Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
420.198199306
InChI
InChI=1S/2C7H8N4O2.C2H8N2/c2*1-10-5-4(8-3-9-5)6(12)11(2)7(10)13;3-1-2-4/h2*3H,1-2H3,(H,8,9);1-4H2
InChI Key
InChIKey=FQPFAHBPWDRTLU-UHFFFAOYSA-N
IUPAC Name
bis(1,3-dimethyl-2,3,6,7-tetrahydro-1H-purine-2,6-dione); ethane-1,2-diamine
Traditional IUPAC Name
ethylenediamine; bis(theophylline)
SMILES
NCCN.CN1C2=C(NC=N2)C(=O)N(C)C1=O.CN1C2=C(NC=N2)C(=O)N(C)C1=O
pKa (strongest acidic)
7.82
pKa (Strongest Basic)
-0.78
Refractivity
44.93 m3·mol-1
Dược Lực Học :
Aminophylline is the ethylenediamine salt of theophylline. Theophylline stimulates the CNS, skeletal muscles, and cardiac muscle. It relaxes certain smooth muscles in the bronchi, produces diuresis, and causes an increase in gastric secretion.
Cơ Chế Tác Dụng :
Aminophylline is a drug combination that contains theophylline and ethylenediamine in a 2:1 ratio. Once in the body, theophylline is released and acts as a phosphodiesterase inhibitor, adenosine receptor blocker, and histone deacetylase activator. Similar to other theophyllines, aminophylline is indicated for the treatment of lung diseases such as asthma, chronic bronchitis, and COPD. The majority of aminophylline medications are discontinued and the remaining medications on the market are in short supply.
Aminophylline is the ethylenediamine salt of theophylline. After ingestion, theophylline is released from aminophylline, and theophylline relaxes the smooth muscle of the bronchial airways and pulmonary blood vessels and reduces airway responsiveness to histamine, methacholine, adenosine, and allergen. Theophylline competitively inhibits type III and type IV phosphodiesterase (PDE), the enzyme responsible for breaking down cyclic AMP in smooth muscle cells, possibly resulting in bronchodilation. Theophylline also binds to the adenosine A2B receptor and blocks adenosine mediated bronchoconstriction. In inflammatory states, theophylline activates histone deacetylase to prevent transcription of inflammatory genes that require the acetylation of histones for transcription to begin.
Dược Động Học :
▧ Volume of Distribution :
* 0.3 to 0.7 L/kg
▧ Protein binding :
60%
▧ Half Life :
7-9 hours
▧ Clearance :
* 0.29 mL/kg/min [postnatal age 3-15 days]
* 0.64 mL/kg/min [postnatal age 25-57 days]
* 1.7 mL/kg/min [ 1-4 years]
* 1.6 mL/kg/min [4-12 years]
* 0.9 mL/kg/min [13-15 years]
* 1.4 mL/kg/min [16-17 years]
* 0.65 mL/kg/min [Adults (16-60 years), non-smoking asthmatics]
* 0.41 mL/kg/min [Elderly (>60 years). liver, and renal function]
* 0.33 mL/kg/min [Acute pulmonary edema]
* 0.54 mL/kg/min [COPD->60 years, stable non-smoker >1 year]
* 0.48 mL/kg/min [COPD with cor pulmonale]
* 1.25 mL/kg/min [Cystic fibrosis (14-28 years)]
* 0.31 mL/kg/min [Liver disease -cholestasis]
* 0.35 mL/kg/min [cirrhosis]
* 0.65 mL/kg/min [acute hepatitis]
* 0.47 mL/kg/min [Sepsis with multi-organ failure]
* 0.38 mL/kg/min [hypothyroid]
* 0.8 mL/kg/min [hyperthyroid]
Chỉ Định :
For the treatment of bronchospasm due to asthma, emphysema and chronic bronchitis.
