Details
Stereochemistry | RACEMIC |
Molecular Formula | C21H28O2 |
Molecular Weight | 312.4458 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 6 / 6 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[H][C@@]12CC[C@@](O)(C#C)[C@@]1(CC)CC[C@]3([H])[C@@]4([H])CCC(=O)C=C4CC[C@@]23[H]
InChI
InChIKey=WWYNJERNGUHSAO-XUDSTZEESA-N
InChI=1S/C21H28O2/c1-3-20-11-9-17-16-8-6-15(22)13-14(16)5-7-18(17)19(20)10-12-21(20,23)4-2/h2,13,16-19,23H,3,5-12H2,1H3/t16-,17+,18+,19-,20-,21-/m0/s1
DescriptionSources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2015/021225s031lbl.pdfhttps://www.drugbank.ca/drugs/DB09389 | https://www.drugs.com/drp/norgestrel.html | https://www.ncbi.nlm.nih.gov/pubmed/8136310Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/25698840
Sources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2015/021225s031lbl.pdfhttps://www.drugbank.ca/drugs/DB09389 | https://www.drugs.com/drp/norgestrel.html | https://www.ncbi.nlm.nih.gov/pubmed/8136310
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/25698840
Norgestrel is synthetic steroidal progestin that is used in combination with ethinyl estradiol for oral contraception. Norgestrel is composed of a racemic mixture of two stereoisomers, dextronorgestrel and levonorgestrel. However, only the levorotary enantiomer (levonorgestrel) is biologically active. Norgestrel (and more specifically the active stereoisomer levonorgestrel) binds to the progesterone and estrogen receptors within the female reproductive tract, the mammary gland, the hypothalamus, and the pituitary. Once bound to the receptor, progestins like levonorgestrel will slow the frequency of release of gonadotropin releasing hormone (GnRH) from the hypothalamus and blunt the pre-ovulatory LH (luteinizing hormone) surge. Loss of the LH surge inhibits ovulation and thereby prevents pregnancy. Norgestrel in combination with ethinyl estradiol is indicated for the prevention of pregnancy in women who elect to use this product as a method of contraception.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL208 Sources: https://www.ncbi.nlm.nih.gov/pubmed/3139361 |
|||
Target ID: CHEMBL1871 Sources: https://www.ncbi.nlm.nih.gov/pubmed/3139361 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Preventing | MIRENA Approved UseMirena is indicated for intrauterine contraception for up to 5 years. Mirena is also indicated for the treatment of heavy menstrual bleeding in women who choose to use intrauterine contraception as their method of contraception. Mirena is recommended for women who have had at least one child. The system should be replaced after 5 years if continued use is desired. Launch Date2000 |
|||
Primary | MIRENA Approved UseMirena is indicated for intrauterine contraception for up to 5 years. Mirena is also indicated for the treatment of heavy menstrual bleeding in women who choose to use intrauterine contraception as their method of contraception. Mirena is recommended for women who have had at least one child. The system should be replaced after 5 years if continued use is desired. Launch Date2000 |
|||
Sources: https://www.drugs.com/drp/norgestrel.html |
Preventing | OVRETTE Approved UseProgestin-only oral contraceptives are indicated for the prevention of pregnancy. Launch Date1973 |
||
Sources: https://www.drugs.com/pro/elinest.html |
Preventing | ELINEST Approved UseOral contraceptives are indicated for the prevention of pregnancy in women who elect to use oral contraceptives as a method of contraception. Launch Date2012 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
16.2 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30703352 |
1.5 mg single, oral dose: 1.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVONORGESTREL blood | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
14.11 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/12169384 |
0.75 mg single, oral dose: 0.75 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVONORGESTREL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
360.1 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30703352 |
1.5 mg single, oral dose: 1.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVONORGESTREL blood | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
123.1 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/12169384 |
0.75 mg single, oral dose: 0.75 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVONORGESTREL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
29.7 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30703352 |
