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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
S2' substrate specificity and the role of His110 and His111 in the exopeptidase activity of human cathepsin B.
2002-02-01
Novel properties of peptides derived from the sequence coded by exon 26A of human elastin.
2002-02
Triterpenes from Agarista mexicana as potential antidiabetic agents.
2002-02
The effect of bergamottin on diazepam plasma levels and P450 enzymes in beagle dogs.
2002-02
Carriers of an inactivating beta-cell ATP-sensitive K(+) channel mutation have normal glucose tolerance and insulin sensitivity and appropriate insulin secretion.
2002-01
A key role for beta-cell cytosolic phospholipase A(2) in the maintenance of insulin stores but not in the initiation of insulin secretion.
2002-01
Inhibition of glucose-induced electrical activity by 4-hydroxytamoxifen in rat pancreatic beta-cells.
2002-01
ATP-independent anoxic activation of ATP-sensitive K+ channels in dorsal vagal neurons of juvenile mice in situ.
2002
Desensitization of insulin secretory response to imidazolines, tolbutamide, and quinine. II. Electrophysiological and fluorimetric studies.
2001-12-15
Desensitization of insulin secretory response to imidazolines, tolbutamide, and quinine. I. Secretory and morphological studies.
2001-12-15
Proliferation of C6 glioma cells is blunted by the increase in gap junction communication caused by tolbutamide.
2001-12-07
Opioid receptor modulation of a metabolically sensitive ion channel in rat amygdala neurons.
2001-12-01
Identification of a null allele of CYP2C9 in an African-American exhibiting toxicity to phenytoin.
2001-12
Phenotyping of individual pancreatic islets locates genetic defects in stimulus secretion coupling to Niddm1i within the major diabetes locus in GK rats.
2001-12
The effects of mitiglinide (KAD-1229), a new anti-diabetic drug, on ATP-sensitive K+ channels and insulin secretion: comparison with the sulfonylureas and nateglinide.
2001-11-09
An aqueous extract of the green leafy vegetable Ipomoea aquatica is as effective as the oral hypoglycaemic drug tolbutamide in reducing the blood sugar levels of Wistar rats.
2001-11
In vitro evaluation of valproic acid as an inhibitor of human cytochrome P450 isoforms: preferential inhibition of cytochrome P450 2C9 (CYP2C9).
2001-11
Application of the PKCYP-test to predict the amount of in vivo CYP2C11 using tolbutamide as a probe.
2001-11
Monoclonal antibodies specific and inhibitory to human cytochromes P450 2C8, 2C9, and 2C19.
2001-11
Effects of tolbutamide and N-benzoyl-D-phenylalanine (NBDP) on the regulation of [Ca2+]i oscillations in mouse pancreatic islets.
2001-10-01
In vitro cytochrome P450-mediated hepatic activities for five substrates in specific pathogen free chickens.
2001-10
Quantification of beta-cell function during IVGTT in Type II and non-diabetic subjects: assessment of insulin secretion by mathematical methods.
2001-10
Genetic variability of the SUR1 promoter in relation to beta-cell function and Type II diabetes mellitus.
2001-10
Clinical relevance of genetic polymorphisms in the human CYP2C subfamily.
2001-10
The effects of St John's wort (Hypericum perforatum) on human cytochrome P450 activity.
2001-10
Molecular modelling and 1H-NMR: ultimate tools for the investigation of tolbutamide: beta-cyclodextrin and tolbutamide: hydroxypropyl-beta-cyclodextrin complexes.
2001-10
Fasting glucose insulin ratio: a useful measure of insulin resistance in girls with premature adrenarche.
2001-10
Insulin activates ATP-sensitive K(+) channels in pancreatic beta-cells through a phosphatidylinositol 3-kinase-dependent pathway.
2001-10
Diabetogenic effect of cyclosporin A is mediated by interference with mitochondrial function of pancreatic B-cells.
2001-10
Antidiabetic activity of the rhizoma of Anemarrhena asphodeloides and active components, mangiferin and its glucoside.
2001-09
Effect of Cirsium pascuarense on blood glucose levels of normoglycaemic and alloxan-diabetic mice.
2001-09
Dibutyryl-cyclic GMP induces peripheral antinociception via activation of ATP-sensitive K(+) channels in the rat PGE2-induced hyperalgesic paw.
2001-09
Adenosine-mediated inhibition of striatal GABAergic synaptic transmission during in vitro ischaemia.
2001-09
Functional characterization of rat organic anion transporter 2 in LLC-PK1 cells.
2001-09
Mechanism-based inactivation of CYP2C11 by diclofenac.
2001-09
An ATP-sensitive K(+) conductance in dissociated neurones from adult rat intracardiac ganglia.
2001-08-01
The enhancement of glucose uptake caused by the collapse of gap junction communication is due to an increase in astrocyte proliferation.
2001-08
Sulfonylurea receptors inhibit the epithelial sodium channel (ENaC) by reducing surface expression.
2001-08
Swelling-induced changes in cytosolic [Ca2++] in insulin-secreting cells: a role in regulatory volume decrease?
2001-07-05
The potential of small-scale fusion experiments and the Gordon-Taylor equation to predict the suitability of drug/polymer blends for melt extrusion.
2001-07
Influence of the preparation method on the physicochemical properties of tolbutamide/cyclodextrin binary systems.
2001-07
Free radical-mediated tolbutamide desensitization of K+ATP channels in rat pancreatic beta-cells.
2001-06
Effects of vitamins and common drugs on reduction of 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanone in rat microsomes.
2001-04
Interindividual variations in levels and activities of cytochrome P-450 in liver microsomes of Chinese subjects.
2001-03
Hypoglycemic effect of Hibiscus rosa sinensis L. leaf extract in glucose and streptozotocin induced hyperglycemic rats.
2001-03
Effects of CYP2C19 genotype and CYP2C9 on fluoxetine N-demethylation in human liver microsomes.
2001-01
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
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
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PARENT -> SALT/SOLVATE
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