Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
								
																		
									
																											
																		
									
																											
																		
									
										
											Monoisotopic mass 
										
										
											358.956802649										
									 
																											
									
																		
									
										
											InChI 
										
										
											InChI=1S/C9H11Cl2N3O4S2/c1-14-9(4-10)13-6-2-5(11)7(19(12,15)16)3-8(6)20(14,17)18/h2-3,9,13H,4H2,1H3,(H2,12,15,16)										
									 
																		
																		
										
											InChI Key 
										
										
											InChIKey=CESYKOGBSMNBPD-UHFFFAOYSA-N										
									 
																											
																		
										
											IUPAC Name 
										
										
											6-chloro-3-(chloromethyl)-2-methyl-1,1-dioxo-3,4-dihydro-2H-1$l^{6},2,4-benzothiadiazine-7-sulfonamide										
									 
																											
																		
										
											Traditional IUPAC Name 
										
										
											6-chloro-3-(chloromethyl)-2-methyl-1,1-dioxo-3,4-dihydro-1$l^{6},2,4-benzothiadiazine-7-sulfonamide										
									 
																											
									
																		
										
											SMILES 
										
										
											CN1C(CCl)NC2=CC(Cl)=C(C=C2S1(=O)=O)S(N)(=O)=O										
									 
																		
																		
									
																		
																		
																		
																		
																		
																											
																		
																											
																		
																											
																		
										
											pKa (strongest acidic) 
										
										
											9.29										
									 
																											
																		
										
											pKa (Strongest Basic) 
										
										
											-3.4										
									 
																											
																		
																											
																		
										
											Refractivity 
										
										
											77.28 m3·mol-1
										
									 
																			  
		  
																		
																											
																		
																		
									
																		
																		
																		
																		
																		
																		
																		
																		
																		
											  
		  
								 
							 	
														
															
								 Dược Lực Học : 
								
									Methyclothiazide, a diuretic-antihypertensive agent, is a member of the benzothiadiazine (thiazide) class of drugs. Methyclothiazide has a per mg natriuretic activity approximately 100 times that of the prototype thiazide, chlorothiazide. At maximal therapeutic dosages, all thiazides are approximately equal in their diuretic/natriuretic effects. Like other benzothiadiazines, methyclothiazide also has antihypertensive properties, and may be used for this purpose either alone or to enhance the antihypertensive action of other drugs.									
							
														
															
								 Cơ Chế Tác Dụng : 
								
									A thiazide diuretic with properties similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p825)								
								
									Methyclothiazide appears to block the active reabsorption of chloride and possibly sodium in the ascending loop of Henle, altering electrolyte transfer in the proximal tubule. This results in excretion of sodium, chloride, and water and, hence, diuresis. As a diuretic, methyclothiazide inhibits active chloride reabsorption at the early distal tubule via the Na-Cl cotransporter, resulting in an increase in the excretion of sodium, chloride, and water. Thiazides like methyclothiazide also inhibit sodium ion transport across the renal tubular epithelium through binding to the thiazide sensitive sodium-chloride transporter. This results in an increase in potassium excretion via the sodium-potassium exchange mechanism. The antihypertensive mechanism of methyclothiazide is less well understood although it may be mediated through its action on carbonic anhydrases in the smooth muscle or through its action on the large-conductance calcium-activated potassium (KCa) channel, also found in the smooth muscle.								
							
														
															
								 Dược Động Học  : 
								
									▧ Absorption : 
Rapidly absorbed following oral administration.								
	
							 
														
														
								 Độc Tính : 
								
									Acute oral toxicity (LD50): >4000 mg/kg [Rat]. Symptoms of overdosage include electrolyte imbalance and signs of potassium deficiency such as confusion, dizziness, muscular weakness, and gastrointestinal disturbances.									
							
														
							
																					
								 Chỉ Định : 
								
									For use in the management of hypertension either as the sole therapeutic agent or to enhance the effect of other antihypertensive drugs in the more severe forms of hypertension. Also used as adjunctive therapy in edema associated with congestive heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy.								
							
	
														
									
							
							
								 Tương Tác Thuốc : 
																
																		
									- 
										Digoxin
										
											Possible electrolyte variations and arrhythmias										
									
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										Lithium
										
											The thiazide diuretic, methyclothiazide, may increase serum levels of lithium.										
									
- 
										Trandolapril
										
											The thiazide diuretic, Methyclothiazide, may increase the hypotensive effect of Trandolapril. Methyclothiazide may also increase the nephrotoxicity of Trandolapril. Monitor for postural hypotension at initiation of concomitant therapy and renal dysfunction during chronic therapy. 										
									
- 
										Treprostinil
										
											Additive hypotensive effect. Monitor antihypertensive therapy during concomitant use. 										
									
 								
							
							
							
							
								
								 Liều Lượng & Cách Dùng : 
								
									Tablet - Oral								
							
	
							
														
														
							
																						
								 Dữ Kiện Thương Mại 
								
																											
																		
																											
										
											Nhà Sản Xuất
										
										
											
																							- 
													
													Sản phẩm biệt dược : Aquatensen 
- 
													
													Sản phẩm biệt dược : Duretic 
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													Sản phẩm biệt dược : Enduron 
 
									 
																		
																											
											  
		  
								 
							 	
							
							
														
							
						
							
																													
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											National Drug Code Directory