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º£·¹°¥Á¤ BELLERGAL DRG.[Belladonna alkaloid , Ergotamine tartrate , Phenobarbital]
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Àü¹®ÀǾàǰ | »èÁ¦
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µå·°ÀÎÆ÷¿¡¼´Â ÀǾàǰ ÀÎÅÍ³Ý ÆÇ¸Å¸¦ ÇÏÁö ¾Ê½À´Ï´Ù. |
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À¯·áȸ¿ø °áÀç½Ã¿¡´Â º¸´Ù ´Ù¾çÇÑ ¾à¹°Á¤º¸¸¦
ÀÌ¿ëÇÏ½Ç ¼ö ÀÖ½À´Ï´Ù.
À¯·áÁ¤º¸¸ñ·ÏÀº Àü¹®È¸¿øÀ¸·Î
·Î±×ÀÎ ÇϽøé È®ÀÎ °¡´ÉÇÕ´Ï´Ù.
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| Ç׸ñ |
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û±¸ÄÚµå(KDÄÚµå) ºñ±Þ¿©Á¡°ËÄÚµå »óÇÑ±Ý¾× |
653601610[A44800251]
[º¸ÇèÄڵ忡 µû¸¥ ¾àǰ±âº»Á¤º¸ Á÷Á¢Á¶È¸]
\0 ¿ø/1Á¤(2005.06.01)(ÇöÀç¾à°¡)
\30 ¿ø/1Á¤(2002.06.07)(º¯°æÀü¾à°¡)
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[¿ì¸®Áý°Ç°ÁÖÄ¡ÀÇ ¹Ù·Î°¡±â]
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[Á¦ÇüÁ¤º¸ È®ÀÎ]
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| Æ÷À塤À¯Åë´ÜÀ§ |
25,100,250,500,1000DRG |
| ´ëÇ¥ÄÚµå |
8806536016100 |
| ¾à¸®ÀÛ¿ë |
[Á¶È¸]
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[ÀûÀÀÁõ º° °Ë»ö]
½ÉÀå½Å°æÁõ(½É°èÇ×Áø, ÈäºÎ¾Ð¹Ú°¨), Ç÷°ü½Å°æÁõ, ±¸¿ª, ÇöÈÆ, µÎÅë, À̸í, ¿ù°æ°ï¶õ, ¿ù°æ°ú´Ù, ÃʰæÀåÇØ, ¹Ù¼¼µµ¿ì¾¾º´ ¹× °©»ó¼± ÀåÇØ½Ã(½É°èÇ×Áø, ¹ßÇÑ, ÀåÀåÇØ, Ç÷°ü ½Å°æÁõ), ºÒ¾È½Å°æÁõ, ¿´ë¼º ½Å°æ¼è¾àÁõ, ½Å°æÇǺο°, ¼Ò¾çÁõ, ´ã¸¶Áø, ÇǺι¦ÈÁõ, ½ÀÁø, ÆíÆòÈ«»öż±, ³úÁ¹Áõ ÈÄÀ¯Áõ, °¢Á¾ Àü¿°¼º ÁúȯÀÇ È¸º¹±â ÆíµÎÅë (°£Çæ½Ã Ä¡·á¿¡ »ç¿ë), ¸Þ´Ï¿¡¸£¾¾º´(À̸í, ±¸¿ª, ±¸Åä, Çö±âÁõ), µ¿¿äº´µîÀÇ ÀÚÀ²½Å°æ ±ÕÇüÀåÇØ¿¡ ±âÀεǴ Áúȯ
[Drugbank ÀÇ ¼ººÐÁ¤º¸¿¶÷] [Ergotamine]
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* Àý´ë ÀÓÀǺ¹¿ëÇÏÁö ¸¶½Ã°í ¹Ýµå½Ã ÀÇ»ç ¶Ç´Â ¾à»ç¿Í »ó´ãÇϽñ⠹ٶø´Ï´Ù.
