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                    Åõ½º³ª½Ã·´  TUSNA SYR[Apricot kernel 30% Ethanol extract , Dexchlorpheniramine Maleate , Dipyline , Dl-methylephedrine hydrochloride , Glycy  
                    
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      ±âħ, °¡·¡, õ½Ä 
[Drugbank ÀÇ ¼ººÐÁ¤º¸¿¶÷] [Chlorpheniramine][Ethanol][Guaifenesin]
      
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      ÁøÇذŴãÁ¦ & ±âħ°¨±â¾à (Cough & Cold remedies)
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    Cough suppressants and expectorants  / R05FB02
     
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    222  (ÁøÇذŴãÁ¦                                                      )
      
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	          ÀüüÀӽŠ±â°£º°·Î ¿©·¯µî±ÞÀÌ Á¸ÀçÇÒ ¼ö ÀÖÀ¸¸ç °¡Àå À§Çèµµ°¡ ³ôÀº Á¤º¸¸¸ º¸¿©Áý´Ï´Ù. ´Ü, º¹ÇÕÁ¦ÀÇ °æ¿ì ¸ðµç º¹ÇÕÁ¦¼ººÐ¿¡ ´ëÇÑ ÀÓºÎÅõ¿©µî±ÞÀÌ Ç¥½ÃµÈ°ÍÀº Àý´ë ¾Æ´Ï¸ç Ç¥½ÃµÈ°ÍÁß¿¡ °¡Àå À§Çèµµ°¡ ³ôÀº Á¤º¸¸¸ ³ªÅ¸³³´Ï´Ù. 
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	      FDA : Cµî±Þ 
				        
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	    ±ÍÇϰ¡ º¹¾àÀ̹ÌÁö Á¤º¸¸¦ ½Å·ÚÇÔÀº ÀüÀûÀ¸·Î ±ÍÇÏÀÇ Ã¥ÀÓÀÔ´Ï´Ù. µå·°ÀÎÆ÷´Â ÀÌ¿¡ ´ëÇÑ ¾î¶°ÇÑ º¸Áõµµ ÇÏÁö ¾Ê½À´Ï´Ù. | 
	   
	   
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    | º¸°ü»ó ÁÖÀÇ | 
    
      
    	
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    | DUR (ÀǾàǰ»ç¿ëÆò°¡) | 
    º´¿ë±Ý±â :
     
	 °í½ÃµÈ º´¿ë±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
	 
	  [»óÈ£ÀÛ¿ë/º´¿ë±Ý±â°Ë»ö]										
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    | µ¶¼ºÁ¤º¸ | 
    Chlorpheniramine¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â 
Ephedrine¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â 
Ethanol¿¡ ´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 | 
    
       Ethanol¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ The sedative effects of ethanol are mediated through binding to GABA receptors and glycine receptors (alpha 1 and alpha 2 subunits). In its role as an anti-infective, ethanol acts as an osmolyte or dehydrating agent that disrupts the osmotic balance across cell membranes.
  Guaifenesin¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Guaifenesin may act as an irritant to gastric vagal receptors, and recruit efferent parasympathetic reflexes that cause glandular exocytosis of a less viscous mucus mixture. Cough may be provoked. This combination may flush tenacious, congealed mucopurulent material from obstructed small airways and lead to a temporary improvement in dyspnea or the work of breathing. 
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    | Pharmacology | 
     
