reduce irritation.Avoid alcohol.
potassium¿¡ ´ëÇÑ Food Interaction Á¤º¸ Not Available
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| Drug Target |
[Drug Target]
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| Description |
Diclofenac¿¡ ´ëÇÑ Description Á¤º¸ A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt. [PubChem]
potassium¿¡ ´ëÇÑ Description Á¤º¸ Potassium is the major cation (positive ion) inside animal cells, while sodium is the major cation outside animal cells. The concentration differences of these charged particles causes a difference in electric potential between the inside and outside of cells, known as the membrane potential. The balance between potassium and sodium is maintained by ion pumps in the cell membrane. The cell membrane potential created by potassium and sodium ions allows the cell generate an action potential?”a "spike" of electrical discharge. The ability of cells to produce electrical discharge is critical for body functions such as neurotransmission, muscle contraction, and heart function. Potassium is also an essential mineral needed to regulate water balance, blood pressure and levels of acidity.
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| Dosage Form |
Diclofenac¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Solution OphthalmicSolution TopicalSuppository RectalTablet OralTablet, coated OralTablet, extended release Oral
potassium¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Aerosol OralCapsule OralCapsule, extended release OralElixir OralLiquid IntravenousLiquid OralLiquid SublingualPowder OralPowder, for solution OralSolution IntravenousSolution OralSolution / drops OralTablet OralTablet, extended release Oral
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| Drug Category |
Diclofenac¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-Inflammatory Agents, Non-SteroidalCyclooxygenase InhibitorsNonsteroidal Antiinflammatory Agents (NSAIDs)
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| Smiles String Canonical |
Diclofenac¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ OC(=O)CC1=CC=CC=C1NC1=C(Cl)C=CC=C1Cl
potassium¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ Not Available
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| Smiles String Isomeric |
Diclofenac¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ OC(=O)CC1=CC=CC=C1NC1=C(Cl)C=CC=C1Cl
potassium¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ Not Available
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| InChI Identifier |
Diclofenac¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C14H11Cl2NO2/c15-10-5-3-6-11(16)14(10)17-12-7-2-1-4-9(12)8-13(18)19/h1-7,17H,8H2,(H,18,19)/f/h18H
potassium¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ Not Available
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| Chemical IUPAC Name |
Diclofenac¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 2-[2-[(2,6-dichlorophenyl)amino]phenyl]acetic acid
potassium¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ Not Available
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| Drug-Induced Toxicity Related Proteins |
DICLOFENAC ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:CYP3A4 Drug:Diclofenac Toxicity:idiosyncratic hepatotoxicity. [¹Ù·Î°¡±â] Replated Protein:CYP2C9 Drug:Diclofenac Toxicity:idiosyncratic hepatotoxicity. [¹Ù·Î°¡±â]
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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. DICLOFENAC[GGT Increase][Composite Activity](Score) A(Marginal) 1(Active) 3[Alkaline Phosphatase Increase](Activity Score) A(Number of Rpts) ¡Ã4(Index value) 9.2[SGOT Increase](Activity Score) A(Number of Rpts) ¡Ã4(Index value) 11.4[SGPT Increase](Activity Score) A(Number of Rpts) ¡Ã4(Index value) 11.1[LDH Increase](Activity Score) I(Number of Rpts) ¡Ã4(Index value) 2[GGT Increase](Activity Score) M(Number of Rpts) ¡Ã4(Index value) 3.8
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