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[ÁÖ¼ººÐÄÚµå:257000ATB ¿¡ µû¸¥ ½É»çÁöħ¿¶÷]
[TDM ´ë»ó¾à¹°] Anticonvulsants
Phenobarbital
À¯È¿Ç÷û³óµµ: 15~40 §¶/§¢
1ȸ 1Á¤¾¿ 1ÀÏ 2ȸ(¾ÆÄ§¿¡ 1Á¤, Ãëħ½Ã¿¡ 1Á¤¾¿) º¹¿ë, ¼Ò¾Æ´Â 1ÀÏ 1Á¤¾¿ º¹¿ë.
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- ÇǺÎ:
ÇǺÎÁ¡¸·¾È ÁõÈıº(½ºÆ¼ºì½º-Á¸½¼ ÁõÈıº), Áßµ¶¼º Ç¥ÇDZ«»çÁõ(¸®¿¤ ÁõÈıº), ¶Ç´Â ¹ÚÅ»¼ºÇǺο°ÀÌ ³ªÅ¸³ª´Â °æ¿ì°¡ ÀÖÀ¸¹Ç·Î ÃæºÐÈ÷ °üÂûÇϰí ÀÌ·± Áõ»óÀÌ ³ªÅ¸³ª´Â °æ¿ì¿¡´Â Åõ¿©¸¦ ÁßÁöÇϰí ÀûÀýÇÑ Á¶Ä¡¸¦ ÇÒ °Í.
È£Èí±â°è: ¿Ü±¹ÀÇ °æ¿ì È£Èí¾ïÁ¦°¡ º¸°íµÈ ¹Ù ÀÖ´Ù.
Ç÷¾×: Ç÷¼ÒÆÇ °¨¼Ò ¶Ç´Â °¡²ûÀº °Å´ëÀû¾Æ±¸¼ººóÇ÷, ÀúÄ®½·Ç÷Áõ µîÀÌ ³ªÅ¸³ª´Â °æ¿ì°¡ ÀÖÀ¸¹Ç·Î ÀÌ·± °æ¿ì¿¡´Â Åõ¿©¸¦ ÁßÁöÇÏ´Â µî ÀûÀýÇÑ Ã³Ä¡¸¦ ÇÒ °Í.
°£Àå: Ȳ´Þ, GOT, GPT, °¨¸¶-GTPÀÇ »ó½ÂÀÌ ³ªÅ¸³ª´Â °æ¿ì°¡ ÀÖÀ¸¹Ç·Î ÃæºÐÇÑ °üÂûÀÌ ¿ä±¸µÇ¸ç ÀÌ»óÀÌ ¹ß°ßµÈ °æ¿ì¿¡´Â Åõ¿©¸¦ ÁßÁöÇϰí ÀûÀýÇÑ Ã³Ä¡¸¦ ÇÒ °Í.
±âŸ: µå¹°°Ô °¡º¿î Á¹À½, ±¸°¥, ±¸Åä µîÀÌ ³ªÅ¸³ª´Â °æ¿ì°¡ ÀÖÀ¸³ª ÀÌ·¯ÇÑ Áõ»óÀÌ ¾ÇȵÇÁö ¾Ê´Â ÇÑ Åõ¾àÀ» ÁßÁöÇÒ ÇÊ¿ä´Â ¾ø´Ù.
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- À½ÁÖ ¹× ´ÙÀ½°ú °°Àº ¾àÁ¦¿¡ ÀÇÇÏ¿© »óÈ£ÀÛ¿ëÀÌ Áõ°µÉ ¼öµµ ÀÖÀ¸¹Ç·Î º´¿ë½Ã °¨·®ÇÏ´Â µî ½ÅÁßÈ÷ Åõ¿©ÇÒ °Í. :
Æ®¶õÄþ¶óÀÌÀú, ¼ö¸éÁ¦, ¸ð³ë¾Æ¹Î»êÈÈ¿¼Ò ÀúÇØÁ¦, »ïȯ°è Ç׿ì¿ïÁ¦, Ç×È÷½ºÅ¸¹ÎÁ¦, µð¼³ÇǶ÷
Äí¸¶¸°°è Ç×ÀÀÇ÷Á¦(¿Í¸£ÆÄ¸° µî)¿Í º´¿ë½Ã Äí¸¶¸°°è Ç×ÀÀÇ÷Á¦ÀÇ ÀÛ¿ëÀ» ¾àȽÃŰ´Â °æ¿ì°¡ ÀÖÀ¸¹Ç·Î Åë»óº¸´Ù ÀÚÁÖ Ç÷¾×ÀÀ°í ½Ã°£À» üũÇÏ¿© Äí¸¶¸°°è Ç×ÀÀÇ÷Á¦ÀÇ ¾çÀ» Á¶Á¤ÇÒ °Í.
