Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Công thức hóa học
C15H13ClFNO2
Monoisotopic mass
293.061884577
InChI
InChI=1S/C15H13ClFNO2/c1-9-5-6-13(10(7-9)8-14(19)20)18-15-11(16)3-2-4-12(15)17/h2-7,18H,8H2,1H3,(H,19,20)
InChI Key
InChIKey=KHPKQFYUPIUARC-UHFFFAOYSA-N
IUPAC Name
2-{2-[(2-chloro-6-fluorophenyl)amino]-5-methylphenyl}acetic acid
Traditional IUPAC Name
lumiracoxib
SMILES
CC1=CC=C(NC2=C(Cl)C=CC=C2F)C(CC(O)=O)=C1
pKa (strongest acidic)
4.11
pKa (Strongest Basic)
-1.9
Refractivity
75.91 m3·mol-1
Dược Lực Học :
Lumiracoxib has a different structure from the standard COX-2 inhibitors (e.g. celecoxib). It more closely resembles the structure of diclofenac (one chlorine substituted by fluorine, the phenylacetic acid has another methyl group in meta position), making it a member of the arylalkanoic acid family of NSAIDs. It binds to a different site on the COX-2 receptor than the standard COX-2 inhibitors. It displays extremely high COX-2 selectivity.
Cơ Chế Tác Dụng :
Lumiracoxib is a COX-2 selective inhibitor non-steroidal anti-inflammatory drug. On August 11, 2007, Australia's Therapeutic Goods Administration (TGA, the Australian equivalent of the FDA) cancelled the registration of lumiracoxib in Australia due to concerns that it may cause liver failure. New Zealand and Canada have also followed suit in recalling the drug.
The mechanism of action of lumiracoxib is due to inhibition of prostaglandin synthesis via inhibition of cyclooygenase-2 (COX-2). Lumiracoxib does not inhibit COX-1 at therapeutic concentrations.
Dược Động Học :
▧ Absorption :
Rapidly absorbed following oral administration, with an absolute oral bioavailablity of 74%.
▧ Protein binding :
Highly bound to plasma proteins (>= 98%).
▧ Metabolism :
Hepatic oxidation and hydroxylation via CYP2C9. Three major metabolites have been identified in plasma: 4'-hydroxy-lumiracoxib, 5-carboxy-lumiracoxib, and 4'-hydroxy-5-carboxy-lumiracoxib.
▧ Half Life :
Terminal half-life is approximately 4 hours.
Độc Tính :
Single oral doses in mice and rats resulted in mortality and/or moribundity at doses of 600 mg/kg and 500 mg/kg, respectively. Single intraperitoneal doses in mice and rats results in mortality/moribundity at 750 mg/kg and 1000 mg/kg, respectively. The maximum non-lethal single oral and intraperitoneal dose in mouse was 300 mg/kg and 250 mg/kg, respectively. In the rat it was 150 mg/kg and 250 mg/kg, respectively.
Chỉ Định :
For the acute and chronic treatment of the signs and symptoms of osteoarthritis of the knee in adults.
Tương Tác Thuốc :
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Acenocoumarol
Lumiracoxib may increase the anticoagulant effect of acenocoumarol.
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Anisindione
Lumiracoxib may increase the anticoagulant effect of anisindione.
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Dicoumarol
Lumiracoxib may increase the anticoagulant effect of dicumarol.
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Lithium
The COX-2 inhibitor increases serum levels of lithium
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Telmisartan
Concomitant use of Telmisartan and Lumiracoxib may increase the risk of acute renal failure and hyperkalemia. Monitor renal function at the beginning and during treatment.
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Timolol
The NSAID, Lumiracoxib, may antagonize the antihypertensive effect of Timolol.
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Tolbutamide
Tolbutamide, a strong CYP2C9 inhibitor, may decrease the metabolism and clearance of Lumiracoxib. Consider alternate therapy or monitor for changes in Lumiracoxib therapeutic and adverse effects if Tolbutamide is initiated, discontinued or dose changed.
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Trandolapril
The NSAID, Lumiracoxib, may reduce the antihypertensive effect of Trandolapril. Consider alternate therapy or monitor for changes in Trandolapril efficacy if Lumiracoxib is initiated, discontinued or dose changed.
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Treprostinil
The prostacyclin analogue, Treprostinil, may increase the risk of bleeding when combined with the NSAID, Lumiracoxib. Monitor for increased bleeding during concomitant thearpy.
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Warfarin
Lumiracoxib may increase the anticoagulant effect of warfarin.
Liều Lượng & Cách Dùng :
Tablet - Oral