       Ethanol¿¡ ´ëÇÑ Pharmacology Á¤º¸ Alcohol produces injury to cells by dehydration and precipitation of the cytoplasm or protoplasm. This accounts for its bacteriocidal and antifungal action. When alcohol is injected in close proximity to nerve tissues, it produces neuritis and nerve degeneration (neurolysis). Ninety to 98% of ethanol that enters the body is completely oxidized. Ethanol is also used as a cosolvent to dissolve many insoluble drugs and to serve as a mild sedative in some medicinal formulations.
  Guaifenesin¿¡ ´ëÇÑ Pharmacology Á¤º¸ Guaifenesin is an expectorant which increases the output of phlegm (sputum) and bronchial secretions by reducing adhesiveness and surface tension. The increased flow of less viscous secretions promotes ciliary action and changes a dry, unproductive cough to one that is more productive and less frequent. By reducing the viscosity and adhesiveness of secretions, guaifenesin increases the efficacy of the mucociliary mechanism in removing accumulated secretions from the upper and lower airway. 
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    | Metabolism | 
    
       Ethanol¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 2E1 (CYP2E1) 
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    | Half-life | 
    
       Ethanol¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ Not Available
  Guaifenesin¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 1 hour 
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    | Absorption | 
    
       Ethanol¿¡ ´ëÇÑ Absorption Á¤º¸ Rapidly absorbed.
  Guaifenesin¿¡ ´ëÇÑ Absorption Á¤º¸ Rapidly absorbed from the GI tract 
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    | Pharmacokinetics | 
    
       GuaifenesinÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
	- Èí¼ö : À§Àå°üÀ¸·ÎºÎÅÍ Àß Èí¼öµÊ.
	
 - ´ë»ç : 60%°¡ °£´ë»çµÊ.
	
 - ¼Ò½Ç : ´ë»çü ¹× ¹Ìº¯Èü·Î ½Å¹è¼³µÊ.
  
 Dexchlorpheniramine MaleateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
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 - ÀÛ¿ëÁö¼Ó½Ã°£ : 3-6 ½Ã°£
	
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 - ºÐÆ÷ : À¯ÁóÀ¸·Î ¼Ò·® ºÐºñ
	
 - ´ë»ç : °£´ë»ç
	
 - ¼Ò½Ç : ºñȰ¼º ´ë»çü·Î ½Å¹è¼³
  
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    | Biotransformation | 
    
       Ethanol¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic. Metabolized by cytochrome P450 enzyme CYP2E1.
  Guaifenesin¿¡ ´ëÇÑ Biotransformation Á¤º¸ Rapidly hydrolyzed (60% within seven hours) and then excreted in the urine, with beta-(2-methoxyphenoxy)-lactic acid as its major urinary metabolite. 
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    | Toxicity | 
    
       Ethanol¿¡ ´ëÇÑ Toxicity Á¤º¸ Oral, rat LD50: 5628 mg/kg. Symptoms and effects of overdose include nausea, vomiting, CNS depression, acute respiratory failure or death and with chronic use, severe health problems, such as liver and brain damage.
  Guaifenesin¿¡ ´ëÇÑ Toxicity Á¤º¸ LD50 1510 mg/kg (rat, oral) 
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    | Drug Interactions | 
    
       Ethanol¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
  Guaifenesin¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available 
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    CYP450  Drug Interaction | 
    
      [CYP450 TableÁ÷Á¢Á¶È¸] Ethanol¿¡ ´ëÇÑ P450 table
  SUBSTRATES 
CYP 2E1 
acetaminophen 
chlorzoxazone 
**ethanol** 
 INHIBITORS 
CYP 2E1 
disulfiram 
 INDUCERS 
CYP 2E1 
**ethanol** 
isoniazid 
  SUBSTRATES 
CYP 2E1 
acetaminophen 
chlorzoxazone 
**ethanol** 
 INHIBITORS 
CYP 2E1 
disulfiram 
 INDUCERS 
CYP 2E1 
**ethanol** 
isoniazid 
 SUBSTRATES 
CYP 2E1 
acetaminophen 
chlorzoxazone 
**ethanol** 
 INHIBITORS 
CYP 2E1 
disulfiram 
 INDUCERS 
CYP 2E1 
**ethanol** 
isoniazid 
 SUBSTRATES 
CYP 2E1 
acetaminophen 
chlorzoxazone 
**ethanol** 
 INHIBITORS 
CYP 2E1 
disulfiram 
 INDUCERS 
CYP 2E1 
**ethanol** 
isoniazid 
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    | Food Interaction | 
    