Ä¡¾ÆÁþ°è °¾ÐÀÌ´¢Á¦(È÷µå·ÎŬ·Î·ÎÄ¡¾ÆÁþ µî)¿Í º´¿ë½Ã ±â¸³¼º ÀúÇ÷¾ÐÀÌ Áõ°µÇ´Â °æ¿ì°¡ ÀÖÀ¸¹Ç·Î °¨·®ÇÏ´Â µî ÁÖÀÇÇÒ °Í.
ºÎ½ÅÇÇÁúÈ£¸£¸ó(µ¦»ç¸ÞŸ¼Õ µî)°ú º´¿ë½Ã ºÎ½ÅÇÇÁúÈ£¸£¸óÀÇ ´ë»ç¸¦ ÃËÁøÇÏ¿© ÀÛ¿ëÀ» ¾àȽÃŲ´Ù´Â º¸°í°¡ ÀÖ´Ù.
±Û¸®¼¼¿ÀÇ®ºó, Å׿ÀÇʸ°°ú º´¿ë½Ã À̵éÀÇ Ç÷Á߳󵵸¦ ÀúÇϽÃŲ´Ù´Â º¸°í°¡ ÀÖ´Ù.
µ¶½Ã»çÀÌŬ¸°°ú º´¿ë½Ã µ¶½Ã»çÀÌŬ¸°ÀÇ Ç÷Áß³óµµ ¹Ý°¨±â°¡ ´ÜÃàµÇ´Â °æ¿ì°¡ ÀÖ´Ù. |
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- Áõ»ó: ÁßÃ߽Űæ°è ¹× ½ÉÇ÷°ü°è ¾ïÁ¦ÀÇ Áõ»óÀÌ ³ªÅ¸³´Ù. Ç÷Áß³óµµ°¡ 40-45¸¶ÀÌÅ©·Î¸®ÅÍ/ml ÀÌ»óÀÏ °æ¿ì, Á¹À½, ¾ÈÁø, ¿îµ¿½ÇÁ¶°¡ ÀϾ¸ç ÁßÁõÀÎ °æ¿ì¿¡´Â È¥¼ö»óŰ¡ µÈ´Ù. È£ÈíÀº Ãʱ⺸´Ù ¾ïÁ¦µÇ°í ¸Æ¹ÚÀº ¾àÇϰí ü¿ÂÀº ³»·Á°£´Ù. ÆóÀÇ ÇÕº´Áõ°ú ½ÅÀå¾ÖÀÇ À§Ç輺µµ ÀÖ´Ù.
- óġ: È£Èí°ü¸®°¡ ÁÖµÈ Ã³Ä¡¹ýÀÌ´Ù. ¼ÒȰü¿¡ ¾à¹°ÀÌ ÀÜ·ùÇϰí ÀÖ´Â °æ¿ì¿¡´Â À§¼¼Ã´, Ȱ¼ºÅº Åõ¿©¸¦ ÇÑ´Ù. ¶Ç, ź»ê¼ö¼Ò³ªÆ®·ý Åõ¿©¿¡ ÀÇÇÑ ´¢¾ËÄ®¸®È, ÀÌ´¢Á¦ Åõ¿©¿¡ ÀÇÇØ ¾à¹°ÀÇ ¹è¼³À» ÃËÁø½ÃŲ´Ù. ÁßÁõÀÎ °æ¿ì´Â Ç÷¾×Åõ¼®À̳ª Ç÷¾×°ü·ù¸¦ °í·ÁÇÒ °Í.
