드러그인포 약품 상세정보 - 네프로스테릴주250ml

허가정보

항목

내용

청구코드(KD코드)
비급여점검코드
상한금액

650901460[W50310231] [보험코드에 따른 약품기본정보 직접조회]
\0 원/250ml(2016.10.01)(현재약가)
\5,903 원/250ml(2016.03.01)(변경전약가)
[상병코드조회]
[질병코드집 다운로드] [우리집건강주치의 바로가기]

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

무색투명한 액이 무색투명한 수액용 바이알에 든 주사제 [제형정보 확인]

포장·유통단위

250ml/bottle

주성분코드

107148BIJ [동일한 주성분코드를 가진 오리지날 또는 제네릭 의약품 조회]

대표코드

8806509014607

보관방법

밀봉용기, 실온 (1~30℃)보관

효능효과

[적응증 별 검색]

급만성 신부전시의 아미노산 보급: 복막투석, 혈액투석 후 아미노산손실의 보충

용법용량

* 절대 임의복용하지 마시고 반드시 의사 또는 약사와 상담하시기 바랍니다.

[처방약어]
○ 성인 : 총 아미노산으로서 체중 kg 당 1일 0.5~1.5g을 최대용량으로하여 정맥 내 점적주사한다.
○ 투여속도 : 1분간 20적을 점적주사함을 원칙으로 한다.
칼로리는 이 약 투여 전 또는 이 약과 동시에 경구 또는 비 경구적으로 투여한다.
소아, 고령자, 단백요구량이 많은 화상환자 등의 경우는 용량 및 주입속도를 조절하여 투여하여야 한다.

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

경고

반드시 의사의 지시에 의하여 사용할 것.

금기

1) 간성혼수 또는 간성혼수의 우려가 있는 환자
2) 중증의 전해질 및 산∙염기 불균형 환자
3) 순환 혈액량 감소 환자
4) 고암모니아혈증 환자
5) 선천적 아미노산 대사 이상 환자
6) 대상부전성 심부전 환자
7) 수분 과다공급 환자
8) 심근경색 및 그 병력이 있는 환자

신중투여

1) 울혈성 심부전환자
2) 소아 및 저체중아
3) 질소원의 대부분을 이 약에 의존하고 있는 환자
4) 소화관출혈 등의 합병증이 있고, 고암모니아혈증을 일으킬 우려가 있는 환자

이상반응

1) 과민반응: 때때로 전신가려움증, 또는 드물게 발진, 전신 두드러기 등의 증상이 나타나는 경우에는 투여를 중지한다.
2) 소화기계: 때때로 구역, 구토, 식욕부진 등의 증상이 나타날 수 있다.
3) 순환기계: 때때로 흉부불쾌감, 심계항진 등의 증상이 나타날 수 있다
4) 대량급속투여: 대량 급속 투여할 경우 산증이 나타날 수 있다.
5) 기타: 때때로 AST∙ALT의 상승이 확인되는 경우가 있다. 또한 이 약의 투여로 인한 아미노산의 과부하로 때때로 BUN의 상승이 나타날 수 있다. 드물게 오한, 발열, 열감, 두부작열감, 두통, 혈관통이 나타날 수 있다. 혈청 중 요소와 암모니아 수치가 변할 수 있다. 말초정맥으로 투여 시 혈전성 정맥염이 발생할 수 있다.

[주요 이상반응정보]

일반적 주의

1) 다음 경우에 투여한다.
(1) 엄격한 저단백 식이요법을 필요로 하는 급성·악화기 환자
(2) 투석 환자로서 비교적 다량의 아미노산을 필요로 하는 경우
(3) 경구 영양섭취가 불가능하거나 불충분한 경우
2) 질소원의 대부분을 이 약에 의존하는 경우에는 고암모니아혈증 또는 의식장애를 일으킬 수 있어 호명(呼名)이나 응답에 대한 반응의 둔화, 자발적 동작 및 발언의 저하 또는 손실, 계산력 저하, 인식장애 등의 증상이 나타날 수 있다. 이러한 증상이 나타나는 경우에는 투여를 중지한다.
3) 수분 및 전해질의 대사와 산염기 상태, BUN 수치를 정기적으로 모니터링해야 한다.
4) 소아, 간부전, 칼로리 요구량이 많은 환자들에게는 특별히 조성된 아미노산 및 탄수화물 용액을 투여한다.
5) 당뇨병 환자나 당뇨병 전기 환자, 또는 요독증 환자(특히, 혈액투석을 받을 때)에게 고장성의 포도당을 투여할 경우에는 중증의 고혈당 상태가 되는 것을 방지하기위해 인슐린이 요구된다.
6) 아미노산 용액만을 투여할 경우 혈액 중에 케톤체가 축적될 수 있으므로, 탄수화물을 병용투여함으로서 케톤혈증을 막을 수 있다.
7) 이 약 투여 시 다음의 경우에는 식사 단백량 및 열량을 조절한다.
(1) 만성신부전 환자는 투여전의 식사 단백량으로부터 200ml당 식사 단백량으로서 5~10 g을 감하며, 열량은 1800 kcal 이상이 되도록 한다.
(2) 경구 영양 섭취가 불가능하거나 불충분한 급성 신부전 환자는 고칼로리 수액요법에 의한 투여 시 칼로리/질소의 비가 500~1,000이 되도록 한다.