1.5 mg single, oral dose: 1.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVONORGESTREL blood | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
24.4 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/12169384 |
0.75 mg single, oral dose: 0.75 mg route of administration: Oral experiment type: SINGLE co-administered: |
LEVONORGESTREL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
20 ug 1 times / day multiple, intrauterine Recommended Dose: 20 ug, 1 times / day Route: intrauterine Route: multiple Dose: 20 ug, 1 times / day Sources: Page: p.10 |
healthy, 16-45 n = 1714 Health Status: healthy Condition: Prevention of pregnancy Age Group: 16-45 Sex: F Population Size: 1714 Sources: Page: p.10 |
Disc. AE: Bleeding... AEs leading to discontinuation/dose reduction: Bleeding (1.5%) Sources: Page: p.10 |
20 ug 1 times / day multiple, intrauterine Recommended Dose: 20 ug, 1 times / day Route: intrauterine Route: multiple Dose: 20 ug, 1 times / day Sources: Page: p.2 |
healthy, 27.3 ± 5.7 n = 1700 Health Status: healthy Condition: Prevention of pregnancy Age Group: 27.3 ± 5.7 Sex: F Population Size: 1700 Sources: Page: p.2 |
Disc. AE: Menstrual irregularity, Amenorrhea... AEs leading to discontinuation/dose reduction: Menstrual irregularity (0.7%) Sources: Page: p.2Amenorrhea (0.06%) |
90 ug 1 times / day multiple, oral Recommended Dose: 90 ug, 1 times / day Route: oral Route: multiple Dose: 90 ug, 1 times / day Co-administed with:: ethinyl estradiol, p.o(20 ug; q.d; 1 year) Sources: Page: p.507 |
healthy, 27.6±6.7 n = 323 Health Status: healthy Condition: Prevention of pregnancy Age Group: 27.6±6.7 Sex: F Population Size: 323 Sources: Page: p.507 |
Disc. AE: Metrorrhagia, Bleeding vaginal... AEs leading to discontinuation/dose reduction: Metrorrhagia (8.7%) Sources: Page: p.507Bleeding vaginal (3.7%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Bleeding | 1.5% Disc. AE |
20 ug 1 times / day multiple, intrauterine Recommended Dose: 20 ug, 1 times / day Route: intrauterine Route: multiple Dose: 20 ug, 1 times / day Sources: Page: p.10 |
healthy, 16-45 n = 1714 Health Status: healthy Condition: Prevention of pregnancy Age Group: 16-45 Sex: F Population Size: 1714 Sources: Page: p.10 |
Amenorrhea | 0.06% Disc. AE |
20 ug 1 times / day multiple, intrauterine Recommended Dose: 20 ug, 1 times / day Route: intrauterine Route: multiple Dose: 20 ug, 1 times / day Sources: Page: p.2 |
healthy, 27.3 ± 5.7 n = 1700 Health Status: healthy Condition: Prevention of pregnancy Age Group: 27.3 ± 5.7 Sex: F Population Size: 1700 Sources: Page: p.2 |
Menstrual irregularity | 0.7% Disc. AE |
20 ug 1 times / day multiple, intrauterine Recommended Dose: 20 ug, 1 times / day Route: intrauterine Route: multiple Dose: 20 ug, 1 times / day Sources: Page: p.2 |
healthy, 27.3 ± 5.7 n = 1700 Health Status: healthy Condition: Prevention of pregnancy Age Group: 27.3 ± 5.7 Sex: F Population Size: 1700 Sources: Page: p.2 |
Bleeding vaginal | 3.7% Disc. AE |
90 ug 1 times / day multiple, oral Recommended Dose: 90 ug, 1 times / day Route: oral Route: multiple Dose: 90 ug, 1 times / day Co-administed with:: ethinyl estradiol, p.o(20 ug; q.d; 1 year) Sources: Page: p.507 |
healthy, 27.6±6.7 n = 323 Health Status: healthy Condition: Prevention of pregnancy Age Group: 27.6±6.7 Sex: F Population Size: 323 Sources: Page: p.507 |
Metrorrhagia | 8.7% Disc. AE |
90 ug 1 times / day multiple, oral Recommended Dose: 90 ug, 1 times / day Route: oral Route: multiple Dose: 90 ug, 1 times / day Co-administed with:: ethinyl estradiol, p.o(20 ug; q.d; 1 year) Sources: Page: p.507 |
healthy, 27.6±6.7 n = 323 Health Status: healthy Condition: Prevention of pregnancy Age Group: 27.6±6.7 Sex: F Population Size: 323 Sources: Page: p.507 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/203159Orig1s000ClinPharmR.pdf#page=17 Page: (ClinPharm) 17 |
likely | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/203159Orig1s000ClinPharmR.pdf#page=17 Page: (ClinPharm) 17 |
likely | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/203159Orig1s000ClinPharmR.pdf#page=17 Page: (ClinPharm) 17 |
likely | |||
major | yes (co-administration study) Comment: Concomitant administration of efavirenz (moderate CYP3A inducer) has been found to reduce plasma levels of levonorgestrel (AUC) by around 50%. Page: (ClinPharm) 16-17 |
|||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/203159Orig1s000ClinPharmR.pdf#page=17 Page: (ClinPharm) 17 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/203159Orig1s000ClinPharmR.pdf#page=17 Page: (ClinPharm) 17 |
