드러그인포 약품요약정보

허가정보

항목

내용

청구코드(KD코드)
비급여점검코드
상한금액

[A00802091] [보험코드에 따른 약품기본정보 직접조회]
\0 원/1캅셀(2002.01.01)(현재약가)
\44 원/1캅셀(2001.09.01)(변경전약가)
[상병코드조회]
[질병코드조회]

빠른조회


요약정보	[효능] [용법] [금기] [신중투여] [이상반응]

상세정보	[효능] [용법] [경고] [금기] [신중투여] [이상반응] [일반주의] [상호작용] [임산부] [수유부] [소아] [고령자] [신장애환자] [간장애환자] [적용주의] [과량투여] [임상검사치] [보관] [기타]

제품성상

백색의 내용물을 함유한 상부 황색, 하부 백색의 경질캅셀. [제형정보 확인]

포장·유통단위

10캡슐, 45캡슐, 500캡슐

효능효과

[적응증 별 검색]

감기의 제증상(콧물, 코막힘, 재채기, 인후통, 기침, 오한, 발열, 두통, 관절통, 근육통)의 완화
[Drugbank 의 성분정보열람]
[Acetaminophen][Caffeine][Chlorpheniramine][Dextromethorphan][Phenylpropanolamine]

약물음식간 상호작용

[조회]

용법용량

* 절대 임의복용하지 마시고 반드시 의사 또는 약사와 상담하시기 바랍니다.

[처방약어]
[주성분코드:254800ACH 에 따른 심사지침열람]
보통 성인 1회 2캅셀을 1일 3회 식후 복용한다.

[BMI지수 계산] [Body Surface Area 계산] [Cockcroft-Gault GFR 계산] [MDRD GFR 계산]

금기

이 약은 염산페닐프로판올아민을 함유하고 있으므로 염산페닐프로판올아민을 함유한 다른 약물(감기약, 비염용약, 진해거담제 등)을 투여받고 있는 환자에는 투여하지 않는다.
지금까지 이 약에 의한 과민증상(예를 들면, 발진, 발적, 가려움, 부종(후두,눈꺼풀, 입술 등)을 일으킨 적이 있는 사람)
지금까지 이 약 또는 다른 감기약, 해열진통제를 사용하여 천식이 나타난 적이 있는 사람

신중투여

다음 사람은 복용전에 의사, 약사와 상의할 것.

본인, 양친 또는 형제등이 두드러기, 접촉성피부염, 기관지천식, 알레르기성 비염, 편두통, 음식물알레르기등을 일으키기 쉬운 체질을 갖고 있는 사람
지금까지 약에 의해 알레르기 증상(예:발열, 발진, 관절통, 천식, 가려움증 등)을 일으킨 적이 있는 사람
수두 또는 인플루엔자에 감염되어 있거나 또는 의심되는 영.유아 및 어린이(14세 이하)
간장, 신장, 갑상선질환, 당뇨병, 고혈압 등이 있는 사람, 몸이 약한 사람 또는 고열이 있는 사람
심장에 장애가 있는 사람, 또는 고령자
녹내장(예: 눈의 통증, 눈이 침침함 등)이 있는 사람
임부 또는 임신하고 있을 가능성이 있는 부인, 수유부
의사 또는 치과의사의 치료를 받고 있는 사람
전신성 홍반성 루푸스 또는 혼합성 결합조직병 치료를 받고 있는 환자

이상반응

정신신경계: 출혈성뇌졸증, 어지러움, 불면, 심한 두통, 신경과민을 일으킬 수 있다.
순환기계: 심계항진을 일으킬 수 있다.
소화기계: 구역, 구토, 변비, 식욕부진이 나타날 수 있다.

기타: 발진, 발적, 배뇨장애가 나타날 수 있다.

[Human Liver Adverse Effects Database]

[주요 이상반응정보]

Off-label Usage

[조회]