상호작용

아미노산의 물리화학적 특성을 변화시켜 독성물질을 생성할 수도 있으므로 가능하면 다른 약물을 아미노산용액에 첨가하지 않는다. 그럼에도 불구하고 아미노산 용액에 다른 약물을 첨가해야 한다면, 배합가능성이 확인된 약물에 한해서 엄격히 관리된 무균적 조작을 실시해야 한다. 이 약에 다른 약물을 첨가한 후에는 보관하지 말고 즉시 사용한다.

적용상의 주의

1) 이 약은 전해질이 함유되어 있으므로 대량 투여 시 또는 전해질액을 병용 투여할 경우에는 전해질 평형에 주의한다 (전해질 함유 시).
2) 천천히 정맥 내에 투여한다(빠른 속도로 주입할 경우 오한, 구토 등을 유발할 수 있으며, 신장 배설을 통한 현저한 아미노산 손실을 초래한다.).
3) 한랭기에는 체온 정도로 하여 사용한다.
4) 이 약의 투여 중 패혈증의 위험이 항상 존재하므로 수액제제 조제와 관리는 철저히 무균상태에서 행하고, 주사기구의 멸균에 특별히 주의한다.
5) 잔여액 및 완전히 투명하지 않은 것은 사용하지 말 것이며 용액은 혼합 후 신속하게 사용하여야 하고 냉장고 저장은 24시간 이내로 제한한다.
6) 결정이 석출되는 경우에는 50~60°C로 가온용해한 후 체온정도로 식혀서 사용한다.

과량투여 및 처치

과량투여로 인한 증상(이 약에 대한 불내성 증상 또는 부종)이 나타나면 투여를 중단하거나 필요하다면 감량하여 천천히 투여한다.

보관 및 취급상의 주의

1) 소프트백의 경우, 통기침은 필요하지 않다.
2) 바이알 제품의 경우 환기관이 없으므로, 액이 새는 것을 막기 위해서 통기침을 점적 개시 직전에 찌른다.
3) 약액의 착색을 방지하기 위해 포장을 사용할 때까지 개봉하지 않는다.
4) 약액이 착색, 누출되었거나 포장중에 물방울이 나타나는 경우에는 사용하지 않는다.
5) 고무마개를 보호하는 필름이 벗겨졌을 경우에는 사용하지 않는다.
6) 용기의 눈금을 기준으로 사용한다.
7) 사용 후의 남은 용액은 절대로 다시 사용하지 않는다.

정보요약

드럭인포 의약품 요약/상세정보

코드 및 분류정보

항목	내용
성분코드	M095774/초산엘리신 1.001그램 / M051999/엘히스티딘 0.430그램 / M040046/아미노초산 0.320그램 / M051752/엘프롤린 0.430그램 / M100637/엘메치오닌 0.280그램 / M099297/엘트레오닌 0.480그램 / M082379/엔아세틸엘시스테인 0.050그램 / M100994/엘발린 0.620그램 / M040698/엘페닐알라닌 0.380그램 / M040670/엘트립토판 0.190그램 / M100995/엘로이신 1.030그램 / M051013/엘알라닌 0.630그램 / M080272/엘아르기닌 0.490그램 / M050800/엘세린 0.450그램 / M100996/엘이소로이신 0.510그램 /
주성분코드	107148BIJ [동일한 주성분코드를 가진 오리지날 또는 제네릭 의약품 조회]
대표코드	8806509014607
BIT 약효분류	아미노산수액제 (Amino Acid Solutions)
ATC 코드	amino acids / B05BA01 [코드분류상세설명] [ATC코드예측]
복지부분류코드	325 (단백아미노산제제 )
의약품 바코드정보	내용보기 네프로스테릴주/W50310231 제품규격:250밀리리터/제품수량:1/제형:개 폼목기준코드:200202084 /대표코드:8806509000907/표준코드:8806509000914 구바코드:8806106301117/비고:-
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	650901460[W50310231] [보험코드에 따른 약품기본정보 직접조회] \0 원/250ml(2016.10.01)(최신약가) \5,903 원/250ml(2016.03.01)(변경전약가) [상병코드조회] [질병코드집 다운로드]
제품성상	무색투명한 액이 무색투명한 수액용 바이알에 든 주사제 [제형정보 확인]
포장·유통단위	250ml/bottle
보관방법	밀봉용기, 실온 (1~30℃)보관
동일주성분코드 검색순위	유료정보입니다.

복약정보

항목

내용

LACTmed 바로가기

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복약지도

유료정보입니다.

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
(acetic acid; )

*	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.

Pharmacokinetics

유료정보입니다.

