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    Indomethacin¿¡ ´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  | 
   
  
   
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       Indomethacin¿¡ ´ëÇÑ Mechanism_Of_Action Á¤º¸ Antiinflammatory effects of Indomethacin are believed to be due to inhibition of cylooxygenase in platelets which leads to the blockage of prostaglandin synthesis. Antipyretic effects may be due to action on the hypothalamus, resulting in an increased peripheral blood flow, vasodilation, and subsequent heat dissipation. 
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       Indomethacin¿¡ ´ëÇÑ Pharmacology Á¤º¸ Indomethacin, a nonsteroidal antiinflammatory drug (NSAID) with analgesic and antipyretic properties, is used to treat osteoarthritis and control acute pain. 
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       Indomethacin¿¡ ´ëÇÑ Metabolism Á¤º¸ # Phase_1_Metabolizing_Enzyme:Cytochrome P450 2C19 (CYP2C19)UDP-glucuronosyltransferase 1-9 (UGT1A9) 
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       Indomethacin¿¡ ´ëÇÑ ´Ü¹é°áÇÕ Á¤º¸ 97% 
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       Indomethacin¿¡ ´ëÇÑ ¹Ý°¨±â Á¤º¸ 4.5 hours 
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       Indomethacin¿¡ ´ëÇÑ Absorption Á¤º¸ Bioavailability is approximately 100% following oral administration and 80??0% following rectal administration. 
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       Indomethacin sodiumÀÇ ¾à¹°µ¿·ÂÇÐÀÚ·á 
- ÀÛ¿ë¹ßÇö½Ã°£ : 30ºÐ À̳»
 
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 - ºÐÆ÷ : ºÐÆ÷¿ëÀû : 0.34-1.57 L/kg.  ÅÂ¹Ý Åë°ú, À¯Áó ºÐºñ
 
 - ´Ü¹é°áÇÕ : 90%
 
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 - ¼Ò½Ç : Àå°£¼øÈ¯ Å.  ÁÖ·Î glucuronide Æ÷ÇÕü·Î¼ ½Å¹è¼³
   
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    | Biotransformation | 
    
       Indomethacin¿¡ ´ëÇÑ Biotransformation Á¤º¸ Hepatic. 
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    | Toxicity | 
    
       Indomethacin¿¡ ´ëÇÑ Toxicity Á¤º¸ The following symptoms may be observed following overdosage: nausea, vomiting, intense headache, dizziness, mental confusion, disorientation, or lethargy. There have been reports of paresthesias, numbness, and convulsions. The oral LD50 of indomethacin in mice and rats (based on 14 day mortality response) was 50 and 12 mg/kg, respectively. 
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    | Drug Interactions | 
    
       Indomethacin¿¡ ´ëÇÑ Drug_Interactions Á¤º¸ Acebutolol	Risk of inhibition of renal prostaglandinsAtenolol	Risk of inhibition of renal prostaglandinsBetaxolol	Risk of inhibition of renal prostaglandinsBevantolol	Risk of inhibition of renal prostaglandinsBisoprolol	Risk of inhibition of renal prostaglandinsCarteolol	Risk of inhibition of renal prostaglandinsCarvedilol	Risk of inhibition of renal prostaglandinsMethotrexate	The NSAID increases the effect and toxicity of methotrexateDiflunisal	Diflunisal increases the effect and toxicity of indomethacinEsmolol	Risk of inhibition of renal prostaglandinsLabetalol	Risk of inhibition of renal prostaglandinsMetoprolol	Risk of inhibition of renal prostaglandinsNadolol	Risk of inhibition of renal prostaglandinsLosartan	Indomethacin decreases the effect of losartanLithium	The NSAID increases serum levels of lithiumOxprenolol	Risk of inhibition of renal prostaglandinsPenbutolol	Risk of inhibition of renal prostaglandinsPindolol	Risk of inhibition of renal prostaglandinsPractolol	Risk of inhibition of renal prostaglandinsProbenecid	Probenecid increases the effect/toxicity of indomethacinSotalol	Risk of inhibition of renal prostaglandinsPropranolol	Risk of inhibition of renal prostaglandinsTimolol	Risk of inhibition of renal prostaglandinsWarfarin	The NSAID increases the anticoagulant effectAcenocoumarol	The NSAID increases the anticoagulant effectDicumarol	The NSAID increases the anticoagulant effectAnisindione	The NSAID increases the anticoagulant effectTorasemide	The NSAID decreases the diuretic and antihypertensive effects of the loop diureticBumetanide	The NSAID decreases the diuretic and antihypertensive effects of the loop diureticFurosemide	The NSAID decreases the diuretic and antihypertensive effects of the loop diureticEthacrynic acid	The NSAID decreases the diuretic and antihypertensive effects of the loop diureticCyclosporine	Monitor for nephrotoxicityAlendronate	Increased risk of gastric toxicityTriamterene	Risk of acute renal impairment with this combination 
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    CYP450  Drug Interaction | 
    
      [CYP450 TableÁ÷Á¢Á¶È¸] 
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    | Food Interaction | 
    