Related FDA Approved Drug

기준 성분:CAFFEINE
ACETAMINOPHEN, ASPIRIN AND CAFFEINE (ACETAMINOPHEN; ASPIRIN; CAFFEINE)
ACETAMINOPHEN, BUTALBITAL AND CAFFEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
ACETAMINOPHEN, CAFFEINE, AND DIHYDROCODEINE BITARTRATE (ACETAMINOPHEN; CAFFEINE; DIHYDROCODEINE BITARTRATE)
ANOQUAN (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
BUTALBITAL ACETAMINOPHEN AND CAFFEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
BUTALBITAL, ACETAMINOPHEN AND CAFFEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
BUTALBITAL, ACETAMINOPHEN, AND CAFFEINE WITH CODEINE PHOSPHATE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
BUTALBITAL, ACETAMINOPHEN, CAFFEINE AND CODEINE PHOSPHATE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
BUTALBITAL, ASPIRIN AND CAFFEINE (ASPIRIN; BUTALBITAL; CAFFEINE)
BUTALBITAL, ASPIRIN, CAFFEINE, AND CODEINE PHOSPHATE (ASPIRIN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE (BUTALBITAL; ACETAMINOPHEN; CAFFEINE; CODEINE PHOSPHATE)
CAFCIT (CAFFEINE CITRATE)
CAFERGOT (CAFFEINE; ERGOTAMINE TARTRATE)
CAFFEINE CITRATE (CAFFEINE CITRATE)
COMPOUND 65 (ASPIRIN; CAFFEINE; PROPOXYPHENE HYDROCHLORIDE)
DARVON COMPOUND (ASPIRIN; CAFFEINE; PROPOXYPHENE HYDROCHLORIDE)
DARVON COMPOUND-65 (ASPIRIN; CAFFEINE; PROPOXYPHENE HYDROCHLORIDE)
DHC PLUS (ACETAMINOPHEN; CAFFEINE; DIHYDROCODEINE BITARTRATE)
ERGOTAMINE TARTRATE AND CAFFEINE (CAFFEINE; ERGOTAMINE TARTRATE)
ESGIC (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
ESGIC-PLUS (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
EXCEDRIN (MIGRAINE) (ACETAMINOPHEN; ASPIRIN; CAFFEINE)
FEMCET (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
FIORICET (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
FIORICET W/ CODEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
FIORINAL (ASPIRIN; BUTALBITAL; CAFFEINE)
FIORINAL W/CODEINE (ASPIRIN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
INVAGESIC (ASPIRIN; CAFFEINE; ORPHENADRINE CITRATE)
INVAGESIC FORTE (ASPIRIN; CAFFEINE; ORPHENADRINE CITRATE)
LANORINAL (ASPIRIN; BUTALBITAL; CAFFEINE)
MEDIGESIC PLUS (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
MIGERGOT (CAFFEINE; ERGOTAMINE TARTRATE)
NORGESIC (ASPIRIN; CAFFEINE; ORPHENADRINE CITRATE)
NORGESIC FORTE (ASPIRIN; CAFFEINE; ORPHENADRINE CITRATE)
ORPHENADRINE CITRATE, ASPIRIN, AND CAFFEINE (ASPIRIN; CAFFEINE; ORPHENADRINE CITRATE)
ORPHENGESIC (ASPIRIN; CAFFEINE; ORPHENADRINE CITRATE)
ORPHENGESIC FORTE (ASPIRIN; CAFFEINE; ORPHENADRINE CITRATE)
PHRENILIN WITH CAFFEINE AND CODEINE (ACETAMINOPHEN; BUTALBITAL; CAFFEINE; CODEINE PHOSPHATE)
PROPOXYPHENE COMPOUND 65 (ASPIRIN; CAFFEINE; PROPOXYPHENE HYDROCHLORIDE)
PROPOXYPHENE COMPOUND-65 (ASPIRIN; CAFFEINE; PROPOXYPHENE HYDROCHLORIDE)
PROPOXYPHENE HYDROCHLORIDE W/ ASPIRIN AND CAFFEINE (ASPIRIN; CAFFEINE; PROPOXYPHENE HYDROCHLORIDE)
SYNALGOS-DC (ASPIRIN; CAFFEINE; DIHYDROCODEINE BITARTRATE)
SYNALGOS-DC-A (ACETAMINOPHEN; CAFFEINE; DIHYDROCODEINE BITARTRATE)
TRIAD (ACETAMINOPHEN; BUTALBITAL; CAFFEINE)
WIGRAINE (CAFFEINE; ERGOTAMINE TARTRATE)
기준 성분:ACETAMINOPHEN
ACEPHEN (ACETAMINOPHEN)
ACETAMINOPHEN (ACETAMINOPHEN)
ACETAMINOPHEN AND CODEINE PHOSPHATE (ACETAMINOPHEN; CODEINE PHOSPHATE)
ACETAMINOPHEN AND HYDROCODONE BITARTRATE (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ACETAMINOPHEN AND PENTAZOCINE HYDROCHLORIDE (ACETAMINOPHEN; PENTAZOCINE HYDROCHLORIDE)
ACETAMINOPHEN, ASPIRIN, AND CODEINE PHOSPHATE (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
ALLAY (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA 5/325 (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA 7.5/325 (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
ANEXSIA 7.5/650 (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
BANCAP (ACETAMINOPHEN; BUTALBITAL)
BANCAP HC (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
BUCET (ACETAMINOPHEN; BUTALBITAL)
BUTALBITAL AND ACETAMINOPHEN (ACETAMINOPHEN; BUTALBITAL)
BUTAPAP (ACETAMINOPHEN; BUTALBITAL)
CAPITAL AND CODEINE (ACETAMINOPHEN; CODEINE PHOSPHATE)
CODEINE, ASPIRIN, APAP FORMULA NO. 2 (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
CODEINE, ASPIRIN, APAP FORMULA NO. 3 (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
CODEINE, ASPIRIN, APAP FORMULA NO. 4 (ACETAMINOPHEN; ASPIRIN; CODEINE PHOSPHATE)
CODRIX (ACETAMINOPHEN; CODEINE PHOSPHATE)
CO-GESIC (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
DARVOCET (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
DARVOCET A500 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
DARVOCET-N 100 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
DARVOCET-N 50 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
DOLENE AP-65 (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
DRIXORAL PLUS (ACETAMINOPHEN; DEXBROMPHENIRAMINE MALEATE; PSEUDOEPHEDRINE SULFATE)
DURADYNE DHC (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
EMPRACET W/ CODEINE PHOSPHATE #3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
EMPRACET W/ CODEINE PHOSPHATE #4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
HYDROCODONE BITARTRATE AND ACETAMINOPHEN (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
HY-PHEN (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
INFANTS' FEVERALL (ACETAMINOPHEN)
INJECTAPAP (ACETAMINOPHEN)
LORCET-HD (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
LORTAB (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
NEOPAP (ACETAMINOPHEN)
NORCET (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
NORCO (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
OXYCET (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
OXYCODONE 2.5/APAP 500 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
OXYCODONE 5/APAP 500 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
OXYCODONE AND ACETAMINOPHEN (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
PAPA-DEINE #3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PAPA-DEINE #4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PERCOCET (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
PHENAPHEN W/ CODEINE NO. 2 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHENAPHEN W/ CODEINE NO. 3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHENAPHEN W/ CODEINE NO. 4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHENAPHEN-650 W/ CODEINE (ACETAMINOPHEN; CODEINE PHOSPHATE)
PHRENILIN (ACETAMINOPHEN; BUTALBITAL)
PHRENILIN FORTE (ACETAMINOPHEN; BUTALBITAL)
PROPACET 100 (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
PROPOXYPHENE HYDROCHLORIDE AND ACETAMINOPHEN (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
PROPOXYPHENE NAPSYLATE AND ACETAMINOPHEN (ACETAMINOPHEN; PROPOXYPHENE NAPSYLATE)
PROVAL #3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
ROXICET (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
ROXICET 5/500 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
ROXILOX (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
SEDAPAP (ACETAMINOPHEN; BUTALBITAL)
TALACEN (ACETAMINOPHEN; PENTAZOCINE HYDROCHLORIDE)
TAVIST ALLERGY/SINUS/HEADACHE (ACETAMINOPHEN; CLEMASTINE FUMARATE; PSEUDOEPHEDRINE HYDROCHLORIDE)
TENCON (ACETAMINOPHEN; BUTALBITAL)
TRAMADOL HYDROCHLORIDE AND ACETAMINOPHEN (ACETAMINOPHEN; TRAMADOL HYDROCHLORIDE)
TRIAPRIN (ACETAMINOPHEN; BUTALBITAL)
TYCOLET (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
TYLENOL (ACETAMINOPHEN)
TYLENOL (CAPLET) (ACETAMINOPHEN)
TYLENOL (GELTAB) (ACETAMINOPHEN)
TYLENOL W/ CODEINE (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 1 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 2 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 3 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLENOL W/ CODEINE NO. 4 (ACETAMINOPHEN; CODEINE PHOSPHATE)
TYLOX (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
TYLOX-325 (ACETAMINOPHEN; OXYCODONE HYDROCHLORIDE)
ULTRACET (ACETAMINOPHEN; TRAMADOL HYDROCHLORIDE)
VICODIN (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
VICODIN ES (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
VICODIN HP (ACETAMINOPHEN; HYDROCODONE BITARTRATE)
WYGESIC (ACETAMINOPHEN; PROPOXYPHENE HYDROCHLORIDE)
ZYDONE (ACETAMINOPHEN; HYDROCODONE BITARTRATE)