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| Related FDA Approved Drug |
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µå·°ÀÎÆ÷ ÀǾàǰ ¿ä¾à/»ó¼¼Á¤º¸
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| Ç׸ñ |
³»¿ë |
û±¸ÄÚµå(KDÄÚµå) ºñ±Þ¿©Á¡°ËÄÚµå »óÇÑ±Ý¾× |
653601610[A44800251]
[º¸ÇèÄڵ忡 µû¸¥ ¾àǰ±âº»Á¤º¸ Á÷Á¢Á¶È¸]
\0 ¿ø/1Á¤(2005.06.01)(Ãֽžడ)
\30 ¿ø/1Á¤(2002.06.07)(º¯°æÀü¾à°¡)
[»óº´ÄÚµåÁ¶È¸]
[Áúº´ÄÚµåÁý ´Ù¿î·Îµå]
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ºÐÈ«»öÀÇ ¿øÇü ´çÀÇÁ¤
[Á¦ÇüÁ¤º¸ È®ÀÎ]
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| Æ÷À塤À¯Åë´ÜÀ§ |
25,100,250,500,1000DRG |
µ¿ÀÏÁÖ¼ººÐÄÚµå °Ë»ö¼øÀ§ |
À¯·áÁ¤º¸ÀÔ´Ï´Ù.
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| Brandname Á¤º¸ |
Ergotamine
Brand Names/Synonyms
- Agit
- Angionorm
- D.H.E.
- D.H.E. 45
- DET MS
- DHE-45
- Dergotamine
- Diergo
- Dihidroergotamina [INN-Spanish]
- Dihydergot
- Dihydroergotamine mesylate
- Dihydroergotamine methanesulfonate
- Dihydroergotamine monomethanesulfonate
- Dihydroergotaminum [INN-Latin]
- Dirgotarl
- Endophleban
- Ergomimet
- Ergont
- Ergotamine, 9,10-dihydro-
- Ergotonin
- Ikaran
- Migranal
- Morena
- Orstanorm
- Tonopres
- Verladyn
Brand Name MixturesNot Available
Chemical IUPAC NameNot Available
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[¹Ù·Î°¡±â]
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À¯·áÁ¤º¸ÀÔ´Ï´Ù.
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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 : Xµî±Þ
(ergotamine; )
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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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¹Ýµå½Ã °ø½Å·Â ÀÖ´Â ¹®ÇåÀ» ´Ù½Ã Çѹø Âü°í ÇϽñ⠹ٶó¸ç ÀÇ»ç ¶Ç´Â ¾à»çÀÇ ÆÇ´Ü¿¡ µû¶ó Åõ¿©¿©ºÎ°¡ °áÁ¤µÇ¾î¾ß ÇÕ´Ï´Ù.
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½ÅÀå¾Ö, °£Àå¾Ö½Ã ¿ë·®Á¶Àý |
À¯·áÁ¤º¸ÀÔ´Ï´Ù.
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| Pharmacokinetics |
À¯·áÁ¤º¸ÀÔ´Ï´Ù.
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| º´¿ë±Ý±â ¹× ¿¬·É´ë±Ý±â ±Ù°ÅÁ¶È¸ |
[º´¿ë±Ý±â ¹× ¿¬·É´ë±Ý±â ±Ù°ÅÁ¶È¸]
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| º¸°ü»ó ÁÖÀÇ |
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| Á¶Á¦½Ã 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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°í½ÃµÈ ¿¬·É±Ý±â ³»¿ëÀº ¾ø½À´Ï´Ù.
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Phenobarbital¿¡ ´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 |
Ergotamine¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Ergotamine acts on migraine by one of two proposed mechanisms: 1) activation of 5-HT1D receptors located on intracranial blood vessels, including those on arterio-venous anastomoses, leads to vasoconstriction, which correlates with the relief of migraine headache, and 2) activation of 5-HT1D receptors on sensory nerve endings of the trigeminal system results in the inhibition of pro-inflammatory neuropeptide release.
Phenobarbital¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Phenobarbital acts on GABAA receptors, increasing synaptic inhibition. This has the effect of elevating seizure threshold and reducing the spread of seizure activity from a seizure focus. Phenobarbital may also inhibit calcium channels, resulting in a decrease in excitatory transmitter release. The sedative-hypnotic effects of phenobarbital are likely the result of its effect on the polysynaptic midbrain reticular formation, which controls CNS arousal.
