Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C22H19N3O4 |
Molecular Weight | 389.4048 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CN1CC(=O)N2[C@]([H])(Cc3c4ccccc4[nH]c3[C@@]2([H])c5ccc6c(c5)OCO6)C1=O
InChI
InChIKey=WOXKDUGGOYFFRN-IIBYNOLFSA-N
InChI=1S/C22H19N3O4/c1-24-10-19(26)25-16(22(24)27)9-14-13-4-2-3-5-15(13)23-20(14)21(25)12-6-7-17-18(8-12)29-11-28-17/h2-8,16,21,23H,9-11H2,1H3/t16-,21-/m1/s1
Molecular Formula | C22H19N3O4 |
Molecular Weight | 389.4048 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionSources: http://www.drugbank.ca/drugs/DB00820Curator's Comment:: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB00820
Curator's Comment:: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf
Tadalafil is used to treat male erectile dysfunction (impotence) and pulmonary arterial hypertension (PAH). Part of the physiological process of erection involves the release of nitric oxide (NO) in the corpus cavernosum. This then activates the enzyme guanylate cyclase which results in increased levels of cyclic guanosine monophosphate (cGMP), leading to smooth muscle relaxation in the corpus cavernosum, resulting in increased inflow of blood and an erection. Tadalafil is a potent and selective inhibitor of cGMP specific phosphodiesterase type 5 (PDE5) which is responsible for degradation of cGMP in the corpus cavernosum. This means that, with tadalafil on board, normal sexual stimulation leads to increased levels of cGMP in the corpus cavernosum which leads to better erections. Without sexual stimulation and no activation of the NO/cGMP system, tadalafil should not cause an erection.Tadalafil inhibits the cGMP specific phosphodiesterase type 5 (PDE5) which is responsible for degradation of cGMP in the corpus cavernosum located around the penis. Penile erection during sexual stimulation is caused by increased penile blood flow resulting from the relaxation of penile arteries and corpus cavernosal smooth muscle. This response is mediated by the release of nitric oxide (NO) from nerve terminals and endothelial cells, which stimulates the synthesis of cGMP in smooth muscle cells. Cyclic GMP causes smooth muscle relaxation and increased blood flow into the corpus cavernosum. The inhibition of phosphodiesterase type 5 (PDE5) by tadalafil enhances erectile function by increasing the amount of cGMP. Tadalafil is used for the treatment of erectile dysfunction.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22776546
Curator's Comment:: Tadalafil crosses the blood-brain barrier and reverses cognitive dysfunction in a mouse model of AD.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL240 Sources: https://www.ncbi.nlm.nih.gov/pubmed/27581752 |
100.0 µM [IC50] | ||
Target ID: CHEMBL2097163 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24180640 |
5.1 µM [IC50] | ||
Target ID: CHEMBL2717 Sources: https://www.ncbi.nlm.nih.gov/pubmed/21384413 |
0.05 µM [IC50] | ||
Target ID: CHEMBL1827 |
5.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | CIALIS Approved UseCIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of:
• erectile dysfunction (ED)
• the signs and symptoms of benign prostatic hyperplasia (BPH)
• ED and the signs and symptoms of BPH (ED/BPH) Launch Date1.06928642E12 |
|||
Primary | CIALIS Approved UseCIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of:
• erectile dysfunction (ED)
• the signs and symptoms of benign prostatic hyperplasia (BPH)
• ED and the signs and symptoms of BPH (ED/BPH) Launch Date1.06928642E12 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
308.1 μg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29719379 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
7225 μg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29719379 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
17.4 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29719379 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL blood | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6% |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
40 mg 1 times / day multiple, oral MTD Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
pregnant, 28 years (range: 20–39 years) n = 3 Health Status: pregnant Age Group: 28 years (range: 20–39 years) Sex: F Population Size: 3 Sources: |
Other AEs: Facial flushing, Anorexia... Other AEs: Facial flushing (grade 1, 2 patients) Sources: Anorexia (grade 1, 1 patient) |
