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Ç÷¾×Áúȯ, ½ÅÀå, °£ÀåÁúȯ, À§¡¤½ÊÀÌÁöÀåÁúȯ, õ½Ä, ·ù¸¶Æ¼½º µîÀÇ ¸é¿ª°è Áúȯ(¶§¶§·Î ¹éÇ÷±¸ °¨¼Ò³ª Ç÷¼ÒÆÇ °¨¼Ò µîÀÇ ³ªÅ¸³¯ ¼ö ÀÖ´Ù.)
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¿øÀÎÀÌ µÇ´Â ´Ù¸¥ ÁúȯÀÌ ÀÖÀ» ¼ö ÀÖ´Ù.
- º¹ÅëÀÌ Áö¼ÓµÇ°í Àִ ȯÀÚ:
¿øÀÎÀÌ µÇ´Â ´Ù¸¥ ÁúȯÀÌ ÀÖÀ» ¼ö ÀÖ´Ù.
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º»Á¦¿¡ ÇÔÀ¯µÈ Á¦»êÁ¦´Â ´ÙÀ½ ¾à¹°µé°ú »óÈ£ÀÛ¿ëÀ¸·Î Èí¼ö°¡ ÀúÇØµÉ ¼ö ÀÖ´Ù: Åׯ®¶ó»çÀÌŬ¸°°è Ç×»ý¹°Áú ¹× new-Äû³î·Ð°è Ç×±ÕÁ¦
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| Off-label Usage |
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M051022/È÷µå·ÎÅ»½ÃÆ® 125¹Ð¸®±×·¥ /
M040631/ź»ê¼ö¼Ò³ªÆ®·ý 100¹Ð¸®±×·¥ /
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Antacids, other combinations / A02AX
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| DUR (ÀǾàǰ»ç¿ëÆò°¡) |
º´¿ë±Ý±â :
°í½ÃµÈ º´¿ë±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
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Cimetidine¿¡ ´ëÇÑ µ¶¼ºÁ¤º¸ : Á¤º¸º¸±â
Magnesium¿¡ ´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 |
Magnesium¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Not Available
Cimetidine¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Cimetidine binds to an H2-receptor located on the basolateral membrane of the gastric parietal cell, blocking histamine effects. This competitive inhibition results in reduced gastric acid secretion and a reduction in gastric volume and acidity.
|
| Pharmacology |
Cimetidine¿¡ ´ëÇÑ Pharmacology Á¤º¸ Cimetidine is a histamine H2-receptor antagonist. It reduces basal and nocturnal gastric acid secretion and a reduction in gastric volume, acidity, and amount of gastric acid released in response to stimuli including food, caffeine, insulin, betazole, or pentagastrin. It is used to treat gastrointestinal disorders such as gastric or duodenal ulcer, gastroesophageal reflux disease, and pathological hypersecretory conditions. Cimetidine inhibits many of the isoenzymes of the hepatic CYP450 enzyme system. Other actions of Cimetidine include an increase in gastric bacterial flora such as nitrate-reducing organisms.
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| Metabolism |
Cimetidine¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 11A1 (CYP11A1)Cytochrome P450 1A2 (CYP1A2)Cytochrome P450 2D6 (CYP2D6)
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| Protein Binding |
Cimetidine¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 15-20%
|
| Half-life |
Cimetidine¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 2 hours
|
| Absorption |
Cimetidine¿¡ ´ëÇÑ Absorption Á¤º¸ Rapid 60-70%
|
| Pharmacokinetics |
CimetidineÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- »ýü³»ÀÌ¿ë·ü : 60-70%
- ºÐÆ÷ : ÅÂ¹Ý Åë°ú, À¯Áó ºÐºñ
- ´Ü¹é°áÇÕ : 20%
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Sodium BicarbonateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- È¿°ú ¹ßÇö ½Ã±â :
- °æ±¸ : 15ºÐ
- Á¤¸ÆÁÖ»ç : ½Å¼ÓÈ÷ ¹ßÇö
- ÀÛ¿ëÁö¼Ó ½Ã°£ :
- °æ±¸ : 1-3 ½Ã°£
- Á¤¸ÆÁÖ»ç : 8-10 ºÐ
- Èí¼ö : °æ±¸ : °æ±¸Á¦ Åõ¿©½Ã À§»êÀ» ÁßÈÇϰí ÀÌ»êÈź¼Ò¸¦ »ý¼ºÇϸç, °úµµÇÑ Áßź»êÀÌ Ç÷ÀåÀ» Èí¼öµÈ´Ù.