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| Pharmacology |
Ergotamine¿¡ ´ëÇÑ Pharmacology Á¤º¸ Ergotamine is a vasoconstrictor and alpha adrenoreceptor antagonist. The pharmacological properties of ergotamine are extremely complex; some of its actions are unrelated to each other, and even mutually antagonistic. The drug has partial agonist and/or antagonist activity against tryptaminergic, dopaminergic and alpha adrenergic receptors depending upon their site, and it is a highly active uterine stimulant. It causes constriction of peripheral and cranial blood vessels and produces depression of central vasomotor centers. The pain of a migraine attack is believed to be due to greatly increased amplitude of pulsations in the cranial arteries, especially the meningeal branches of the external carotid artery. Ergotamine reduces extracranial blood flow, causes a decline in the amplitude of pulsation in the cranial arteries, and decreases hyperperfusion of the territory of the basilar artery. It does not reduce cerebral hemispheric blood flow.
Phenobarbital¿¡ ´ëÇÑ Pharmacology Á¤º¸ Phenobarbital, the longest-acting barbiturate, is used for its anticonvulsant and sedative-hypnotic properties in the management of all seizure disorders except absence (petit mal).
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| Metabolism |
Ergotamine¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 3A4 (CYP3A4)
Phenobarbital¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 2C19 (CYP2C19)
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| Protein Binding |
Ergotamine¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ Not Available
Phenobarbital¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 20 to 45%
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| Half-life |
Phenobarbital¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 53 to 118 hours (mean 79 hours)
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| Absorption |
Ergotamine¿¡ ´ëÇÑ Absorption Á¤º¸ The bioavailability of sublingually administered ergotamine has not been determined.
Phenobarbital¿¡ ´ëÇÑ Absorption Á¤º¸ Absorbed in varying degrees following oral, rectal or parenteral administration. The salts are more rapidly absorbed than are the acids. The rate of absorption is increased if the sodium salt is ingested as a dilute solution or taken on an empty stomach.
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| Pharmacokinetics |
Belladonna alkaloidÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- Èí¼ö : À§Àå°üÀ¸·ÎºÎÅÍ Àß Èí¼öµÈ´Ù.
- ºÐÆ÷ : À¯Áó ºÐºñ
- ¼Ò½Ç : °æ±¸ Åõ¿© ÈÄ ¾à 33%°¡ ¹Ìº¯Èü·Î ½Å¹è¼³µÈ´Ù°í ÀϺο¡¼ º¸°íµÈ ¹Ù ÀÖ´Ù.
Ergotamine tartrateÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- Èí¼ö : °æ±¸, Á÷Àå³» Åõ¿© : ºÒ±ÔÄ¢Àû, caffeine º´¿ë Åõ¿©¿¡ ÀÇÇØ Áõ°¡µÊ
- »ýü³»ÀÌ¿ë·ü : 5% À̳»
- ´ë»ç : °£´ë»ç Å
- Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ : caffeine º´¿ë Åõ¿©½Ã 0.5-3 ½Ã°£
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¼Ò½Ç : ´ë»çüÀÇ 90%´Â ´ãÁó ¹è¼³
PhenobarbitalÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á
- °æ±¸ :
- ¼ö¸éÈ¿°ú ¹ßÇö½Ã°£ : 20-60ºÐ À̳»
- ÀÛ¿ëÁö¼Ó½Ã°£ : 6-10 ½Ã°£
- Á¤¸ÆÅõ¿© :
- ÀÛ¿ë¹ßÇö½Ã°£ : 5ºÐ À̳»
- ÃÖ´ëÈ¿°ú ¹ßÇö½Ã°£ : 30ºÐ À̳»
- ÀÛ¿ëÁö¼Ó½Ã°£ : 4-10 ½Ã°£
- Èí¼ö : °æ±¸ : 70-90%
- ´Ü¹é°áÇÕ : 20-45%, ½Å»ý¾Æ¿¡¼´Â °¨¼ÒµÊ
- ´ë»ç : °£¿¡¼ hydroxylationµÇ°í glucuronide Æ÷ÇÕµÊ
- ¹Ý°¨±â :
- ½Å»ý¾Æ : 45-500 ½Ã°£
- ¿µ¾Æ : 20-133 ½Ã°£
- ¼Ò¾Æ : 37-73 ½Ã°£
- ¼ºÀÎ : 53-140 ½Ã°£
- Ç÷ÁßÃÖ°í³óµµ µµ´Þ½Ã°£ : °æ±¸ : 1-6 ½Ã°£ À̳»
- ¼Ò½Ç : 20-50%°¡ ¼Òº¯À¸·Î ¹Ìº¯È ¹è¼³µÊ
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| Biotransformation |
Ergotamine¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic. Ergotamine is metabolized by the liver by largely undefined pathways, and 90% of the metabolites are excreted in the bile.
