Details
Stereochemistry | ACHIRAL |
Molecular Formula | C23H28ClN3O5S |
Molecular Weight | 494.004 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COC1=CC=C(Cl)C=C1C(=O)NCCC2=CC=C(C=C2)S(=O)(=O)NC(=O)NC3CCCCC3
InChI
InChIKey=ZNNLBTZKUZBEKO-UHFFFAOYSA-N
InChI=1S/C23H28ClN3O5S/c1-32-21-12-9-17(24)15-20(21)22(28)25-14-13-16-7-10-19(11-8-16)33(30,31)27-23(29)26-18-5-3-2-4-6-18/h7-12,15,18H,2-6,13-14H2,1H3,(H,25,28)(H2,26,27,29)
Molecular Formula | C23H28ClN3O5S |
Molecular Weight | 494.004 |
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/DB01016Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/017532Orig1s034lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB01016
Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/017532Orig1s034lbl.pdf
Glyburide, a second-generation sulfonylurea antidiabetic agent, lowers blood glucose acutely by stimulating the release of insulin from the pancreas, an effect dependent upon functioning beta cells in the pancreatic islets. With chronic administration in Type II diabetic patients, the blood glucose lowering effect persists despite a gradual decline in the insulin secretory response to the drug. Extrapancreatic effects may be involved in the mechanism of action of oral sulfonyl-urea hypoglycemic drugs. The combination of glibenclamide and metformin may have a synergistic effect, since both agents act to improve glucose tolerance by different but complementary mechanisms. In addition to its blood glucose lowering actions, glyburide produces a mild diuresis by enhancement of renal free water clearance. Glyburide is twice as potent as the related second-generation agent glipizide. Sulfonylureas such as glyburide bind to ATP-sensitive potassium channels on the pancreatic cell surface, reducing potassium conductance and causing depolarization of the membrane. Depolarization stimulates calcium ion influx through voltage-sensitive calcium channels, raising intracellular concentrations of calcium ions, which induces the secretion, or exocytosis, of insulin. Glyburide is indicated as an adjunct to diet to lower the blood glucose in patients with NIDDM whose hyperglycemia cannot be satisfactorily controlled by diet alone. Glyburide is available as a generic, is manufactured by many pharmaceutical companies and is sold in doses of 1.25, 2.5 and 5 mg under many brand names including Gliben-J, Daonil, Diabeta, Euglucon, Gilemal, Glidanil, Glybovin, Glynase, Maninil, Micronase and Semi-Daonil. It is also available in a fixed-dose combination drug with metformin that is sold under various trade names, e.g. Bagomet Plus, Benimet, Glibomet, Gluconorm, Glucored, Glucovance, Metglib and many others.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26225433
Curator's Comment: Weak penetration in rodents was shown. Glyburide reaches the central nervous system when given systemically, is rapidly removed across the BBB when given intracranioventricularly, and any Glyburide that does enter (and is below detection limit) is insufficient to influence neuronal function
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2071 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11716850 |
7.1 nM [IC50] | ||
Target ID: CHEMBL3244 Sources: https://www.ncbi.nlm.nih.gov/pubmed/15294453 |
5.2 nM [IC50] | ||
Target ID: CHEMBL3397 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12920163 |
2.4 µM [Ki] | ||
Target ID: CHEMBL340 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12920163 |
42.5 µM [Ki] | ||
Target ID: CHEMBL2265 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11032738 |
20.0 µM [IC50] | ||
Target ID: CHEMBL2096972 Sources: http://www.genome.jp/dbget-bin/www_bget?D00336 |
4.3 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Diaßeta Approved UseDiaßeta is indicated as an adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus. Launch Date1984 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
91.1 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11406737/ |
1.75 mg single, oral dose: 1.75 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLYBURIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
323.9 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11406737/ |
1.75 mg single, oral dose: 1.75 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLYBURIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11406737/ |
1.75 mg single, oral dose: 1.75 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLYBURIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
40 mg 1 times / day multiple, oral Highest studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, adult |
|
5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, mean age 32.8 years Health Status: unhealthy Age Group: mean age 32.8 years Sex: F Sources: |