- ¼Ò½Ç : ½ÅÀå¿¡¼ ÀçÈí¼öµÇ¸ç, 1% ¹Ì¸¸ÀÌ ´¢¹è¼³µÊ
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| Biotransformation |
Cimetidine¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic
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| Toxicity |
Cimetidine¿¡ ´ëÇÑ Toxicity Á¤º¸ Symptoms of overdose include nausea, vomiting, diarrhea, increased saliva production, difficulty breathing, and a fast heartbeat.
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| Drug Interactions |
Magnesium¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Alendronate Formation of non-absorbable complexesCiprofloxacin Formation of non-absorbable complexesClodronate Formation of non-absorbable complexesDemeclocycline Formation of non-absorbable complexesDoxycycline Formation of non-absorbable complexesEnoxacin Formation of non-absorbable complexesEtidronic acid Formation of non-absorbable complexesGatifloxacin Formation of non-absorbable complexesGemifloxacin Formation of non-absorbable complexesGrepafloxacin Formation of non-absorbable complexesIbandronate Formation of non-absorbable complexesLevofloxacin Formation of non-absorbable complexesLomefloxacin Formation of non-absorbable complexesMethacycline Formation of non-absorbable complexesMinocycline Formation of non-absorbable complexesMoxifloxacin Formation of non-absorbable complexesNorfloxacin Formation of non-absorbable complexesOfloxacin Formation of non-absorbable complexesOxytetracycline Formation of non-absorbable complexesPefloxacin Formation of non-absorbable complexesRisedronate Formation of non-absorbable complexesTrovafloxacin Formation of non-absorbable complexesTetracycline Formation of non-absorbable complexesTemafloxacin Formation of non-absorbable complexesAmprenavir The antiacid decreases the absorption of amprenavirChloroquine The antiacid decreases the absorption of chloroquineAtazanavir This gastric pH modifier decreases the levels/effects of atazanavirDelavirdine The antiacid decreases the absorption of delavirdineDihydroquinidine barbiturate The antiacid decreases the absorption of quinidineFosamprenavir The antiacid decreases the absorption of amprenavirIndinavir The antiacid decreases the absorption of indinavirQuinidine The antiacid decreases the absorption of quindineQuinidine barbiturate The antiacid decreases the absorption of quinidinePolystyrene sulfonate Risk of alkalosis in renal impairmentRosuvastatin The antiacid decreases the absorption of rosuvastatin
Cimetidine¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Alfentanil Increases the effect of the narcoticAlprazolam Increases the effect of the benzodiazepineAminophylline Increases the effect of theophyllineAmitriptyline Increases the effect of tricyclic agentAmoxapine Increases the effect of tricyclic agentAnisindione The ANTI-H2 increases the anticoagulant effectAstemizole Increased risk of cardiotoxicity and arrhythmiasAtazanavir This gastric pH modifier decreases the levels/effects of atazanavirCarbamazepine Increases the effect of carbamazepineCarmustine Increases myelosuppression caused by carmustineChlordiazepoxide Increases the effect of the benzodiazepineClomipramine Increases the effect of tricyclic agentClonazepam Increases the effect of the benzodiazepineClorazepate Increases the effect of the benzodiazepineClozapine Increases the effect of clozapineCodeine Increases the effect of the narcoticDesipramine Increases the effect of tricyclic agentDiazepam Increases the effect of the benzodiazepineDicumarol The anti-H2 increases the anticoagulant effectDihydroquinidine barbiturate Increases the effect of quinidineDyphylline Increases the effect of theophyllineDofetilide Increases effect/toxicity of dofetilideDonepezil Possible antagonism of actionDoxepin Increases the effect of tricyclic agentDyphylline Increases the effect of theophyllineEnoxacin The agent decreases the absorption of enoxacinEpirubicin Cimetidine can increase epirubicin levelsEstazolam Increases the effect of the benzodiazepineEthotoin Increases the effect of hydantoinFentanyl Increases the effect of the narcoticFlecainide Increases serum levels of flecainideFluorouracil Increases the effect of and toxicity of fluorouacilFlurazepam Increases the effect of the benzodiazepineFosphenytoin Increases the effect of hydantoinGalantamine Possible antagonism of actionHalazepam Increases the effect of the benzodiazepineHydrocodone Increases the effect of the narcoticHydromorphone Increases the effect of the narcoticImipramine Increases the effect of tricyclic agentItraconazole The anti-H2 decreases the absorption of the imidazoleLevorphanol Increases the effect of the narcoticKetoconazole The anti-H2 decreases the absorption of the imidazoleLidocaine Increases the effect and toxicity of lidocaineMeperidine Increases the effect of the narcoticMephenytoin Increases the effect of hydantoinMetformin Increases the effect of metforminMethadone Increases the effect of the narcoticMetoprolol Increases the effect of the beta-blockerMidazolam Increases the effect of the benzodiazepineMoclobemide Increases the effect of moclobemideMorphine Increases the effect of the narcoticNalbuphine Increases the effect of the narcoticAcenocoumarol The anti-H2 increases the anticoagulant effectNimodipine Increases the effect of the calcium channel blockerNifedipine Increases the effect of the calcium channel blockerNitrendipine Increases the effect of the calcium channel blockerNortriptyline Increases the effect of tricyclic agentOxtriphylline Increases the effect of theophyllineOxycodone Increases the effect of the narcoticOxymorphone Increases the effect of the narcoticPentazocine Increases the effect of the narcoticPhenytoin Increases the effect of hydantoinPosaconazole Significant decrease of posaconazole levelsPramipexole Increases the effect and toxicity of pramipexolePropoxyphene Increases the effect of the narcoticProcainamide The histamine H2-receptor antagonist increases the effect of procainamidePropranolol Increases the effect of the beta-blockerProtriptyline Increases the effect of tricyclic agentQuinidine Increases the effect of quinidineQuinidine barbiturate Increases the effect of quinidineRivastigmine Possible antagonism of actionSildenafil Increases the effect and toxicity of sildenafilSufentanil Increases the effect of the narcoticTacrine Increases the effect and toxicity of tacrineTerfenadine Increased risk of cardiotoxicity and arrhythmiasTheophylline Increases the effect of theophyllineTimolol Increases the effect of the beta-blockerTolazoline Anticipated loss of efficacy of tolazolineTriazolam Increases the effect of the benzodiazepineTrimipramine Increases the effect of tricyclic agentWarfarin The anti-H2 increases the anticoagulant effectZaleplon Increases the effect and toxicity of zaleplonHeroin Cimetidine increases the effect of the narcoticKetazolam Cimetidine increases the effect of the benzodiazepineLabetalol Cimetidine increases the effect of the beta-blockerPrazepam Cimetidine increases the effect of the benzodiazepineQuazepam Cimetidine increases the effect of the benzodiazepine
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸] Cimetidine¿¡ ´ëÇÑ P450 table
SUBSTRATES
CYP 1A2
clozapine
cyclobenzaprine
imipramine
mexiletine
naproxen
riluzole
tacrine
theophylline
INHIBITORS
CYP 1A2
**cimetidine**
fluoroquinolones
fluvoxamine
ticlopidine
INDUCERS
CYP 1A2
tobacco
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
SUBSTRATES
CYP 3A4/3A5/3A7
Macrolide antibiotics:
clarithromycin
erythromycin
NOT azithromycin
telithromycin
Anti-arrhythmics:
quinidine
Benzodiazepines:
alprazolam
diazepam
midazolam
triazolam
Immune Modulators:
cyclosporine
tacrolimus (FK506)
HIV Protease Inhibitors:
indinavir
ritonavir
saquinavir
Prokinetic:
cisapride
Antihistamines:
astemizole
chlorpheniramine
Calcium Channel Blockers:
amlodipine
diltiazem
felodipine
nifedipine
nisoldipine
nitrendipine
verapamil
HMG CoA Reductase Inhibitors:
atorvastatin
cerivastatin
lovastatin
NOT pravastatin
simvastatin
aripiprazole
buspirone
gleevec
haloperidol (in part)
methadone
pimozide
quinine
NOT rosuvastatin
sildenafil
tamoxifen
trazodone
vincristine
INHIBITORS
CYP 3A4/3A5/3A7
HIV Protease Inhibitors:
indinavir
nelfinavir
ritonavir
amiodarone
NOT azithromycin
**cimetidine**
clarithromycin
diltiazem
erythromycin
fluvoxamine
grapefruit juice
itraconazole
ketoconazole
mibefradil
nefazodone
troleandomycin
verapamil
INDUCERS
CYP 3A4/3A5/3A7
carbamazepine
phenobarbital
phenytoin
rifabutin
rifampin
St. John's wort
troglitazone
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| Food Interaction |
Cimetidine¿¡ ´ëÇÑ Food Interaction Á¤º¸ Best effect when taken with food.Limit caffeine intake.Avoid alcohol.
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| Drug Target |
[Drug Target]
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| Description |
Magnesium¿¡ ´ëÇÑ Description Á¤º¸ Magnesium hydroxide is used primarily in "Milk of Magnesia", a white aqueous, mildly alkaline suspension of magnesium hydroxide formulated at about 8%w/v. Milk of magnesia is primarily used to alleviate constipation, but can also be used to relieve indigestion and heartburn. When taken internally by mouth as a laxative, the osmotic force of the magnesia suspension acts to draw fluids from the body and to retain those already within the lumen of the intestine, serving to distend the bowel, thus stimulating nerves within the colon wall, inducing peristalsis and resulting in evacuation of colonic contents.
Cimetidine¿¡ ´ëÇÑ Description Á¤º¸ A histamine congener, it competitively inhibits histamine binding to histamine H2 receptors. Cimetidine has a range of pharmacological actions. It inhibits gastric acid secretion, as well as pepsin and gastrins output. It also blocks the activity of cytochrome P-450 which might explain proposals for use in neoadjuvant therapy. [PubChem]
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| Dosage Form |
Magnesium¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Aerosol OralCapsule OralLiquid IntramuscularLiquid IntravenousLiquid OralOintment TopicalPellet OralPowder OralSolution IntramuscularSolution IntravenousSolution OralSolution / drops OralSuspension OralSyrup OralTablet Oral
Cimetidine¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Liquid OralTablet Oral
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| Drug Category |
Magnesium¿¡ ´ëÇÑ Drug_Category Á¤º¸ Not Available
Cimetidine¿¡ ´ëÇÑ Drug_Category Á¤º¸ AdjuvantsAnalgesicsAnti-Ulcer AgentsEnzyme InhibitorsHistamine AntagonistsHistamine H2 Antagonists
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| Smiles String Canonical |
Magnesium¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ [Mg++]
Cimetidine¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CN=C(NCCSCC1=C(C)NC=N1)NC
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| Smiles String Isomeric |
Magnesium¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ [Mg++]
Cimetidine¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ C\N=C(\NCCSCC1=C(C)NC=N1)NC
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| InChI Identifier |
Magnesium¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/Mg/q+2
Cimetidine¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C10H16N6S/c1-8-9(16-7-15-8)5-17-4-3-13-10(12-2)14-6-11/h7H,3-5H2,1-2H3,(H,15,16)(H2,12,13,14)/f/h13-15H/b12-10-
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| Chemical IUPAC Name |
Magnesium¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ magnesium(+2) cation
Cimetidine¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 3-cyano-2-methyl-1-[2-[(5-methyl-1H-imidazol-4-yl)methylsulfanyl]ethyl]guanidine
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| Drug-Induced Toxicity Related Proteins |
CIMETIDINE ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Calcineurin Drug:cimetidine Toxicity:secondary hyperparathyroidism. [¹Ù·Î°¡±â] SILICA ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Nuclear factor NF-kappa-B Drug:SIlica Toxicity:pulmonary inflammation. [¹Ù·Î°¡±â]
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