Phenobarbital¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic (mostly via CYP2C19).
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| Toxicity |
Ergotamine¿¡ ´ëÇÑ Toxicity Á¤º¸ Signs of overexposure include irritation, nausea, vomiting, headache, diarrhea, thirst, coldness of skin, pruritus, weak pulse, numbness, tingling of extremities, and confusion.
Phenobarbital¿¡ ´ëÇÑ Toxicity Á¤º¸ CNS and respiratory depression which may progress to Cheyne-Stokes respiration, areflexia, constriction of the pupils to a slight degree (though in severe poisoning they may wshow paralytic dilation), oliguria, tachycardia, hypotension, lowered body temperature, and coma. Typical shock syndrome (apnea, circulatory collapse, respiratory arrest, and death) may occur.
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| Drug Interactions |
Ergotamine¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Acebutolol Ischemia with risk of gangreneAlmotriptan Possible severe and prolonged vasoconstrictionAmprenavir Amprenavir increases the effect and toxicity of ergot derivativeAtazanavir Atazanavir increases the effect and toxicity of ergot derivativeAtenolol Ischemia with risk of gangreneBetaxolol Ischemia with risk of gangreneBevantolol Ischemia with risk of gangreneBisoprolol Ischemia with risk of gangreneCarteolol Ischemia with risk of gangreneCarvedilol Ischemia with risk of gangreneClarithromycin Risk of ergotism and severe ischemia with this associationDelavirdine The antiretroviral agent may increase the ergot derivative toxicityEfavirenz The antiretroviral agent may increase the ergot derivative toxicityEletriptan Possible severe and prolonged vasoconstrictionErythromycin Possible ergotism and severe ischemia with this combinationEsmolol Ischemia with risk of gangreneFluconazole Possible ergotism and severe ischemia with this combinationFluoxetine Possible ergotism and severe ischemia with this combinationFluvoxamine Possible ergotism and severe ischemia with this combinationFosamprenavir Amprenavir increases the effect and toxicity of ergot derivativeFrovatriptan Possible severe and prolonged vasoconstrictionIndinavir Indinavir increases the effect and toxicity of ergot derivativeIsosorbide Dinitrate Possible antagonism of actionIsosorbide Mononitrate Possible antagonism of actionItraconazole Possible ergotism and severe ischemia with this combinationJosamycin Possible ergotism and severe ischemia with this combinationKetoconazole Possible ergotism and severe ischemia with this combinationLabetalol Ischemia with risk of gangreneMetoprolol Ischemia with risk of gangreneNadolol Ischemia with risk of gangreneNaratriptan Possible severe and prolonged vasoconstrictionNefazodone Possible ergotism and severe ischemia with this combinationNelfinavir Nelfinavir increases the effect and toxicity of ergot derivativeNitroglycerin Possible antagonism of actionPenbutolol Ischemia with risk of gangrenePindolol Ischemia with risk of gangrenePractolol Ischemia with risk of gangrenePropranolol Ischemia with risk of gangrenePosaconazole Contraindicated co-administrationRitonavir The protease inhibitor increases the effect and toxicity of ergot derivativeSaquinavir The protease inhibitor increases the effect and toxicity of ergot derivativeRizatriptan Possible severe and prolonged vasoconstrictionSibutramine Possible serotoninergic syndrome with this combinationSumatriptan Possible severe and prolonged vasoconstrictionSotalol Ischemia with risk of gangreneTelithromycin Risk of ergotism and severe ischemia with this associationTimolol Ischemia with risk of gangreneTroleandomycin Possible ergotism and severe ischemia with this combinationVoriconazole Voriconazole increases the effect and toxicity of ergot derivativeZileuton Possible ergotism and severe ischemia with this combinationZolmitriptan Possible severe and prolonged vasoconstrictionAmyl Nitrite Possible antagonism of actionErythrityl Tetranitrate Possible antagonism of actionOxprenolol Ischemia with risk of gangrene