보관상 주의

조제시 주의

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	Acetic acid에 대한 독성정보 : 정보보기 출처: 국립독성과학원 독성물질정보DB : http://www.nitr.go.kr/nitr/contents/m134200/view.do
Mechanism of Action	L-alanine에 대한 Mechanism_Of_Action 정보 L-Alanine is a non-essential amino acid that occurs in high levels in its free state in plasma. It is produced from pyruvate by transamination. It is involved in sugar and acid metabolism, increases immunity, and provides energy for muscle tissue, brain, and the central nervous system. BCAAs are used as a source of energy for muscle cells. During prolonged exercise, BCAAs are released from skeletal muscles and their carbon backbones are used as fuel, while their nitrogen portion is used to form another amino acid, Alanine. Alanine is then converted to Glucose by the liver. This form of energy production is called the Alanine-Glucose cycle, and it plays a major role in maintaining the body's blood sugar balance. L-arginine에 대한 Mechanism_Of_Action 정보 Many of supplemental L-arginine's activities, including its possible anti-atherogenic actions, may be accounted for by its role as the precursor to nitric oxide or NO. NO is produced by all tissues of the body and plays very important roles in the cardiovascular system, immune system and nervous system. NO is formed from L-arginine via the enzyme nitric oxide synthase or synthetase (NOS), and the effects of NO are mainly mediated by 3,'5' -cyclic guanylate or cyclic GMP. NO activates the enzyme guanylate cyclase, which catalyzes the synthesis of cyclic GMP from guanosine triphosphate or GTP. Cyclic GMP is converted to guanylic acid via the enzyme cyclic GMP phosphodiesterase. NOS is a heme-containing enzyme with some sequences similar to cytochrome P-450 reductase. Several isoforms of NOS exist, two of which are constitutive and one of which is inducible by immunological stimuli. The constitutive NOS found in the vascular endothelium is designated eNOS and that present in the brain, spinal cord and peripheral nervous system is designated nNOS. The form of NOS induced by immunological or inflammatory stimuli is known as iNOS. iNOS may be expressed constitutively in select tissues such as lung epithelium. All the nitric oxide synthases use NADPH (reduced nicotinamide adenine dinucleotide phosphate) and oxygen (O2) as cosubstrates, as well as the cofactors FAD (flavin adenine dinucleotide), FMN (flavin mononucleotide), tetrahydrobiopterin and heme. Interestingly, ascorbic acid appears to enhance NOS activity by increasing intracellular tetrahydrobiopterin. eNOS and nNOS synthesize NO in response to an increased concentration of calcium ions or in some cases in response to calcium-independent stimuli, such as shear stress. In vitro studies of NOS indicate that the Km of the enzyme for L-arginine is in the micromolar range. The concentration of L-arginine in endothelial cells, as well as in other cells, and in plasma is in the millimolar range. What this means is that, under physiological conditions, NOS is saturated with its L-arginine substrate. In other words, L-arginine would not be expected to be rate-limiting for the enzyme, and it would not appear that supraphysiological levels of L-arginine which could occur with oral supplementation of the amino acid^would make any difference with regard to NO production. The reaction would appear to have reached its maximum level. However, in vivo studies have demonstrated that, under certain conditions, e.g. hypercholesterolemia, supplemental L-arginine could enhance endothelial-dependent vasodilation and NO production. L-histidine에 대한 Mechanism_Of_Action 정보 Since the actions of supplemental L-histidine are unclear, any postulated mechanism is entirely speculative. However, some facts are known about L-histidine and some of its metabolites, such as histamine and trans-urocanic acid, which suggest that supplemental L-histidine may one day be shown to have immunomodulatory and/or antioxidant activities. Low free histidine has been found in the serum of some rheumatoid arthritis patients. Serum concentrations of other amino acids have been found to be normal in these patients. L-histidine is an excellent chelating agent for such metals as copper, iron and zinc. Copper and iron participate in a reaction (Fenton reaction) that generates potent reactive oxygen species that could be destructive to tissues, including joints. L-histidine is the obligate precursor of histamine, which is produced via the decarboxylation of the amino acid. In experimental animals, tissue histamine levels increase as the amount of dietary L-histidine increases. It is likely that this would be the case in humans as well. Histamine is known to possess immunomodulatory and antioxidant activity. Suppressor T cells have H2 receptors, and histamine activates them. Promotion of suppressor T cell activity could be beneficial in rheumatoid arthritis. Further, histamine has been shown to down-regulate the production of reactive oxygen species in phagocytic cells, such as monocytes, by binding to the