Stable under recommended storage conditions.
塞来昔布是新一代非甾体抗炎镇痛药物,通过选择性抑制环氧化酶-2(COX-2)来抑制前列腺素生成,达到抗炎症、镇痛的效果。它与罗非昔布是目前临床上常用的两种环氧化酶-2(COX-2)的特异性抑制剂,由美国GD Searle & Pfizer公司研发成功,并于1999年上市销售,商品名:Celebrex(西乐葆)。塞来昔布有显著的止痛抗炎作用,且上消化道溃疡及其他并发症的发生率较低。
环氧化酶-2的特异性抑制剂塞来昔布和罗非昔布作为COX-2的特异性抑制剂,在临床上广泛应用。它们对COX-2具有选择性的抑制作用,有效减少对人体不利的前列腺素生成,同时保护胃黏膜、维持肾血流量并调节血小板凝聚。
药理作用塞来昔布通过与COX-2结合,阻断花生四烯酸转化为前列腺素,从而发挥抗炎镇痛作用。其苯基与COX-2的疏水通道结合,亲水的磺胺基与COX-2“侧袋”内的513位精氨酸及90位组氨酸形成氢链,并与COX-2120位置的精氨酸密切结合,从而抑制COX-2对花生四烯酸转化为前列腺素的作用。由于COX-1与COX-2结构上的细微差别,该药物不会显著影响COX-1活性,因此较少引起胃肠道反应。
用途塞来昔布用于治疗关节炎,具有抗炎镇痛、缓解骨关节炎和类风湿关节炎症状和体征的作用。
安全性和耐受性由国外临床数据显示,在至少8500名服用塞来昔布的受试者中,他们每日服药剂量至少为200毫克,其中400例每日服药量达800毫克。超过6个月、一年、两年以上用药的受试者分别为约3900例和124例,发现服用塞来昔布的受试者耐受性和安全性良好。
不良反应塞来昔布较少引起胃肠道反应,对肾功能和血小板影响较小。急性过量可出现疲倦、嗜睡、恶心、呕吐和上腹痛,但支持治疗后可缓解。罕见高血压、急性肾功能衰竭、呼吸抑制和昏迷。
注意事项通过以上信息,可以全面了解塞来昔布的应用范围及其潜在风险和注意事项。在使用过程中应注意遵循医嘱并严格遵守药物指导原则。
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
—— | 4-(5-(4-cyanophenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | 170569-89-8 | C17H11F3N4O2S | 392.361 |
脱羟基溴塞来考昔 | celecoxib | 170570-75-9 | C17H13BrF3N3O2S | 460.274 |
塞来昔布杂质3 | 4-(5-phenyl-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | 170569-87-6 | C16H12F3N3O2S | 367.351 |
—— | 4-(5-(4-bromophenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | —— | C16H11BrF3N3O2S | 446.247 |
—— | 4-(5-(4-iodophenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | 845674-84-2 | C16H11F3IN3O2S | 493.248 |
—— | N-[[4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]phenyl]sulfonyl]acetamide | —— | C19H16F3N3O3S | 423.416 |
4-[5-(4-甲基苯基)-3-三氟甲基-1H-吡唑-1-基]苯磺酰氯 | 4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonyl chloride | 190711-56-9 | C17H12ClF3N2O2S | 400.809 |
—— | 1-(4-Methanesulfinyl-phenyl)-5-p-tolyl-3-trifluoromethyl-1H-pyrazole | 190711-47-8 | C18H15F3N2OS | 364.391 |
—— | N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonyl-3-phenylpropanamide | 1426535-47-8 | C26H22F3N3O3S | 513.54 |
—— | N,N-dibenzyl-4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | 853793-24-5 | C31H26F3N3O2S | 561.628 |
—— | 1-(4-bromophenyl)-5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazole | —— | C17H12BrF3N2 | 381.195 |
—— | 4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)aniline | 365530-13-8 | C17H14F3N3 | 317.313 |
—— | 3-(2-aminophenyl)-N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonylpropanamide | 1233497-39-6 | C26H23F3N4O3S | 528.555 |
—— | 1-(4-nitrophenyl)-5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazole | 365530-10-5 | C17H12F3N3O2 | 347.296 |
—— | N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonyl-3-(2-nitrophenyl)propanamide | 1426535-45-6 | C26H21F3N4O5S | 558.538 |
—— | N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonyl-2-(2-nitrophenyl)acetamide | 1426535-43-4 | C25H19F3N4O5S | 544.511 |
