Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
252.07864425
InChI
InChI=1S/C16H12O3/c1-19-11-8-6-10(7-9-11)14-15(17)12-4-2-3-5-13(12)16(14)18/h2-9,14H,1H3
InChI Key
InChIKey=XRCFXMGQEVUZFC-UHFFFAOYSA-N
IUPAC Name
2-(4-methoxyphenyl)-2,3-dihydro-1H-indene-1,3-dione
Traditional IUPAC Name
anisindione
SMILES
COC1=CC=C(C=C1)C1C(=O)C2=CC=CC=C2C1=O
pKa (strongest acidic)
4.5
pKa (Strongest Basic)
-4.8
Refractivity
71.7 m3·mol-1
Dược Lực Học :
Anisindione is a synthetic anticoagulant and an indanedione derivative. It is prescribed only if you cannot take coumarin-type anticoagulants such as coumadin as anisindione is a powerful drug with serious potential side effects. Anticoagulants decrease the clotting ability of the blood and therefore help to prevent harmful clots from forming in the blood vessels. These medicines are sometimes called blood thinners, although they do not actually thin the blood. They also will not dissolve clots that already have formed, but they may prevent the clots from becoming larger and causing more serious problems.
Cơ Chế Tác Dụng :
Anisindione is a synthetic anticoagulant and an indanedione derivative. It prevents the formation of active procoagulation factors II, VII, IX, and X, as well as the anticoagulant proteins C and S, in the liver by inhibiting the vitamin K-mediated gamma-carboxylation of precursor proteins.
Like phenindione, to which it is related chemically, anisindione exercises its therapeutic action by reducing the prothrombin activity of the blood. Anisindione prevents the formation of active procoagulation factors II, VII, IX, and X, as well as the anticoagulant proteins C and S, in the liver by inhibiting the vitamin K–mediated gamma-carboxylation of precursor proteins. Anisindione has no direct thrombolytic effect and does not reverse ischemic tissue damage, although it may limit extension of existing thrombi and prevent secondary thromboembolic complications.
Dược Động Học :
▧ Absorption :
Accumulation does not occur with repeated dosing.
▧ Protein binding :
Not Known
▧ Half Life :
Not Known
Độc Tính :
An overdose is likely to cause abnormal bleeding, for which the symptoms include: bleeding from gums or nose, blood in urine or stools, excessive bleeding from minor cuts, patches of discoloration or bruises on the skin.
Chỉ Định :
For the prophylaxis and treatment of venous thrombosis and its extension, the treatment of atrial fibrillation with embolization, the prophylaxis and treatment of pulmonary embolism, and as an adjunct in the treatment of coronary occlusion.
Tương Tác Thuốc :
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Acetaminophen
Acetaminophen increases the anticoagulant effect of anisindione. Monitor for changes in the therapeutic and adverse effects of anisindione if acetaminophen is initiated, discontinued or dose changed.
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Acetylsalicylic acid
Acetylsalicylic acid increases effect of the anticoagulant, anisindione.
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Allopurinol
Allopurinol may increase the anticoagulant effect of anisindione.
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Aminoglutethimide
Aminoglutethimide may decrease the anticoagulant effect of anisindione.
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Amiodarone
Amiodarone may increase the anticoagulant effect of anisindione.
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Amprenavir
Amprenavir may increase the anticoagulant effect of anisindione by increasing its serum concentration.
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Aprepitant
Aprepitant may decrease the anticoagulant effect of anisindione by decreasing its serum concentration.
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Atazanavir
The protease inhibitor, atazanavir, may increase the anticoagulant effect of anisindione.
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Azathioprine
Azathioprine may decrease the anticoagulant effect of anisindione.
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Azithromycin
Azithromycin may increase the anticoagulant effect of anisindione by increasing its serum concentration.
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Betamethasone
The corticosteroid, betamethasone, alters the anticoagulant effect of anisindione.
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Bosentan
Bosentan may decrease the anticoagulant effect of anisindione by increasing its metabolism.
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Capecitabine
Capecitabine may increase the anticoagulant effect of anisindione by increasing its serum concentration.
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Carbamazepine
Carbamazepine may decrease the anticoagulant effect of anisindione by decreasing its serum concentration.
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Cefotetan
The cephalosporin, cefotetan, may increase the anticoagulant effect of anisindione.
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Cefoxitin
The cephalosporin, cefoxitin, may increase the anticoagulant effect of anisindione.
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Ceftriaxone
The cephalosporin, ceftriaxone, may increase the anticoagulant effect of anisindione.
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Celecoxib
Celecoxib may increase the anticoagulant effect of anisindione.
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Cholestyramine
The bile acid sequestrant, cholestyramine, may decrease the anticoagulant effect of anisindione by decreasing its absorption.
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Cimetidine
Cimetidine may increase the anticoagulant effect of anisindione.