Tương Tác Thuốc :
-
Aciclovir
Acyclovir increases the effect and toxicity of theophylline
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Adenosine
This xanthine decreases the effect of adenosine
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Amobarbital
The barbiturate, amobarbital, decreases the effect of aminophylline.
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Aprobarbital
The barbiturate, aprobarbital, decreases the effect of aminophylline.
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Atracurium
Theophylline decreases the effect of muscle relaxant
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Bromazepam
Aminophylline may decrease the therapeutic effect of bromazepam. Monitor for changes in the therapeutic effects of bromazepam if aminophylline is initiated, discontinued or dose changed.
-
Butabarbital
The barbiturate, butabarbital, decreases the effect of aminophylline.
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Butalbital
The barbiturate, butalbital, decreases the effect of aminophylline.
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Butethal
The barbiturate, butethal, decreases the effect of aminophylline.
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Carbamazepine
Carbamazepine may decrease the serum concentration of aminophylline. Aminophylline may decrease the serum concentration of carbamazepine. Monitor for changes in the therapeutic effect of both agents if concomitant therapy is initiated, discontinued or dose changed.
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Carteolol
Antagonism of action and increased effect of theophylline
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Cimetidine
Cimetidine may increase the serum concentration of aminophylline by decreasing its metabolism. Monitor for changes in the therapeutic and adverse effects of aminophylline if cimetidine is initiated, discontinued or dose changed.
-
Ciprofloxacin
Ciprofloxacin may increase the effect of aminophylline.
-
Clarithromycin
Clarithromycin may increase the effect amd toxicity of aminophylline.
-
Dihydroquinidine barbiturate
The barbiturate, dihydroquinidine barbiturate, decreases the effect of aminophylline.
-
Disulfiram
Disulfiram may increase the effect and toxicity of aminophylline.
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Doxacurium chloride
Theophylline decreases the effect of muscle relaxant
-
Enoxacin
Enoxacin may increase the effect of aminophylline.
-
Erythromycin
The macrolide, erythromycin, may increase the effect and toxicity of the theophylline derivative, aminophylline.
-
Ethinyl Estradiol
The contraceptive increases the effect and toxicity of theophylline
-
Ethotoin
Decreased effect of both products
-
Fluvoxamine
Fluvoxamine may increase the effect and toxicity of aminophylline.
-
Fosphenytoin
Decreased effect of both products
-
Grepafloxacin
Grepafloxacin may increase the effect of aminophylline.
-
Halothane
Increased risk of cardiac arrhythmia
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Heptabarbital
The barbiturate, heptabarbital, decreases the effect of aminophylline.
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Hexobarbital
The barbiturate, hexobarbital, decreases the effect of aminophylline.
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Interferon Alfa-2a, Recombinant
Interferon increases the effect and toxicity of theophylline
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Interferon Alfa-2b, Recombinant
Interferon increases the effect and toxicity of theophylline
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Interferon alfa-n1
Interferon increases the effect and toxicity of theophylline
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Isoniazid
Isoniazid may increase the effect and toxicity of oxtriphylline.
-
Josamycin
The macrolide, josamycin, may increase the effect and toxicity of the theophylline derivative, aminophylline.
-
Lithium
Theophylline decreases serum levels of lithium
-
Mephenytoin
Decreased effect of both products
-
Mestranol
The contraceptive increases the effect and toxicity of theophylline
-
Methohexital
The barbiturate, methohexital, decreases the effect of aminophylline.
-
Methylphenobarbital
The barbiturate, methylphenobarbital, decreases the effect of aminophylline.
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Metocurine
Theophylline decreases the effect of muscle relaxant
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Mexiletine
Mexiletine increases the effect and toxicity of theophylline
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Mivacurium
Theophylline decreases the effect of muscle relaxant
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Nadolol
Antagonism of action and increased effect of theophylline
-
Norfloxacin
Norfloxacin may increase the effect of aminophylline.