unlikely |
PubMed
Title | Date | PubMed |
---|---|---|
Effects of two oral contraceptives on plasma levels of insulin-like growth factor I (IGF-I) and growth hormone (hGH). | 2000 Nov |
|
Post-marketing surveillance of Norplant((R)) contraceptive implants: II. Non-reproductive health(1). | 2001 Apr |
|
Non-protein bound dienogest in serum and salivary dienogest in women taking the oral contraceptives Certostat and Valette. | 2001 Apr |
|
Oral contraceptives, thrombosis and haemostasis. | 2001 Apr |
|
Appeal court bans use of emergency contraceptive in Chile. | 2001 Apr 14 |
|
Rat uterine complement C3 expression as a model for progesterone receptor modulators: characterization of the new progestin trimegestone. | 2001 Aug |
|
Preclinical profiles of progestins used in formulations of oral contraceptives and hormone replacement therapy. | 2001 Aug |
|
Over-the-counter advice for genital problems: the role of the community pharmacist. | 2001 Aug |
|
Fluoroscopically guided Norplant removal. | 2001 Feb |
|
Expression of the chemokines, monocyte chemotactic protein (MCP)-1 and MCP-2 in endometrium of normal women and Norplant users, does not support a central role in macrophage infiltration into endometrium. | 2001 Feb |
|
Contraceptive use at the family planning clinic of the University of Nigeria Teaching Hospital, Enugu, Nigeria. | 2001 Jan |
|
The levonorgestrel intrauterine system: the benefits of reduced bleeding. | 2001 Jan |
|
Effects of oral contraceptives on breast epithelial proliferation. | 2001 Jan |
|
Indigenous notions of the workings of the body: conflicts and dilemmas with Norplant use in rural Bangladesh. | 2001 Jan |
|
Use of Norplant implants in the immediate postpartum period among asymptomatic HIV-1-positive mothers. | 2001 Jul |
|
Young women requesting emergency contraception are, despite contraceptive counseling, a high risk group for new unintended pregnancies. | 2001 Jul |
|
Multicenter, comparative study of cycle control, efficacy and tolerability of two low-dose oral contraceptives containing 20 microg ethinylestradiol/100 microg levonorgestrel and 20 microg ethinylestradiol/500 microg norethisterone. | 2001 Jul |
|
Norgestimate. From the laboratory to three clinical indications. | 2001 Jul |
|
The management of menorrhagia--SMART study (Satisfaction with Mirena and Ablation: a Randomised Trial). | 2001 Jul |
|
Levonorgestrel-releasing (20mcg/day) intrauterine systems (Mirena) compared with other methods of reversible contraceptives. | 2001 Jul |
|
A village would be nice but...it takes a long-acting contraceptive to prevent repeat adolescent pregnancies. | 2001 Jul |
|
Third generation oral contraceptives and risk of venous thrombosis: meta-analysis. | 2001 Jul 21 |
|
The roles of estrogen and progestin in producing deciduosarcoma and other lesions in the rabbit. | 2001 Jul-Aug |
|
The development and regression of deciduosarcomas and other lesions caused by estrogens and progestins in rabbits. | 2001 Jul-Aug |
|
Weight change and adverse event incidence with a low-dose oral contraceptive: two randomized, placebo-controlled trials. | 2001 Jun |
|
Comparison of a novel norgestimate/ethinyl estradiol oral contraceptive (Ortho Tri-Cyclen Lo) with the oral contraceptive Loestrin Fe 1/20. | 2001 Jun |
|
Treatment of menorrhagia with a novel 'frameless' intrauterine levonorgestrel-releasing drug delivery system: a pilot study. | 2001 Jun |
|
Co-localization of matrix metalloproteinase-1 and mast cell tryptase in the human uterus. | 2001 Jun |
|
The effects of peri-ovulatory administration of levonorgestrel on the menstrual cycle. | 2001 Mar |
|
Mechanism of action of hormonal preparations used for emergency contraception: a review of the literature. | 2001 Mar |
|
Preferential prescribing of type of combined oral contraceptive pill by general practitioners to teenagers with acne. | 2001 Mar |
|
Practices of prescribing oral contraceptives in Poland. | 2001 Mar |
|
New IUD approved. | 2001 Mar |
|
Effectiveness of emergency contraceptive pills between 72 and 120 hours after unprotected sexual intercourse. | 2001 Mar |
|
Contraception in the adolescent: an update. | 2001 Mar |
|
Constant estrogen, intermittent progestogen vs. continuous combined hormone replacement therapy: tolerability and effect on vasomotor symptoms. | 2001 Mar |
|
Norplant and other implantable contraceptives. | 2001 Mar |
|
Progestin regulation of galanin and prolactin gene expression in oestrogen-induced pituitary tumours. | 2001 Mar |
|
