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Details

Stereochemistry ACHIRAL
Molecular Formula C12H17N2O3S.Na
Molecular Weight 292.33
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of TOLBUTAMIDE SODIUM

SMILES

[Na+].CCCCNC(=O)[N-]S(=O)(=O)C1=CC=C(C)C=C1

InChI

InChIKey=QKHDBRQBSNZFAK-UHFFFAOYSA-M
InChI=1S/C12H18N2O3S.Na/c1-3-4-9-13-12(15)14-18(16,17)11-7-5-10(2)6-8-11;/h5-8H,3-4,9H2,1-2H3,(H2,13,14,15);/q;+1/p-1

HIDE SMILES / InChI

Molecular Formula C12H18N2O3S
Molecular Weight 270.348
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula Na
Molecular Weight 22.98976928
Charge 1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: Description was created based on several sources, including https://www.drugs.com/pro/tolbutamide.html

Tolbutamide is an oral antihyperglycemic agent used for the treatment of non-insulin-dependent diabetes mellitus (NIDDM). It is structurally similar to acetohexamide, chlorpropamide and tolazamide and belongs to the sulfonylurea class of insulin secretagogues, which act by stimulating β cells of the pancreas to release insulin. Sulfonylureas lower blood glucose in patients with NIDDM by directly stimulating the acute release of insulin from functioning beta cells of pancreatic islet tissue by an unknown process that involves a sulfonylurea receptor (receptor 1) on the beta cell. Sulfonylureas inhibit the ATP-potassium channels on the beta cell membrane and potassium efflux, which results in depolarization and calcium influx, calcium-calmodulin binding, kinase activation, and release of insulin-containing granules by exocytosis, an effect similar to that of glucose.

CNS Activity

Curator's Comment: Shown in rats and mice

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: K-ATP channels, Rattus norvegicus
0.8 µM [IC50]
1.15 µM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Tolbutamide

Approved Use

Tolbutamide tablets are indicated as an adjunct to diet to lower the blood glucose in patients with non-insulin-dependent diabetes mellitus (type II) whose hyperglycemia cannot be controlled by diet alone.

