药品详细
Tizanidine(替扎尼定)
化学结构式图
中文名
替扎尼定
英文名
Tizanidine
分子式
C9H8ClN5S
化学名
5-chloro-N-(4,5-dihydro-1H-imidazol-2-yl)-2,1,3-benzothiadiazol-4-amine
分子量
Average: 253.711
Monoisotopic: 253.018893678
Monoisotopic: 253.018893678
CAS号
51322-75-9
ATC分类
M03B 未知
药物类型
small molecule
阶段
approved
商品名
同义名
基本介绍
Tizanidine is a short-acting drug for the management of spasticity. Tizanidine is an agonist at a2-adrenergic receptor sites and presumably reduces spasticity by increasing presynaptic inhibition of motor neurons. In animal models, tizanidine has no direct effect on skeletal muscle fibers or the neuromuscular junction, and no major effect on monosynaptic spinal reflexes. The effects of tizanidine are greatest on polysynaptic pathways. The overall effect of these actions is thought to reduce facilitation of spinal motor neurons.
生产厂家
- Acorda therapeutics inc
- Actavis elizabeth llc
- Actavis totowa llc
- Alphapharm party ltd
- Apotex inc
- Barr laboratories inc
- Caraco pharmaceutical laboratories ltd
- Corepharma llc
- Dr reddys laboratories inc
- Ivax pharmaceuticals inc sub teva pharmaceuticals usa
- Mylan pharmaceuticals inc
- Sandoz inc
- Teva pharmaceuticals usa inc
封装厂家
- Acorda Therapeutics
- Aidarex Pharmacuticals LLC
- Alphapharm Party Ltd.
- Altura Pharmaceuticals Inc.
- Amerisource Health Services Corp.
- Amneal Pharmaceuticals
- Apotex Inc.
- A-S Medication Solutions LLC
- Bryant Ranch Prepack
- Caraco Pharmaceutical Labs
- Cardinal Health
- Corepharma LLC
- Deca Pharmaceuticals LLC
- Dispensing Solutions
- Diversified Healthcare Services Inc.
- Doctor Reddys Laboratories Ltd.
- Elan Pharmaceuticals Inc.
- Eon Labs
- Genpharm LP
- H.J. Harkins Co. Inc.
- Heartland Repack Services LLC
- Innoviant Pharmacy Inc.
- Ivax Pharmaceuticals
- Keltman Pharmaceuticals Inc.
- Lake Erie Medical and Surgical Supply
- Major Pharmaceuticals
- Murfreesboro Pharmaceutical Nursing Supply
- Mylan
- Nucare Pharmaceuticals Inc.
- Palmetto Pharmaceuticals Inc.
- Par Pharmaceuticals
- Patheon Inc.
- PCA LLC
- PD-Rx Pharmaceuticals Inc.
- Physicians Total Care Inc.
- Preferred Pharmaceuticals Inc.
- Prepak Systems Inc.
- Rebel Distributors Corp.
- Redpharm Drug
- Resource Optimization and Innovation LLC
- Southwood Pharmaceuticals
- St Mary's Medical Park Pharmacy
- Stat Rx Usa
- Torpharm Inc.
- UDL Laboratories
- Vangard Labs Inc.
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
药理
Indication | For the management of increased muscle tone associated with spasticity | ||||||||||||
Pharmacodynamics | Tizanidine is a short-acting drug for the management of spasticity. Tizanidine is an agonist at a2-adrenergic receptor sites and presumably reduces spasticity by increasing presynaptic inhibition of motor neurons. In animal models, tizanidine has no direct effect on skeletal muscle fibers or the neuromuscular junction, and no major effect on monosynaptic spinal reflexes. The effects of tizanidine are greatest on polysynaptic pathways. The overall effect of these actions is thought to reduce facilitation of spinal motor neurons. | ||||||||||||
Mechanism of action | Tizanidine reduces spasticity by increasing presynaptic inhibition of motor neurons through agonist action at a2-adrenergic receptor sites. | ||||||||||||
Absorption | Not Available | ||||||||||||
Volume of distribution |
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Protein binding | 30% | ||||||||||||
Metabolism |
Not Available
Important The metabolism module of DrugBank is currently in beta. Questions or suggestions? Please contact us.
