药品详细
Oxybutynin(奥昔布宁)
化学结构式图
中文名
奥昔布宁
英文名
Oxybutynin
分子式
C22H31NO3
化学名
4-(diethylamino)but-2-yn-1-yl 2-cyclohexyl-2-hydroxy-2-phenylacetate
分子量
Average: 357.4864
Monoisotopic: 357.230393863
Monoisotopic: 357.230393863
CAS号
5633-20-5
ATC分类
G04B 未知
药物类型
small molecule
阶段
approved
商品名
同义名
基本介绍
Oxybutynin is an anticholinergic medication used to relieve urinary and bladder difficulties, including frequent urination and inability to control urination, by decreasing muscle spasms of the bladder. It competitively antagonizes the M1, M2, and M3 subtypes of the muscarinic acetylcholine receptor.
生产厂家
- Impax pharmaceuticals
- Janssen Pharmaceuticals, Inc
- Mikart inc
- Mylan pharmaceuticals inc
- Novex pharma
- Ortho mcneil janssen pharmaceuticals inc
- Osmotica pharmaceutical corp
- Pharmaceutical assoc inc div beach products
- Pliva inc
- Quantum pharmics ltd
- Silarx pharmaceuticals inc
- Usl pharma inc
- Vintage pharmaceuticals inc
- Watson laboratories inc
- Wockhardt eu operations (swiss) ag
封装厂家
- Alza Corp.
- Atlantic Biologicals Corporation
- Cardinal Health
- Dept Health Central Pharmacy
- Dispensing Solutions
- Global Pharmaceuticals
- Goldline Laboratories Inc.
- Impax Laboratories Inc.
- Janssen-Ortho Inc.
- Liberty Pharmaceuticals
- Major Pharmaceuticals
- McNeil Laboratories
- Medisca Inc.
- Murfreesboro Pharmaceutical Nursing Supply
- Mylan
- Ortho Mcneil Janssen Pharmaceutical Inc.
- Physicians Total Care Inc.
- Pliva Inc.
- Qualitest
- Redpharm Drug
- Remedy Repack
- Resource Optimization and Innovation LLC
- Schwarz Pharma Inc.
- Teva Pharmaceutical Industries Ltd.
- UDL Laboratories
- USL Pharma Inc.
- Vangard Labs Inc.
- Vintage Pharmaceuticals Inc.
- Watson Pharmaceuticals
参考
Synthesis Reference | Not Available |
General Reference |
|
剂型
规格
化合物类型
Type | small molecule |
Classes |
|
Substructures |
|
适应症
药理
Indication | For the treatment of overactive bladder. | ||||||||
Pharmacodynamics | Oxybutynin is an antispasmodic, anticholinergic agent indicated for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and frequency. Oxybutynin relaxes bladder smooth muscle. Oxybutynin exhibits only one-fifth of the anticholinergic activity of atropine on the rabbit detrusor muscle, but four to ten times the antispasmodic activity. Antimuscarinic activity resides predominantly in the R-isomer. | ||||||||
Mechanism of action | Oxybutynin exerts a direct antispasmodic effect on smooth muscle and inhibits the muscarinic action of acetylcholine on smooth muscle. No blocking effects occur at skeletal neuromuscular junctions or autonomic ganglia (antinicotinic effects). By inhibiting particularily the M1 and M2 receptors of the bladder, detrusor activity is markedly decreased. | ||||||||
Absorption | Rapidly absorbed from gastrointestinal tract. | ||||||||
Volume of distribution |
|
||||||||
Protein binding | 91%-93% | ||||||||
Metabolism |
Hepatic, primarily by CYP3A4
Important The metabolism module of DrugBank is currently in beta. Questions or suggestions? Please contact us.
|
||||||||
Route of elimination | Oxybutynin is metabolized primarily by the cytochrome P450 enzyme systems, particularly CYP3A4, found mostly in the liver and gut wall. Oxybutynin is extensively metabolized by the liver, with less than 0.1% of the administered dose excreted unchanged in the urine. Also, less than 0.1% of the administered dose is excreted as the metabolite N-desethyloxybutynin. | ||||||||
Half life | 12.4-13.2 hours | ||||||||
Clearance | Not Available | ||||||||
Toxicity | LD50=1220 mg/kg (Orally in rats, Goldenthal) | ||||||||
Affected organisms |
|
||||||||
Pathways | Not Available |
理化性质
Properties | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
State | solid | ||||||||||||||||||||||||||||||||||||||||||
Experimental Properties |
|
||||||||||||||||||||||||||||||||||||||||||
Predicted Properties |
|
药物相互作用
Drug | Interaction |
---|---|
Carbamazepine | Oxybutynin may cause carbamazepine toxicity |
Donepezil | Possible antagonism of action |
Galantamine | Possible antagonism of action |
Rivastigmine | Possible antagonism of action |
Tacrine | The therapeutic effects of the central acetylcholinesterase inhibitor, Tacrine, and/or the anticholinergic, Oxybutynin, may be reduced due to antagonism. The interaction may be beneficial when the anticholinergic action is a side effect. Monitor for decreased efficacy of both agents. |
Trimethobenzamide | Trimethobenzamide and Oxybutynin, two anticholinergics, may cause additive anticholinergic effects and enhance their adverse/toxic effects. Monitor for enhanced anticholinergic effects. |
Triprolidine | Triprolidine and Oxybutynin, two anticholinergics, may cause additive anticholinergic effects and enhance their adverse/toxic effects. Monitor for enhanced anticholinergic effects. |
Trospium | Trospium and Oxybutynin, two anticholinergics, may cause additive anticholinergic effects and enhanced adverse/toxic effects. Monitor for enhanced anticholinergic effects. |
食物相互作用
- Avoid alcohol.
- Take with food.