Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
358.054276131
InChI
InChI=1S/C18H15ClN2O2S/c1-12-3-4-14(10-20-12)18-17(9-15(19)11-21-18)13-5-7-16(8-6-13)24(2,22)23/h3-11H,1-2H3
InChI Key
InChIKey=MNJVRJDLRVPLFE-UHFFFAOYSA-N
IUPAC Name
5-chloro-3-(4-methanesulfonylphenyl)-2-(6-methylpyridin-3-yl)pyridine
Traditional IUPAC Name
etoricoxib
SMILES
CC1=NC=C(C=C1)C1=C(C=C(Cl)C=N1)C1=CC=C(C=C1)S(C)(=O)=O
pKa (strongest acidic)
19.69
pKa (Strongest Basic)
4.96
Refractivity
95.04 m3·mol-1
Dược Lực Học :
Etoricoxib is a COX-2 selective inhibitor (approximately 106 times more selective for COX-2 inhibition over COX-1). Currently it is approved in more than 60 countries worldwide but not in the US, where the Food and Drug Administration (FDA) require additional safety and efficacy data for etoricoxib before it will issue approval.
Cơ Chế Tác Dụng :
Etoricoxib is a new COX-2 selective inhibitor. Current therapeutic indications are: treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, chronic low back pain, acute pain and gout. Like any other COX-2 selective inhibitor, Etoricoxib selectively inhibits isoform 2 of cyclo-oxigenase enzyme (COX-2). This reduces the generation of prostaglandins (PGs) from arachidonic acid.
Like any other COX-2 selective inhibitor Etoricoxib selectively inhibits isoform 2 of cyclo-oxigenase enzyme (COX-2). This reduces prostaglandins (PGs) generation from arachidonic acid.
Dược Động Học :
▧ Absorption :
Bioavailability is 100% following oral administration.
▧ Protein binding :
92%
▧ Metabolism :
Hepatic, primarily via CYP3A4.
▧ Half Life :
22 hours
Độc Tính :
This reduced activity is the cause of reduced gastrointestinal toxicity, as demonstrated in several large clinical trials performed with different COXIB (see below links on NEJM and The Lancet). Some clinical trials and meta-analysis showed that treatment with COXIB lead to increased incidence of cardiovascular adverse events compared to placebo
Chỉ Định :
For the treatment of rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, chronic low back pain, acute pain and gout.
Tương Tác Thuốc :
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Acenocoumarol
Etoricoxib may increase the anticoagulant effect of acenocoumarol.
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Anisindione
Etoricoxib may increase the anticoagulant effect of anisindione.
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Dicoumarol
Etoricoxib may increase the anticoagulant effect of dicumarol.
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Ethinyl Estradiol
Etoricoxib may increase the levels of ethinyl estradiol.
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Lithium
Etoricoxib increases serum levels of lithium
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Rifampicin
Rifampin reduces levels and efficacy of etoricoxib
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Warfarin
Etoricoxib may increase the anticoagulant effect of warfarin.
Dữ Kiện Thương Mại
Nhà Sản Xuất
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Sản phẩm biệt dược : Algix
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Sản phẩm biệt dược : Arcoxia
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Sản phẩm biệt dược : Coxyveen
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Sản phẩm biệt dược : Etorix
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Sản phẩm biệt dược : Nucoxia
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Sản phẩm biệt dược : Tauxib