정보요약

드럭인포 의약품 요약/상세정보

코드 및 분류정보

항목	내용
BIT 약효분류	종합감기약(Drugs to Relieve Common Cold)
ATC 코드	COUGH AND COLD PREPARATIONS / R05 [코드분류상세설명] [ATC코드예측]
복지부분류코드	114 (해열·진통·소염제 )
의약품 바코드정보	내용보기 8806104412099//병//1 단위/수량: 2008806104432097//병//1 단위/수량: 5008806104442096//PTP//1 단위/수량: 1018806104412096//병//10 단위/수량: 200018806104432094//병//10 단위/수량: 50008806104452095//PTP//45 단위/수량: 450
주성분코드 분석 및 중복처방 검토	[주성분코드 분석 및 중복처방 검토]
Drugs By Indication	[전체보기]
Drugs By Classification	[전체보기]

제품정보

항목	내용
청구코드(KD코드) 비급여점검코드 상한금액	[A00802091] [보험코드에 따른 약품기본정보 직접조회] \0 원/1캅셀(2002.01.01)(최신약가) \44 원/1캅셀(2001.09.01)(변경전약가) [상병코드조회] [질병코드집 다운로드]
제품성상	백색의 내용물을 함유한 상부 황색, 하부 백색의 경질캅셀. [제형정보 확인]
포장·유통단위	10캡슐, 45캡슐, 500캡슐
동일주성분코드 검색순위	유료정보입니다.

복약정보

항목

내용

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약리작용

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복약지도

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임부에대한투여

*	전체임신 기간별로 여러등급이 존재할 수 있으며 가장 위험도가 높은 정보만 보여집니다. 단, 복합제의 경우 모든 복합제성분에 대한 임부투여등급이 표시된것은 절대 아니며 표시된것중에 가장 위험도가 높은 정보만 나타납니다.

