| Ç׸ñ |
³»¿ë |
| 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]
¿¬·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 |
Ribavirin¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Ribavirin is readily phosphorylated intracellularly by adenosine kinase to ribavirin mono-, di-, and triphosphate metabolites. Ribavirin triphosphate (RTP) is a potent competitive inhibitor of inosine monophosphate (IMP) dehydrogenase, viral RNA polymerase and messenger RNA (mRNA) guanylyltransferase (viral). Guanylyltranserase inhibition stops the capping of mRNA. These diverse effects result in a marked reduction of intracellular guanosine triphosphate (GTP) pools and inhibition of viral RNA and protein synthesis. Ribavirin is also incorporated into the viral genome causing lethal mutagenesis and a subsequent decrease in specific viral infectivity.
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| Pharmacology |
Ribavirin¿¡ ´ëÇÑ Pharmacology Á¤º¸ Ribavirin is an anti-viral drug active against a number of DNA and RNA viruses. It is a member of the nucleoside antimetabolite drugs that interfere with duplication of the viral genetic material. The drug inhibits the activity of the enzyme RNA dependent RNA polymerase, due to it's resemblence to building blocks of the RNA molecules. The oral form is used in the treatment of hepatitis C, in combination with interferon drugs. The aerosol form is used to treat respiratory syncytial virus-related diseases in children. The primary serious adverse effect of ribavirin is hemolytic anemia, which may worsen preexisting cardiac disease.
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| Protein Binding |
Ribavirin¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ Not Available
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| Half-life |
Ribavirin¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 9.5 hours
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| Absorption |
Ribavirin¿¡ ´ëÇÑ Absorption Á¤º¸ Rapidly and extensively absorbed following oral administration. However, due to first-pass metabolism, the absolute bioavailability averages 64%.
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| Pharmacokinetics |
RibavirinÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
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- Èí¼öµÇ´Â ¾çÀº È£ÈíÀÎÀÚ (respiratory factors)¿Í ¾à¹°¼ö¼Û ¹æ¹ý¿¡ µû¶ó ´Ù¸£´Ù.
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- ´ë»ç : ¼¼Æ÷³»¿¡¼ ´ë»çµÇ¾î Ȱ¼ºÈµÈ´Ù.
- ¹Ý°¨±â : Ç÷Áß :
- ¼Ò¾Æ : 6.5-11 ½Ã°£
- ¼ºÀÎ : 24½Ã°£
- ÃÖ°íÇ÷Áß³óµµ µµ´Þ½Ã°£ : ÈíÀÔ : 60-90 ºÐ
- ¼Ò½Ç : ÁÖ ¼Ò½Ç °æ·Î´Â °£´ë»çÀ̸ç, 40% Á¤µµ°¡ ¹Ìº¯Èü ¹× ´ë»çü·Î ½Å¹è¼³µÈ´Ù.
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| Biotransformation |
Ribavirin¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic. Results of in vitro studies using both human and rat liver microsome preparations indicated little or no cytochrome P450 enzyme-mediated metabolism of ribavirin, with minimal potential for P450 enzyme-based drug interactions. Ribavirin has two pathways of metabolism: (1) a reversible phosphorylation pathway in nucleated cells; and (2) a degradative pathway involving deribosylation and amide hydrolysis to yield a triazole carboxylic acid metabolite.
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| Toxicity |
Ribavirin¿¡ ´ëÇÑ Toxicity Á¤º¸ Side effects include "flu-like" symptoms, such as headache, fatigue, myalgia, and fever. The LD50 in mice is 2 g/kg orally and is associated with hypoactivity and gastrointestinal symptoms (estimated human equivalent dose of 0.17 g/kg, based on body surface area conversion).
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| Drug Interactions |
Ribavirin¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸]
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| Drug Target |
[Drug Target]
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| Description |
Ribavirin¿¡ ´ëÇÑ Description Á¤º¸ A nucleoside antimetabolite antiviral agent that blocks nucleic acid synthesis and is used against both RNA and DNA viruses. [PubChem]
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| Dosage Form |
Ribavirin¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Aerosol Respiratory (inhalation)
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| Drug Category |
Ribavirin¿¡ ´ëÇÑ Drug_Category Á¤º¸ AntimetabolitesAntiviral Agents
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| Smiles String Canonical |
Ribavirin¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ NC(=O)C1=NN(C=N1)C1OC(CO)C(O)C1O
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| Smiles String Isomeric |
Ribavirin¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ NC(=O)C1=NN(C=N1)[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O
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| InChI Identifier |
Ribavirin¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C8H12N4O5/c9-6(16)7-10-2-12(11-7)8-5(15)4(14)3(1-13)17-8/h2-5,8,13-15H,1H2,(H2,9,16)/t3-,4-,5-,8-/m1/s1/f/h9H2
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| Chemical IUPAC Name |
Ribavirin¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 1-[(2R,3R,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]-1,2,4-triazole-3-carboxamide
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| Drug-Induced Toxicity Related Proteins |
RIBAVIRIN ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Haptoglobin Drug:ribavirin Toxicity:affect hepatic functions. [¹Ù·Î°¡±â] Replated Protein:Epidermal growth factor receptor Drug:ribavirin Toxicity:affect hepatic functions. [¹Ù·Î°¡±â] Replated Protein:Hepatocyte growth factor Drug:ribavirin Toxicity:affect hepatic functions. [¹Ù·Î°¡±â]
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