20 mg 3 times / week multiple, oral Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 54.9 years n = 4262 Health Status: unhealthy Condition: Erectile Dysfunction Age Group: 54.9 years Sex: M Population Size: 4262 Sources: |
Other AEs: Headache, Dyspepsia... Other AEs: Headache (7.7%) Sources: Dyspepsia (7%) Back pain (2.9%) Flushing (2.9%) Myalgia (3%) Abdominal pain upper (1.7%) |
100 mg 1 times / day multiple, oral Highest studied dose Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Condition: erectile dysfunction Age Group: adult Sex: M Sources: |
|
500 mg single, oral Highest studied dose Dose: 500 mg Route: oral Route: single Dose: 500 mg Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: M Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Anorexia | grade 1, 1 patient | 40 mg 1 times / day multiple, oral MTD Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
pregnant, 28 years (range: 20–39 years) n = 3 Health Status: pregnant Age Group: 28 years (range: 20–39 years) Sex: F Population Size: 3 Sources: |
Facial flushing | grade 1, 2 patients | 40 mg 1 times / day multiple, oral MTD Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
pregnant, 28 years (range: 20–39 years) n = 3 Health Status: pregnant Age Group: 28 years (range: 20–39 years) Sex: F Population Size: 3 Sources: |
Abdominal pain upper | 1.7% | 20 mg 3 times / week multiple, oral Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 54.9 years n = 4262 Health Status: unhealthy Condition: Erectile Dysfunction Age Group: 54.9 years Sex: M Population Size: 4262 Sources: |
Back pain | 2.9% | 20 mg 3 times / week multiple, oral Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 54.9 years n = 4262 Health Status: unhealthy Condition: Erectile Dysfunction Age Group: 54.9 years Sex: M Population Size: 4262 Sources: |
Flushing | 2.9% | 20 mg 3 times / week multiple, oral Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 54.9 years n = 4262 Health Status: unhealthy Condition: Erectile Dysfunction Age Group: 54.9 years Sex: M Population Size: 4262 Sources: |
Myalgia | 3% | 20 mg 3 times / week multiple, oral Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 54.9 years n = 4262 Health Status: unhealthy Condition: Erectile Dysfunction Age Group: 54.9 years Sex: M Population Size: 4262 Sources: |
Dyspepsia | 7% | 20 mg 3 times / week multiple, oral Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 54.9 years n = 4262 Health Status: unhealthy Condition: Erectile Dysfunction Age Group: 54.9 years Sex: M Population Size: 4262 Sources: |
Headache | 7.7% | 20 mg 3 times / week multiple, oral Dose: 20 mg, 3 times / week Route: oral Route: multiple Dose: 20 mg, 3 times / week Sources: |
unhealthy, 54.9 years n = 4262 Health Status: unhealthy Condition: Erectile Dysfunction Age Group: 54.9 years Sex: M Population Size: 4262 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on PK of theophylline Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on PK of theophylline Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: Tadalafil had no clinically significant effect on exposure (AUC) to S-warfarin or R-warfarin, nor did tadalafil affect changes in prothrombin time induced by warfarin. Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: Tadalafil had no clinically significant effect on exposure (AUC) to S-warfarin or R-warfarin, nor did tadalafil affect changes in prothrombin time induced by warfarin. Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on exposure (AUC) to midazolam or lovastatin Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on exposure (AUC) to midazolam or lovastatin Page: 14.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-368_Cialis_BioPharmr_P2.pdf#page=40 Page: 40.0 |
not significant [Ki 73 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-368_Cialis_BioPharmr_P2.pdf#page=49 Page: 49.0 |
major | yes (co-administration study) Comment: coadministration with ketoconazole (inhibitor) increased tadalafil exposure by 107%; ritonavir (inhibitor) increased tadalafil AUC by 124%; coadministration with rifampin (inducer) reduced taladafil AUC by 88%; Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-368_Cialis_BioPharmr_P2.pdf#page=49 Page: 49.0 |
||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Effects of tadalafil on erectile dysfunction in men with diabetes. | 2003 Aug |
|
Tadalafil: new preparation. Slightly more convenient, but poorly assessed in organic disorders. | 2003 Dec |
|
Oral drug treatment of erectile dysfunction. | 2003 Dec |
|
Tadalafil in the treatment of erectile dysfunction. | 2003 Dec |
|
Molecular mechanisms and pharmacokinetics of phosphodiesterase-5 antagonists. | 2003 Dec |
|
Tadalafil for the treatment of erectile dysfunction. | 2003 Dec |
|
Tadalafil (cialis) for erectile dysfunction. | 2003 Dec 22 |
|
Switching patients with erectile dysfunction from sildenafil citrate to tadalafil: results of a European multicenter, open-label study of patient preference. | 2003 Nov |
|
A multicenter, randomized, double-blind, crossover study of patient preference for tadalafil 20 mg or sildenafil citrate 50 mg during initiation of treatment for erectile dysfunction. | 2003 Nov |
|
Review of tadalafil in the treatment of erectile dysfunction. | 2003 Nov |
|
[Pleasure and pain in sexual relations. The basis and reasons for sex counseling by the general practitioner]. | 2003 Nov 13 |
|
Time course of the interaction between tadalafil and nitrates. | 2003 Nov 19 |
|
Roundtable discussion: tadalafil study group. | 2003 Nov 6 |
|
Cardiovascular effects of tadalafil in patients on common antihypertensive therapies. | 2003 Nov 6 |
|
Cardiovascular effects of tadalafil. | 2003 Nov 6 |
|
Efficacy and tolerability of tadalafil, a novel phosphodiesterase 5 inhibitor, in treatment of erectile dysfunction. | 2003 Nov 6 |
|
Overview of phosphodiesterase 5 inhibition in erectile dysfunction. | 2003 Nov 6 |
|
[Efficacy and safety of the application of cialis for erectile dysfunction]. | 2003 Nov-Dec |
|
Novel PDE5 inhibitors for the treatment of male erectile dysfunction. | 2003 Oct-Nov |
|
[Medication of the month. Vardenafil (Levitra)]. | 2003 Sep |
|
Sexual dysfunction and diabetes. | 2004 Apr |
|
[Comparison of efficacy and safety of phosphodiesterase type 5 inhibitors in the treatment of erectile dysfunction]. | 2004 Apr |
|
Gateways to clinical trials. | 2004 Apr |
|
Tadalafil and vardenafil. | 2004 Apr |
|
Novel phosphodiesterase type 5 inhibitors: assessing hemodynamic effects and safety parameters. | 2004 Apr |
|
Phosphodiesterase type 5 inhibitor differentiation based on selectivity, pharmacokinetic, and efficacy profiles. | 2004 Apr |
|
Pills for erectile dysfunction: now there are three. | 2004 Apr |
|
Treatment of erectile dysfunction. | 2004 Apr |
|
A multicenter, randomized, double-blind, crossover study to evaluate patient preference between tadalafil and sildenafil. | 2004 Apr |
|
Tadalafil (Cialis) and vardenafil (Levitra) recently approved drugs for erectile dysfunction. | 2004 Feb |
|
[Erectile dysfunction. Epidemiology, physiology, etiology, diagnosis and therapy]. | 2004 Feb |
|
Cardioprotection with phosphodiesterase-5 inhibition--a novel preconditioning strategy. | 2004 Feb |
|
Cialis is here. The soft sell. | 2004 Feb 2 |
|
[Treatment of erectile dysfunction]. | 2004 Feb 29 |
|
Are they better than Viagra? Two new drugs for erectile dysfunction work like Viagra and carry similar risks and benefits. Their subtle differences, however, may make a difference for some men. | 2004 Jan |
|
Third drug for impotence. | 2004 Jan-Feb |
|
[Erectile dysfunction. New drugs with special consideration of the PDE 5 inhibitors]. | 2004 Jul |
|
The efficacy and safety of tadalafil: an update. | 2004 Jun |
|
Re: tadalafil has no detrimental effect on human spermatogenesis or reproductive hormones. | 2004 Jun |
|
Time course of the interaction between tadalafil and nitrates. | 2004 Jun 2 |
|
Pharmacokinetics, pharmacodynamics, and efficacy of phosphodiesterase type 5 inhibitors. | 2004 Mar |
|
Therapeutic options for patients returning to sexual activity. | 2004 Mar |
|
Gateways to clinical trials. | 2004 Mar |
|
Long-term safety and tolerability of tadalafil in the treatment of erectile dysfunction. | 2004 Mar |
|
Atazanavir (Reyataz): new recommendations if combined with tenofovir (Viread) -- and warning on Viagra, Cialis, and Levitra. | 2004 Mar 26 |
|
Therapy of ED: PDE-5 Inhibitors. | 2004 Mar-Apr |
|
New drugs of 2003. | 2004 Mar-Apr |
|
Emerging oral drugs for erectile dysfunction. | 2004 May |
|
Nocturnal electrobioimpedance volumetric assessment in diabetic men with erectile dysfunction before and after tadalafil intake. | 2004 Oct |
|
Interactions between cGMP- and cAMP-pathways are involved in the regulation of penile smooth muscle tone. | 2004 Oct |
Patents
Sample Use Guides
ED: Starting dose: 10 mg as needed prior to sexual activity. Increase to
20 mg or decrease to 5 mg based upon efficacy/tolerability. Improves
erectile function compared to placebo up to 36 hours post dose. Not to
be taken more than once per day
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20555034
Increasing levels of tadalafil (1–25 uM) attenuated proliferation of human primary prostatic stromal cells (PrSCs) in a dose-dependent manner with concentrations above 5 uM showing highly significant effects
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Jun 25 21:08:53 UTC 2021
by
admin
on
Fri Jun 25 21:08:53 UTC 2021
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Record UNII |
742SXX0ICT
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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WHO-ATC |
C02KX52
Created by
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FDA ORPHAN DRUG |
528316
Created by
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EMA ASSESSMENT REPORTS |
CIALIS (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by
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NDF-RT |
N0000175599
Created by
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EMA ASSESSMENT REPORTS |
ADCIRCA (AUTHORIZED: HYPERTENSION, PULMONARY)
Created by
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NDF-RT |
N0000020026
Created by
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FDA ORPHAN DRUG |
476415
Created by
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EMA ASSESSMENT REPORTS |
TADALAFIL MYLAN (AUTHORIZED: ERECTILE DYSFUNCTIONS)
Created by
admin on Fri Jun 25 21:08:53 UTC 2021 , Edited by admin on Fri Jun 25 21:08:53 UTC 2021
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FDA ORPHAN DRUG |
228206
Created by
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NCI_THESAURUS |
C2127
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WHO-VATC |
QG04BE08
Created by
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FDA ORPHAN DRUG |
509615
Created by
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WHO-ATC |
G04BE08
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LIVERTOX |
920
Created by
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Code System | Code | Type | Description | ||
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171596-29-5
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PRIMARY | |||
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8136
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PRIMARY | |||
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7299
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7303
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358263
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Tadalafil
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PRIMARY | |||
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C429886
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742SXX0ICT
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1642879
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DB00820
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PRIMARY | |||
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110635
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SUB12602MIG
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CHEMBL779
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C47743
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PRIMARY | |||
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M10427
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PRIMARY | Merck Index | ||
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171596-29-5
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PRIMARY | |||
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2553
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TADALAFIL
Created by
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Related Record | Type | Details | ||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
EP
|
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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BINDER->LIGAND |
BINDING
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
|
Related Record | Type | Details | ||
---|---|---|---|---|
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
ASSAY (HPLC)
EP
|
||
|
IMPURITY -> PARENT |
UNSPECIFIED
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Volume of Distribution | PHARMACOKINETIC |
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Tmax | PHARMACOKINETIC |
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SINGLE ORAL ADMINISTRATION |
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Biological Half-life | PHARMACOKINETIC |
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