IDENTIFICATION: Chlorthalidone is a thiazide diuretic. Chlorthalidone is indicated in the management of hypertension as sole therapeutic agent or in combination with other antihypertensive drugs. Chlorthalidone is used as adjunctive therapy in the treatment of edema associated with heart failure, hepatic cirrhosis, and corticosteroid and estrogen therapy. Chlorthalidone has also been found useful in the edema due to various forms of renal dysfunction such as nephrotic syndrome. Chlorthalidone has been used in the treatment of premenstrual tension if there is evidence of fluid retention. Chlorthalidone has a paradoxical antidiuretic effect in patients with diabetes insipidus. HUMAN EXPOSURE: Main risks and target organs: Chlorthalidone is generally well tolerated during therapeutic use. Clinical toxicity is relatively infrequent and may result from overdosage, adverse reactions or hypersensitivity. Acute toxicity: Main risks include: hypokalemia, hyponatremia, hypotension, cardiac arrhythmias and central nervous system effects. Target organs: kidney, heart, CNS. Chronic toxicity and adverse reactions include: Metabolic disturbances, hypersensitivity reactions, aggravation of renal and/or hepatic insufficiency, gastrointestinal disturbances, blood dyscrasias, and central nervous system effects. Summary of clinical effects: Acute toxicity: Symptoms may include: hypokalemia, hyponatremia, dehydration, hypovolemic, cardiac dysrhythmias (ventricular extrasystoles and torsade de pointes due to hypokalemia), dizziness, lethargy, paresthesias. Chronic toxicity and adverse reactions: Several disturbances have been reported: Metabolic: hypokalemia, hyponatremia, hyperglycemia, hyperuricemia, metabolic alkalosis, aggravation of renal insufficiency. Cardiovascular: cardiac arrhythmias, enhancing the effect of digitalis on cardiac muscle, orthostatic hypotension. Central Nervous System: dizziness, vertigo, paresthesias, headache, xanthopsia. Gastrointestinal: anorexia, gastric irritation, nausea, vomiting, cramping, diarrhea, constipation, jaundice due to intrahepatic cholestasis, pancreatitis, sialoadenitis, dry mouth, hepatic insufficiency, intestinal ulceration. Hypersensitivity: purpura, intravascular immune hemolysis, pneumonitis, skin rashes, urticaria, eczema, lichen planus like reactions; photosensitivity, similar to subacute cutaneous lupus erythematosus; vasculitis; Stevens Johnson Syndrome. Hematological: thrombocytopenia, granulocytopenia, leucopenia, aplastic anemia, and hemolytic anemia. Respiratory tract: acute noncardiogenic pulmonary edema. Others: attacks of gout, increasing in plasma concentrations of cholesterol and triglycerides. Use: Chlorthalidone may prevent renal calculus formation in patients with hypercalciuria. Chlorthalidone may improve vertigo associated with Ménière disease. Contraindications: Anuria, hypersensitivity to sulfonamide-derived drugs, hepatic encephalopathy. Precautions: Chlorthalidone should be used with caution in: impaired hepatic function since it may increase the risk of hepatic encephalopathy. Renal impairment can occur since it can further reduce renal function, and precipitate azotemia. Cumulative effects of the drug may develop in patients with impaired renal function. Patients treated with quinidine-like anti-arrhythmics, amiodarone, sotalol. Avoid use in patients with gout since it can precipitate attacks of the disease. Patients should be carefully observed for signs of fluids and electrolyte imbalance. Chlorthalidone may enhance the toxicity of digitalis glycosides by depleting serum potassium concentrations. The possibility of exacerbation or precipitation of systemic lupus erythematosus has been reported. Chlorthalidone crosses the placenta and there have been reports of neonatal jaundice, thrombocytopenia, and electrolytes imbalances following maternal treatment. Chlorthalidone is excreted in breast milk. Treatment can inhibit lactation. Chlorthalidone should be used with caution when the following medical problems exist: diabetes mellitus, hypercalcemia, hyperuricemia, history of lupus erythematosus, pancreatitis, sympathectomy. Routes of entry: The oral route is the commonest route of administration. Accidental or deliberate ingestion of large doses may occur. Kinetics: Absorption by route of exposure: Chlorthalidone is erratically absorbed from the gastrointestinal tract. Bioavailability after oral administration is approximately 65%. About 75% is bound to plasma protein and the blood-to-plasma ratio is 72.5%. Chlorthalidone crosses the placenta. Biological half-life by route of exposure: The plasma half-life is about 44 +/- 10 hours and increases with age. The terminal half-life is 35 to 54 hours. This may be due to the strong binding of chlorthalidone to red blood cells. Metabolism: Chlorthalidone probably undergoes metabolism but the metabolites have not been identified. Elimination by route of exposure: During long-term administration, 30 to 60% has been reported to be excreted unchanged in the urine. Chlorthalidone is excreted in breast milk. It has a very low milk:plasma ratio. Chlorthalidone is an oral diuretic with prolonged action and low toxicity. Most of the toxic effects are due to electrolyte imbalance including hypochloremic alkalosis, hyponatremia, hypokalemia, and hypomagnesemia. The mechanism of hypercalcemia and hypophosphatemia are unknown. Thiazides increase the concentration of cholesterol and triglycerides in plasma. Chlorthalidone may also cause hypersensitivity reactions. Pharmacodynamics: The diuretic effect of the drug occurs within two hours after an oral dose and continues for up to 72 hours. It produces copious loss of electrolytes, and consequently, of water. The site of action is the distal renal tubule. The hypotensive effect is also due to a reduction in peripheral resistance observed mainly in chronic use. Teratogenicity: Chlorthalidone crosses the placental barrier. In general, diuretics are not associated with teratogenicity. A slight association with respiratory malformation has been suggested. Interactions: Chlorthalidone may increase the toxicity of digitalis glycosides by depleting serum potassium concentrations. Due to the potassium depletion, chlorthalidone may enhance the neuromuscular blocking action of competitive muscle relaxants such as tubocurarine or gallamine triethiodide. It may increase the effect of antihypertensive agents such as guanethidine sulfate, methyldopa or ganglionic blocking agents. The postural hypotension due to thiazide diuretic therapy may be increased by concomitant ingestion of alcohol, barbiturates, or opioids. The potassium-depleting effect of thiazides may be enhanced by corticosteroids, corticotrophin, carbenoxolone, and amphotericin B. Chlorthalidone may reduce the response to pressor amines such as norepinephrine, but the clinical significance of this effect is uncertain. Concomitant administration of thiazide diuretics and lithium salts is not recommended since the blood concentration of lithium is increased. By depleting the serum potassium concentration, chlorthalidone may increase the risk of cardiac dysryhthmias (torsades de pointes). The pharmacological effects of oral hypoglycaemic agents may be reduced. Non-steroidal anti-inflammatory drugs may antagonize the diuretic actions of thiazides. The hyperglycemic, hypotensive, and hyperuricaemic effects of diazoxide may be potentiated by thiazides. Probenecid enhances excretion of calcium, magnesium, and citrate during thiazide therapy, but does not affect excretion of sodium, potassium, ammonium chloride, bicarbonate, and phosphate. Thiazides increase urinary pH and may decrease urinary excretion of amphetamines and quinidine. The effects of oral anticoagulants may be decreased when used concurrently with chlorthalidone. Pre-anesthetic and anesthetic drugs used in surgery may be potentiated when used concurrently with chlorthalidone. The effectiveness of methenamine may be decreased when used with chlorthalidone due to alkalinization of the urine. A study in two healthy subjects evidenced that chlorthalidone and acetazolamide competed for the same binding sites on blood cells. Main adverse effects: It may induce hyperglycemia and glycosuria and may aggravate pre-existing diabetes mellitus. Other side-effects include anorexia, gastric irritation, nausea, vomiting, constipation, diarrhea, headache, dizziness, postural hypotension, paraesthesia, impotence, mood and mental changes and yellow vision. Blood dyscrasias include thrombocytopenia, more rarely, granulocytopenia, leucopenia and aplastic anemia. administration of tablets containing thiazides with an enteric-coated core of potassium chloride. Chlorthalidone may cause intense diuresis leading to insomnia in the elderly, because of its long half-life. ANIMAL/PLANT STUDIES: Reproduction studies conducted with rats and rabbits at doses up to 240 times greater than the therapeutic dose have shown no evidence of impaired fertility or harm to the fetus due to chlorthalidone.
Approximately 50% of the administered dose is excreted unmetabolized through the kidney, and excretion is characterized by biphasic elimination with a rapid phase followed by a slow secretory phase.
来源:DrugBank
吸收、分配和排泄
分布容积
氯噻嗪已经显示出能够迅速在红细胞内浓缩,随后通过缓慢扩散回到血清部分,导致分布体积增大。
Chlorthalidone has been shown to rapidly concentrate within erythrocytes and subsequently equilibrate via a slow diffusion back into the serum compartment, resulting in a large volume of distribution.
来源:DrugBank
吸收、分配和排泄
生物化学研究表明,药效持久的原因是由于缓慢的胃肠道吸收和肠肝循环。药物以原型通过肾脏排泄。
BIOCHEM STUDIES SUGGEST THAT PROLONGED DURATION OF ACTION IS DUE TO SLOW GI ABSORPTION & ENTEROHEPATIC RECIRCULATION. DRUG IS EXCRETED UNCHANGED BY KIDNEY.
来源:Hazardous Substances Data Bank (HSDB)
吸收、分配和排泄
大多数/噻嗪/类药物在3到6小时内迅速排泄。/噻嗪类药物/
MOST /THIAZIDE/ COMPD ARE RAPIDLY EXCRETED WITHIN 3 TO 6 HR. /THIAZIDE COMPD/
来源:Hazardous Substances Data Bank (HSDB)
吸收、分配和排泄
氯噻酮剂量依赖性尿排泄研究。
STUDY OF DOSE-DEPENDENT URINARY EXCRETION OF CHLORTHALIDONE.
Section 1. IDENTIFICATION OF THE SUBSTANCE/MIXTURE Product identifiers Product name : Chlorthalidone CAS-No. : 77-36-1 Relevant identified uses of the substance or mixture and uses advised against Identified uses : Laboratory chemicals, Manufacture of substances Section 2. HAZARDS IDENTIFICATION Classification of the substance or mixture Classification according to Regulation (EC) No 1272/2008 [EU-GHS/CLP] Eye irritation (Category 2) This substance is not classified as dangerous according to Directive 67/548/EEC. Label elements Labelling according Regulation (EC) No 1272/2008 [CLP] Pictogram Signal word Warning Hazard statement(s) H319 Causes serious eye irritation. Precautionary statement(s) P305 + P351 + P338 IF IN EYES: Rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Supplemental Hazard none Statements Other hazards - none Section 3. COMPOSITION/INFORMATION ON INGREDIENTS Substances Formula : C14H11ClN2O4S Molecular Weight : 338,77 g/mol Section 4. FIRST AID MEASURES Description of first aid measures General advice Consult a physician. Show this safety data sheet to the doctor in attendance. If inhaled If breathed in, move person into fresh air. If not breathing, give artificial respiration. Consult a physician. In case of skin contact Wash off with soap and plenty of water. Consult a physician. In case of eye contact Rinse thoroughly with plenty of water for at least 15 minutes and consult a physician. If swallowed Never give anything by mouth to an unconscious person. Rinse mouth with water. Consult a physician. Most important symptoms and effects, both acute and delayed Gastrointestinal disturbance, Dermatitis, Nausea, Dizziness, Headache Indication of any immediate medical attention and special treatment needed no data available Section 5. FIREFIGHTING MEASURES Extinguishing media Suitable extinguishing media Use water spray, alcohol-resistant foam, dry chemical or carbon dioxide. Special hazards arising from the substance or mixture Carbon oxides, nitrogen oxides (NOx), Sulphur oxides, Hydrogen chloride gas Advice for firefighters Wear self contained breathing apparatus for fire fighting if necessary. Further information no data available Section 6. ACCIDENTAL RELEASE MEASURES Personal precautions, protective equipment and emergency procedures Use personal protective equipment. Avoid dust formation. Avoid breathing vapors, mist or gas. Ensure adequate ventilation. Avoid breathing dust. Environmental precautions Do not let product enter drains. Methods and materials for containment and cleaning up Pick up and arrange disposal without creating dust. Sweep up and shovel. Keep in suitable, closed containers for disposal. Reference to other sections For disposal see section 13. Section 7. HANDLING AND STORAGE Precautions for safe handling Avoid contact with skin and eyes. Avoid formation of dust and aerosols. Provide appropriate exhaust ventilation at places where dust is formed. Conditions for safe storage, including any incompatibilities Store in cool place. Keep container tightly closed in a dry and well-ventilated place. Recommended storage temperature: 2 - 8 °C Specific end uses no data available Section 8. EXPOSURE CONTROLS/PERSONAL PROTECTION Control parameters Components with workplace control parameters Exposure controls Appropriate engineering controls Handle in accordance with good industrial hygiene and safety practice. Wash hands before breaks and at the end of workday. Personal protective equipment Eye/face protection Safety glasses with side-shields conforming to EN166 Use equipment for eye protection tested and approved under appropriate government standards such as NIOSH (US) or EN 166(EU). Skin protection Handle with gloves. Gloves must be inspected prior to use. Use proper glove removal technique (without touching glove's outer surface) to avoid skin contact with this product. Dispose of contaminated gloves after use in accordance with applicable laws and good laboratory practices. Wash and dry hands. The selected protective gloves have to satisfy the specifications of EU Directive 89/686/EEC and the standard EN 374 derived from it. Immersion protection Material: Nitrile rubber Minimum layer thickness: 0,11 mm Break through time: > 480 min Material tested:Dermatril® ( Z677272, Size