Details
Stereochemistry | MIXED |
Molecular Formula | C22H38O5 |
Molecular Weight | 382.5341 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 3 / 4 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCCCC(C)(O)C\C=C\[C@H]1[C@H](O)CC(=O)[C@@H]1CCCCCCC(=O)OC
InChI
InChIKey=OJLOPKGSLYJEMD-URPKTTJQSA-N
InChI=1S/C22H38O5/c1-4-5-14-22(2,26)15-10-12-18-17(19(23)16-20(18)24)11-8-6-7-9-13-21(25)27-3/h10,12,17-18,20,24,26H,4-9,11,13-16H2,1-3H3/b12-10+/t17-,18-,20-,22?/m1/s1
Molecular Formula | C22H38O5 |
Molecular Weight | 382.5341 |
Charge | 0 |
Count |
|
Stereochemistry | EPIMERIC |
Additional Stereochemistry | No |
Defined Stereocenters | 3 / 4 |
E/Z Centers | 1 |
Optical Activity | UNSPECIFIED |
DescriptionSources: http://www.drugbank.ca/drugs/DB00929Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/misoprostol.html
Sources: http://www.drugbank.ca/drugs/DB00929
Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/misoprostol.html
Misoprostol is a prostaglandin E1 (PGE1) analogue used for the treatment and prevention of stomach ulcers. When administered, misoprostol stimulates increased secretion of the protective mucus that lines the gastrointestinal tract and increases mucosal blood flow, thereby increasing mucosal integrity. It is sometimes co-prescribed with non-steroidal anti-inflammatory drugs (NSAIDs) to prevent the occurrence of gastric ulceration, a common adverse effect of the NSAIDs. Misoprostol seems to inhibit gastric acid secretion by a direct action on the parietal cells through binding to the prostaglandin receptor. The activity of this receptor is mediated by G proteins which normally activate adenylate cyclase. The indirect inhibition of adenylate cyclase by Misoprostol may be dependent on guanosine-5’-triphosphate (GTP). The significant cytoprotective actions of misoprostol are related to several mechanisms. These include: 1. Increased secretion of bicarbonate, 2. Considerable decrease in the volume and pepsin content of the gastric secretions, 3. It prevents harmful agents from disrupting the tight junctions between the epithelial cells which stops the subsequent back diffusion of H+ ions into the gastric mucosa, 4. Increased thickness of mucus layer, 5. Enhanced mucosal blood flow as a result of direct vasodilatation, 6. Stabilization of tissue lysozymes/vascular endothelium, 7. Improvement of mucosal regeneration capacity, and 8. Replacement of prostaglandins that have been depleted as a result of various insults to the area. Misoprostol has also been shown to increase the amplitude and frequency of uterine contractions during pregnancy via selective binding to the EP-2/EP-3 prostanoid receptors. Misoprostol is indicated for the treatment of ulceration (duodenal, gastric and NSAID induced) and prophylaxis for NSAID induced ulceration. Misoprostol is also indicated for other uses that are not approved in Canada, including the medical termination of an intrauterine pregnancy used alone or in combination with methotrexate, as well as the induction of labour in a selected population of pregnant women with unfavourable cervices. This indication is avoided in women with prior uterine surgery or cesarean surgery due to an increased risk of possible uterine rupture. Misoprostol is also used for the prevention or treatment of serious postpartum hemorrhage. Misoprostol is sold under the brandname Cytotec among others.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1881 Sources: http://www.drugbank.ca/drugs/DB00929 |
3.74 µM [EC50] | ||
Target ID: CHEMBL3710 Sources: http://www.drugbank.ca/drugs/DB00929 |
124.0 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Preventing | Cytotec Approved UseCytotec (misoprostol) is indicated for reducing the risk of NSAID (nonsteroidal antiinflammatory drugs, including aspirin)–induced gastric ulcers in patients at high risk of complications from gastric ulcer, e.g., the elderly and patients with concomitant
debilitating disease, as well as patients at high risk of developing gastric ulceration, such as patients with a history of ulcer. Launch Date5.9909761E11 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.683 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, oral dose: 800 μg route of administration: Oral experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
1.361 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, buccal dose: 800 μg route of administration: Buccal experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
2.439 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, sublingual dose: 800 μg route of administration: Sublingual experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
811 pg/mL |
300 μg single, oral dose: 300 μg route of administration: Oral experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.019 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, oral dose: 800 μg route of administration: Oral experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
2.073 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, buccal dose: 800 μg route of administration: Buccal experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
3.209 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, sublingual dose: 800 μg route of administration: Sublingual experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
417 pg × h/mL |
300 μg single, oral dose: 300 μg route of administration: Oral experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1.04 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, oral dose: 800 μg route of administration: Oral experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
0.837 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, buccal dose: 800 μg route of administration: Buccal experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
0.854 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27102981 |
800 μg single, sublingual dose: 800 μg route of administration: Sublingual experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
0.5 h |
300 μg single, oral dose: 300 μg route of administration: Oral experiment type: SINGLE co-administered: |
MISOPROSTOL plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
10% |
MISOPROSTOL serum | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
12 mg single, oral Overdose |
healthy, adolescent n = 1 Health Status: healthy Condition: induce abortion Age Group: adolescent Sex: F Population Size: 1 Sources: |
Disc. AE: Multiorgan failure... AEs leading to discontinuation/dose reduction: Multiorgan failure (grade 5, 1 patient) Sources: |
8400 mg single, oral Overdose Dose: 8400 mg Route: oral Route: single Dose: 8400 mg Sources: |
healthy, mean 28.8 years n = 1 Health Status: healthy Condition: induce abortion Age Group: mean 28.8 years Sex: F Population Size: 1 Sources: |
Disc. AE: Abdominal pain, Vomiting... AEs leading to discontinuation/dose reduction: Abdominal pain (1 patient) Sources: Vomiting (1 patient) Diarrhea (1 patient) |
50 ug 4 times / day steady, vaginal Recommended Dose: 50 ug, 4 times / day Route: vaginal Route: steady Dose: 50 ug, 4 times / day Sources: |
healthy, mean 28.8 years n = 172 Health Status: healthy Condition: live term single cephalic fetus for indicated labor induction Age Group: mean 28.8 years Sex: F Population Size: 172 Sources: |
Other AEs: Diarrhea, Nausea... Other AEs: Diarrhea (1.7%) Sources: Nausea (9.3%) Vomiting (14%) |
50 ug 6 times / day steady, oral Recommended Dose: 50 ug, 6 times / day Route: oral Route: steady Dose: 50 ug, 6 times / day Sources: |
healthy, mean 29.1 years n = 167 Health Status: healthy Condition: live term single cephalic fetus for indicated labor induction Age Group: mean 29.1 years Sex: F Population Size: 167 Sources: |
Other AEs: Nausea, Vomiting... |
400 ug single, oral Dose: 400 ug Route: oral Route: single Dose: 400 ug Co-administed with:: mifepristone(600 mg) Sources: |
healthy, mean 30.2 years n = 92 Health Status: healthy Condition: induce abortion Age Group: mean 30.2 years Sex: F Population Size: 92 Sources: |
Other AEs: Bleeding, Vomiting... |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Multiorgan failure | grade 5, 1 patient Disc. AE |
12 mg single, oral Overdose |
healthy, adolescent n = 1 Health Status: healthy Condition: induce abortion Age Group: adolescent Sex: F Population Size: 1 Sources: |
Abdominal pain | 1 patient Disc. AE |
8400 mg single, oral Overdose Dose: 8400 mg Route: oral Route: single Dose: 8400 mg Sources: |
healthy, mean 28.8 years n = 1 Health Status: healthy Condition: induce abortion Age Group: mean 28.8 years Sex: F Population Size: 1 Sources: |
Diarrhea | 1 patient Disc. AE |
8400 mg single, oral Overdose Dose: 8400 mg Route: oral Route: single Dose: 8400 mg Sources: |
healthy, mean 28.8 years n = 1 Health Status: healthy Condition: induce abortion Age Group: mean 28.8 years Sex: F Population Size: 1 Sources: |
Vomiting | 1 patient Disc. AE |
8400 mg single, oral Overdose Dose: 8400 mg Route: oral Route: single Dose: 8400 mg Sources: |
healthy, mean 28.8 years n = 1 Health Status: healthy Condition: induce abortion Age Group: mean 28.8 years Sex: F Population Size: 1 Sources: |
Diarrhea | 1.7% | 50 ug 4 times / day steady, vaginal Recommended Dose: 50 ug, 4 times / day Route: vaginal Route: steady Dose: 50 ug, 4 times / day Sources: |
healthy, mean 28.8 years n = 172 Health Status: healthy Condition: live term single cephalic fetus for indicated labor induction Age Group: mean 28.8 years Sex: F Population Size: 172 Sources: |
Vomiting | 14% | 50 ug 4 times / day steady, vaginal Recommended Dose: 50 ug, 4 times / day Route: vaginal Route: steady Dose: 50 ug, 4 times / day Sources: |
healthy, mean 28.8 years n = 172 Health Status: healthy Condition: live term single cephalic fetus for indicated labor induction Age Group: mean 28.8 years Sex: F Population Size: 172 Sources: |
Nausea | 9.3% | 50 ug 4 times / day steady, vaginal Recommended Dose: 50 ug, 4 times / day Route: vaginal Route: steady Dose: 50 ug, 4 times / day Sources: |
healthy, mean 28.8 years n = 172 Health Status: healthy Condition: live term single cephalic fetus for indicated labor induction Age Group: mean 28.8 years Sex: F Population Size: 172 Sources: |
Vomiting | 17.4% | 50 ug 6 times / day steady, oral Recommended Dose: 50 ug, 6 times / day Route: oral Route: steady Dose: 50 ug, 6 times / day Sources: |
healthy, mean 29.1 years n = 167 Health Status: healthy Condition: live term single cephalic fetus for indicated labor induction Age Group: mean 29.1 years Sex: F Population Size: 167 Sources: |
Nausea | 9.6% | 50 ug 6 times / day steady, oral Recommended Dose: 50 ug, 6 times / day Route: oral Route: steady Dose: 50 ug, 6 times / day Sources: |
healthy, mean 29.1 years n = 167 Health Status: healthy Condition: live term single cephalic fetus for indicated labor induction Age Group: mean 29.1 years Sex: F Population Size: 167 Sources: |
Bleeding | 68.2% | 400 ug single, oral Dose: 400 ug Route: oral Route: single Dose: 400 ug Co-administed with:: mifepristone(600 mg) Sources: |
healthy, mean 30.2 years n = 92 Health Status: healthy Condition: induce abortion Age Group: mean 30.2 years Sex: F Population Size: 92 Sources: |
Vomiting | 7.6% | 400 ug single, oral Dose: 400 ug Route: oral Route: single Dose: 400 ug Co-administed with:: mifepristone(600 mg) Sources: |
healthy, mean 30.2 years n = 92 Health Status: healthy Condition: induce abortion Age Group: mean 30.2 years Sex: F Population Size: 92 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
The effect of misoprostol on base-line and stimulated acid secretion and on gastrin and histamine release in the totally isolated, vascularly perfused rat stomach. | 1988 Aug |
|
Neurological adverse effects of naproxen and misoprostol combination. | 1990 Oct |
|
Delirium in an elderly woman possibly associated with administration of misoprostol. | 1991 Feb |
|
Overall safety of Arthrotec. | 1992 |
|
Limb deficiency with or without Möbius sequence in seven Brazilian children associated with misoprostol use in the first trimester of pregnancy. | 1993 Aug 1 |
|
The Brazilian experience with Cytotec. | 1993 Jul-Aug |
|
Misoprostol: the experience of women in Fortaleza, Brazil. | 1994 Feb |
|
The effect of misoprostol on indomethacin-induced renal dysfunction in well-compensated cirrhosis. | 1995 Jul |
|
Misoprostol associated autonomic dysreflexia in a traumatic tetraplegic patient. | 1996 Feb |
|
Extemporaneous preparation of misoprostol gel for cervical ripening: a randomized trial. | 1997 Dec |
|
A comparison between two doses of intravaginal misoprostol and gemeprost for induction of second-trimester abortion. | 1997 Dec |
|
Characterization of the prostanoid receptor(s) on human blood monocytes at which prostaglandin E2 inhibits lipopolysaccharide-induced tumour necrosis factor-alpha generation. | 1997 Sep |
|
Use of misoprostol during pregnancy and Möbius' syndrome in infants. | 1998 Jun 25 |
|
Side-effects of oral misoprostol in the third stage of labour--a randomised placebo-controlled trial. | 2001 May |
|
High rates of cramping with misoprostol administration for intrauterine insemination. | 2001 May |
|
Buccal versus intravaginal misoprostol administration for cervical ripening. | 2002 Feb |
|
Effect of misoprostol and indomethacin on cyclooxygenase induction and eicosanoid production in carrageenan-induced air pouch inflammation in rats. | 2002 Sep |
|
WHO multinational study of three misoprostol regimens after mifepristone for early medical abortion. | 2004 Jul |
|
Improved antiulcer and anticancer properties of a trans-resveratrol analog in mice. | 2009 Mar |
|
Acute coronary artery vasospasm associated with misoprostol for termination of pregnancy. | 2010 |
|
Protective effect of anacardic acids from cashew (Anacardium occidentale) on ethanol-induced gastric damage in mice. | 2010 Jan 5 |
|
Moebius syndrome and holoprosencephaly following exposure to misoprostol. | 2010 Nov |
Patents
Sample Use Guides
The recommended adult oral dose of Cytotec (Misoprostol) for reducing the risk of NSAID-induced gastric ulcers is 200 mcg four times daily with food. If this dose cannot be tolerated, a dose of 100 mcg can be used
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/10357877
Antigen-evoked secretion of IFN-gamma by influenza hemagglutinin-specific mouse lymph node Th1 cells, that also express EP3Rs and EP4Rs, was increased a maximum of 10-fold by 10(-9) M misoprostol.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 16 17:42:20 UTC 2022