       Indomethacin¿¡ ´ëÇÑ Food Interaction Á¤º¸ Avoid alcohol.Take with food or antacids to reduce irritation. 
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    | Drug Target | 
    
      
      [Drug Target]
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    | Description | 
    
       Indomethacin¿¡ ´ëÇÑ Description Á¤º¸ A non-steroidal anti-inflammatory agent (NSAID) that inhibits the enzyme cyclooxygenase necessary for the formation of prostaglandins and other autacoids. It also inhibits the motility of polymorphonuclear leukocytes. [PubChem] 
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    | Dosage Form | 
    
       Indomethacin¿¡ ´ëÇÑ Dosage_Form Á¤º¸ Capsule	OralPowder, for solution	IntravenousSuppository	Rectal 
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    | Drug Category | 
    
       Indomethacin¿¡ ´ëÇÑ Drug_Category Á¤º¸ Anti-Inflammatory Agents, Non-SteroidalAnti-inflammatory AgentsCardiovascular AgentsCyclooxygenase InhibitorsGout SuppressantsNonsteroidal Antiinflammatory Agents (NSAIDs)Tocolytic Agents 
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    | Smiles String Canonical | 
    
       Indomethacin¿¡ ´ëÇÑ Smiles_String_canonical Á¤º¸ COC1=CC2=C(C=C1)N(C(=O)C1=CC=C(Cl)C=C1)C(C)=C2CC(O)=O 
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    | Smiles String Isomeric | 
    
       Indomethacin¿¡ ´ëÇÑ Smiles_String_isomeric Á¤º¸ COC1=CC2=C(C=C1)N(C(=O)C1=CC=C(Cl)C=C1)C(C)=C2CC(O)=O 
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    | InChI Identifier | 
    
       Indomethacin¿¡ ´ëÇÑ InChI_Identifier Á¤º¸ InChI=1/C19H16ClNO4/c1-11-15(10-18(22)23)16-9-14(25-2)7-8-17(16)21(11)19(24)12-3-5-13(20)6-4-12/h3-9H,10H2,1-2H3,(H,22,23)/f/h22H 
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    | Chemical IUPAC Name | 
    
       Indomethacin¿¡ ´ëÇÑ Chemical_IUPAC_Name Á¤º¸ 2-[1-(4-chlorobenzoyl)-5-methoxy-2-methylindol-3-yl]acetic acid 
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    | Drug-Induced Toxicity Related Proteins | 
    
      INDOMETHACIN ÀÇ Drug-Induced Toxicity Related ProteinÁ¤º¸ Replated Protein:Tumor necrosis factor receptor superfamily member 1A (TNF-R1) Drug:indomethacin Toxicity:gastric damage and granulocyte infiltration.  [¹Ù·Î°¡±â] Replated Protein:Plasma kallikrein  Drug:indomethacin Toxicity:enterocolitis.  [¹Ù·Î°¡±â] Replated Protein:Heat shock 70 kDa protein Drug:indomethacin Toxicity:denatured proteins.  [¹Ù·Î°¡±â] Replated Protein:c-myc oncogene Drug:indomethacin Toxicity:apoptosis by indomethacin.  [¹Ù·Î°¡±â] Replated Protein:Acetylcholinesterase  Drug:indomethacin Toxicity:enhance contractility of the small intestine.  [¹Ù·Î°¡±â] Replated Protein:G1/S-specific cyclin-D1 Drug:indomethacin Toxicity:arrests endothelial cell proliferation.  [¹Ù·Î°¡±â] Replated Protein:Acetylcholinesterase  Drug:indomethacin Toxicity:enhance contractility of the small intestine.  [¹Ù·Î°¡±â] Replated Protein:P-selectin  Drug:indomethacin Toxicity:Indomethacin induced gastropathy.  [¹Ù·Î°¡±â] Replated Protein:B2 bradykinin receptor Drug:indomethacin Toxicity:enterocolitis.  [¹Ù·Î°¡±â] Replated Protein:Nitric oxide synthase, inducible  Drug:indomethacin Toxicity:gastric damage and granulocyte infiltration.  [¹Ù·Î°¡±â] Replated Protein:Intercellular adhesion molecule 1  Drug:indomethacin Toxicity:Indomethacin induced gastropathy.  [¹Ù·Î°¡±â] Replated Protein:Plasma kallikrein  Drug:indomethacin Toxicity:enterocolitis.  [¹Ù·Î°¡±â] Replated Protein:Integrin alpha-M  Drug:indomethacin Toxicity:experimental dystonia.  [¹Ù·Î°¡±â] Replated Protein:Tumor necrosis factor  Drug:indomethacin Toxicity:gastric damage and granulocyte infiltration.  [¹Ù·Î°¡±â] Replated Protein:Cytochrome b5 Drug:indomethacin  Toxicity:selective effect of a p-chlorophenyl moiety.  [¹Ù·Î°¡±â] Replated Protein:NADH-cytochrome b5 reductase Drug:indomethacin  Toxicity:selective effect of a p-chlorophenyl moiety.  [¹Ù·Î°¡±â] Replated Protein:Epoxide hydrolase Drug:indomethacin  Toxicity:selective effect of a p-chlorophenyl moiety.  [¹Ù·Î°¡±â] 
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