药品详细
Tenoxicam(替诺昔康)
化学结构式图
中文名
替诺昔康
英文名
Tenoxicam
分子式
C13H11N3O4S2
化学名
(3Z)-3-{hydroxy[(pyridin-2-yl)amino]methylidene}-2-methyl-2H,3H,4H-1$l^{6},5,2-thieno[2,3-e][1$l^{6},2]thiazine-1,1,4-trione
分子量
Average: 337.374
Monoisotopic: 337.019097235
Monoisotopic: 337.019097235
CAS号
59804-37-4
ATC分类
M01A 未知
药物类型
small molecule
阶段
approved
商品名
Apo-Tenoxicam;Novo-Tenoxicam;Tilcotil;
同义名
Tenoxicamum [INN-Latin];
基本介绍
Tenoxicam, an antiinflammatory agent with analgesic and antipyretic properties, is used to treat osteoarthritis and control acute pain.
生产厂家
封装厂家
参考
Synthesis Reference | Not Available |
General Reference | Not Available |
剂型
规格
化合物类型
Type | small molecule |
Classes |
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Substructures |
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适应症
ANTIINFLAMMATORY AND ANTIRHEUMATIC 消炎抗风湿;
药理
Indication | For the treatment of rheumatoid arthritis, osteoarthritis, backache, and pain. | ||||||||||||
Pharmacodynamics | Tenoxicam, an antiinflammatory agent with analgesic and antipyretic properties, is used to treat osteoarthritis and control acute pain. | ||||||||||||
Mechanism of action | The antiinflammatory effects of tenoxicam may result from the inhibition of the enzyme cycooxygenase and the subsequent peripheral inhibition of prostaglandin synthesis. As prostaglandins sensitize pain receptors, their inhibition accounts for the peripheral analgesic effects of tenoxicam. Antipyresis may occur by central action on the hypothalamus, resulting in peripheral dilation, increased cutaneous blood flow, and subsequent heat loss. | ||||||||||||
Absorption | Oral absorption of tenoxicam is rapid and complete (absolute bioavailability 100%). | ||||||||||||
Volume of distribution | Not Available | ||||||||||||
Protein binding | 99% | ||||||||||||
Metabolism |
Tenoxicam is metabolized in the liver to several pharmacologically inactive metabolites (mainly 5'-hydroxy-tenoxicam).
Important The metabolism module of DrugBank is currently in beta. Questions or suggestions? Please contact us.
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Route of elimination | Not Available | ||||||||||||
Half life | 72 hours (range 59 to 74 hours) | ||||||||||||
Clearance | Not Available | ||||||||||||
Toxicity | Not Available | ||||||||||||
Affected organisms |
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Pathways | Not Available |
理化性质
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State | solid | ||||||||||||||||||||||||||||||||||||||||||
Experimental Properties |
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Predicted Properties |
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药物相互作用
Drug | Interaction |
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Acenocoumarol | The NSAID, tenoxicam, may increase the anticoagulant effect of acenocoumarol. |
Alendronate | Increased risk of gastric toxicity |
Anisindione | The NSAID, tenoxicam, may increase the anticoagulant effect of anisindione. |
Chlorthalidone | Tenoxicam may antagonize the blood pressure lowering effect of Chlorthalidone. Monitor for changes in the therapeutic effect of Chlorthalidone if Tenoxicam is initiated, discontinued or dose changed. |
Cholestyramine | Cholestyramine may decrease the serum concentration of Tenoxicam by increasing clearance. Monitor for changes in Tenoxicam therapeutic and adverse effects if Cholestyramine is initiated, discontinued or dose changed. |
Cyclosporine | Monitor for nephrotoxicity |
Dicumarol | The NSAID, tenoxicam, may increase the anticoagulant effect of dicumarol. |
Hydrochlorothiazide | Tenoxicam may antagonize the blood pressure lowering effect of Hydrochlorothiazide. Monitor for changes in the therapeutic effect of Hydrochlorothiazide if Tenoxicam is initiated, discontinued or dose changed. |
Lithium | Tenoxicam may increase the serum concentration of Lithium. A dose adjustment of Lithium may be required. Monitor for changes in Lithium therapeutic and adverse effects if Tenoxicam is initiated, discontinued or dose changed. |
Methotrexate | Tenoxicam may increase the serum concentration of Methotrexate by reducing renal tubular secretion of Methotrexate. Monitor for changes in Methotrexate therapeutic and adverse effects if Tenoxicam is initiated, discontinued or dose changed. |
Metolazone | Tenoxicam may antagonize the blood pressure lowering effect of Metolazone. Monitor for changes in the therapeutic effect of Metolazone if Tenoxicam is initiated, discontinued or dose changed. |
Warfarin | The NSAID, tenoxicam, may increase the anticoagulant effect of warfarin. |
食物相互作用
Not Available