[After levonorgestrel, will mifepristone (RU486) be the next day-after pill?]. | 2001 Mar 31 |
|
[Contraception with depot gestagens]. | 2001 May |
|
The effect of hormone replacement therapy on serum homocysteine levels in perimenopausal women: a randomized controlled trial. | 2001 Oct |
|
Effects of natural products and nutraceuticals on steroid hormone-regulated gene expression. | 2001 Oct |
|
Effects of the levonorgestrel-releasing intrauterine system on proliferation and apoptosis in the endometrium. | 2001 Oct |
|
[Low-dose oral contraception and bone density]. | 2001 Sep |
|
[Postcoital emergency contraception]. | 2001 Sep |
|
Estimation of hormone replacement therapy influence on serum galanin level in postmenopausal women. | 2001 Sep |
|
Levonorgestrel-releasing IUD and breast cancer. | 2001 Sep |
|
Determination of circular dichroism and ultraviolet spectral parameters of norgestimate- and other Delta(4)-3-ketosteroid oxime isomers via normal phase HPLC method. | 2001 Sep |
|
Contraceptive dispensing and selection in school-based health centers. | 2001 Sep |
|
Effect of hormone replacement therapy on lipids in perimenopausal and early postmenopausal women. | 2001 Sep 28 |
Sample Use Guides
Mirena contains 52 mg of levonorgestrel (LNG). Initially, LNG is released at a rate of approximately 20 mcg/day. This rate decreases progressively to half that value after 5 years. Mirena must be removed by the end of the fifth year and can be replaced at the time of removal with a new Mirena if continued contraceptive protection is desired.
Route of Administration:
Vaginal
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26161412
5 × 10(-5) mol/L Levonorgestrel (LNG) revealed a time-dependent inhibition of cell proliferation and an increase of apoptosis in both human endometrial stromal cells (HESCs) and glandular cells (HEGCs). Furthermore, these cells demonstrated a significant Gap Junctional Intercellular Communication (GJIC) enhancement upon treatment with 5 × 10(-5) mol/L for 48 hours. The effects of LNG were most noticeable in HESCs rather than in HEGCs.
Name | Type | Language | ||
---|---|---|---|---|
|
Official Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Code | English | ||
|
Code | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Code | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Code | English | ||
|
Common Name | English | ||
|
Code | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Brand Name | English |
Classification Tree | Code System | Code | ||
---|---|---|---|---|
|
WHO-VATC |
QG03FA10
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
||
|
WHO-VATC |
QG03FB01
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
||
|
WHO-VATC |
QG03AA06
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
||
|
NCI_THESAURUS |
C776
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
||
|
WHO-ATC |
G03FA10
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
||
|
WHO-ATC |
G03AA06
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
||
|
LIVERTOX |
699
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
||
|
WHO-ATC |
G03FB01
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
Code System | Code | Type | Description | ||
---|---|---|---|---|---|
|
13109
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
m8063
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | Merck Index | ||
|
NORGESTREL
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
7630
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
1472000
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
SUB09371MIG
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
D009644
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
100000092602
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
2157
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
6533-00-2
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
C703
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
DB09389
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
3595
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
3J8Q1747Z2
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
3J8Q1747Z2
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
757251
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
CHEMBL2107797
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | |||
|
7518
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY | RxNorm | ||
|
229-433-5
Created by
admin on Fri Dec 15 15:26:36 GMT 2023 , Edited by admin on Fri Dec 15 15:26:36 GMT 2023
|
PRIMARY |
ACTIVE MOIETY
METABOLITE (PARENT)
PARENT (METABOLITE ACTIVE)