Launch Date

1989
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
51.1 μg/mL
1 g single, oral
dose: 1 g
route of administration: Oral
experiment type: SINGLE
co-administered:
TOLBUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
998.42 μg × h/mL
1 g single, oral
dose: 1 g
route of administration: Oral
experiment type: SINGLE
co-administered:
TOLBUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
418 min
20 mg/kg bw single, intravenous
dose: 20 mg/kg bw
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TOLBUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
5%
20 mg/kg bw single, intravenous
dose: 20 mg/kg bw
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TOLBUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
not significant [IC50 >100 uM]
weak [IC50 281 uM]
weak [IC50 >300 uM]
weak [IC50 >300 uM]
weak [IC50 >300 uM]
weak [IC50 >300 uM]
Drug as victim
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Minipig cytochrome P450 3A, 2A and 2C enzymes have similar properties to human analogs.
2001
Effects of nicorandil administration on survival rate and arrhythmias during reperfusion in anesthetized rabbits.
2001
Phorbol ester impairs electrical excitation of rat pancreatic beta-cells through PKC-independent activation of KATP channels.
2001
Drug interactions with irbesartan.
2001
Interaction of sulfonylurea-conjugated polymer with insulinoma cell line of MIN6 and its effect on insulin secretion.
2001 Apr
Effect of leptin on insulin, glugacon and somatostatin secretion in the perfused rat pancreas.
2001 Apr
Changes in the dissolution of tolbutamide by a traditional Chinese medicine, Sho-saiko-to (Xiao Chaihu Tang).
2001 Apr
Uncoupling protein 2: a possible link between fatty acid excess and impaired glucose-induced insulin secretion?
2001 Apr
ION-pair liquid chromatography technique for the estimation of metformin in its multicomponent dosage forms.
2001 Apr
Sulfonylurea receptors inhibit the epithelial sodium channel (ENaC) by reducing surface expression.
2001 Aug
An ATP-sensitive K(+) conductance in dissociated neurones from adult rat intracardiac ganglia.
2001 Aug 1
Desensitization of insulin secretory response to imidazolines, tolbutamide, and quinine. II. Electrophysiological and fluorimetric studies.
2001 Dec 15
Hyperinsulinism of infancy: the regulated release of insulin by KATP channel-independent pathways.
2001 Feb
Effects of sho-saiko-to (xiao chai hu tang), a Chinese traditional medicine, on the gastric function and absorption of tolbutamide in rats.
2001 Feb
Inhibition of human cytochrome P450 isoforms by nonnucleoside reverse transcriptase inhibitors.
2001 Jan
Is diclofenac a valuable CYP2C9 probe in humans?
2001 Jan-Feb
Longitudinal changes in body fat in African American and Caucasian children: influence of fasting insulin and insulin sensitivity.
2001 Jul
In vivo effect of clarithromycin on multiple cytochrome P450s.
2001 Jul
Swelling-induced changes in cytosolic [Ca2++] in insulin-secreting cells: a role in regulatory volume decrease?
2001 Jul 5
Free radical-mediated tolbutamide desensitization of K+ATP channels in rat pancreatic beta-cells.
2001 Jun
Tolbutamide stimulation of pancreatic beta-cells involves both cell recruitment and increase in the individual Ca(2+) response.
2001 Jun
Establishment of the transformants expressing human cytochrome P450 subtypes in HepG2, and their applications on drug metabolism and toxicology.
2001 Jun
Hypoglycemic effect of Hibiscus rosa sinensis L. leaf extract in glucose and streptozotocin induced hyperglycemic rats.
2001 Mar
Inhibition of human CYP1A2 activity in vitro by methylxanthines: potent competitive inhibition by 8-phenyltheophylline.
2001 Mar
Characterization of glass solutions of poorly water-soluble drugs produced by melt extrusion with hydrophilic amorphous polymers.
2001 Mar
Role of common sequence variants in insulin secretion in familial type 2 diabetic kindreds: the sulfonylurea receptor, glucokinase, and hepatocyte nuclear factor 1alpha genes.
2001 Mar
Protein kinase C-dependent and -independent inhibition of Ca(2+) influx by phorbol ester in rat pancreatic beta-cells.
2001 Mar
Measurements of cytoplasmic Ca2+ in islet cell clusters show that glucose rapidly recruits beta-cells and gradually increases the individual cell response.
2001 Mar
Interaction of stilbene disulphonates with cloned K(ATP) channels.
2001 Mar
Specific desensitization of sulfonylurea- but not imidazoline-induced insulin release after prolonged tolbutamide exposure.
2001 Mar 1
Complexation with tolbutamide modifies the physicochemical and tableting properties of hydroxypropyl-beta-cyclodextrin.
2001 Mar 14
Involvement of calmodulin in glucagon-like peptide 1(7-36) amide-induced inhibition of the ATP-sensitive K+ channel in mouse pancreatic beta-cells.
2001 May
In vitro evaluation of valproic acid as an inhibitor of human cytochrome P450 isoforms: preferential inhibition of cytochrome P450 2C9 (CYP2C9).
2001 Nov
Monoclonal antibodies specific and inhibitory to human cytochromes P450 2C8, 2C9, and 2C19.
2001 Nov
Quantification of beta-cell function during IVGTT in Type II and non-diabetic subjects: assessment of insulin secretion by mathematical methods.
2001 Oct
Clinical relevance of genetic polymorphisms in the human CYP2C subfamily.
2001 Oct
The effects of St John's wort (Hypericum perforatum) on human cytochrome P450 activity.
2001 Oct
Molecular modelling and 1H-NMR: ultimate tools for the investigation of tolbutamide: beta-cyclodextrin and tolbutamide: hydroxypropyl-beta-cyclodextrin complexes.
2001 Oct
Fasting glucose insulin ratio: a useful measure of insulin resistance in girls with premature adrenarche.
2001 Oct
Insulin activates ATP-sensitive K(+) channels in pancreatic beta-cells through a phosphatidylinositol 3-kinase-dependent pathway.
2001 Oct
Diabetogenic effect of cyclosporin A is mediated by interference with mitochondrial function of pancreatic B-cells.
2001 Oct
Effects of tolbutamide and N-benzoyl-D-phenylalanine (NBDP) on the regulation of [Ca2+]i oscillations in mouse pancreatic islets.
2001 Oct 1
Effect of Cirsium pascuarense on blood glucose levels of normoglycaemic and alloxan-diabetic mice.
2001 Sep
Functional characterization of rat organic anion transporter 2 in LLC-PK1 cells.
2001 Sep
Mechanism-based inactivation of CYP2C11 by diclofenac.
2001 Sep
ATP-independent anoxic activation of ATP-sensitive K+ channels in dorsal vagal neurons of juvenile mice in situ.
2002
Novel properties of peptides derived from the sequence coded by exon 26A of human elastin.
2002 Feb
Triterpenes from Agarista mexicana as potential antidiabetic agents.
2002 Feb
S2' substrate specificity and the role of His110 and His111 in the exopeptidase activity of human cathepsin B.
2002 Feb 1
A key role for beta-cell cytosolic phospholipase A(2) in the maintenance of insulin stores but not in the initiation of insulin secretion.
2002 Jan
Patents