by
admin
on
Fri Dec 16 17:42:20 UTC 2022
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Record UNII |
0E43V0BB57
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Record Status |
Validated (UNII)
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Record Version |
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-
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Classification Tree | Code System | Code | ||
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NDF-RT |
N0000007710
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WHO-ATC |
G02AD06
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WHO-ESSENTIAL MEDICINES LIST |
22.1 (MIF/MIS)
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NDF-RT |
N0000007710
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WHO-ATC |
A02BB01
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LIVERTOX |
644
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NDF-RT |
N0000175785
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NCI_THESAURUS |
C2080
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WHO-VATC |
QA02BB01
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FDA ORPHAN DRUG |
186604
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NCI_THESAURUS |
C29701
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WHO-VATC |
QM01AE56
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NDF-RT |
N0000007710
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NCI_THESAURUS |
C78568
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WHO-ATC |
M01AE56
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WHO-VATC |
QG02AD06
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WHO-ESSENTIAL MEDICINES LIST |
22.1
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Code System | Code | Type | Description | ||
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C1313
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PRIMARY | |||
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SUB08998MIG
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PRIMARY | |||
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Misoprostol
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PRIMARY | |||
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D016595
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PRIMARY | |||
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M7563
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PRIMARY | Merck Index | ||
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1444300
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PRIMARY | |||
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0E43V0BB57
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PRIMARY | |||
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1817
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PRIMARY | |||
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3573
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5154
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1936
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MISOPROSTOL
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42331
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PRIMARY | RxNorm | ||
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5282381
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PRIMARY | |||
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DB00929
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59122-46-2
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PRIMARY | |||
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63610
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PRIMARY | |||
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CHEMBL606
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0E43V0BB57
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PRIMARY | |||
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DTXSID7020897
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PRIMARY |
Related Record | Type | Details | ||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
EP
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Related Record | Type | Details | ||
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METABOLITE ACTIVE -> PRODRUG |
Related Record | Type | Details | ||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
12-Epimisoprostol consists of two diastereomers that are separated under these conditions; integrate both peaks together for the impurity calculations
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
For the calculation of contents, multiply the peak areas by 0.13
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Elimination PHARMACOKINETIC |
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