Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Công thức hóa học
C16H14ClN3O
Monoisotopic mass
299.082539792
InChI
InChI=1S/C16H14ClN3O/c1-18-15-10-20(21)16(11-5-3-2-4-6-11)13-9-12(17)7-8-14(13)19-15/h2-9H,10H2,1H3,(H,18,19)
InChI Key
InChIKey=ANTSCNMPPGJYLG-UHFFFAOYSA-N
IUPAC Name
7-chloro-2-(methylamino)-5-phenyl-3H-1,4$l^{5}-benzodiazepin-4-one
Traditional IUPAC Name
multum
SMILES
CNC1=NC2=C(C=C(Cl)C=C2)C(C2=CC=CC=C2)=N(=O)C1
pKa (strongest acidic)
18.52
pKa (Strongest Basic)
6.43
Refractivity
87.34 m3·mol-1
Dược Lực Học :
Chlordiazepoxide has antianxiety, sedative, appetite-stimulating and weak analgesic actions. The drug seems to block EEG arousal from stimulation in the brain stem reticular formation. The drug has been studied extensively in many species of animals and these studies are suggestive of action on the limbic system of the brain, which recent evidence indicates is involved in emotional responses. Hostile monkeys were made tame by oral drug doses which did not cause sedation. Chlordiazepoxide revealed a "taming" action with the elimination of fear and aggression. The taming effect of chlordiazepoxide was further demonstrated in rats made vicious by lesions in the septal area of the brain. The drug dosage which effectively blocked the vicious reaction was well below the dose which caused sedation in these animals.
Cơ Chế Tác Dụng :
An anxiolytic benzodiazepine derivative with anticonvulsant, sedative, and amnesic properties. It has also been used in the symptomatic treatment of alcohol withdrawal. [PubChem]
Chlordiazepoxide binds to stereospecific benzodiazepine (BZD) binding sites on GABA (A) receptor complexes at several sites within the central nervous system, including the limbic system and reticular formation. This results in an increased binding of the inhibitory neurotransmitter GABA to the GABA(A) receptor.BZDs, therefore, enhance GABA-mediated chloride influx through GABA receptor channels, causing membrane hyperpolarization. The net neuro-inhibitory effects result in the observed sedative, hypnotic, anxiolytic, and muscle relaxant properties.
Dược Động Học :
▧ Metabolism :
Hepatic.
▧ Route of Elimination :
Chlordiazepoxide is excreted in the urine, with 1% to 2% unchanged and 3% to 6% as conjugate.
▧ Half Life :
24-48 hours
Độc Tính :
LD50=537 mg/kg (Orally in rats). Signs of overdose include respiratory depression, muscle weakness, somnolence (general depressed activity).
Chỉ Định :
For the management of anxiety disorders or for the short-term relief of symptoms of anxiety, withdrawal symptoms of acute alcoholism, and preoperative apprehension and anxiety.
Tương Tác Thuốc :
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Cimetidine
Cimetidine may increase the effect of the benzodiazepine, chlordiazepoxide.
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Clozapine
Increased risk of toxicity
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Ethotoin
Ethotoin may increase the metabolism of chlordiazepoxide via CYP3A4.
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Fluconazole
Fluconazole may increase the effect of the benzodiazepine, chlordiazepoxide.
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Fosphenytoin
Fosphenytoin may increase the metabolism of chlordiazepoxide via CYP3A4.
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Indinavir
The protease inhibitor, indinavir, may increase the effect of the benzodiazepine, chlordiazepoxide.
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Itraconazole
Itraconazole may increase the effect of the benzodiazepine, chlordiazepoxide.
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Kava
Kava may increase the effect of the benzodiazepine, chlordiazepoxide.
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Ketoconazole
Ketoconazole may increase the effect of the benzodiazepine, chlordiazepoxide.
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Mephenytoin
Mephenytoin may increase the metabolism of chlordiazepoxide via CYP3A4.
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Nelfinavir
The protease inhibitor, nelfinavir, may increase the effect of the benzodiazepine, chlordiazepoxide.
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Omeprazole
Omeprazole may increase the effect of the benzodiazepine, chlordiazepoxide.
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Phenytoin
Phenytoin may increase the metabolism of chlordiazepoxide via CYP3A4.
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Ritonavir
The protease inhibitor, ritonavir, may increase the effect of the benzodiazepine, chlordiazepoxide.
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Saquinavir
The protease inhibitor, saquinavir, may increase the effect of the benzodiazepine, chlordiazepoxide.
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Telithromycin
Telithromycin may reduce clearance of Chlordiazepoxide. Consider alternate therapy or monitor for changes in the therapeutic/adverse effects of Chlordiazepoxide if Telithromycin is initiated, discontinued or dose changed.
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Tipranavir
Tipranavir may decrease the metabolism and clearance of Chlordiazepoxide. Consider alternate therapy or monitor for Alprazolam toxic effects if Tipranavir is initiated or dose increased.
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Triprolidine
The CNS depressants, Triprolidine and Chlordiazepoxide, may increase adverse/toxic effects due to additivity. Monitor for increased CNS depressant effects during concomitant therapy.
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Voriconazole
Voriconazole may increase the serum concentration of chlordiazepoxide by decreasing its metabolism. Monitor for chlordiazepoxide toxicity if voriconazole is initiated or dose increased.
Liều Lượng & Cách Dùng :
Capsule - Oral
Dữ Kiện Thương Mại
Giá thị trường
-
Giá bán buôn : USD >1.61
Đơn vị tính : capsule
-
Giá bán buôn : USD >1.93
Đơn vị tính : tablet
-
Giá bán buôn : USD >2.14
Đơn vị tính : capsule
-
Giá bán buôn : USD >5.78
Đơn vị tính : capsule
-
Giá bán buôn : USD >6.5
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.07
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.11
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.14
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.17
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.2
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.31
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.31
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.32
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.72
Đơn vị tính : capsule
-
Giá bán buôn : USD >0.84
Đơn vị tính : capsule
Nhà Sản Xuất
-
Sản phẩm biệt dược : Angirex
-
Sản phẩm biệt dược : Elenium
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Sản phẩm biệt dược : Klopoxid
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Sản phẩm biệt dược : Librium
-
Sản phẩm biệt dược : Napoton
-
Sản phẩm biệt dược : Radepur
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Sản phẩm biệt dược : Risolid
-
Sản phẩm biệt dược : Silibrin
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Sản phẩm biệt dược : Sonimen
Tài Liệu Tham Khảo Thêm
National Drug Code Directory