FDA : C등급

*	상기 임부투여에 대한 정보는 전산처리 되면서 입력 오류 가능성이 존재합니다. 오류 가능성을 최소화하기 위하여 많은 노력을 기울이고 있으나, 그 정확성에 대하여 확신을 드릴 수 없습니다. 이에 대해 회사는 책임을 지지 않습니다.
*	반드시 공신력 있는 문헌을 다시 한번 참고 하시기 바라며 의사 또는 약사의 판단에 따라 투여여부가 결정되어야 합니다.

신장애, 간장애시
용량조절

유료정보입니다.

Pharmacokinetics

유료정보입니다.

병용금기 및 연령대금기 근거조회

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보관상 주의

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심사정보

항목	내용
DUR 관련 고시	[병용연령금기 의약품 / 임부금기 의약품 / 비용효과적 함량 의약품 / 안전성 관련 급여중지 의약품]

학술정보

항목	내용
DUR (의약품사용평가)	병용금기 : 고시된 병용금기 내용은 없습니다. [상호작용/병용금기검색] 연령대금기 : 고시된 연령금기 내용은 없습니다. [연령대금기상세검색]
독성정보	Acetaminophen에 대한 독성정보 : 정보보기 Chlorpheniramine에 대한 독성정보 : 정보보기 Dextromethorphan에 대한 독성정보 : 정보보기 출처: 국립독성과학원 독성물질정보DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do
Mechanism of Action	Acetaminophen에 대한 Mechanism_Of_Action 정보 Acetaminophen is thought to act primarily in the CNS, increasing the pain threshold by inhibiting both isoforms of cyclooxygenase, COX-1 and COX-2, enzymes involved in prostaglandin (PG) synthesis. Unlike NSAIDs, acetaminophen does not inhibit cyclooxygenase in peripheral tissues and, thus, has no peripheral anti-inflammatory affects. While aspirin acts as an irreversible inhibitor of COX and directly blocks the enzyme's active site, studies have found that acetaminophen indirectly blocks COX, and that this blockade is ineffective in the presence of peroxides. This might explain why acetaminophen is effective in the central nervous system and in endothelial cells but not in platelets and immune cells which have high levels of peroxides. Studies also report data suggesting that acetaminophen selectively blocks a variant of the COX enzyme that is different from the known variants COX-1 and COX-2. This enzyme is now referred to as COX-3. Its exact mechanism of action is still poorly understood, but future research may provide further insight into how it works. Caffeine에 대한 Mechanism_Of_Action 정보 Caffeine stimulates medullary, vagal, vasomotor, and respiratory centers, promoting bradycardia, vasoconstriction, and increased respiratory rate. This action was previously believed to be due primarily to increased intracellular cyclic 3′,5′-adenosine monophosphate (cyclic AMP) following inhibition of phosphodiesterase, the enzyme that degrades cyclic AMP. It is now thought that xanthines such as caffeine act as agonists at adenosine-receptors within the plasma membrane of virtually every cell. As adenosine acts as an autocoid, inhibiting the release of neurotransmitters from presynaptic sites but augmenting the actions of norepinephrine or angiotensin, antagonism of adenosine receptors promotes neurotransmitter release. This explains the stimulatory effects of caffeine. Blockade of the adenosine A1 receptor in the heart leads to the accelerated, pronounced "pounding" of the heart upon caffeine intake. Dextromethorphan에 대한 Mechanism_Of_Action 정보 Dextromethorphan is an opioid-like drug that binds to and acts as antagonist to the NMDA glutamatergic receptor, it is an agonist to the opioid sigma 1 and sigma 2 receptors, it is also an alpha3/beta4 nicotinic receptor antagonist and targets the serotonin reuptake pump. Dextromethorphan is rapidly absorbed from the gastrointestinal tract, where it enters the bloodstream and crosses the blood-brain barrier. The first-pass through the hepatic portal vein results in some of the drug being metabolized into an active metabolite of dextromethorphan, dextrorphan, the 3-hydroxy derivative of dextromethorphan. Phenylpropanolamine에 대한 Mechanism_Of_Action 정보 Phenylpropanolamine acts directly on alpha- and, to a lesser degree, beta-adrenergic receptors in the mucosa of the respiratory tract. Stimulation of alpha-adrenergic receptors produces vasoconstriction, reduces tissue hyperemia, edema, and nasal congestion, and increases nasal airway patency. PPA indirectly stimulates beta-receptors, producing tachycardia and a positive inotropic effect.
