Details
Stereochemistry | ACHIRAL |
Molecular Formula | C17H18N2O6 |
Molecular Weight | 346.3346 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COC(=O)C1=C(C)NC(C)=C(C1C2=C(C=CC=C2)[N+]([O-])=O)C(=O)OC
InChI
InChIKey=HYIMSNHJOBLJNT-UHFFFAOYSA-N
InChI=1S/C17H18N2O6/c1-9-13(16(20)24-3)15(14(10(2)18-9)17(21)25-4)11-7-5-6-8-12(11)19(22)23/h5-8,15,18H,1-4H3
Molecular Formula | C17H18N2O6 |
Molecular Weight | 346.3346 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionSources: http://www.drugbank.ca/drugs/DB01115Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020198s023lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB01115
Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/020198s023lbl.pdf
Nifedipine has been formulated as both a long- and short-acting 1,4-dihydropyridine calcium channel blocker. Nifedipine is sold under the brand names Adalat and Procardia among others. Nifedipine decreases arterial smooth muscle contractility and subsequent vasoconstriction by inhibiting the influx of calcium ions through L-type calcium channels. Calcium ions entering the cell through these channels bind to calmodulin. Calcium-bound calmodulin then binds to and activates myosin light chain kinase (MLCK). Activated MLCK catalyzes the phosphorylation of the regulatory light chain subunit of myosin, a key step in muscle contraction. Signal amplification is achieved by calcium-induced calcium release from the sarcoplasmic reticulum through ryanodine receptors. Inhibition of the initial influx of calcium inhibits the contractile processes of smooth muscle cells, causing dilation of the coronary and systemic arteries, increased oxygen delivery to the myocardial tissue, decreased total peripheral resistance, decreased systemic blood pressure, and decreased afterload. The vasodilatory effects of nifedipine result in an overall decrease in blood pressure. Nifedipine is used for the management of vasospastic angina, chronic stable angina, hypertension, and Raynaud's phenomenon. May be used as a first line agent for left ventricular hypertrophy and isolated systolic hypertension (long-acting agents).
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/3368504
Curator's Comment: nifedipine can easily cross the blood-brain barrier in the rat
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2095229 Sources: http://www.genome.jp/dbget-bin/www_bget?D00437 |
2.0 µM [IC50] | ||
Target ID: CHEMBL1940 Sources: https://www.ncbi.nlm.nih.gov/pubmed/2435904 |
1.0 nM [Ki] | ||
Target ID: CHEMBL1075226 Sources: https://www.ncbi.nlm.nih.gov/pubmed/25893973 |
37.5 µM [IC50] | ||
Target ID: CHEMBL340 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24399740 |
7.8 µM [IC50] | ||
Target ID: Cholangiocarcinoma, Mz-ChA-1, human Sources: https://www.ncbi.nlm.nih.gov/pubmed/21179572 |
15.0 µM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | PROCARDIA Approved UseI. Vasospastic Angina
PROCARDIA (nifedipine) is indicated for the management of vasospastic angina confirmed by
any of the following criteria: 1) classical pattern of angina at rest accompanied by ST segment
elevation, 2) angina or coronary artery spasm provoked by ergonovine, or 3) angiographically
demonstrated coronary artery spasm. In those patients who have had angiography, the presence of
significant fixed obstructive disease is not incompatible with the diagnosis of vasospastic angina,
provided that the above criteria are satisfied. PROCARDIA may also be used where the clinical
presentation suggests a possible vasospastic component but where vasospasm has not been
confirmed, e.g., where pain has a variable threshold on exertion or when angina is refractory to
nitrates and/or adequate doses of beta blockers.
