Mild-to-moderate elevations in serum aminotransferase levels occur in less than 1% of patients on nadolol and are usually transient and asymptomatic, resolving even with continuation of therapy. Despite its widespread use, nadolol has not been convincingly linked to instances of clinically apparent liver injury; the few cases reported have generally occurred in patients who were receiving other well known hepatotoxic agents or were associated with serum enzyme elevations only. Other beta-blockers have been implicated in causing rare instances of acute liver injury, with latency to onset ranging from 4 to 24 weeks, a hepatocellular pattern of serum enzyme elevations, and a mild, self-limiting course without evidence of hypersensitivity or autoimmune reactions.
Oral doses of nadolol are approximately 30% absorbed. In healthy subjects, nadolol has a Tmax of 2.7h with a Cmax or 69±15ng/mL following a 60mg oral dose and 132±27ng/mL after a 120mg oral dose. The AUC following a 60mg oral dose was 1021ng\*h/mL and following a 120mg oral dose was 1913±382ng\*h/mL.
Nadolol is not metabolized in the liver and excreted mainly in the urine. In healthy subjects, following intravenous dosing, 60% of a dose is eliminated in the urine and 15% in the feces after 72 hours. The remainder of the dose is expected to be eliminated in the feces afterwards.
来源:DrugBank
吸收、分配和排泄
分布容积
在健康受试者中,纳多洛尔的分布容积为147-157升。
In healthy subjects, the volume of distribution of nadolol is 147-157L.
Following oral administration of nadolol, absorption is variable and averages about 30-40% of a dose. The presence of food in the GI tract does not affect the rate or extent of absorption. After oral administration of 2 mg of nadolol (in a capsule), peak plasma concentrations usually occur in 2-4 hours. In one study in hypertensive adults who received 80 mg, 160 mg, or 320 mg of nadolol daily, mean steady state plasma concentrations were 25.5-35.5 ng/ml, 51.7-74.1 ng/ml, and 154-191.4 ng/ml, respectively. With doses of 40-320 mg daily, the duration of nadolol's antihypertensive and antianginal effects is at least 24 hours.
Transformation of Aromatic Ether- and Amine-Containing Pharmaceuticals during Chlorine Disinfection
摘要:
Many of the human pharmaceuticals detected in municipal wastewater effluent, surface water, and groundwater contain functional groups that could undergo transformation reactions during chlorine disinfection. To assess the potential importance of these reactions to the environmental fate of pharmaceuticals, the rate of transformation of a group of compounds was measured over a pH range of 5-10. Several of the pharmaceuticals reacted rapidly with free chlorine (i.e., HOCl/OCl-) and would be expected to undergo transformation under the conditions typically encountered in many chlorine disinfection systems. For compounds containing aromatic ether functional groups, the rate of transformation was strongly affected by the other substituents on the ring. The amine-containing pharmaceuticals underwent a rapid reaction with hypochlorous acid to form chlorinated amines, which could be converted back into the parent compound by reaction with thiosulfate. In the absence of thiosulfate, the chlorinated amines slowly decomposed to form species that could not be converted back into the parent compound. The reaction rates of the pharmaceuticals with combined chlorine (i.e., chloramines) were significantly slower, and transformation of the compounds would not be expected under the conditions encountered during chloramination.
二乙酰基纳多洛尔是纳多洛尔的前药和β受体阻滞剂,由于其更高的亲脂性,其角膜通透性比其母体化合物高约20倍。在各种升高的温度和pH值下对二乙酰基萘多酚进行了水解研究,以提供其眼科制剂的稳定性信息。确定了二乙酰基萘多酚水解成乙酰基萘多酚和萘多洛尔的表观速率常数。在中性pH值范围(6.8至8.2)内,可以建议将二乙酰基萘多酚水解作为特定的碱催化方法。二乙酰基萘多酚水解为乙酰基萘多酚和乙酰基萘多酚水解为纳多洛尔的各种常数分别列出如下:活化能为9.78和11.39kcal / mol;在25℃,-9.78和-5.86cal / mol.deg下的熵;二阶速率常数在75摄氏度,3。47 X 10(4)和2.22 X 10(4)M-1h-1。根据这些动力学常数,可以制备pH为6.5的二乙酰基纳多洛尔水溶液作为抗青光眼剂。在室温(25摄氏度)下,保质期估计仅为43天。然而,当储存温度降低到5摄氏度时,保质期可以延长到2年以上。
DISUBSTITUTED TRIFLUOROMETHYL PYRIMIDINONES AND THEIR USE
申请人:BAYER PHARMA AKTIENGESELLSCHAFT
公开号:US20160221965A1
公开(公告)日:2016-08-04
The present application relates to novel 2,5-disubstituted 6-(trifluoromethyl)pyrimidin-4(3H)-one derivatives, to processes for their preparation, to their use alone or in combinations for the treatment and/or prevention of diseases, and to their use for preparing medicaments for the treatment and/or prevention of diseases, in particular for treatment and/or prevention of cardiovascular, renal, inflammatory and fibrotic diseases.