—— | 4-(5-anthracen-9-yl-3-trifluoromethyl-pyrazol-1-yl)-benzamide | —— | C25H16F3N3O | 431.417 |
—— | N-[bis-(4-methoxyphenyl)phenylmethyl]-4-[5-(4-tributylstannylphenyl)-3-trifluoromethyl-pyrazol-1-yl]benzenesulfonamide | —— | C49H56F3N3O4SSn | 958.773 |
—— | 4-[3-(trifluoromethyl)-1-pyrazolyl]benzenesulfonamide | 572912-89-1 | C10H8F3N3O2S | 291.254 |
—— | N,N-dibenzyl-4-(3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | 1342899-83-5 | C24H20F3N3O2S | 471.503 |
中文名称 | 英文名称 | CAS号 | 化学式 | 分子量 |
---|---|---|---|---|
—— | 4-(5-(4-cyanophenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | 170569-89-8 | C17H11F3N4O2S | 392.361 |
4-[5-(4-羟基甲基苯基)-3-(三氟甲基)-1H-吡唑-1-基]苯磺酰胺 | Methylhydroxy-Celecoxib | 170571-00-3 | C17H14F3N3O3S | 397.378 |
脱羟基溴塞来考昔 | celecoxib | 170570-75-9 | C17H13BrF3N3O2S | 460.274 |
—— | 4-(5-p-tolyl-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonyl azide | —— | C17H12F3N5O2S | 407.376 |
4-[1-[4-(氨基磺酰基)苯基]-3-(三氟甲基)-1H-吡唑-5-基]苯甲酸 | Carboxy-Celecoxib | 170571-01-4 | C17H12F3N3O4S | 411.361 |
—— | N-[[4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]phenyl]sulfonyl]acetamide | —— | C19H16F3N3O3S | 423.416 |
1-(4-甲磺酰基苯基)-5-(4-甲基苯基)-3-三氟甲基-1H-吡唑 | 1-(4-(methylsulfonyl)phenyl)-5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazole | 675605-72-8 | C18H15F3N2O2S | 380.391 |
塞来考昔羧酸甲酯 | methyl 4-[1-(4-aminosulfonylphenyl)-3-(trifluoromethyl)-1H-pyrazol-5-yl]benzoate | 1189893-75-1 | C18H14F3N3O4S | 425.388 |
4-[5-(4-甲基苯基)-3-三氟甲基-1H-吡唑-1-基]苯磺酰氯 | 4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonyl chloride | 190711-56-9 | C17H12ClF3N2O2S | 400.809 |
塞来昔布杂质P | 4-(5-p-methylphenyl-3-trifluoromethyl-pyrazol-1-yl)-benzenesulfonic acid | 921617-76-7 | C17H13F3N2O3S | 382.363 |
—— | N-((4-(5′-(p-tolyl)-3′-(trifluoromethyl)-1H-pyrazol-1′-yl)phenyl)sulfonyl)propionamide | —— | C20H18F3N3O3S | 437.442 |
—— | 2-bromo-N-((4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl) phenyl)sulfonyl)acetamide | 1369589-67-2 | C19H15BrF3N3O3S | 502.312 |
—— | celecoxib | 499206-50-7 | C17H17N3O2S | 327.407 |
—— | N-(ethylcarbamothioyl)-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]benzenesulfonamide | 1446354-64-8 | C20H19F3N4O2S2 | 468.524 |
—— | 4-(dimethylamino)-N-((4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenyl)sulfonyl)butanamide | 1448300-85-3 | C23H25F3N4O3S | 494.538 |
—— | tert butyl ({4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]phenyl}sulfonyl)carbamate | 850828-49-8 | C22H22F3N3O4S | 481.496 |
—— | N,N-dibutyl-4-(5-p-tolyl-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | —— | C25H30F3N3O2S | 493.593 |
—— | celecoxib sussinamidic acid | 586412-28-4 | C21H18F3N3O5S | 481.452 |