H2 receptors on these cells. Decreased reactive oxygen species production by phagocytes could play antioxidant, anti-inflammatory and immunomodulatory roles in such diseases as rheumatoid arthritis. This latter mechanism is the rationale for the use of histamine itself in several clinical trials studying histamine for the treatment of certain types of cancer and viral diseases. In these trials, down-regulation by histamine of reactive oxygen species formation appears to inhibit the suppression of natural killer (NK) cells and cytotoxic T lymphocytes, allowing these cells to be more effective in attacking cancer cells and virally infected cells. L-leucine에 대한 Mechanism_Of_Action 정보 This group of essential amino acids are identified as the branched-chain amino acids, BCAAs. Because this arrangement of carbon atoms cannot be made by humans, these amino acids are an essential element in the diet. The catabolism of all three compounds initiates in muscle and yields NADH and FADH2 which can be utilized for ATP generation. The catabolism of all three of these amino acids uses the same enzymes in the first two steps. The first step in each case is a transamination using a single BCAA aminotransferase, with a-ketoglutarate as amine acceptor. As a result, three different a-keto acids are produced and are oxidized using a common branched-chain a-keto acid dehydrogenase, yielding the three different CoA derivatives. Subsequently the metabolic pathways diverge, producing many intermediates. The principal product from valine is propionylCoA, the glucogenic precursor of succinyl-CoA. Isoleucine catabolism terminates with production of acetylCoA and propionylCoA; thus isoleucine is both glucogenic and ketogenic. Leucine gives rise to acetylCoA and acetoacetylCoA, and is thus classified as strictly ketogenic. There are a number of genetic diseases associated with faulty catabolism of the BCAAs. The most common defect is in the branched-chain a-keto acid dehydrogenase. Since there is only one dehydrogenase enzyme for all three amino acids, all three a-keto acids accumulate and are excreted in the urine. The disease is known as Maple syrup urine disease because of the characteristic odor of the urine in afflicted individuals. Mental retardation in these cases is extensive. Unfortunately, since these are essential amino acids, they cannot be heavily restricted in the diet; ultimately, the life of afflicted individuals is short and development is abnormal The main neurological problems are due to poor formation of myelin in the CNS. L-lysine에 대한 Mechanism_Of_Action 정보 Proteins of the herpes simplex virus are rich in L-arginine, and tissue culture studies indicate an enhancing effect on viral replication when the amino acid ratio of L-arginine to L-lysine is high in the tissue culture media. When the ratio of L-lysine to L-arginine is high, viral replication and the cytopathogenicity of herpes simplex virus have been found to be inhibited. L-lysine may facilitate the absorption of calcium from the small intestine. L-methionine에 대한 Mechanism_Of_Action 정보 The mechanism of the possible anti-hepatotoxic activity of L-methionine is not entirely clear. It is thought that metabolism of high doses of acetaminophen in the liver lead to decreased levels of hepatic glutathione and increased oxidative stress. L-methionine is a precursor to L-cysteine. L-cysteine itself may have antioxidant activity. L-cysteine is also a precursor to the antioxidant glutathione. Antioxidant activity of L-methionine and metabolites of L-methionine appear to account for its possible anti-hepatotoxic activity. Recent research suggests that methionine itself has free-radical scavenging activity by virtue of its sulfur, as well as its chelating ability. L-phenylalanine에 대한 Mechanism_Of_Action 정보 The mechanism of L-phenylalanine's putative antidepressant activity may be accounted for by its precursor role in the synthesis of the neurotransmitters norepinephrine and dopamine. Elevated brain norepinephrine and dopamine levels are thought to be associated with antidepressant effects. The mechanism of L-phenylalanine's possible antivitiligo activity is not well understood. It is thought that L-phenylalanine may stimulate the production of melanin in the affected skin L-proline에 대한 Mechanism_Of_Action 정보 Glycogenic, by L-Proline oxidase in the kidney, it is ring-opened and is oxidized to form L-Glutamic acid. L-Ornithine and L-Glutamic acid are converted to L-Proline via L-Glutamic acid-gamma-semialdehyde. It is contained abundantly in collagen, and is intimately involved in the function of arthrosis and chordae. L-serine에 대한 Mechanism_Of_Action 정보 L-Serine plays a role in cell growth and development (cellular proliferation). The conversion of L-serine to glycine by serine hydroxymethyltransferase results in the formation of the one-carbon units necessary for the synthesis of the purine bases, adenine and guanine. These bases when linked to the phosphate ester of pentose sugars are essential components of DNA and RNA and the end