Pharmacology	Acetaminophen에 대한 Pharmacology 정보 Acetaminophen (USAN) or Paracetamol (INN) is a popular analgesic and antipyretic drug that is used for the relief of fever, headaches, and other minor aches and pains. It is a major ingredient in numerous cold and flu medications and many prescription analgesics. It is extremely safe in standard doses, but because of its wide availability, deliberate or accidental overdoses are not uncommon. Acetaminophen, unlike other common analgesics such as aspirin and ibuprofen, has no anti-inflammatory properties or effects on platelet function, and so it is not a member of the class of drugs known as non-steroidal anti-inflammatory drugs or NSAIDs. In normal doses acetaminophen does not irritate the lining of the stomach nor affect blood coagulation, the kidneys, or the fetal ductus arteriosus (as NSAIDs can). Like NSAIDs and unlike opioid analgesics, acetaminophen does not cause euphoria or alter mood in any way. Acetaminophen and NSAIDs have the benefit of being completely free of problems with addiction, dependence, tolerance and withdrawal. Acetaminophen is used on its own or in combination with pseudoephedrine, dextromethorphan, chlorpheniramine, diphenhydramine, doxylamine, codeine, hydrocodone, or oxycodone. Caffeine에 대한 Pharmacology 정보 Caffeine, a naturally occurring xanthine derivative like theobromine and the bronchodilator theophylline, is used as a CNS stimulant, mild diuretic, and respiratory stimulant (in neonates with apnea of prematurity). Often combined with analgesics or with ergot alkaloids, caffeine is used to treat migraine and other headache types. Over the counter, caffeine is available to treat drowsiness or mild water-weight gain. Dextromethorphan에 대한 Pharmacology 정보 Dextromethorphan suppresses the cough reflex by a direct action on the cough center in the medulla of the brain. Dextromethorphan shows high affinity binding to several regions of the brain, including the medullary cough center. This compound is an NMDA receptor antagonist and acts as a non-competitive channel blocker. It is one of the widely used antitussives, and is also used to study the involvement of glutamate receptors in neurotoxicity. Phenylpropanolamine에 대한 Pharmacology 정보 Phenylpropanolamine (PPA), a sympathomimetic agent structurally similar to pseudoephedrine, is used to treat nasal congestion. Phenylpropanolamine is found in appetite suppressant formulations and with guaifenesinin in cough-cold formulations. In 2000, the FDA requested that all drug companies discontinue marketing products containing phenylpropanolamine, due to an increased risk of hemorrhagic stroke in women who used phenylpropanolamine.
Metabolism	Acetaminophen에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Cytochrome P450 1A2 (CYP1A2)Cytochrome P450 2E1 (CYP2E1) Caffeine에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Cytochrome P450 1A2 (CYP1A2) Dextromethorphan에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Cytochrome P450 2D6 (CYP2D6) Phenylpropanolamine에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Monoamine oxidase type A (MAO-A)
Protein Binding	Caffeine에 대한 단백결합 정보 Low (25 to 36%). Phenylpropanolamine에 대한 단백결합 정보 Not Available
Half-life	Acetaminophen에 대한 반감기 정보 1 to 4 hours Caffeine에 대한 반감기 정보 3 to 7 hours in adults, 65 to 130 hours in neonates Dextromethorphan에 대한 반감기 정보 3-6 hours Phenylpropanolamine에 대한 반감기 정보 2.1 to 3.4 hours.
Absorption	Acetaminophen에 대한 Absorption 정보 Rapid and almost complete Caffeine에 대한 Absorption 정보 Readily absorbed after oral or parenteral administration. The peak plasma level for caffeine range from 6-10mg/L and the mean time to reach peak concentration ranged from 30 minutes to 2 hours. Dextromethorphan에 대한 Absorption 정보 Rapidly absorbed from the gastrointestinal tract. Phenylpropanolamine에 대한 Absorption 정보 Reduced bioavailability (about 38%) from gastrointestinal tract because of first pass metabolism by monoamine oxidase in the stomach and liver.
Pharmacokinetics	Dextromethorphan HBr의 약물동력학자료 진해작용 발현시간 : 15~30분 이내 작용지속시간 : 6시간까지 대사 : 간대사 소실 : 주로 신배설 Caffeine의 약물동력학자료 흡수 : 경구 : 신속하게, 완전히 흡수됨 (99%) 분포 : 모든 체액에 분포하며, 뇌혈관장벽, 태반을 통과하고, 유즙으로도 분비됨 분포용적 : 신생아 : 0.92 L/kg 성인 : 0.58 L/kg 단백결합 : 15-35% 대사 : 성인 : 거의 대부분이 간에서 대사되며, 탈메틸화되어 paraxanthine (72%), theobromine (20%), theophylline (8%)으로 대사됨 반감기 : 미숙아 : 65-103 시간 완숙아 : 82시간 3-4개월 영아 : 14.4 시간 5-6개월 영아 : 2.6 시간 성인 : 3-7.5 시간 (평균 4.9 시간) 임신부 : 18시간까지 혈중최고농도 도달시간 : 15-45분 소실 : 성인 : 미변화체로 신배설되는 양은 0.5-3.5% 신생아 : 거의 대부분 미변화체로 신배설됨 Acetaminophen의 약물동력학자료 단백결합 : 20-50% 대사 : 상용량에서 : 간에서 sulfate와 glucuronide 포합체로 대사되며, 소량은 microsomal mixed function oxidases에 의해 반응성이 매우 높은 중간대사체(acetylimidoquinone)로 대사된 후 glutathione 포합으로 비활성화된다. 중독량에서 (4g을 단 하루 복용한 정도까지도 포함된다) : glutathione 포합이 점점 불충분하게 되어 acetylimidoquinone 농도가 증가하게 되며 이것이 간세포 괴사를 유발하는 것으로 여겨지고 있다. 반감기 신생아 : 2-5 시간 성인 정상 신기능 : 1-3 시간 말기 신질환 : 1-3 시간 최대혈중농도 도달시간 경구 : 상용량 복용시 10-60분, 급성 중독량 복용시 지연될 수 있다. Phenylpropanolamine HCl의 약물동력학자료 흡수 : 경구 : 잘 흡수됨 생체내이용률 : 거의 100% 대사 : 간에서 norephedrine으로 대사됨 반감기 : 4.6-6.6 시간 소실 : 주로 미변화체로서(80-90%) 뇨를 통해 배설됨 Dl-Chlorpheniramine maleate의 약물동력학자료 단백결합 : 69-72% 대사 : 간대사 반감기 : 20-24 시간 소실 : 대사체, 약물(3-4%)이 신배설되며, 48시간내에 전체의 35%가 소실된다.