II. Chronic Stable Angina
(Classical Effort-Associated Angina)
PROCARDIA is indicated for the management of chronic stable angina (effort-associated
angina) without evidence of vasospasm in patients who remain symptomatic despite adequate
doses of beta blockers and/or organic nitrates or who cannot tolerate those agents. Launch Date1981 |
|||
Primary | PROCARDIA Approved UseI. Vasospastic Angina
PROCARDIA (nifedipine) is indicated for the management of vasospastic angina confirmed by
any of the following criteria: 1) classical pattern of angina at rest accompanied by ST segment
elevation, 2) angina or coronary artery spasm provoked by ergonovine, or 3) angiographically
demonstrated coronary artery spasm. In those patients who have had angiography, the presence of
significant fixed obstructive disease is not incompatible with the diagnosis of vasospastic angina,
provided that the above criteria are satisfied. PROCARDIA may also be used where the clinical
presentation suggests a possible vasospastic component but where vasospasm has not been
confirmed, e.g., where pain has a variable threshold on exertion or when angina is refractory to
nitrates and/or adequate doses of beta blockers.
II. Chronic Stable Angina
(Classical Effort-Associated Angina)
PROCARDIA is indicated for the management of chronic stable angina (effort-associated
angina) without evidence of vasospasm in patients who remain symptomatic despite adequate
doses of beta blockers and/or organic nitrates or who cannot tolerate those agents. Launch Date1981 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
78.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3609112/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIFEDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
148 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3609112/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIFEDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/3609112/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
NIFEDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
8% |
unknown |
NIFEDIPINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
90 mg single, oral Overdose |
healthy, 2 years n = 1 Health Status: healthy Age Group: 2 years Sex: M Population Size: 1 Sources: |
Disc. AE: Tachycardia, Hyperglycemia... AEs leading to discontinuation/dose reduction: Tachycardia (grade 5, 1 patient) Sources: Hyperglycemia (grade 5, 1 patient) |
200 mg single, oral Overdose Dose: 200 mg Route: oral Route: single Dose: 200 mg Co-administed with:: ethanol Sources: |
healthy, 34 years n = 1 Health Status: healthy Condition: suicide attempt Age Group: 34 years Sex: F Population Size: 1 Sources: |
Disc. AE: Hypotension, Acidosis... AEs leading to discontinuation/dose reduction: Hypotension (1 patient) Sources: Acidosis (1 patient) Hyperglycemia (1 patient) |
2400 mg single, oral Overdose Dose: 2400 mg Route: oral Route: single Dose: 2400 mg Co-administed with:: ethanol Sources: |
unknown, 37 years n = 1 Health Status: unknown Age Group: 37 years Sex: M Population Size: 1 Sources: |
Disc. AE: Intestinal infarction... AEs leading to discontinuation/dose reduction: Intestinal infarction (1 patient) Sources: |
300 mg single, oral Overdose |
unknown, 54 years n = 1 Health Status: unknown Condition: attempt to commit suicide Age Group: 54 years Sex: F Population Size: 1 Sources: |
Disc. AE: Reflex tachycardia... AEs leading to discontinuation/dose reduction: Reflex tachycardia (1 patient) Sources: |
600 mg single, oral Overdose |
unknown, 57 years n = 1 Health Status: unknown Age Group: 57 years Sex: M Population Size: 1 Sources: |
Disc. AE: Hypotension, Tachycardia... AEs leading to discontinuation/dose reduction: Hypotension (1 patient) Sources: Tachycardia (1 patient) Flushing (1 patient) |
900 mg single, oral Overdose |
unhealthy, 59 years n = 1 Health Status: unhealthy Condition: with a history of angina, left bundle branch block, and depression Age Group: 59 years Sex: M Population Size: 1 Sources: |
Disc. AE: Hypotension, Hyperglycemia... AEs leading to discontinuation/dose reduction: Hypotension (grade 4, 1 patient) Sources: Hyperglycemia (1 patient) |
180 mg 1 times / day steady, oral Highest studied dose Dose: 180 mg, 1 times / day Route: oral Route: steady Dose: 180 mg, 1 times / day Sources: |