products of energy producing metabolic pathways, ATP and GTP. In addition, L-serine conversion to glycine via this same enzyme provides the one-carbon units necessary for production of the pyrimidine nucleotide, deoxythymidine monophosphate, also an essential component of DNA. L-threonine에 대한 Mechanism_Of_Action 정보 L-Threonine is a precursor to the amino acids glycine and serine. It acts as a lipotropic in controlling fat build-up in the liver. May help combat mental illness and may be very useful in indigestion and intestinal malfunctions. Also, threonine prevents excessive liver fat. Nutrients are more readily absorbed when threonine is present. L-tryptophan에 대한 Mechanism_Of_Action 정보 A number of important side reactions occur during the catabolism of tryptophan on the pathway to acetoacetate. The first enzyme of the catabolic pathway is an iron porphyrin oxygenase that opens the indole ring. The latter enzyme is highly inducible, its concentration rising almost 10-fold on a diet high in tryptophan. Kynurenine is the first key branch point intermediate in the pathway. Kynurenine undergoes deamniation in a standard transamination reaction yielding kynurenic acid. Kynurenic acid and metabolites have been shown to act as antiexcitotoxics and anticonvulsives. A second side branch reaction produces anthranilic acid plus alanine. Another equivalent of alanine is produced further along the main catabolic pathway, and it is the production of these alanine residues that allows tryptophan to be classified among the glucogenic and ketogenic amino acids. The second important branch point converts kynurenine into 2-amino-3-carboxymuconic semialdehyde, which has two fates. The main flow of carbon elements from this intermediate is to glutarate. An important side reaction in liver is a transamination and several rearrangements to produce limited amounts of nicotinic acid, which leads to production of a small amount of NAD⁺ and NADP⁺.
Pharmacology	L-alanine에 대한 Pharmacology 정보 Is an important source of energy for muscle tissue, the brain and central nervous system; strengthens the immune system by producing antibodies; helps in the metabolism of sugars and organic acids. L-arginine에 대한 Pharmacology 정보 Studies have shown that is has improved immune responses to bacteria, viruses and tumor cells; promotes wound healing and regeneration of the liver; causes the release of growth hormones; considered crucial for optimal muscle growth and tissue repair. L-histidine에 대한 Pharmacology 정보 Is found abundantly in hemoglobin; has been used in the treatment of rheumatoid arthritis, allergic diseases, ulcers and anemia. A deficiency can cause poor hearing. L-leucine에 대한 Pharmacology 정보 An essential amino acid. (Claim) Leucine helps with the regulation of blood-sugar levels, the growth and repair of muscle tissue (such as bones, skin and muscles), growth hormone production, wound healing as well as energy regulation. It can assist to prevent the breakdown of muscle proteins that sometimes occur after trauma or severe stress. It may also be beneficial for individuals with phenylketonuria - a condition in which the body cannot metabolize the amino acid phenylalanine L-lysine에 대한 Pharmacology 정보 Insures the adequate absorption of calcium; helps form collagen ( which makes up bone cartilage & connective tissues); aids in the production of antibodies, hormones & enzymes. Recent studies have shown that Lysine may be effective against herpes by improving the balance of nutrients that reduce viral growth. A deficiency may result in tiredness, inability to concentrate, irritability, bloodshot eyes, retarded growth, hair loss, anemia & reproductive problems. L-methionine에 대한 Pharmacology 정보 L-Methionine is a principle supplier of sulfur which prevents disorders of the hair, skin and nails; helps lower cholesterol levels by increasing the liver's production of lecithin; reduces liver fat and protects the kidneys; a natural chelating agent for heavy metals; regulates the formation of ammonia and creates ammonia-free urine which reduces bladder irritation; influences hair follicles and promotes hair growth. L-methionine may protect against the toxic effects of hepatotoxins, such as acetaminophen. Methionine may have antioxidant activity. L-phenylalanine에 대한 Pharmacology 정보 Used by the brain to produce Norepinephrine, a chemical that transmits signals between nerve cells and the brain; keeps you awake and alert; reduces hunger pains; functions as an antidepressant and helps improve memory. L-proline에 대한 Pharmacology 정보 L-Proline is a major amino acid found in cartilage and is important for maintaining youthful skin as well as repair of muscle, connective tissue and skin damage. It is also essential for the immune system, and for necessary balance of this formula. It is an essential component of collagen and is important for proper functioning of joints and tendons. L-Proline is extremely important for the proper functioning of joints and tendons. Helps maintain and strengthen heart muscles. L-serine에 대한 Pharmacology 