Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
								
																		
									
																											
																		
									
																											
																		
									
										
											Monoisotopic mass 
										
										
											438.970880311										
									 
																											
									
																		
									
										
											InChI 
										
										
											InChI=1S/C11H13ClF3N3O4S3/c1-18-10(4-23-5-11(13,14)15)17-7-2-6(12)8(24(16,19)20)3-9(7)25(18,21)22/h2-3,10,17H,4-5H2,1H3,(H2,16,19,20)										
									 
																		
																		
										
											InChI Key 
										
										
											InChIKey=CYLWJCABXYDINA-UHFFFAOYSA-N										
									 
																											
																		
										
											IUPAC Name 
										
										
											6-chloro-2-methyl-1,1-dioxo-3-{[(2,2,2-trifluoroethyl)sulfanyl]methyl}-3,4-dihydro-2H-1$l^{6},2,4-benzothiadiazine-7-sulfonamide										
									 
																											
																		
										
											Traditional IUPAC Name 
										
										
											polythiazide										
									 
																											
									
																		
										
											SMILES 
										
										
											CN1C(CSCC(F)(F)F)NC2=CC(Cl)=C(C=C2S1(=O)=O)S(N)(=O)=O										
									 
																		
																		
									
																		
																		
																		
																		
																		
																											
																		
																											
																		
																											
																		
										
											pKa (strongest acidic) 
										
										
											9.31										
									 
																											
																		
										
											pKa (Strongest Basic) 
										
										
											-3.1										
									 
																											
																		
																											
																		
										
											Refractivity 
										
										
											90.52 m3·mol-1
										
									 
																			  
		  
																		
																											
																		
																		
									
																		
																		
																		
																		
																		
																		
																		
																		
											  
		  
								 
							 	
														
															
								 Dược Lực Học : 
								
									As a thiazide diuretic, Polythiazide inhibits the sodium-chloride symporter  which decreases solute reabsorption leading to a retention of water in the urine, as water normally follows solutes. More frequent urination is due to the increased loss of water that has not been retained from the body as a result of a concomitant relationship with sodium loss from the convoluted tubule. The short-term anti-hypertensive action is based on the fact that thiazides decrease preload, decreasing blood pressure									
							
														
															
								 Cơ Chế Tác Dụng : 
								
									A thiazide diuretic with actions and uses similar to those of hydrochlorothiazide. (From Martindale, The Extra Pharmacopoeia, 30th ed, p826)								
								
									As a diuretic, polythiazide inhibits active chloride reabsorption at the early distal tubule via the thiazide-sensitive Na-Cl cotransporter (TSC), resulting in an increase in the excretion of sodium, chloride, and water. Thiazides like polythiazide 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 polythiazide 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.								
							
														
														
														
							
																					
								 Chỉ Định : 
								
									Polythiazide is a thiazide diuretic used to decrease edema and decrease blood pressure.								
							
	
														
									
							
							
								 Tương Tác Thuốc : 
																
																		
									- 
										Digoxin
										
											Possible electrolyte variations and arrhythmias										
									
 
									
																		
									- 
										Lithium
										
											The thiazide diuretic, polythiazide, may increase serum levels of lithium.										
									
 
									
																		
									- 
										Trandolapril
										
											The thiazide diuretic, Polythiazide, may increase the hypotensive effect of Trandolapril. Polythiazide 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								
							
	
							
														
														
							
															
							
							
														
							
						
							
																													
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