Biotransformation	Acetaminophen에 대한 Biotransformation 정보 Approximately 90 to 95% of a dose is metabolized in the liver via the cytochrome P450 enzyme pathways (primarily by conjugation with glucuronic acid, sulfuric acid, and cysteine). An intermediate metabolite is hepatotoxic and most likely nephrotoxic and can accumulate after the primary metabolic pathways have been saturated. Caffeine에 대한 Biotransformation 정보 Hepatic cytochrome P450 1A2 (CYP 1A2) is involved in caffeine biotransformation. About 80% of a dose of caffeine is metabolized to paraxanthine (1,7-dimethylxanthine), 10% to theobromine (3,7-dimethylxanthine), and 4% to theophylline (1,3-dimethylxanthine). Dextromethorphan에 대한 Biotransformation 정보 Hepatic. Rapidly and extensively metabolized to dextrorphan (active metabolite). One well known metabolic catalyst involved is a specific cytochrome P450 enzyme known as 2D6, or CYP2D6. Phenylpropanolamine에 대한 Biotransformation 정보 Hepatic
Toxicity	Acetaminophen에 대한 Toxicity 정보 Oral, mouse: LD₅₀ = 338 mg/kg; Oral, rat: LD₅₀ = 1944 mg/kg. Acetaminophen is metabolized primarily in the liver, where most of it is converted to inactive compounds by conjugation with sulfate and glucuronide, and then excreted by the kidneys. Only a small portion is metabolized via the hepatic cytochrome P450 enzyme system. The toxic effects of acetaminophen are due to a minor alkylating metabolite (N-acetyl-p-benzo-quinone imine), not acetaminophen itself nor any of the major metabolites. This toxic metabolite reacts with sulfhydryl groups. At usual doses, it is quickly detoxified by combining irreversibly with the sulfhydryl group of glutathione to produce a non-toxic conjugate that is eventually excreted by the kidneys. The toxic dose of paracetamol is highly variable. In adults, single doses above 10 grams or 140 mg/kg have a reasonable likelihood of causing toxicity. In adults, single doses of more than 25 grams have a high risk of lethality. Caffeine에 대한 Toxicity 정보 LD₅₀=127 mg/kg (orally in mice) Dextromethorphan에 대한 Toxicity 정보 Not Available Phenylpropanolamine에 대한 Toxicity 정보 May induce ventricular extrasystoles and short paroxysms of ventricular tachycardia, a sensation of fullness in the head and tingling of the extremities; LD₅₀=1490mg/kg (orally in rat)
Drug Interactions	Acetaminophen에 대한 Drug_Interactions 정보 Anisindione Acetaminophen increases the anticoagulant effectWarfarin Acetaminophen increases the anticoagulant effectImatinib Increased hepatic toxicity of both agentsIsoniazid Risk of hepatotoxicityDicumarol Acetaminophen increases the anticoagulant effectDicumarol Increases the anticoagulant effectAcenocoumarol Increases the anticoagulant effect Caffeine에 대한 Drug_Interactions 정보 Not Available Dextromethorphan에 대한 Drug_Interactions 정보 Dihydroquinidine barbiturate Quinidine increases the toxicity of dextromethorphanQuinidine Quinidine increases the toxicity of dextromethorphanQuinidine barbiturate Quinidine increases the toxicity of dextromethorphanFluoxetine Combination associated with possible serotoninergic syndromeIsocarboxazid Possible severe adverse reactionMemantine Increased risk of CNS adverse effectsMoclobemide Increased CNS toxicityParoxetine Combination associated with possible serotoninergic syndromePhenelzine Possible severe adverse reactionRasagiline Possible severe adverse reactionSelegiline Combination associated with possible serotoninergic syndromeSibutramine Combination associated with possible serotoninergic syndromeTerbinafine Terbinafine increases dextromethorphan levelsTranylcypromine Possible severe adverse reaction Phenylpropanolamine에 대한 Drug_Interactions 정보 Acetophenazine Decreased anorexic effect, may increase psychotic symptomsChlorpromazine Decreased anorexic effect, may increase psychotic symptomsEthopropazine Decreased anorexic effect, may increase psychotic symptomsFluphenazine Decreased anorexic effect, may increase psychotic