—— | 5-oxo-5-(4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenylsulfonamido)pentanoic acid | 1448300-84-2 | C22H20F3N3O5S | 495.479 |
—— | 4-bromobutyl {4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]-phenyl}-sulfonylcarbamate | 1369589-82-1 | C22H21BrF3N3O4S | 560.392 |
—— | 5-(diaminomethylideneamino)-N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonylpentanamide | 1538609-02-7 | C23H25F3N6O3S | 522.551 |
—— | N-(benzylcarbamothioyl)-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]benzenesulfonamide | 1446354-66-0 | C25H21F3N4O2S2 | 530.595 |
—— | N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonyl-3-phenylpropanamide | 1426535-47-8 | C26H22F3N3O3S | 513.54 |
—— | N,N-dibenzyl-4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)benzenesulfonamide | 853793-24-5 | C31H26F3N3O2S | 561.628 |
—— | N-(phenylcarbamothioyl)-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]benzenesulfonamide | 1446354-65-9 | C24H19F3N4O2S2 | 516.568 |
—— | 2-amino-4-methyl-N-(((4-(5-p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenyl)sulfonyl)pentanamide | —— | C23H25F3N4O3S | 494.538 |
—— | 2,6-diamino-N-(4-(5-p-tolyl-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenylsulfonyl)hexanamide | —— | C23H26F3N5O3S | 509.552 |
—— | methyl N-(2-methoxy-2-oxoethyl)-N-({4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]phenyl}sulfonyl)glycinate | 473465-08-6 | C23H22F3N3O6S | 525.505 |
—— | (S)-2-Amino-5-guanidino-N-((4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenyl)sulfonyl)pentanamide | 1448300-81-9 | C23H26F3N7O3S | 537.566 |
—— | 2-amino-5-guanidino-N-(((4-(5-p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenyl)sulfonyl)pentanamide | —— | C23H26F3N7O3S | 537.566 |
—— | N-[(4-trifluoromethylphenyl)carbamothioyl]-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]benzenesulfonamide | 1446354-68-2 | C25H18F6N4O2S2 | 584.566 |
—— | 4-{[({4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]-phenyl}-sulfonyl)-amino]-carbonyl}-benzyl nitrate | 586347-24-2 | C25H19F3N4O6S | 560.51 |
—— | N-[(4-nitrophenyl)carbamothioyl]-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]benzenesulfonamide | 1446354-67-1 | C24H18F3N5O4S2 | 561.565 |
—— | 4-[(nitrooxy)-methyl]-phenyl {4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]-phenyl}-sulfonylcarbamate | 685106-98-3 | C25H19F3N4O7S | 576.51 |
—— | tert-butyl N-[N'-[5-[[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonylamino]-5-oxopentyl]-N-[(2-methylpropan-2-yl)oxycarbonyl]carbamimidoyl]carbamate | 1538609-31-2 | C33H41F3N6O7S | 722.786 |
—— | N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonyl-3-(2-nitrophenyl)propanamide | 1426535-45-6 | C26H21F3N4O5S | 558.538 |