Sample Use Guides

Usual Adult Dose for Diabetes Type 2 Initial dose: 1 to 2 g orally once a day or in divided doses through the day -Adjust dose based on blood glucose response Maintenance dose: 0.25 to 3 g orally once a day or in divided doses through the day Maximum dose: 3 g per day
Route of Administration: Oral
Insulin effects were eliminated in the presence of a ATP-dependent K+ (K(ATP)) channel antagonist tolbutamide (200 uM) in brain stem slices
Substance Class Chemical
Created
by admin
on Mon Mar 31 17:54:08 GMT 2025
Edited
by admin
on Mon Mar 31 17:54:08 GMT 2025
Record UNII
E830VC49W5
Record Status Validated (UNII)
Record Version
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Name Type Language
TOLBUTAMIDE SODIUM
ORANGE BOOK   VANDF   WHO-DD  
Common Name English
TOLBUTAMIDE SODIUM SALT
MI  
Preferred Name English
TOLBUTAMIDE SODIUM SALT [MI]
Common Name English
TOLBUTAMIDE SODIUM [ORANGE BOOK]
Common Name English
TOLBUTAMIDE SODIUM [VANDF]
Common Name English
1-BUTYL-3-(P-TOLYLSULFONYL)UREA, MONOSODIUM SALT
Common Name English
BENZENESULFONAMIDE, N-((BUTYLAMINO)CARBONYL)-4-METHYL-, MONOSODIUM SALT
Common Name English
Tolbutamide sodium [WHO-DD]
Common Name English
SODIUM TOLBUTAMIDE
Common Name English
ORINASE DIAGNOSTIC
Brand Name English
Classification Tree Code System Code
NCI_THESAURUS C97936
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
Code System Code Type Description
MERCK INDEX
m10937
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY Merck Index
CAS
473-41-6
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
SMS_ID
100000090006
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
DRUG BANK
DBSALT001412
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
RXCUI
221173
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY RxNorm
PUBCHEM
23690448
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
EVMPD
SUB26821
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
ChEMBL
CHEMBL782
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
EPA CompTox
DTXSID50197090
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
FDA UNII
E830VC49W5
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
NCI_THESAURUS
C78130
Created by admin on Mon Mar 31 17:54:08 GMT 2025 , Edited by admin on Mon Mar 31 17:54:08 GMT 2025
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY