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 FDA : Xµî±Þ
(temazepam. ÀӺΠÅõ¿© ±Ý±â )
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»ó±â ÀÓºÎÅõ¿©¿¡ ´ëÇÑ Á¤º¸´Â Àü»êó¸® µÇ¸é¼ ÀÔ·Â ¿À·ù °¡´É¼ºÀÌ Á¸ÀçÇÕ´Ï´Ù. ¿À·ù °¡´É¼ºÀ» ÃÖ¼ÒÈÇϱâ À§ÇÏ¿© ¸¹Àº ³ë·ÂÀ» ±â¿ïÀ̰í ÀÖÀ¸³ª, ±× Á¤È®¼º¿¡ ´ëÇÏ¿© È®½ÅÀ» µå¸± ¼ö ¾ø½À´Ï´Ù. ÀÌ¿¡ ´ëÇØ ȸ»ç´Â Ã¥ÀÓÀ» ÁöÁö ¾Ê½À´Ï´Ù.
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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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°í½ÃµÈ ¿¬·É±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
[¿¬·É´ë±Ý±â»ó¼¼°Ë»ö]
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| Mechanism of Action |
Sucralfate¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Although sucralfate's mechanism is not entirely understood, there are several factors that most likely contribute to its action. Sucralfate, with its strong negative charge, binds to exposed positively-charged proteins at the base of ulcers. In this way, it coats the ulcer and forms a physical barrier that protects the ulcer surface from further injury by acid and pepsin. It directly inhibits pepsin (an enzyme that breaks apart proteins) in the presence of stomach acid and binds bile salts coming from the liver via the bile thus protecting the stomach lining from injury caused by the bile acids. Sucralfate may increase prostaglandin production, and prostaglandins are known to protect the lining of the stomach and may also bind epithelial growth factor and fibroblast growth factor, both of which enhance the growth and repair mechanism of the stomach lining.
Temazepam¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Benzodiazepines bind nonspecifically to benzodiazepine receptors, which affects muscle relaxation, anticonvulsant activity, motor coordination, and memory. As benzodiazepine receptors are thought to be coupled to gamma-aminobutyric acid-A (GABAA) receptors, this enhances the effects of GABA by increasing GABA affinity for the GABA receptor. Binding of the inhibitory neurotransmitter GABA to the site opens the chloride channel, resulting in a hyperpolarized cell membrane that prevents further excitation of the cell.
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| Pharmacology |
Sucralfate¿¡ ´ëÇÑ Pharmacology Á¤º¸ Sucralfate is a prescription medication used to treat peptic ulcers. The current clinical uses of sucralfate are limited. It is effective for the healing of duodenal ulcers, but it is not frequently used for this since more effective drugs (e.g. proton pump inhibitors) have been developed. Although the mechanism of sucralfate's ability to accelerate healing of duodenal ulcers remains to be fully defined, it is known that it exerts its effect through a local, rather than systemic, action. Chemically, sucralfate is a complex of the disaccharide sugar, sucrose, combined with sulfate and aluminum. In acidic solutions (e.g. gastric acid) it forms a thick paste that has a strong negative charge.
Temazepam¿¡ ´ëÇÑ Pharmacology Á¤º¸ Temazepam is a benzodiazepine used as a hypnotic agent in the management of insomnia. Temazepam produces CNS depression at limbic, thalamic, and hypothalamic levels of the CNS. Temazepam increases the affinity of the neurotransmitter gamma-aminobutyric acid (GABA) for GABA receptors by binding to benzodiazepine receptors. Results are sedation, hypnosis, skeletal muscle relaxation, anticonvulsant activity, and anxiolytic action.
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| Metabolism |
Sucralfate¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Not Available
Temazepam¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 2C19 (CYP2C19)
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| Protein Binding |
Sucralfate¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ Not Available
Temazepam¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 96%
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| Half-life |
Sucralfate¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ Not known.
Temazepam¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 10-20 hours
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| Absorption |
Sucralfate¿¡ ´ëÇÑ Absorption Á¤º¸ Minimally absorbed from the gastrointestinal tract (up to 5% of the disaccharide component and less than 0.02% of aluminum).
Temazepam¿¡ ´ëÇÑ Absorption Á¤º¸ Well absorbed, minimal first-pass metabolism.
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| Pharmacokinetics |
TemazepamÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- ´Ü¹é°áÇÕ : 96%
- ´ë»ç : °£´ë»ç
- ¹Ý°¨±â : 9.5-12.4 ½Ã°£
- Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ : 2-3 ½Ã°£ À̳»
- ¼Ò½Ç : 80-90%°¡ ºñȰ¼º´ë»çü·Î ½Å¹è¼³µÈ´Ù.
SucralfateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- ÀÛ¿ë¹ßÇö½Ã°£ : °æ±¸ : À§±Ë¾çÁúȯ : ±Ë¾çºÎÀ§¸¦ µµÆ÷ÇÏ´Â µ¥ °É¸®´Â ½Ã°£ : 1-2 ½Ã°£
- ÀÛ¿ëÁö¼Ó½Ã°£ : °æ±¸ : À§±Ë¾çÁúȯ : 6½Ã°£
- Èí¼ö : À§Àå°üÀ» ÅëÇØ °ÅÀÇ Èí¼öµÇÁö ¾ÊÀ½
- »ýü³»ÀÌ¿ë·ü : °æ±¸Åõ¿©½Ã : 5 %¹Ì¸¸
- ºÐÆ÷ : ±Ë¾çºÎÀ§ ±¹¼ÒÀûÀ¸·Î µµÆ÷
- ´ë»ç : ´ë»çµÇÁö ¾ÊÀ½
- ¼Ò½Ç : ´¢¹è¼³ : 0.5-2.2 %
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| Biotransformation |
Sucralfate¿¡ ´ëÇÑ Biotransformation Á¤º¸ Not Available
Temazepam¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic. Temazepam is completely metabolized through conjugation prior to excretion. The major metabolite is the O-conjugate of temazepam (90%).
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| Toxicity |
Sucralfate¿¡ ´ëÇÑ Toxicity Á¤º¸ Acute oral toxicity (LD50) in mice is >8000 mg/kg. There is limited experience in humans with overdosage of sucralfate. Sucralfate is only minimally absorbed from the gastrointestinal tract and thus risks associated with acute overdosage should be minimal. In rare reports describing sucralfate overdose, most patients remained asymptomatic.
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| Drug Interactions |
Sucralfate¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Not Available
Temazepam¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Pioglitazone Increased risk of edemaRosiglitazone Increased risk of edema
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸]
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| Food Interaction |
Sucralfate¿¡ ´ëÇÑ Food Interaction Á¤º¸ Avoid alcohol.Take on empty stomach: 1 hour before or 2 hours after meals.Take with a full glass of water.Do not take calcium, aluminum, magnesium or Iron supplements within 2 hours of taking this medication.
Temazepam¿¡ ´ëÇÑ Food Interaction Á¤º¸ Avoid alcohol.Avoid excessive quantities of coffee or tea (Caffeine).Avoid avocado.
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| Drug Target |
[Drug Target]
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| Description |
Sucralfate¿¡ ´ëÇÑ Description Á¤º¸ A basic aluminum complex of sulfated sucrose. [PubChem]
Temazepam¿¡ ´ëÇÑ Description Á¤º¸ A benzodiazepine that acts as a gamma-aminobutyric acid modulator and anti-anxiety agent. [PubChem]
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| Dosage Form |
Sucralfate¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Suspension OralTablet Oral
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| Drug Category |
Sucralfate¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-Ulcer Agents
Temazepam¿¡ ´ëÇÑ Drug_Category Á¤º¸ Adjuvants, AnesthesiaAnti-anxiety AgentsBenzodiazepinesGABA ModulatorsHypnotics and Sedatives
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| Smiles String Canonical |
Sucralfate¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.[Al].[Al].[Al].[Al].[Al].[Al].[Al].[Al].[Al].OS(=O)(=O)OCC1OC(OC2(COS(O)(=O)=O)OC(OS(O)(=O)=O)C(OS(O)(=O)=O)C2OS(O)(=O)=O)C(OS(O)(=O)=O)C(OS(O)(=O)=O)C1OS(O)(=O)=O
Temazepam¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CN1C(=O)C(O)N=C(C2=CC=CC=C2)C2=C1C=CC(Cl)=C2
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| Smiles String Isomeric |
Sucralfate¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.O.[Al].[Al].[Al].[Al].[Al].[Al].[Al].[Al].[Al].OS(=O)(=O)OC[C@H]1O[C@@H](O[C@]2(COS(O)(=O)=O)O[C@H](OS(O)(=O)=O)[C@@H](OS(O)(=O)=O)[C@@H]2OS(O)(=O)=O)[C@H](OS(O)(=O)=O)[C@@H](OS(O)(=O)=O)[C@@H]1OS(O)(=O)=O
Temazepam¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CN1C(=O)[C@@H](O)N=C(C2=CC=CC=C2)C2=C1C=CC(Cl)=C2
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| InChI Identifier |
Sucralfate¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C11H20O35S8.9Al.20H2O/c12-47(13,14)36-1-3-4(41-49(18,19)20)5(42-50(21,22)23)6(43-51(24,25)26)9(38-3)39-11(2-37-48(15,16)17)8(45-53(30,31)32)7(44-52(27,28)29)10(40-11)46-54(33,34)35;;;;;;;;;;;;;;;;;;;;;;;;;;;;;/h3-10H,1-2H2,(H,12,13,14)(H,15,16,17)(H,18,19,20)(H,21,22,23)(H,24,25,26)(H,27,28,29)(H,30,31,32)(H,33,34,35);;;;;;;;;;20*1H2/t3-,4-,5+,6-,7+,8+,9+,10-,11-;;;;;;;;;;;;;;;;;;;;;;;;;;;;;/m1............................./s1/f/h12,15,18,21,24,27,30,33H;;;;;;;;;;;;;;;;;;;;;;;;;;;;;
Temazepam¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C16H13ClN2O2/c1-19-13-8-7-11(17)9-12(13)14(18-15(20)16(19)21)10-5-3-2-4-6-10/h2-9,15,20H,1H3
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| Chemical IUPAC Name |
Sucralfate¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ aluminum; [(2R,3S,4S,5R)-4,5-disulfooxy-2-(sulfooxymethyl)-2-[(2S,3R,4S,5R,6R)-3,4,5-trisulfooxy-6-(sulfooxymethyl)oxan-2-yl]oxyoxolan-3-yl] hydrogen sulfate; icosahydrate
Temazepam¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 7-chloro-3-hydroxy-1-methyl-5-phenyl-3H-1,4-benzodiazepin-2-one
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º» ¼öÁ¤ÀÏ Á¤º¸´Â Çã°¡Á¤º¸ ÀÌ¿ÜÀÇ ±âŸÁ¤º¸ ¼öÁ¤ÀÏÀ» ÀǹÌÇϹǷÎ, Çã°¡Á¤º¸¼öÁ¤ÀÏÀº º»¹®¿¡ Ç¥±âµÈ ³¯Â¥¸¦ ÂüÁ¶ÇϽñ⠹ٶø´Ï´Ù.
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»ó¼¼Á¤º¸´Â ½ÄǰÀǾàǰ¾ÈÀüóÀÇ Á¦Ç°Çã°¡»çÇ×À» Åä´ë·Î ÀÛ¼ºµÇ¾úÀ¸¸ç ¿ä¾àÁ¤º¸´Â »ó¼¼Á¤º¸ ¹× ±âŸ¹®ÇåÀ» ±â¹ÝÀ¸·Î µå·°ÀÎÆ÷¿¡¼ ÆíÁýÇÑ ³»¿ëÀÔ´Ï´Ù. Á¦Ç°Çã°¡»çÇ×ÀÇ ¸ñÂ÷¿Í ´Ù¼Ò »óÀÌÇÒ ¼ö ÀÖ½À´Ï´Ù. |
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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.
Á¤º¸ÀÇ Á¤È®¼ºÀ» À§ÇØ ³ë·ÂÇϰí ÀÖÀ¸³ª ÆíÁý»óÀÇ ¿À·ù, Çã°¡»çÇ× º¯°æ, Ãß°¡ÀûÀÎ Çмú¿¬±¸ ¶Ç´Â Àӻ󿬱¸ ¹ßÇ¥ µîÀ¸·Î ÀÎÇØ ¹ß»ýÇÏ´Â ¹®Á¦¿¡ ´ëÇØ µå·°ÀÎÆ÷´Â
Ã¥ÀÓÀ» ÁöÁö ¾Ê½À´Ï´Ù. ÀÚ¼¼ÇÑ ³»¿ëÀº ¡°Ã¥ÀÓÀÇ ÇÑ°è ¹× ¹ýÀû°íÁö¡±¸¦ ÂüÁ¶ÇØ ÁֽʽÿÀ.
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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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. TEMAZEPAM[GGT Increase][Composite Activity](Score) I(Marginal) 0(Active) 0[Alkaline Phosphatase Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[SGOT Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[SGPT Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[LDH Increase](Activity Score) I(Number of Rpts) <4(Index value) 0[GGT Increase](Activity Score) I(Number of Rpts) <4(Index value) 0
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