Phenobarbital¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Aminophylline The barbiturate decreases the effect of theophyllineDyphylline The barbiturate decreases the effect of theophyllineOxtriphylline The barbiturate decreases the effect of theophyllineTheophylline The barbiturate decreases the effect of theophyllineAnisindione The barbiturate decreases the anticoagulant effectAcenocoumarol The barbiturate decreases the anticoagulant effectDicumarol The barbiturate decreases the anticoagulant effectWarfarin The barbiturate decreases the anticoagulant effectBetamethasone The barbiturate decreases the effect of the corticosteroidCortisone acetate The barbiturate decreases the effect of the corticosteroidCyclosporine The barbiturate decreases the effect of cyclosporineDasatinib Decreased levels/efficacy of ddasatinibDelavirdine The anticonvulsant decreases the effect of delavirdineDexamethasone The barbiturate decreases the effect of the corticosteroidDisopyramide Phenobarbital decreases levels of disopyramideDoxycycline The anticonvulsant decreases the effect of doxycyclineFelbamate Felbamate increases the effect and toxicity of phenobarbital/primidoneFelodipine The barbiturate decreases the effect of felodipineFludrocortisone The barbiturate decreases the effect of the corticosteroidFolic Acid Folic acid decreases the effect of anticonvulsantGefitinib This CYP3A4 inducer may reduce gefitinib plasma concentrations and pharmacological effectsGriseofulvin The barbiturate decreases the effect of griseofulvinHydrocortisone The barbiturate decreases the effect of the corticosteroidItraconazole The barbiturate decreases the effect of itraconazoleMethadone The barbiturate decreases the effect of methadoneMethylprednisolone The barbiturate decreases the effect of the corticosteroidPrednisolone The barbiturate decreases the effect of the corticosteroidPrednisone The barbiturate decreases the effect of the corticosteroidParamethasone The barbiturate decreases the effect of the corticosteroidTriamcinolone The barbiturate decreases the effect of the corticosteroidVoriconazole The barbiturate decreases the effect of voriconazoleVerapamil The barbiturate decreases the effect of the calcium channel blockerSunitinib Possible decrease in sunitinib levelsPropranolol The barbiturate decreases the effect of the metabolized beta-blockerMetoprolol The barbiturate decreases the effect of the metabolized beta-blockerMethoxyflurane The barbiturate increases the renal toxicity of methoxyfluraneMetronidazole The barbiturate decreases the effect of metronidazoleNifedipine The barbiturate decreases the effect of the calcium channel blockerQuinidine The anticonvulsant decreases the effect of quinidineDivalproex sodium Valproic acid increases the effect of barbiturateChlorotrianisene The enzyme inducer decreases the effect of hormonesClomifene The enzyme inducer decreases the effect of hormonesDiethylstilbestrol The enzyme inducer decreases the effect of hormonesEstradiol The enzyme inducer decreases the effect of hormonesEstriol The enzyme inducer decreases the effect of hormonesConjugated Estrogens The enzyme inducer decreases the effect of hormonesEstrone The enzyme inducer decreases the effect of hormonesEstropipate The enzyme inducer decreases the effect of hormonesImatinib Phenobarbital decreases levels of imatinibLevonorgestrel Phenobarbital decreases the effect of levonorgestrelMedroxyprogesterone The enzyme inducer decreases the effect of hormonesMegestrol The enzyme inducer decreases the effect of hormonesQuinestrol The enzyme inducer decreases the effect of hormonesNorethindrone This product may cause a slight decrease of contraceptive effectMestranol This product may cause a slight decrease of contraceptive effectEthinyl Estradiol This product may cause a slight decrease of contraceptive effect
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CYP450 Drug Interaction |
[CYP450 TableÁ÷Á¢Á¶È¸] Phenobarbital¿¡ ´ëÇÑ P450 table
SUBSTRATES
CYP 2B6
bupropion
cyclophosphamide
efavirenz
ifosfamide
methadone
INHIBITORS
CYP 2B6
thiotepa
ticlopidine
INDUCERS
CYP 2B6
**phenobarbital**
phenytoin
rifampin
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 |
Ergotamine¿¡ ´ëÇÑ Food Interaction Á¤º¸ Take without regard to meals.Caffeine increases absorption.