M) Splash protection Material: Nitrile rubber Minimum layer thickness: 0,11 mm Break through time: > 30 min Material tested:Dermatril® ( Z677272, Size M) data source: KCL GmbH, D-36124 Eichenzell, phone +49 (0)6659 873000, test method: EN374 If used in solution, or mixed with other substances, and under conditions which differ from EN 374, contact the supplier of the CE approved gloves. This recommendation is advisory only and must be evaluated by an Industrial Hygienist familiar with the specific situation of anticipated use by our customers. It should not be construed as offering an approval for any specific use scenario. Body Protection impervious clothing, The type of protective equipment must be selected according to the concentration and amount of the dangerous substance at the specific workplace. Respiratory protection For nuisance exposures use type P95 (US) or type P1 (EU EN 143) particle respirator.For higher level protection use type OV/AG/P99 (US) or type ABEK-P2 (EU EN 143) respirator cartridges. Use respirators and components tested and approved under appropriate government standards such as NIOSH (US) or CEN (EU). Section 9. PHYSICAL AND CHEMICAL PROPERTIES Information on basic physical and chemical properties a) Appearance Form: solid b) Odour no data available c) Odour Threshold no data available d) pH no data available e) Melting point/freezing no data available point f) Initial boiling point and no data available boiling range g) Flash point no data available h) Evaporation rate no data available i) Flammability (solid, gas) no data available j) Upper/lower no data available flammability or explosive limits k) Vapour pressure no data available l) Vapour density no data available m) Relative density no data available n) Water solubility no data available o) Partition coefficient: n- log Pow: 0,85 octanol/water p) Autoignition no data available temperature q) Decomposition no data available temperature r) Viscosity no data available s) Explosive properties no data available t) Oxidizing properties no data available Other safety information no data available Section 10. STABILITY AND REACTIVITY Reactivity no data available Chemical stability no data available Possibility of hazardous reactions no data available Conditions to avoid no data available Incompatible materials Strong oxidizing agents Hazardous decomposition products Other decomposition products - no data available Section 11. TOXICOLOGICAL INFORMATION Information on toxicological effects Acute toxicity LD50 Oral - rat - > 5.000 mg/kg Skin corrosion/irritation Serious eye damage/eye irritation no data available Respiratory or skin sensitization no data available Germ cell mutagenicity no data available Carcinogenicity IARC: No component of this product present at levels greater than or equal to 0.1% is identified as probable, possible or confirmed human carcinogen by IARC. Reproductive toxicity Reproductive toxicity - mouse - Oral Effects on Fertility: Post-implantation mortality (e.g., dead and/or resorbed implants per total number of implants). Reproductive toxicity - Human - male - Oral Paternal Effects: Impotence. Specific target organ toxicity - single exposure no data available Specific target organ toxicity - repeated exposure no data available Aspiration hazard no data available Potential health effects Inhalation May be harmful if inhaled. May cause respiratory tract irritation. Ingestion May be harmful if swallowed. Skin May be harmful if absorbed through skin. May cause skin irritation. Eyes Causes eye irritation. Signs and Symptoms of Exposure Gastrointestinal disturbance, Dermatitis, Nausea, Dizziness, Headache Additional Information RTECS: DB1556000 Section 12. ECOLOGICAL INFORMATION Toxicity no data available Persistence and degradability no data available Bioaccumulative potential no data available Mobility in soil no data available Results of PBT and vPvB assessment no data available Other adverse effects no data available Section 13. DISPOSAL CONSIDERATIONS Waste treatment methods Product Offer surplus and non-recyclable solutions to a licensed disposal company. Dissolve or mix the material with a combustible solvent and burn in a chemical incinerator equipped with an afterburner and scrubber. Contaminated packaging Dispose of as unused product. Section 14. TRANSPORT INFORMATION UN number ADR/RID: - IMDG: - IATA: - UN proper shipping name ADR/RID: Not dangerous goods IMDG: Not dangerous goods IATA: Not dangerous goods Transport hazard class(es) ADR/RID: - IMDG: - IATA: - Packaging group ADR/RID: - IMDG: - IATA: - Environmental hazards ADR/RID: no IMDG Marine pollutant: no IATA: no Special precautions for user no data available SECTION 15 - REGULATORY INFORMATION N/A
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.
