Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Công thức hóa học
C15H11I4NO4
Monoisotopic mass
776.686681525
InChI
InChI=1S/C15H11I4NO4/c16-8-4-7(5-9(17)13(8)21)24-14-10(18)1-6(2-11(14)19)3-12(20)15(22)23/h1-2,4-5,12,21H,3,20H2,(H,22,23)/t12-/m1/s1
InChI Key
InChIKey=XUIIKFGFIJCVMT-GFCCVEGCSA-N
IUPAC Name
(2R)-2-amino-3-[4-(4-hydroxy-3,5-diiodophenoxy)-3,5-diiodophenyl]propanoic acid
Traditional IUPAC Name
dextrothyroxine
SMILES
N[C@H](CC1=CC(I)=C(OC2=CC(I)=C(O)C(I)=C2)C(I)=C1)C(O)=O
pKa (strongest acidic)
0.27
pKa (Strongest Basic)
9.43
Refractivity
126.79 m3·mol-1
Dược Lực Học :
Dextrothyroxine, the dextrorotary isomer of the synthetic thyroxine, is a antihyperlipidemic.
Cơ Chế Tác Dụng :
The major hormone derived from the thyroid gland. Thyroxine is synthesized via the iodination of tyrosines (monoiodotyrosine) and the coupling of iodotyrosines (diiodotyrosine) in the thyroglobulin. Thyroxine is released from thyroglobulin by proteolysis and secreted into the blood. Thyroxine is peripherally deiodinated to form triiodothyronine which exerts a broad spectrum of stimulatory effects on cell metabolism. [PubChem]
Dextrothyroxine is a antihyperlipidemic. The mechanism of action is not completely understood, but dextrothyroxine apparently acts in the liver to stimulate formation of low-density lipoprotein (LDL) and, to a much greater extent, to increase catabolism of LDL. This leads to increased excretion of cholesterol and bile acids via the biliary route into the feces, with a resulting reduction in serum cholesterol and LDL. Dextrothyroxine has no significant effect on high-density lipoproteins (HDL).
Inherently, it will also bind to thyroid receptors and as it is a prohormone, it will bind as a substrate to iodide peroxidase.
Độc Tính :
Symptoms of dextrothyroxine overdose are unknown.
Chỉ Định :
Used to lower high cholesterol levels in the blood.
Tương Tác Thuốc :
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Acenocoumarol
The thyroid hormone, dextrothyroxine, increase the anticoagulant effect of acenocoumarol.
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Anisindione
The thyroid hormone, dextrothyroxine, increase the anticoagulant effect of anisindione.
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Dicoumarol
The thyroid hormone, dextrothyroxine, increase the anticoagulant effect of dicumarol.
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Digoxin
The thyroid hormone, dextrothyroxine, decreases the effect of digoxin.
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Warfarin
The thyroid hormone, dextrothyroxine, increase the anticoagulant effect of warfarin.
Liều Lượng & Cách Dùng :
Powder, for solution - Intravenous
Tablet - Oral
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