unhealthy, adult n = 1000 Health Status: unhealthy Condition: hypertension and angina Age Group: adult Sex: unknown Population Size: 1000 Sources: |
DLT: Edema... Dose limiting toxicities: Edema (30%) Sources: |
30 mg 1 times / day steady, oral Recommended Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, mean 33.3 years n = 25 Health Status: unhealthy Condition: delivered at ≥32 weeks' gestation with persistent postpartum hypertension Age Group: mean 33.3 years Sex: F Population Size: 25 Sources: |
Disc. AE: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Nausea (1 patient) Sources: Vomiting (1 patient) Headache (1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hyperglycemia | grade 5, 1 patient Disc. AE |
90 mg single, oral Overdose |
healthy, 2 years n = 1 Health Status: healthy Age Group: 2 years Sex: M Population Size: 1 Sources: |
Tachycardia | grade 5, 1 patient Disc. AE |
90 mg single, oral Overdose |
healthy, 2 years n = 1 Health Status: healthy Age Group: 2 years Sex: M Population Size: 1 Sources: |
Acidosis | 1 patient Disc. AE |
200 mg single, oral Overdose Dose: 200 mg Route: oral Route: single Dose: 200 mg Co-administed with:: ethanol Sources: |
healthy, 34 years n = 1 Health Status: healthy Condition: suicide attempt Age Group: 34 years Sex: F Population Size: 1 Sources: |
Hyperglycemia | 1 patient Disc. AE |
200 mg single, oral Overdose Dose: 200 mg Route: oral Route: single Dose: 200 mg Co-administed with:: ethanol Sources: |
healthy, 34 years n = 1 Health Status: healthy Condition: suicide attempt Age Group: 34 years Sex: F Population Size: 1 Sources: |
Hypotension | 1 patient Disc. AE |
200 mg single, oral Overdose Dose: 200 mg Route: oral Route: single Dose: 200 mg Co-administed with:: ethanol Sources: |
healthy, 34 years n = 1 Health Status: healthy Condition: suicide attempt Age Group: 34 years Sex: F Population Size: 1 Sources: |
Intestinal infarction | 1 patient Disc. AE |
2400 mg single, oral Overdose Dose: 2400 mg Route: oral Route: single Dose: 2400 mg Co-administed with:: ethanol Sources: |
unknown, 37 years n = 1 Health Status: unknown Age Group: 37 years Sex: M Population Size: 1 Sources: |
Reflex tachycardia | 1 patient Disc. AE |
300 mg single, oral Overdose |
unknown, 54 years n = 1 Health Status: unknown Condition: attempt to commit suicide Age Group: 54 years Sex: F Population Size: 1 Sources: |
Flushing | 1 patient Disc. AE |
600 mg single, oral Overdose |
unknown, 57 years n = 1 Health Status: unknown Age Group: 57 years Sex: M Population Size: 1 Sources: |
Hypotension | 1 patient Disc. AE |
600 mg single, oral Overdose |
unknown, 57 years n = 1 Health Status: unknown Age Group: 57 years Sex: M Population Size: 1 Sources: |
Tachycardia | 1 patient Disc. AE |
600 mg single, oral Overdose |
unknown, 57 years n = 1 Health Status: unknown Age Group: 57 years Sex: M Population Size: 1 Sources: |
Hyperglycemia | 1 patient Disc. AE |
900 mg single, oral Overdose |
unhealthy, 59 years n = 1 Health Status: unhealthy Condition: with a history of angina, left bundle branch block, and depression Age Group: 59 years Sex: M Population Size: 1 Sources: |
Hypotension | grade 4, 1 patient Disc. AE |
900 mg single, oral Overdose |
unhealthy, 59 years n = 1 Health Status: unhealthy Condition: with a history of angina, left bundle branch block, and depression Age Group: 59 years Sex: M Population Size: 1 Sources: |
Edema | 30% DLT |
180 mg 1 times / day steady, oral Highest studied dose Dose: 180 mg, 1 times / day Route: oral Route: steady Dose: 180 mg, 1 times / day Sources: |
unhealthy, adult n = 1000 Health Status: unhealthy Condition: hypertension and angina Age Group: adult Sex: unknown Population Size: 1000 Sources: |
Headache | 1 patient Disc. AE |
30 mg 1 times / day steady, oral Recommended Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, mean 33.3 years n = 25 Health Status: unhealthy Condition: delivered at ≥32 weeks' gestation with persistent postpartum hypertension Age Group: mean 33.3 years Sex: F Population Size: 25 Sources: |
Nausea | 1 patient Disc. AE |
30 mg 1 times / day steady, oral Recommended Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, mean 33.3 years n = 25 Health Status: unhealthy Condition: delivered at ≥32 weeks' gestation with persistent postpartum hypertension Age Group: mean 33.3 years Sex: F Population Size: 25 Sources: |