정보 Serine is classified as a nutritionally non-essential amino acid. Serine is critical for the production of the body's proteins, enzymes and muscle tissue. Serine is needed for the proper metabolism of fats and fatty acids. It also helps in the production of antibodies. Serine is used as a natural moisturizing agent in some cosmetics and skin care products. The main source of essential amino acids is from the diet, non-essential amino acids are normally synthesize by humans and other mammals from common intermediates. L-threonine에 대한 Pharmacology 정보 L-Threonine is an essential amino acid that helps to maintain the proper protein balance in the body. It is important for the formation of collagen, elastin, and tooth enamel, and aids liver and lipotropic function when combined with aspartic acid and methionine. L-tryptophan에 대한 Pharmacology 정보 Tryptophan is critical for the production of the body's proteins, enzymes and muscle tissue. It is also essential for the production of niacin, the synthesis of the neurotransmitter serotonin and melatonin. Tryptophan supplements can be used as natural relaxants to help relieve insomnia. Tryptophan can also reduce anxiety and depression and has been shown to reduce the intensity of migraine headaches. Other promising indications include the relief of chronic pain, reduction of impulsivity or mania and the treatment of obsessive or compulsive disorders. Tryptophan also appears to help the immune system and can reduce the risk of cardiac spasms. Tryptophan deficiencies may lead to coronary artery spasms. Tryptophan is used as an essential nutrient in infant formulas and intravenous feeding. Tryptophan is marketed as a prescription drug (Tryptan) for those who do not seem to respond well to conventional antidepressants. It may also be used to treat those afflicted with seasonal affective disorder (a winter-onset depression). Tryptopan serves as the precursor for the synthesis of serotonin (5-hydroxytryptamine, 5-HT) and melatonin (N-acetyl-5-methoxytryptamine).
Metabolism	L-histidine에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Not Available L-lysine에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Not Available L-methionine에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Glutamine SynthetaseMethylenetetrahydrofolate reductase L-proline에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Proline oxidase L-tryptophan에 대한 Metabolism 정보 # Phase_1_Metabolizing_Enzyme:Tryptophan 2,3-dioxygenaseAromatic-L-amino-acid decarboxylase (AADC)
Absorption	L-arginine에 대한 Absorption 정보 Absorbed from the lumen of the small intestine into the enterocytes. Absorption is efficient and occurs by an active transport mechanism. L-histidine에 대한 Absorption 정보 Absorbed from the small intestine via an active transport mechanism requiring the presence of sodium. L-lysine에 대한 Absorption 정보 Absorbed from the lumen of the small intestine into the enterocytes by an active transport process L-methionine에 대한 Absorption 정보 Absorbed from the lumen of the small intestine into the enterocytes by an active transport process. L-phenylalanine에 대한 Absorption 정보 Absorbed from the small intestine by a sodium dependent active transport process.
Pharmacokinetics	L-arginine의 약물동력학자료 최고 혈중농도 도달 : 경구 : 2시간 최대 효과 발현 : 당뇨 진단 : 정맥주사 : 20-45 분 혈당의 최고 상승은 20분 후에 나타나며, 인슐린의 최대 상승은 20-30 분 후에 나타나며 glucagon은 30-45 분 후에 나타난다. 성장호르몬 보유 진단 : 정맥주사 : 1-2 시간 Arginine 30 g을 30분간 정맥주사 후 성장호르몬의 최대 상승이 약 1-2 시간 후에 나타난다. 작용 지속 시간 : 정맥주사 : 1시간 흡수 : 위장관에서 잘 흡수됨 대사 : 간에서 arginase에 의해 guanidino group이 가수분해되어 urea와 ornithine을 생성한다. Ornithine은 궁극적으로 glucose 생성에 이용된다. 소실 : 신장 : 사구체로 여과되고 신세뇨관으로 재흡수된다. 반감기 : 1.2-2 시간 Aminoacetic Acid(Glycine)의 약물동력학자료 대사 : Glycine은 단백, creatinine, glycocholic acid, glutathione, uric acid, heme 등의 합성에 관여한다. 체내에서의 분해는 여러단계로 이루어지며 주된 경로는 가역적인 산화적 분해이다. Serine이 정상적인 분해산물이다. 혈장 반감기 : 85분 L-methionine의 약물동력학자료 대사 : S-adenosylmethionine을 거쳐 homocysteine으로 전환된다. 그 후 80%가 cystathione, cysteine, taurine, inorganic sulphate로 점차로 대사된다.
Biotransformation	L-arginine에 대한 Biotransformation 정보 Some metabolism of L-arginine takes place in the enterocytes. L-arginine not metabolized in the enterocytes enters the portal circulation from whence it is transported to the liver, where again some portion of the amino acid is metabolized. L-lysine에 대한 Biotransformation 정보 Hepatic L-methionine에 대한 Biotransformation 정보 Hepatic L-phenylalanine에 대한 Biotransformation 정보 Hepatic. L-phenylalanine that is not metabolized in the liver is distributed via the systemic circulation to the various tissues of the body, where it undergoes metabolic reactions similar to those that take place in the liver. L-proline에 대한 Biotransformation 정보 Hepatic L-threonine에 대한 Biotransformation 정보 Hepatic L-tryptophan에 대한 Biotransformation 정보 Hepatic.