—— | (Z)-7-methyl-1,11-dioxo-1-phenyl-11-(4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenylsulfonamido)-2,4,10-trioxa-5,6,7-triazaundec-5-ene 6-oxide | 1538558-24-5 | C29H27F3N6O8S | 676.63 |
—— | (Z)-3,7-dimethyl-1,9-dioxo-1-(4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenylsulfonamido)-6,8,10-trioxa-3,4,5-triazadodec-4-ene 4-oxide | 1538558-30-3 | C25H27F3N6O8S | 628.586 |
—— | N-[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonyl-2-(2-nitrophenyl)acetamide | 1426535-43-4 | C25H19F3N4O5S | 544.511 |
—— | 3,5-bis[(triisopropylsilyloxy)-methyl]-phenyl {4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]-phenyl}-sulfonylcarbamate | 1369589-68-3 | C44H62F3N3O6SSi2 | 874.225 |
—— | N-(3-ethyl-4-oxo-1,3-thiazolidin-2-yldene)-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]benzenesulfonamide | 1446354-69-3 | C22H19F3N4O3S2 | 508.545 |
—— | (Z)-3,7,11,11-tetramethyl-1,9-dioxo-1-(4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenylsulfonamido)-6,8,10-trioxa-3,4,5-triazadodec-4-ene 4-oxide | 1538558-31-4 | C27H31F3N6O8S | 656.64 |
[2H4]-塞来昔布 | 2,3,5,6-tetradeutero-4-[5-(4-methylbenzenyl)-3-trifluoromethyl-pyrazol-1-yl]benzenesulfonamide | 544686-20-6 | C17H14F3N3O2S | 385.347 |
—— | methyl N-(tert-butoxycarbonyl)-N-({4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]phenyl}sulfonyl)glycinate | 473465-06-4 | C25H26F3N3O6S | 553.559 |
—— | N-(2-(2-(2-(2-(5-(dimethylamino)naphthalene-1-sulfonamido)ethoxy)ethoxy)ethoxy)ethyl)-4-(1-(4-sulfamoylphenyl)-3-(trifluoromethyl)-1H-pyrazol-5-yl)benzamide | —— | C37H41F3N6O8S2 | 818.895 |
—— | N-(3-benzyl-4-oxo-1,3-thiazolidin-2-yldene)-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl]benzenesulfonamide | 1446354-71-7 | C27H21F3N4O3S2 | 570.616 |
—— | (Z)-1-(1-(1,3-dioxoisoindolin-2-yl)methoxy)-3-methyl-3-(2-((((4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenyl)sulfonyl)carbamoyl)oxy)ethyl)triaz-1-ene 2-oxide | 1538558-09-6 | C30H26F3N7O8S | 701.64 |
—— | (Z)-1-((1,3-dioxoisoindolin-2-yl)methoxy)-3-ethyl-3-(2-((((4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenyl)sulfonyl)carbamoyl)oxy)ethyl)triaz-1-ene 2-oxide | 1538558-06-3 | C31H28F3N7O8S | 715.667 |
—— | (Z)-1-((1,3-dioxoisoindolin-2-yl)methoxy)-3-methyl-3-(2-oxo-2-(4-(5-(p-tolyl)-3-(trifluoromethyl)-1H-pyrazol-1-yl)phenylsulfonamido)ethyl)triaz-1-ene 2-oxide | 1538558-29-0 | C29H24F3N7O7S | 671.613 |
—— | N-[3-(4-nitrophenyl)-4-oxo-1,3-thiazolidin-2-yldene]-4-[5-(4-methylphenyl)-3-(trifluoromethyl)-1Hpyrazol-1-yl]benzenesulfonamide | 1446354-72-8 | C26H18F3N5O5S2 | 601.587 |
—— | tert-butyl N-[(2S)-5-[[amino-[(2,2,4,6,7-pentamethyl-3H-1-benzofuran-5-yl)sulfonylamino]methylidene]amino]-1-[[4-[5-(4-methylphenyl)-3-(trifluoromethyl)pyrazol-1-yl]phenyl]sulfonylamino]-1-oxopentan-2-yl]carbamate | 1538609-34-5 | C41H50F3N7O8S2 | 890.017 |