Vomiting | 1 patient Disc. AE |
30 mg 1 times / day steady, oral Recommended Dose: 30 mg, 1 times / day Route: oral Route: steady Dose: 30 mg, 1 times / day Sources: |
unhealthy, mean 33.3 years n = 25 Health Status: unhealthy Condition: delivered at ≥32 weeks' gestation with persistent postpartum hypertension Age Group: mean 33.3 years Sex: F Population Size: 25 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
moderate | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
weak [IC50 186 uM] | ||||
weak [IC50 472 uM] | ||||
weak | ||||
weak | ||||
yes | ||||
yes | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/11560876/ |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/11560876/ |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/11560876/ |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/14570758/ |
yes | |||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | yes (co-administration study) Comment: [ADALAT® XL®PRODUCT MONOGRAPH]: Use of ADALAT XL with drugs that result in strong inhibition of CYP 3A4, such as ketoconazole, clarithromycin, ritonavir, may lead to increased plasma levels of nifedipine and associated serious adverse events. Such concomitant use should be avoided. |
|||
minor | ||||
no |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Nifedipine-induced hypotensive shock. | 1997 Dec |
|
Impact of cyclosporin A pharmacokinetics on the presence of side effects in pediatric renal transplantation. | 2000 Feb |
|
Antiproteinuric effect of calcium antagonists on puromycin-induced experimental nephrosis. | 2000 Jan |
|
Nifedipine-induced coronary vasodilation in ischemic hearts is attributable to bradykinin- and NO-dependent mechanisms in dogs. | 2000 Jan 25 |
|
Retrospective analysis of drug-induced urticaria and angioedema: a survey of 2287 patients. | 2001 Nov |
|
Nifedipine or hydralazine as a first-line agent to control hypertension in severe preeclampsia. | 2002 Jan |
|
Evaluation of the safety of short-acting nifedipine in children with hypertension. | 2002 Jan |
|
Nifedipine prevents apoptosis of endothelial cells induced by oxidized low-density lipoproteins. | 2002 Jul |
|
Delirium caused by donepezil: a case study. | 2002 Mar |
|
Short- and long-term influences of heavy metals on anionic drug efflux from renal proximal tubule. | 2002 May |
|
Symptomatic orthostasis with extended-release nifedipine and protease inhibitors. | 2002 Oct |
|
Nifedipine inhibits apoptotic cell death of cultured endothelial cells induced by tumor necrosis factor-alpha. | 2003 |
|
Comparison of the effects of a 7-day period of non-compliance on blood pressure control using three different antihypertensive agents. | 2004 Jul |
|
Adverse events associated with aggressive treatment of increased blood pressure. | 2004 May |
|
Comparison of once-daily nifedipine controlled-release with twice-daily nifedipine retard in the treatment of essential hypertension. | 2004 May |
|
Effect of nifedipine on endothelial function in normotensive smokers: potential contribution of increase in circulating hepatocyte growth factor. | 2004 Oct |
|
Examination of 209 drugs for inhibition of cytochrome P450 2C8. | 2005 Jan |
|
Prediction of genotoxicity of chemical compounds by statistical learning methods. | 2005 Jun |
|
Isolation of CYP3A4 Inhibitors from the Black Cohosh (Cimicifuga racemosa). | 2005 Jun |
|
Nifedipine gastrointestinal therapeutic system--hypertension management to improve cardiovascular outcomes. | 2005 Sep |
|
Quantitative PCR assay for cytochromes P450 2B and 3A induction in rat precision-cut liver slices: correlation study with induction in vivo. | 2005 Sep-Oct |
Sample Use Guides
Therapy should be initiated with the 10 mg capsule. The starting dose is one 10 mg capsule, swallowed whole, 3 times/day. The usual effective dose range is 10–20 mg three times daily. Some patients, especially those with evidence of coronary artery spasm, respond only to higher doses, more frequent administration, or both. In such patients, doses of 20–30 mg three or four
times daily may be effective. Doses above 120 mg daily are rarely necessary. More than 180 mg per day is not recommended.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22923790
About 50% of the Ca(v) current was blocked by 10 uM of the L-type channel blocker nifedipine in human induced pluripotent stem cell-derived neurons.