symptomsMethotrimeprazine Decreased anorexic effect, may increase psychotic symptomsGuanethidine The agent decreases the effect of guanethidineMesoridazine Decreased anorexic effect, may increase psychotic symptomsThioridazine Decreased anorexic effect, may increase psychotic symptomsMethdilazine Decreased anorexic effect, may increase psychotic symptomsTrimeprazine Decreased anorexic effect, may increase psychotic symptomsPropericiazine Decreased anorexic effect, may increase psychotic symptomsPerphenazine Decreased anorexic effect, may increase psychotic symptomsProchlorperazine Decreased anorexic effect, may increase psychotic symptomsPromazine Decreased anorexic effect, may increase psychotic symptomsPromethazine Decreased anorexic effect, may increase psychotic symptomsPropiomazine Decreased anorexic effect, may increase psychotic symptomsThiethylperazine Decreased anorexic effect, may increase psychotic symptomsTrifluoperazine Decreased anorexic effect, may increase psychotic symptomsTriflupromazine Decreased anorexic effect, may increase psychotic symptomsMoclobemide Moclobemide increases the sympathomimetic effectAmitriptyline The tricyclic increases the sympathomimetic effectAmoxapine The tricyclic increases the sympathomimetic effectBromocriptine The sympathomimetic increases the toxicity of bromocriptineClomipramine The tricyclic increases the sympathomimetic effectDesipramine The tricyclic increases the sympathomimetic effectDoxepin The tricyclic increases the sympathomimetic effectImipramine The tricyclic increases the sympathomimetic effectNortriptyline The tricyclic increases the sympathomimetic effectProtriptyline The tricyclic increases the sympathomimetic effectTrimipramine The tricyclic increases the sympathomimetic effectVenlafaxine Risk of serotoninergic syndromeFluvoxamine Risk of serotoninergic syndromeParoxetine Risk of serotoninergic syndromeFluoxetine Risk of serotoninergic syndromeAlseroxylon Increased arterial pressureDeserpidine Increased arterial pressureIsocarboxazid Increased arterial pressureLinezolid Possible increase of arterial pressureTranylcypromine Increased arterial pressureRasagiline Increased arterial pressureReserpine Increased arterial pressurePhenelzine Increased arterial pressurePargyline Increased arterial pressureMethyldopa Increased arterial pressureMidodrine Increased arterial pressure
CYP450 Drug Interaction	[CYP450 Table직접조회] Dextromethorphan에 대한 P450 table Acetaminophen에 대한 P450 table SUBSTRATES CYP 2E1 acetaminophen chlorzoxazone ethanol INHIBITORS CYP 2E1 disulfiram INDUCERS CYP 2E1 ethanol isoniazid 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
Food Interaction	Acetaminophen에 대한 Food Interaction 정보 Take without regard to meals.Avoid alcohol (may increase risk of hepatotoxicity). Phenylpropanolamine에 대한 Food Interaction 정보 Take without regard to meals.Limit caffeine intake.
Drug Target	[Drug Target]
SNP 정보	Name:Caffeine (DB00201) Interacting Gene/Enzyme:Cytochrome P450 1A2 (Gene symbol = CYP1A2) Swissprot P05177 SNP(s):rs762551 (C allele) Effect:Myocardial infarction Reference(s):Cornelis MC, El-Sohemy A, Kabagambe EK, Campos H: Coffee, CYP1A2 genotype, and risk of myocardial infarction. JAMA. 2006 Mar 8;295(10):1135-41. [PubMed]
Description	Acetaminophen에 대한 Description 정보 Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage. [PubChem] Caffeine에 대한 Description 정보 A methylxanthine naturally occurring in some beverages and also used as a pharmacological agent. Caffeine& Dextromethorphan에 대한 Description 정보 The d-isomer of the codeine analog of levorphanol. Dextromethorphan shows high affinity binding to several regions of the brain, including the medullary cough center. This compound is an NMDA receptor antagonist (receptors, N-methyl-D-aspartate) and acts as a non-competitive channel blocker. It is one of the widely used antitussives, and is also used to study the involvement of glutamate receptors in neurotoxicity. [PubChem] Phenylpropanolamine에 대한 Description 정보 Phenylpropanolamine has been withdrawn in Canada. In November 2000, the Food and Drug Administration (FDA) issued a public health advisory against the use of the drug.