SULFOXIMINE SUBSTITUTED QUINAZOLINES FOR PHARMACEUTICAL COMPOSITIONS
申请人:BLUM Andreas
公开号:US20140135309A1
公开(公告)日:2014-05-15
This invention relates to novel sulfoximine substituted quinazoline derivatives of formula I
wherein Ar, R
1
and R
2
are as defined herein, and their use as MNK1 (MNK1a or MNK1b) and/or MNK2 (MNK2a or MNK2b) kinase inhibitors, pharmaceutical compositions containing the same, and methods of using the same as agents for treatment or amelioration of MNK1 (MNK1a or MNK1b) and/or MNK2 (MNK2a or MNK2b) mediated disorders.
[EN] SULFOXIMINE SUBSTITUTED QUINAZOLINES FOR PHARMACEUTICAL COMPOSITIONS<br/>[FR] QUINAZOLINES SUBSTITUÉES PAR SULFOXIMINE POUR COMPOSITIONS PHARMACEUTIQUES
申请人:BOEHRINGER INGELHEIM INT
公开号:WO2014072244A1
公开(公告)日:2014-05-15
This invention relates to novel sulfoximine substituted quinazoline derivatives of formula (I), wherein Ar, R1 and R2 are as defined in the description and claims, and their use as MNK1 (MNK1a or MNK1b) and/or MNK2 (MNK2a or MNK2b) kinase inhibitors, pharmaceutical compositions containing the same, and methods of using the same as agents for treatment or amelioration of MNK1 (MNK1a or MNK1b) and/or MNK2 (MNK2a or MNK2b) mediated disorders.
[EN] SULFOXIMINE SUBSTITUTED PYRROLOTRIAZINES FOR PHARMACEUTICAL COMPOSITIONS<br/>[FR] PYRROLOTRIAZINES À SUBSTITUTION SULFOXIMINE POUR COMPOSITIONS PHARMACEUTIQUES
申请人:BOEHRINGER INGELHEIM INT
公开号:WO2015091156A1
公开(公告)日:2015-06-25
This invention relates to novel sulfoximine substituted pyrrolotriazine derivatives of formula wherein Ar, R1 and R2 are as defined in the description and claims, and their use as MNK1 (MNK1 a or MNK1 b) and/or MNK2 (MNK2a or MNK2b) kinase inhibitors, pharmaceutical compositions containing the same, and methods of using the same as agents for treatment or amelioration of MNK1 (MNK1 a or MNK1 b) and/or MNK2 (MNK2a or MNK2b) mediated disorders.
[EN] SULFOXIMINE SUBSTITUTED QUINAZOLINES FOR PHARMACEUTICAL COMPOSITIONS<br/>[FR] QUINAZOLINES SUBSTITUÉES PAR UNE SULFOXIMINE DESTINÉES À DES COMPOSITIONS PHARMACEUTIQUES
申请人:BOEHRINGER INGELHEIM INT
公开号:WO2015169677A1
公开(公告)日:2015-11-12
The application relates to novel sulfoximine substituted quinazoline derivatives of formula (I) wherein Ar, R1, R2 and R3 are as defined in the description and claims, and their use as MNK1 (MNK1a or MNK1b) and/or MNK2 (MNK2a or MNK2b) kinase inhibitors, pharmaceutical compositions containing the same, and methods of using the same as agents for treatment or amelioration of MNK1 (MNK1a or MNK1b) and/or MNK2 (MNK2a or MNK2b) mediated disorders.