Substance Class |
Chemical
Created
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on
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Record UNII |
I9ZF7L6G2L
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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-VATC |
QC08GA01
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FDA ORPHAN DRUG |
57991
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NDF-RT |
N0000000069
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WHO-ATC |
C08GA01
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WHO-VATC |
QC08CA55
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LIVERTOX |
NBK548324
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NCI_THESAURUS |
C333
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NDF-RT |
N0000007556
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WHO-ATC |
C08CA55
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WHO-ATC |
C08CA05
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WHO-VATC |
QC08CA05
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WHO-ESSENTIAL MEDICINES LIST |
22.2
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NDF-RT |
N0000175421
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Code System | Code | Type | Description | ||
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NIFEDIPINE
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PRIMARY | Description. A yellow, crystalline powder.Solubility. Nifedipine is practically insoluble in water; freely soluble in acetone R; sparingly soluble in dehydrated ethanol R.Category. Cardiovascular drug; calcium-channel blocking agent.Storage. Nifedipine should be kept in a tightly closed container, protected from light.Additional information. CAUTION: Nifedipine decomposes on exposure to daylight, artificial light of certain wavelengths, andultraviolet light.Requirements: Nifedipine contains not less than 98.0% and not more than 102.0% of C17H18N2O6, calculated with reference to the driedsubstance.Note: Throughout the monograph perform the tests and the assay in the dark or under a suitable fluorescent light, using lowactinicglassware. | ||
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DB01115
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PRIMARY | |||
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244-598-3
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3222
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DTXSID2025715
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D009543
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C29290
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I9ZF7L6G2L
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7565
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m7883
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PRIMARY | Merck Index | ||
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I9ZF7L6G2L
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SUB09253MIG
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7775
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21829-25-4
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4485
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7417
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2514
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NIFEDIPINE
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CHEMBL193
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757242
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1922
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Nifedipine
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100000090371
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1463508
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Related Record | Type | Details | ||
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METABOLIC ENZYME -> SUBSTRATE | |||
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TARGET -> INHIBITOR |
BINDING
IC50
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TARGET -> INHIBITOR | |||
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DEGRADENT -> PARENT | |||
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SALT/SOLVATE -> PARENT |
|
||
|
DEGRADENT -> PARENT |
LIGHT INDUCED DEGRADENT
|
||
|
METABOLIC ENZYME -> SUBSTRATE |
Related Record | Type | Details | ||
---|---|---|---|---|
|
METABOLITE -> PARENT |
PLASMA
|
||
|
METABOLITE -> PARENT |
MAJOR
URINE
|
||
|
METABOLITE -> PARENT |
MINOR
URINE
|
||
|
METABOLITE -> PARENT |
PLASMA; URINE
|
Related Record | Type | Details | ||
---|---|---|---|---|
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
Related Record | Type | Details | ||
---|---|---|---|---|
|
ACTIVE MOIETY |
|