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Route of elimination | Approximately 95% of an administered dose is metabolized. | ||||||||||||
Half life | 2.5 hours | ||||||||||||
Clearance | Not Available | ||||||||||||
Toxicity | Not Available | ||||||||||||
Affected organisms |
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Pathways | Not Available |
理化性质
Properties | ||||||||||||||||||||||||||||||||||||||||
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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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Amiodarone | Amiodarone may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Amlodipine | Amlopidine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Benazepril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Captopril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Cilazapril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Cimetidine | Cimetidine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Ciprofloxacin | Ciprofloxacin inhibits the metabolism and clearance of Tizanidine. Concomitant therapy is contraindicated. |
Diclofenac | Diclofenac may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Donepezil | Possible antagonism of action |
Enalapril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Ethanol | Ethanol increases the adverse effects of Tizanidine. The CNS depressant effects of these agents are additive. |
Ethinyl Estradiol | Ethinyl estradiol may increase the serum concentration of tizanidine. Monitor for changes in the therapeutic and adverse effects of tizanidine if ethinyl estradiol is initiated, discontinued or dose changed. |
Fluoxetine | Fluoxetine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Fluvoxamine | Fluvoxamine inhibits the metabolism and clearance of tizanidine. Concomitant therapy is contraindicated. |
Fosinopril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Galantamine | Possible antagonism of action |
Gemfibrozil | Gemfibrozil may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Ketoconazole | Ketoconazole may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Lidocaine | Lidocaine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Lisinopril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Mestranol | Oral contraceptives decrease the clearance of Tizanidine. |
Methoxsalen | Methoxsalen may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Mexiletine | Mexilitene may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Miconazole | Miconazole may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Moexipril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Moxifloxacin | Moxifloxacin may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Nifedipine | Nifedipine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Norethindrone | The contraceptive increases the effect of tizanidine |
Norfloxacin | Norfloxacin may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Ofloxacin | Ofloxacin may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Perindopril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Primaquine | Primaquine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Propafenone | Propafenone may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Propofol | Propofol may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Quinapril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Quinupristin | This combination presents an increased risk of toxicity |
Ramipril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Rivastigmine | Possible antagonism of action |
Spirapril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Thiabendazole | The strong CYP1A2 inhibitor, Thiabendazole, may increase the effects and toxicity of Tizanidine by decreasing Tizanidine metabolism and clearance. Consider alternate therapy or monitor for changes in the therapeutic and adverse effects of Tizanidine if Thiabendazole is initiated, discontinued or dose changed. |
Ticlopidine | Ticlopidine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Trandolapril | Tizanidine increases the risk of hypotension with the ACE inhibitor |
Tranylcypromine | Tranylcypromine may decrease the metabolism and clearance of Tizanidine. Consider alternate therapy or use caution during co-administration. |
Treprostinil | Additive hypotensive effect. Monitor antihypertensive therapy during concomitant use. |
Trimipramine | Trimipramine may reduce the antihypertensive effect of the alpha2-agonist, Tizandine. Trimipramine may also increase the rebound hypertensive effect of Clonidine. Consider alternate therapy or monitor for changes in the therapeutic and adverse effects of Clonidine if Trimipramine is initiated, discontinued or dose changed. Tizandine should be withdrawn very gradually to reduce the risk of hypertensive crisis. |
Triprolidine | The CNS depressants, Triprolidine and Tizanidine, may increase adverse/toxic effects due to additivity. Monitor for increased CNS depressant effects during concomitant therapy. |
食物相互作用
Not Available