Phenobarbital¿¡ ´ëÇÑ Food Interaction Á¤º¸ Avoid alcohol.Avoid excessive quantities of coffee or tea (Caffeine).Increase dietary intake of magnesium, folate, vitamin B6, B12, and/or consider taking a multivitamin.Take on an empty stomach for quicker absorption
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| Drug Target |
[Drug Target]
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| Description |
Ergotamine¿¡ ´ëÇÑ Description Á¤º¸ A vasoconstrictor found in ergot of Central Europe. It is an alpha-1 selective adrenergic agonist and is commonly used in the treatment of migraine disorders. [PubChem]
Phenobarbital¿¡ ´ëÇÑ Description Á¤º¸ A barbituric acid derivative that acts as a nonselective central nervous system depressant. It promotes binding to inhibitory gamma-aminobutyric acid subtype receptors, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations. [PubChem]
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| Dosage Form |
Ergotamine¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Tablet Sublingual
Phenobarbital¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Elixir OralSolution IntramuscularTablet Oral
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| Drug Category |
Ergotamine¿¡ ´ëÇÑ Drug_Category Á¤º¸ Adrenergic alpha-AgonistsAnalgesics, Non-NarcoticSympatholyticsVasoconstrictor Agents
Phenobarbital¿¡ ´ëÇÑ Drug_Category Á¤º¸ AnticonvulsantsExcitatory Amino Acid AntagonistsGABA ModulatorsHypnotics and Sedatives
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| Smiles String Canonical |
Ergotamine¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CN1CC(C=C2C1CC1=CNC3=CC=CC2=C13)C(=O)NC1(C)OC2(O)C3CCCN3C(=O)C(CC3=CC=CC=C3)N2C1=O
Phenobarbital¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ CCC1(C(=O)NC(=O)NC1=O)C1=CC=CC=C1
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| Smiles String Isomeric |
Ergotamine¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CN1C[C@@H](C=C2[C@H]1CC1=CNC3=CC=CC2=C13)C(=O)N[C@]1(C)O[C@@]2(O)[C@@H]3CCCN3C(=O)[C@H](CC3=CC=CC=C3)N2C1=O
Phenobarbital¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ CCC1(C(=O)NC(=O)NC1=O)C1=CC=CC=C1
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| InChI Identifier |
Ergotamine¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C33H35N5O5/c1-32(35-29(39)21-15-23-22-10-6-11-24-28(22)20(17-34-24)16-25(23)36(2)18-21)31(41)38-26(14-19-8-4-3-5-9-19)30(40)37-13-7-12-27(37)33(38,42)43-32/h3-6,8-11,15,17,21,25-27,34,42H,7,12-14,16,18H2,1-2H3,(H,35,39)/t21-,25-,26+,27+,32-,33+/m1/s1/f/h35H
Phenobarbital¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C12H12N2O3/c1-2-12(8-6-4-3-5-7-8)9(15)13-11(17)14-10(12)16/h3-7H,2H2,1H3,(H2,13,14,15,16,17)/f/h13-14H
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| Chemical IUPAC Name |
Ergotamine¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ Not Available
Phenobarbital¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 5-ethyl-5-phenyl-1,3-diazinane-2,4,6-trione
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