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Ciprofloxacin
The quinolone antibiotic, ciprofloxacin, may increase the anticoagulant effect of anisindione.
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Cisapride
Cisapride may increase the anticoagulant effect of anisindione.
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Citalopram
The SSRI, citalopram, increases the effect of anticoagulant, anisindione.
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Clarithromycin
The macrolide, clarithromycin, may increase the anticoagulant effect of anisindione.
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Clofibrate
The fibrate increases the anticoagulant effect
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Colestipol
The bile acid sequestrant, colestipol, may decrease the anticoagulant effect of anisindione by decreasing its absorption.
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Cyclophosphamide
The antineoplastic agent, cyclophosphamide may alter the anticoagulant effect of anisindione.
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Danazol
The androgen, danazol, may increase the anticoagulant effect of anisindione.
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Demeclocycline
The tetracycline, demeclocycline, may increase the anticoagulant effect of anisindione.
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Dexamethasone
The corticosteroid, dexamethasone, alters the anticoagulant effect of anisindione.
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Dextropropoxyphene
Propoxyphene may increase the anticoagulant effect of anisindione.
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Dextrothyroxine
The thyroid hormone, dextrothyroxine, increase the anticoagulant effect of anisindione.
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Diclofenac
The NSAID, diclofenac, may increase the anticoagulant effect of anisindione.
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Dicloxacillin
Dicloxacillin may decrease the anticoagulant effect of anisindione.
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Diflunisal
The NSAID, diflunisal, may increase the anticoagulant effect of anisindione.
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Disulfiram
Disulfiram may increase the anticoagulant effect of anisindione.
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Doxycycline
The tetracycline, doxycycline, may increase the anticoagulant effect of anisindione.
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Erythromycin
The macrolide, erythromycin, may increase the anticoagulant effect of anisindione.
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Ethchlorvynol
Ethchlorvynol may decrease the anticoagulant effect of anisindione.
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Ethinyl Estradiol
Increased thrombotic risk due to estrogen
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Etodolac
The NSAID, etodolac, may increase the anticoagulant effect of anisindione.
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Etoricoxib
Etoricoxib may increase the anticoagulant effect of anisindione.
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Fenofibrate
Fenofibrate may increase the anticoagulant effect of anisindione.
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Fenoprofen
The NSAID, fenoprofen, may increase the anticoagulant effect of anisindione.
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Fluconazole
Fluconazole may increase the serum concentration of anisindione by decreasing its metabolism.
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Fludrocortisone
The corticosteroid, fludrocortisone, alters the anticoagulant effect of anisindione.
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Fluorouracil
The antineoplasic agent, fluorouracil, may increase the anticoagulant effect of anisindione.
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Fluoxetine
The SSRI, fluoxetine, increases the effect of anticoagulant, anisindione.
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Fluoxymesterone
The androgen, fluoxymesterone, may increase the anticoagulant effect of anisindione.
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Flurbiprofen
The NSAID, flurbiprofen, may increase the anticoagulant effect anisindione.
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Fluvastatin
Fluvastatin may increase the anticoagulant effect of anisindione. Monitor for changes in the therapeutic and adverse effects of anisindione if fluvastatin if initiated, discontinued or dose changed.
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Fluvoxamine
Fluvoxamine may increase the anticoagulant effect of anisindione by increasing its serum concentration.
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Fosamprenavir
The protease inhibitor, fosamprenavir, may increase the anticoagulant effect of anisindione.
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Fosphenytoin
Increased hydantoin levels and risk of bleeding
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Gefitinib
Gefitinib may increase the anticoagulant effect of anisindione.
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Gemcitabine
Gemcitabine may increase the anticoagulant effect of anisindione.
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Gemfibrozil
Gemfibrozil may increase the anticoagulant effect of anisindione.
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Glutethimide
Glutethimide may decrease the anticoagulant effect of anisindione.
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Griseofulvin
Griseofulvin may decrease the anticoagulant effect of anisindione.
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Hydrocortisone
The corticosteroid, hydrocortisone, alters the anticoagulant effect of anisindione.
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Ibuprofen
The NSAID, ibuprofen, may increase the anticoagulant effect of anisindione.
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Imatinib
Imatinib may increase the anticoagulant effect of anisindione.
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Indinavir
The protease inhibitor, indinavir, may increase the anticoagulant effect of anisindione.
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Indomethacin
The NSAID, indomethacin, may increase the anticoagulant effect of anisindione.
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Isoniazid
Isoniazid may increase the anticoagulant effect of anisindione.
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Itraconazole
Itraconazole may increase the anticoagulant effect of anisindione.
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Ketoconazole
Ketoconazole may increase the anticoagulant effect of anisindione.
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Ketoprofen
The NSAID, ketoprofen, may increase the anticoagulant effect of anisindione.
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Ketorolac
The NSAID, ketorolac, may increase the anticoagulant effect of anisindione.