NOVEL GLUCOKINASE ACTIVATORS AND METHODS OF USING SAME
申请人:Ryono Denis E.
公开号:US20080009465A1
公开(公告)日:2008-01-10
Compounds are provided which are phosphonate and phosphinate activators and thus are useful in treating diabetes and related diseases and have the structure
wherein
is a heteroaryl ring;
R
4
is —(CH
2
)
n
-Z-(CH
2
)
m
—PO(OR
7
)(OR
8
), —(CH
2
)
n
Z-(CH
2
)
m
—PO(OR
7
)R
g
, —(CH
2
)
n
-Z-(CH
2
)
m
—OPO(OR
7
)R
g
, —(CH
2
)
n
Z—(CH
2
)
m
—OPO(R
9
)(R
10
), or —(CH
2
)
n
Z—(CH
2
)
m
—PO(R
9
)(R
10
);
R
5
and R
6
are independently selected from H, alkyl and halogen;
Y is R
7
(CH
2
)
s
or is absent; and
X, n, Z, m, R
4
, R
5
, R
6
, R
7
, and s are as defined herein; or a pharmaceutically acceptable salt thereof.
A method for treating diabetes and related diseases employing the above compounds is also provided.
提供了磷酸酯和磷酸酯激活剂,因此在治疗糖尿病和相关疾病方面非常有用,并具有以下结构:
其中
是杂环芳基环;
R
4
为—(CH
2
)
n
-Z-(CH
2
)
m
—PO(OR
7
)(OR
8
)、—(CH
2
)
n
Z-(CH
2
)
m
—PO(OR
7
)R
g
、—(CH
2
)
n
-Z-(CH
2
)
m
—OPO(OR
7
)R
g
、—(CH
2
)
n
Z—(CH
2
)
m
—OPO(R
9
)(R
10)
或—(CH
2
)
n
Z—(CH
2
)
m
—PO(R
9
)(R
10)
;
R
5
和R
6
分别选择自H、烷基和卤素;
Y为R
7
(CH
2
)
s
或不存在;以及
X、n、Z、m、R
4
、R
5
、R
6
、R
7
和s如本文所定义;或其药用盐。
还提供了一种利用上述化合物治疗糖尿病和相关疾病的方法。
[EN] HETEROCYCLIC COMPOUNDS FOR THE TREATMENT OF STRESS-RELATED CONDITIONS<br/>[FR] COMPOSÉS HÉTÉROCYCLIQUES POUR LE TRAITEMENT D'ÉTATS LIÉS AU STRESS
申请人:OTSUKA PHARMA CO LTD
公开号:WO2010137738A1
公开(公告)日:2010-12-02
The present invention provides a novel heterocyclic compound. A heterocyclic compound represented by general formula (1) wherein, R1 and R2, each independently represent hydrogen; a phenyl lower alkyl group that may have a substituent(s) selected from the group consisting of a lower alkyl group and the like on a benzene ring and/or a lower alkyl group; or a cyclo C3-C8 alkyl lower alkyl group; or the like; R3 represents a lower alkynyl group or the like; R4 represents a phenyl group that may have a substituent(s) selected from the group consisting of a 1,3,4-oxadiazolyl group that may have e.g., halogen or a heterocyclic group selected from pyridyl group and the like; the heterocyclic group may have at least one substituent(s) selected from a lower alkoxy group and the like or a salt thereof.
PYRIMIDINYL AND 1,3,5-TRIAZINYL BENZIMIDAZOLES AND THEIR USE IN CANCER THERAPY
申请人:Rewcastle Gordon William
公开号:US20110009405A1
公开(公告)日:2011-01-13
Provided herein are pyrimidinyl and 1,3,5-triazinyl benzimidazoles of Formula I, and their pharmaceutical compositions, preparation, and use as agents or drugs for cancer therapy, either alone or in combination with radiation and/or other anticancer drugs.
Dibenzyl amine compounds and derivatives, pharmaceutical compositions containing such compounds and the use of such compounds to elevate certain plasma lipid levels, including high density lipoprotein-cholesterol and to lower certain other plasma lipid levels, such as LDL-cholesterol and triglycerides and accordingly to treat diseases which are exacerbated by low levels of HDL cholesterol and/or high levels of LDL-cholesterol and triglycerides, such as atherosclerosis and cardiovascular diseases in some mammals, including humans.