       Guaifenesin¿¡ ´ëÇÑ Food Interaction Á¤º¸ Take with a full glass of water.Take without regard to meals. 
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    | Drug Target | 
    
      
      [Drug Target]
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    | Description | 
    
       Ethanol¿¡ ´ëÇÑ Description Á¤º¸ A clear, colorless liquid rapidly absorbed from the gastrointestinal tract and distributed throughout the body. It has bactericidal activity and is used often as a topical disinfectant. It is widely used as a solvent and preservative in pharmaceutical preparations as well as serving as the primary ingredient in alcoholic beverages. [PubChem]
  Guaifenesin¿¡ ´ëÇÑ Description Á¤º¸ An expectorant that also has some muscle relaxing action. It is used in many cough preparations. [PubChem] 
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    | Dosage Form | 
    
       Ethanol¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Aerosol	TopicalGel	TopicalLiquid	IntramuscularLiquid	IntravenousLiquid	OralLiquid	TopicalLotion	TopicalSolution	TopicalSolution / drops	OralSpray	Topical
  Guaifenesin¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Liquid	OralSyrup	Oral 
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    | Drug Category | 
    
       Ethanol¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-Infective Agents, LocalCentral Nervous System DepressantsDisinfectantsSolvents
  Guaifenesin¿¡ ´ëÇÑ Drug_Category Á¤º¸ Expectorants 
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    | Smiles String Canonical | 
    
       Ethanol¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CCO
  Guaifenesin¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ COC1=CC=CC=C1OCC(O)CO
  Ethanol¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CCO 
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    | Smiles String Isomeric | 
    
       Ethanol¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CCO
  Guaifenesin¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ COC1=CC=CC=C1OC[C@H](O)CO 
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    | InChI Identifier | 
    
       Ethanol¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ Not Available
  Guaifenesin¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C10H14O4/c1-13-9-4-2-3-5-10(9)14-7-8(12)6-11/h2-5,8,11-12H,6-7H2,1H3 
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    | Chemical IUPAC Name | 
    
       Ethanol¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ ethanol
  Guaifenesin¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 3-(2-methoxyphenoxy)propane-1,2-diol 
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    | Drug-Induced Toxicity Related Proteins | 
    
      ETHANOL ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Proenkephalin  Drug:ethanol Toxicity:ethanol narcosis.  [¹Ù·Î°¡±â] Replated Protein:Insulin receptor substrate 1 Drug:Ethanol  Toxicity:impair liver regeneration, inhibit DNA synthesis, and mute cellular responses to growth factor stimulation.  [¹Ù·Î°¡±â] Replated Protein:Phosphatidylinositol-4-phosphate 3-kinase Drug:Ethanol  Toxicity:impair liver regeneration, inhibit DNA synthesis, and mute cellular responses to growth factor stimulation.  [¹Ù·Î°¡±â] Replated Protein:Insulin receptor substrate 2 Drug:Ethanol  Toxicity:impair liver regeneration, inhibit DNA synthesis, and mute cellular responses to growth factor stimulation.  [¹Ù·Î°¡±â] Replated Protein:Mitogen-activated protein kinase(Erk2) Drug:Ethanol  Toxicity:impair liver regeneration, inhibit DNA synthesis, and mute cellular responses to growth factor stimulation.  [¹Ù·Î°¡±â] Replated Protein:Mitogen-activated protein kinase  Drug:Ethanol  Toxicity:impair liver regeneration, inhibit DNA synthesis, and mute cellular responses to growth factor stimulation.  [¹Ù·Î°¡±â] MALEATE ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Intercellular adhesion molecule 1  Drug:maleate Toxicity:hepatic injury.  [¹Ù·Î°¡±â] 
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                            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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