Toxicity	L-arginine에 대한 Toxicity 정보 Oral supplementation with L-arginine at doses up to 15 grams daily are generally well tolerated. The most common adverse reactions of higher doses from 15 to 30 grams daily are nausea, abdominal cramps and diarrhea. Some may experience these symptoms at lower doses. L-histidine에 대한 Toxicity 정보 ORL-RAT LD₅₀ > 15000 mg/kg, IPR-RAT LD₅₀ > 8000 mg/kg, ORL-MUS LD₅₀ > 15000 mg/kg, IVN-MUS LD₅₀ > 2000 mg/kg; Mild gastrointestinal side effects. L-lysine에 대한 Toxicity 정보 Not Available L-methionine에 대한 Toxicity 정보 Doses of L-methionine of up to 250 mg daily are generally well tolerated. Higher doses may cause nausea, vomiting and headache. Healthy adults taking 8 grams of L-methionine daily for four days were found to have reduced serum folate levels and leucocytosis. Healthy adults taking 13.9 grams of L-methionine daily for five days were found to have changes in serum pH and potassium and increased urinary calcium excretion. Schizophrenic patients given 10 to 20 grams of L-methionine daily for two weeks developed functional psychoses. Single doses of 8 grams precipitated encephalopathy in patients with cirrhosis. L-phenylalanine에 대한 Toxicity 정보 L-phenylalanine will exacerbate symptoms of phenylketonuria if used by phenylketonurics. L-phenylalanine was reported to exacerbate tardive dyskinesia when used by some with schizophrenia. L-proline에 대한 Toxicity 정보 Not Available L-tryptophan에 대한 Toxicity 정보 Oral rat LD₅₀: > 16 gm/kg. Investigated as a tumorigen, mutagen, reproductive effector. Symptoms of overdose include agitation, confusion, diarrhea, fever, overactive reflexes, poor coordination, restlessness, shivering, sweating, talking or acting with excitement you cannot control, trembling or shaking, twitching, and vomiting.
Drug Interactions	L-arginine에 대한 Drug_Interactions 정보 Not Available L-histidine에 대한 Drug_Interactions 정보 Not Available L-lysine에 대한 Drug_Interactions 정보 Not Available L-methionine에 대한 Drug_Interactions 정보 Not Available L-phenylalanine에 대한 Drug_Interactions 정보 Not Available L-proline에 대한 Drug_Interactions 정보 Not Available L-tryptophan에 대한 Drug_Interactions 정보 Not Available
CYP450 Drug Interaction	[CYP450 Table직접조회]
Food Interaction	L-methionine에 대한 Food Interaction 정보 Take with food.
Drug Target	[Drug Target]
Description	L-alanine에 대한 Description 정보 A non-essential amino acid that occurs in high levels in its free state in plasma. It is produced from pyruvate by transamination. It is involved in sugar and acid metabolism, increases immunity, and provides energy for muscle tissue, brain, and the central nervous system. [PubChem] L-arginine에 대한 Description 정보 An essential amino acid that is physiologically active in the L-form. [PubChem] L-histidine에 대한 Description 정보 An essential amino acid that is required for the production of histamine. [PubChem] L-leucine에 대한 Description 정보 An essential branched-chain amino acid important for hemoglobin formation. [PubChem] L-lysine에 대한 Description 정보 L-Lysine (abbreviated as Lys or K)[1] is an 慣-amino acid with the chemical formula HO2CCH(NH2)(CH2)4NH2. This amino acid is an essential amino acid, which means that humans cannot synthesize it. Its codons are AAA and AAG.L-Lysine is a base, as are arginine and histidine. The 琯-amino group often participates in hydrogen bonding and as a general base in catalysis. Common posttranslational modifications include methylation of the 琯-amino group, giving methyl-, dimethyl-, and trimethyllysine. The latter occurs in calmodulin. Other posttranslational modifications include acetylation. Collagen contains hydroxylysine which is derived from lysine by lysyl hydroxylase. O-Glycosylation of lysine residues in the endoplasmic reticulum or Golgi apparatus is used to mark certain proteins for secretion from the cell. L-methionine에 대한 Description 정보 A sulfur containing essential amino acid that is important in many body functions. It is a chelating agent for heavy metals. [PubChem] L-phenylalanine에 대한 Description 정보 An essential aromatic amino acid that is a precursor of melanin; dopamine; noradrenalin (norepinephrine), and thyroxine. [PubChem] L-proline에 대한 Description 정보 A non-essential amino acid that is synthesized from glutamic acid. It is an essential component of collagen and is important for proper functioning of joints and tendons. [PubChem] L-serine에 대한 Description 정보 A non-essential amino acid occurring in natural form as the L-isomer. It is synthesized from glycine or threonine. It is involved in the biosynthesis of purines; pyrimidines; and other amino acids. [PubChem] L-threonine에 대한 Description 정보 An essential amino acid occurring naturally in the L-form, which is the active form. It is found in eggs, milk, gelatin, and other proteins. [PubChem] L-tryptophan에 대한 Description 정보 An essential amino acid that is necessary for normal growth in infants and for nitrogen balance in adults. It is a precursor of indole alkaloids in plants. It is a precursor of serotonin (hence its use as an antidepressant and sleep aid). It can be a precursor to niacin, albeit inefficiently, in mammals. [PubChem]