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Leflunomide
Leflunomide may increase the anticoagulant effect of anisindione.
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Levamisole
Levamisole may increase the anticoagulant effect of anisindione.
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Levofloxacin
The quinolone antibiotic, levofloxacin, may increase the anticoagulant effect of anisindione.
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Levothyroxine
The thyroid hormone, levothyroxine, increase the anticoagulant effect of anisindione.
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Lovastatin
Lovastatin may increase the anticoagulant effect of anisindione. Monitor for changes in the therapeutic and adverse effects of anisindione if lovastatin if initiated, discontinued or dose changed.
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Lumiracoxib
Lumiracoxib may increase the anticoagulant effect of anisindione.
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Medroxyprogesterone Acetate
Medroxyprogesterone may increase the anticoagulant effect of anisindione.
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Mefenamic acid
The NSAID, mefanamic acid, may increase the anticoagulant effect of anisindione.
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Mefloquine
Mefloquine may increase the anticoagulant effect of anisindione.
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Meloxicam
Meloxicam may increase the anticoagulant effect of anisindione.
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Mercaptopurine
Mercaptopurine may decrease the anticoagulant effect of anisindione.
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Methimazole
The antithyroid agent, methimazole, may decrease the anticoagulant effect of anisindione.
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Metronidazole
Metronidazole may increase the anticoagulant effect of anisindione.
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Miconazole
Miconazole may increase the serum concentration of anisindione by decreasing its metabolism.
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Minocycline
The tetracycline, minocycline, may increase the anticoagulant effect of anisindione.
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Mitotane
Mitotane may decrease the anticoagulant effect of anisindione.
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Moxifloxacin
The quinolone antibiotic, moxifloxacin, may increase the anticoagulant effect of anisindione.
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Nabumetone
The NSAID, nabumetone, may increase the anticoagulant effect anisindione.
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Nalidixic Acid
The quinolone antibiotic, nalidixic acid, may increase the anticoagulant effect of anisindione.
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Naproxen
The NSAID, naproxen, may increase the anticoagulant effect of anisindione.
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Nelfinavir
The protease inhibitor, nelfinavir, may increase the anticoagulant effect of anisindione.
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Nevirapine
Nevirapine may decrease the anticoagulant effect of anisindione.
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Norfloxacin
The quinolone antibiotic, norfloxacin, may increase the anticoagulant effect of anisindione.
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Ofloxacin
The quinolone antibiotic, ofloxacin, may increase the anticoagulant effect of anisindione.
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Orlistat
Orlistat may increase the anticoagulant effect of anisindione.
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Oxaprozin
The NSAID, oxaprozin, may increase the anticoagulant effect of anisinodione.
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Oxyphenbutazone
The NSAID, oxyphenbutazone, may increase the anticoagulant effect of anisindione.
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Paroxetine
The SSRI, paroxetine, increases the effect of the anticoagulant, anisindione.
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Pentoxifylline
Pentoxifylline may increase the anticoagulant effect of anisindione.
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Phenobarbital
The barbiturate, phenobarbital, decreases the anticoagulant effect of anisindione.
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Phenylbutazone
The NSAID, phenylbutazone, may increase the anticoagulant effect of anisindione.
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Phenytoin
Increased hydantoin levels and risk of bleeding
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Piroxicam
The NSAID, piroxicam, may increase the anticoagulant effect of anisindione.
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Prednisolone
The corticosteroid, prednisolone, alters the anticoagulant effect of anisindione.
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Prednisone
The corticosteroid, prednisone, alters the anticoagulant effect of anisindione.
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Primidone
The barbiturate, primidone, decreases the anticoagulant effect of anisindione.
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Propafenone
Propafenone may increase the anticoagulant effect of anisindione.
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Propylthiouracil
The anti-thyroid agent, propylthiouracil, may decrease the anticoagulant effect of anisindione.
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Quinidine
Quinidine may increase the anticoagulant effect of anisindione.
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Quinine
Quinine may increase the anticoagulant effect of anisindione.
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Ranitidine
Ranitidine may increase the anticoagulant effect of anisindione. (Conflicting evidence)
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Rifabutin
Rifabutin, may decrease the anticoagulant effect of anisindione.
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Rifampicin
Rifampin may decrease the anticoagulant effect of anisindione.
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Telithromycin
Telithromycin may increase the anticoagulant effect of anisindione.
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Tenoxicam
The NSAID, tenoxicam, may increase the anticoagulant effect of anisindione.
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Testosterone
The androgen may increase the anticoagulant effect of anisindione.
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Tetracycline
Tetracycline may increase the anticoagulant effect of anisindione.
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Tigecycline
Tigecycline may increase the anticoagulant effect of anisindione.
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Triamcinolone
The corticosteroid, triamcinolone, alters the anticoagulant effect of anisindione.
Liều Lượng & Cách Dùng :
Tablet - Oral