-
Pancuronium
Theophylline decreases the effect of muscle relaxant
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Pefloxacin
Pefloxacin may increase the effect of aminophylline.
-
Peginterferon alfa-2a
Interferon increases the effect and toxicity of theophylline
-
Peginterferon alfa-2b
Interferon increases the effect and toxicity of theophylline
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Penbutolol
Antagonism of action and increased effect of theophylline
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Pentobarbital
The barbiturate, pentobarbital, decreases the effect of aminophylline.
-
Pentoxifylline
Pentoxifylline may increase the effect and toxicity of aminophylline.
-
Phenobarbital
The barbiturate, phenobarbital, decreases the effect of aminophylline.
-
Phenytoin
Decreased effect of both products
-
Pindolol
Antagonism of action and increased effect of theophylline
-
Primidone
The barbiturate, primidone, decreases the effect of aminophylline.
-
Propafenone
Propafenone increases the effect of theophylline
-
Propranolol
Antagonism of action and increased effect of theophylline
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Quinidine barbiturate
The barbiturate, quinidine barbiturate, decreases the effect of aminophylline.
-
Regadenoson
Reduces duration of >2-fold increase in peak flow velocity. No effect on heart rate increase.
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Rifampicin
Rifampin decreases the effect of theophylline
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Ritonavir
Ritonavir decreases the effect of theophylline
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Rofecoxib
Rofecoxib increases the effect and toxicity of theophylline
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Secobarbital
The barbiturate, secobarbital, decreases the effect of aminophylline.
-
Sotalol
Antagonism of action and increased effect of theophylline
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St. John's Wort
St. John's Wort decreases the effect of theophylline
-
Tacrine
Tacrine may reduce the elimination rate of Aminophylline. Monitor for changes in the therapeutic and toxic effects of theophylline if Tacrine is initiated, discontinued or if the dose is changed.
-
Talbutal
The barbiturate, talbutal, decreases the effect of aminophylline.
-
Temazepam
Aminophylline may decrease the efficacy of Temazepam. Monitor for changes in the therapeutic effect of Temazepam if Aminophylline is initiated, discontinued or dose changed.
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Terbinafine
Terbinafine increases the effect and toxicity of theophylline
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Thiabendazole
The strong CYP1A2 inhibitor, Thiabendazole, may increase the effects and toxicity of Aminophylline by decreasing Aminophylline metabolism and clearance. Monitor for changes in the therapeutic and adverse effects of Aminophylline if Thiabendazole is initiated, discontinued or dose changed.
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Ticlopidine
Ticlopidine increases the effect and toxicity of theophylline
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Timolol
Antagonism of action and increased effect of theophylline
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Troleandomycin
The macrolide, troleandomycin, may increase the effect and toxicity of theophylline derivative, aminophylline.
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Tubocurarine
Theophylline decreases the effect of muscle relaxant
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Vecuronium
Theophylline decreases the effect of muscle relaxant
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Verapamil
Verapamil increases the effect of theophylline
-
Zafirlukast
Zafirlukast serum concentrations may be decreased by the theophylline derivative Aminophylline.
-
Zileuton
Zileuton increases the effect and toxicity of theophylline
Liều Lượng & Cách Dùng :
Solution - Intravenous
Tablet - Oral
Tablet, extended release - Oral
Dữ Kiện Thương Mại
Giá thị trường
-
Giá bán buôn : USD >0.15
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.17
Đơn vị tính : g
-
Giá bán buôn : USD >0.24
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.26
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.31
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.41
Đơn vị tính : ml
-
Giá bán buôn : USD >0.48
Đơn vị tính : ml
Nhà Sản Xuất
-
Sản phẩm biệt dược : Minomal
-
Sản phẩm biệt dược : Phyllocontin
-
Sản phẩm biệt dược : Somophyllin
-
Sản phẩm biệt dược : Truphylline
Tài Liệu Tham Khảo Thêm
National Drug Code Directory