Drug Category	L-alanine에 대한 Drug_Category 정보 Dietary supplementMicronutrientNon-Essential Amino Acids L-arginine에 대한 Drug_Category 정보 Conditionally Essential Amino AcidsDietary supplementMicronutrient L-histidine에 대한 Drug_Category 정보 Conditionally Essential Amino AcidsDietary supplementMicronutrient L-leucine에 대한 Drug_Category 정보 Dietary supplementEssential Amino AcidsMicronutrient L-lysine에 대한 Drug_Category 정보 Dietary supplementEssential Amino AcidsMicronutrient L-methionine에 대한 Drug_Category 정보 Dietary supplementEssential Amino AcidsMicronutrient L-phenylalanine에 대한 Drug_Category 정보 Dietary supplementEssential Amino AcidsMicronutrient L-proline에 대한 Drug_Category 정보 Dietary supplementMicronutrientNon-Essential Amino Acids L-serine에 대한 Drug_Category 정보 Dietary supplementMicronutrientNon-Essential Amino Acids L-threonine에 대한 Drug_Category 정보 Dietary supplementEssential Amino AcidsMicronutrient L-tryptophan에 대한 Drug_Category 정보 Antidepressive Agents, Second-GenerationDietary supplementEssential Amino AcidsMicronutrient
Smiles String Canonical	L-alanine에 대한 Smiles_String_canonical 정보 CC(N)C(O)=O L-arginine에 대한 Smiles_String_canonical 정보 NC(CCCN=C(N)N)C(O)=O L-histidine에 대한 Smiles_String_canonical 정보 NC(CC1=CN=CN1)C(O)=O L-leucine에 대한 Smiles_String_canonical 정보 CC(C)CC(N)C(O)=O L-lysine에 대한 Smiles_String_canonical 정보 NCCCCC(N)C(O)=O L-methionine에 대한 Smiles_String_canonical 정보 CSCCC(N)C(O)=O L-phenylalanine에 대한 Smiles_String_canonical 정보 NC(CC1=CC=CC=C1)C(O)=O L-proline에 대한 Smiles_String_canonical 정보 OC(=O)C1CCCN1 L-serine에 대한 Smiles_String_canonical 정보 NC(CO)C(O)=O L-threonine에 대한 Smiles_String_canonical 정보 CC(O)C(N)C(O)=O L-tryptophan에 대한 Smiles_String_canonical 정보 NC(CC1=CNC2=CC=CC=C12)C(O)=O
Smiles String Isomeric	L-alanine에 대한 Smiles_String_isomeric 정보 C[C@H](N)C(O)=O L-arginine에 대한 Smiles_String_isomeric 정보 N[C@@H](CCC\N=C(\N)N)C(O)=O L-histidine에 대한 Smiles_String_isomeric 정보 N[C@@H](CC1=CN=CN1)C(O)=O L-leucine에 대한 Smiles_String_isomeric 정보 CC(C)C[C@@H](N)C(O)=O L-lysine에 대한 Smiles_String_isomeric 정보 NCCCC[C@H](N)C(O)=O L-methionine에 대한 Smiles_String_isomeric 정보 CSCC[C@H](N)C(O)=O L-phenylalanine에 대한 Smiles_String_isomeric 정보 N[C@@H](CC1=CC=CC=C1)C(O)=O L-proline에 대한 Smiles_String_isomeric 정보 OC(=O)[C@@H]1CCCN1 L-serine에 대한 Smiles_String_isomeric 정보 N[C@@H](CO)C(O)=O L-threonine에 대한 Smiles_String_isomeric 정보 C[C@@H](O)[C@H](N)C(O)=O L-tryptophan에 대한 Smiles_String_isomeric 정보 N[C@@H](CC1=CNC2=CC=CC=C12)C(O)=O
InChI Identifier	L-alanine에 대한 InChI_Identifier 정보 InChI=1/C3H7NO2/c1-2(4)3(5)6/h2H,4H2,1H3,(H,5,6)/t2-/m0/s1/f/h5H L-arginine에 대한 InChI_Identifier 정보 InChI=1/C6H14N4O2/c7-4(5(11)12)2-1-3-10-6(8)9/h4H,1-3,7H2,(H,11,12)(H4,8,9,10)/t4-/m0/s1/f/h11H,8-9H2 L-histidine에 대한 InChI_Identifier 정보 InChI=1/C6H9N3O2/c7-5(6(10)11)1-4-2-8-3-9-4/h2-3,5H,1,7H2,(H,8,9)(H,10,11)/t5-/m0/s1/f/h9-10H L-leucine에 대한 InChI_Identifier 정보 InChI=1/C6H13NO2/c1-4(2)3-5(7)6(8)9/h4-5H,3,7H2,1-2H3,(H,8,9)/f/h8H L-lysine에 대한 InChI_Identifier 정보 InChI=1/C6H14N2O2/c7-4-2-1-3-5(8)6(9)10/h5H,1-4,7-8H2,(H,9,10)/t5-/m0/s1/f/h9H L-methionine에 대한 InChI_Identifier 정보 InChI=1/C5H11NO2S/c1-9-3-2-4(6)5(7)8/h4H,2-3,6H2,1H3,(H,7,8)/t4-/m0/s1/f/h7H L-phenylalanine에 대한 InChI_Identifier 정보 InChI=1/C9H11NO2/c10-8(9(11)12)6-7-4-2-1-3-5-7/h1-5,8H,6,10H2,(H,11,12)/t8-/m0/s1/f/h11H L-proline에 대한 InChI_Identifier 정보 InChI=1/C5H9NO2/c7-5(8)4-2-1-3-6-4/h4,6H,1-3H2,(H,7,8)/t4-/m0/s1/f/h7H L-serine에 대한 InChI_Identifier 정보 InChI=1/C3H7NO3/c4-2(1-5)3(6)7/h2,5H,1,4H2,(H,6,7)/t2-/m0/s1/f/h6H L-threonine에 대한 InChI_Identifier 정보 InChI=1/C4H9NO3/c1-2(6)3(5)4(7)8/h2-3,6H,5H2,1H3,(H,7,8)/t2-,3+/m1/s1/f/h7H L-tryptophan에 대한 InChI_Identifier 정보 InChI=1/C11H12N2O2/c12-9(11(14)15)5-7-6-13-10-4-2-1-3-8(7)10/h1-4,6,9,13H,5,12H2,(H,14,15)/t9-/m0/s1/f/h14H
Chemical IUPAC Name	L-alanine에 대한 Chemical_IUPAC_Name 정보 (2S)-2-aminopropanoic acid L-arginine에 대한 Chemical_IUPAC_Name 정보 (2S)-2-amino-5-(diaminomethylideneamino)pentanoic acid L-histidine에 대한 Chemical_IUPAC_Name 정보 (2S)-2-amino-3-(3H-imidazol-4-yl)propanoic acid L-leucine에 대한 Chemical_IUPAC_Name 정보 2-amino-4-methylpentanoic acid L-lysine에 대한 Chemical_IUPAC_Name 정보 (2S)-2,6-diaminohexanoic acid L-methionine에 대한 Chemical_IUPAC_Name 정보 (2S)-2-amino-4-methylsulfanylbutanoic acid L-phenylalanine에 대한 Chemical_IUPAC_Name 정보 (2S)-2-amino-3-phenylpropanoic acid L-proline에 대한 Chemical_IUPAC_Name 정보 (2S)-pyrrolidine-2-carboxylic acid L-serine에 대한 Chemical_IUPAC_Name 정보 (2S)-2-amino-3-hydroxypropanoic acid L-threonine에 대한 Chemical_IUPAC_Name 정보 (2S,3R)-2-amino-3-hydroxybutanoic acid L-tryptophan에 대한 Chemical_IUPAC_Name 정보 (2S)-2-amino-3-(1H-indol-3-yl)propanoic acid
Drug-Induced Toxicity Related Proteins	LYSINE 의 Drug-Induced Toxicity Related Protein정보 Replated Protein:Tamm-Horsfall protein Drug:Lysine Toxicity:persisting acute renal failure . [바로가기] METHIONINE 의 Drug-Induced Toxicity Related Protein정보 Replated Protein:NMDA receptor-regulated protein Drug:methionine Toxicity:cerebrovascular disease. [바로가기] Replated Protein:Cystathionine beta-synthase Drug:methionine Toxicity:lipoprotein peroxidation and platelet aggregation. [바로가기] Replated Protein:Methylenetetrahydrofolate reductase Drug:methionine Toxicity:lipoprotein peroxidation and platelet aggregation. [바로가기]

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