A pharmaceutical useful as a therapeutic agent and a preventive agent for hyperlipemia, and a pharmaceutical useful as a therapeutic agent and a preventive agent for hepatic disorders associated with cholestasis, particularly, primary biliary cirrhosis and primary sclerosing cholangitis, and a pharmaceutical useful as a therapeutic agent and a preventive agent for obesity, fatty liver and steatohepatitis are provided. A benzothiazepine or benzothiepine compound represented by the following formula (1A) having a thioamide bond and a quaternary ammonium substituent:
提供了一种作为治疗剂和预防剂用于高脂血症的药物,以及一种作为治疗剂和预防剂用于与胆汁淤积相关的肝疾病,特别是原发性胆汁性肝硬化和原发性硬化性胆管炎的药物,以及一种作为治疗剂和预防剂用于肥胖症、脂肪肝和脂肪性肝炎的药物。该药物是一种具有
硫酰胺键和季
铵基取代基的
苯并噻吩或
苯并噻吩化合物,其
化学式为(1A)。