Dosage Form	Acetaminophen에 대한 Dosage_Form 정보 Capsule OralElixir OralLiquid OralSolution OralSolution / drops OralSuppository RectalSuspension OralSyrup OralTablet OralTablet, effervescent OralTablet, extended release Oral Caffeine에 대한 Dosage_Form 정보 Capsule OralElixir OralLiquid OralPill OralSolution OralSolution / drops OralSuppository RectalSuspension OralSyrup OralTablet OralTablet, extended release Oral Dextromethorphan에 대한 Dosage_Form 정보 Capsule OralLiquid OralLozenge OralStrip OralSuspension OralSyrup OralTablet Oral Phenylpropanolamine에 대한 Dosage_Form 정보 Not Available
Drug Category	Acetaminophen에 대한 Drug_Category 정보 Analgesics, Non-NarcoticAntipyretics Caffeine에 대한 Drug_Category 정보 Anorexigenic AgentsCentral Nervous System StimulantsPhosphodiesterase Inhibitors Dextromethorphan에 대한 Drug_Category 정보 Analgesics, OpioidAntitussive AgentsExcitatory Amino Acid Antagonists Phenylpropanolamine에 대한 Drug_Category 정보 Adrenergic alpha-AgonistsAppetite DepressantsNasal DecongestantsSympathomimetics
Smiles String Canonical	Acetaminophen에 대한 Smiles_String_canonical 정보 CC(=O)NC1=CC=C(O)C=C1 Caffeine에 대한 Smiles_String_canonical 정보 CN1C=NC2=C1C(=O)N(C)C(=O)N2C Dextromethorphan에 대한 Smiles_String_canonical 정보 COC1=CC2=C(CC3C4CCCCC24CCN3C)C=C1 Phenylpropanolamine에 대한 Smiles_String_canonical 정보 CC(N)C(O)C1=CC=CC=C1
Smiles String Isomeric	Acetaminophen에 대한 Smiles_String_isomeric 정보 CC(=O)NC1=CC=C(O)C=C1 Caffeine에 대한 Smiles_String_isomeric 정보 CN1C=NC2=C1C(=O)N(C)C(=O)N2C Dextromethorphan에 대한 Smiles_String_isomeric 정보 COC1=CC2=C(C[C@H]3[C@H]4CCCC[C@@]24CCN3C)C=C1 Phenylpropanolamine에 대한 Smiles_String_isomeric 정보 C[C@@H](N)[C@@H](O)C1=CC=CC=C1
InChI Identifier	Acetaminophen에 대한 InChI_Identifier 정보 InChI=1/C8H9NO2/c1-6(10)9-7-2-4-8(11)5-3-7/h2-5,11H,1H3,(H,9,10)/f/h9H Caffeine에 대한 InChI_Identifier 정보 InChI=1/C8H10N4O2/c1-10-4-9-6-5(10)7(13)12(3)8(14)11(6)2/h4H,1-3H3 Dextromethorphan에 대한 InChI_Identifier 정보 InChI=1/C18H25NO/c1-19-10-9-18-8-4-3-5-15(18)17(19)11-13-6-7-14(20-2)12-16(13)18/h6-7,12,15,17H,3-5,8-11H2,1-2H3/t15-,17+,18-/m1/s1 Phenylpropanolamine에 대한 InChI_Identifier 정보 InChI=1/C9H13NO/c1-7(10)9(11)8-5-3-2-4-6-8/h2-7,9,11H,10H2,1H3/t7-,9-/m1/s1
Chemical IUPAC Name	Acetaminophen에 대한 Chemical_IUPAC_Name 정보 N-(4-hydroxyphenyl)acetamide Caffeine에 대한 Chemical_IUPAC_Name 정보 1,3,7-trimethylpurine-2,6-dione Dextromethorphan에 대한 Chemical_IUPAC_Name 정보 Not Available Phenylpropanolamine에 대한 Chemical_IUPAC_Name 정보 (1S,2R)-2-amino-1-phenylpropan-1-ol
Drug-Induced Toxicity Related Proteins	ACETAMINOPHEN 의 Drug-Induced Toxicity Related Protein정보 Replated Protein:Alpha-2A adrenergic receptor Drug:acetaminophen Toxicity:hepatic injury . [바로가기] Replated Protein:Myeloperoxidase Drug:acetaminophen Toxicity:respiratory burst. [바로가기] Replated Protein:Glucose-6-phosphate 1-dehydrogenase Drug:acetaminophen Toxicity:drug-induced hemolysis. [바로가기] Replated Protein:Ornithine decarboxylase Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] Replated Protein:Lactate dehydrogenase Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] Replated Protein:Transcription factor AP-1(JUN) Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] Replated Protein:Haptoglobin Drug:acetaminophen Toxicity:drug-induced hemolysis. [바로가기] Replated Protein:Alanine aminotransferase Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] Replated Protein:Beta-glucuronidase Drug:acetaminophen Toxicity:hepatotoxin-induced effects. [바로가기] Replated Protein:CYP2E1 Drug:Acetaminophen Toxicity:idiosyncratic hepatotoxicity. [바로가기] Replated Protein:Cytochrome P450 2E1 Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] Replated Protein:Sulfotransferase family cytosolic Drug:acetaminophen Toxicity:chronic hypoxia. [바로가기] Replated Protein:Cytochrome P450 3A4 Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] Replated Protein:Caspase recruitment domain-containing protein Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] Replated Protein:Cytochrome P450 1A2 Drug:acetaminophen Toxicity:hepatotoxicity. [바로가기] ACETAMINOPHEN (APAP) 의 Drug-Induced Toxicity Related Protein정보 Replated Protein:Cytochrome P450 Drug:acetaminophen (APAP) Toxicity:renal functional changes, strain-dependent histopathological changes. [바로가기] CAFFEINE 의 Drug-Induced Toxicity Related Protein정보 Replated Protein:Metallothionein Drug:caffeine Toxicity:hepatotoxicity. [바로가기] MALEATE 의 Drug-Induced Toxicity Related Protein정보 Replated Protein:Intercellular adhesion molecule 1 Drug:maleate Toxicity:hepatic injury. [바로가기]

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