Disc. AE: Hypoglycemia... AEs leading to discontinuation/dose reduction: Hypoglycemia (5%) Sources: |
2.5 mg 1 times / day steady, oral Dose: 2.5 mg, 1 times / day Route: oral Route: steady Dose: 2.5 mg, 1 times / day Sources: |
unhealthy|pregnant |
Other AEs: Facial swelling... Other AEs: Facial swelling (serious, 1 patient) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Hypoglycemia | 5% Disc. AE |
5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, mean age 32.8 years Health Status: unhealthy Age Group: mean age 32.8 years Sex: F Sources: |
Facial swelling | serious, 1 patient | 2.5 mg 1 times / day steady, oral Dose: 2.5 mg, 1 times / day Route: oral Route: steady Dose: 2.5 mg, 1 times / day Sources: |
unhealthy|pregnant |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/12920163/ Page: 2.0 |
weak [IC50 90 uM] | weak (co-administration study) Comment: Glyburide reduced the mean AUCτ of bosentan and the phenol, hydroxy, and hydroxy-phenol metabolites 29%, 26%, 25%, and 22% (all P < .05), respectively Sources: https://pubmed.ncbi.nlm.nih.gov/12920163/ Page: 2.0 |
||
Sources: https://pubmed.ncbi.nlm.nih.gov/12920163/ Page: 2.0 |
yes [IC50 11.3 uM] | weak (co-administration study) Comment: Glyburide reduced the mean AUCτ of bosentan and the phenol, hydroxy, and hydroxy-phenol metabolites 29%, 26%, 25%, and 22% (all P < .05), respectively Sources: https://pubmed.ncbi.nlm.nih.gov/12920163/ Page: 2.0 |
||
yes [IC50 15 uM] | ||||
yes [IC50 18.8 uM] | ||||
yes [IC50 199 uM] | ||||
yes [Ki 0.75 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | yes (co-administration study) Comment: Coadministration with rifampin (inducer) increased blood sugar levels in 17 of 29 patients (595) Page: 5.0 |
|||
minor | ||||
minor | yes (co-administration study) Comment: Coadministration with rifampin (inducer) increased blood sugar levels in 17 of 29 patients (595) Page: 5.0 |
|||
no | ||||
yes |
PubMed
Title | Date | PubMed |
---|---|---|
Glibenclamide induced chronic cholestasis simulating primary biliary cirrhosis: a case report. | 1996 Mar |
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Glyburide-ciprofloxacin interaction with resistant hypoglycemia. | 2000 Aug |
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Drug interaction: omeprazole and phenprocoumon. | 2001 |
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Troglitazone prevents the rise in visceral adiposity and improves fatty liver associated with sulfonylurea therapy--a randomized controlled trial. | 2001 Apr |
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The Arabidopsis thaliana ABC transporter AtMRP5 controls root development and stomata movement. | 2001 Apr 17 |
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Effects of phosphodiesterase inhibitors on hypoxic pulmonary vasoconstriction. Influence of K(+) channels and nitric oxide. | 2001 Apr 6 |
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State-dependent modification of ATP-sensitive K+ channels by phosphatidylinositol 4,5-bisphosphate. | 2001 Feb |
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Nitric oxide activates the sarcolemmal K(ATP) channel in normoxic and chronically hypoxic hearts by a cyclic GMP-dependent mechanism. | 2001 Feb |
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Functional and molecular characterization of receptor subtypes mediating coronary microvascular dilation to adenosine. | 2001 Feb |
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The sulphonylurea glibenclamide inhibits multidrug resistance protein (MRP1) activity in human lung cancer cells. | 2001 Feb |
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Mechanism of prolonged vasorelaxation to ATP in the rat isolated mesenteric arterial bed. | 2001 Feb |
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Assessment of CFTR chloride channel openers in intact normal and cystic fibrosis murine epithelia. | 2001 Feb |
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Protein kinase C and G(i/o) proteins are involved in adenosine- and ischemic preconditioning-mediated renal protection. | 2001 Feb |
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Altered effects of potassium channel modulation in the coronary circulation in experimental hypercholesterolemia. | 2001 Feb 1 |
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Potassium channel openers depolarize hippocampal mitochondria. | 2001 Feb 16 |
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Functional evidence for an inward rectifier potassium current in rat renal afferent arterioles. | 2001 Feb 2 |
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Ibuprofen-related hypoglycemia in a patient receiving sulfonylurea. | 2001 Feb 20 |
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Activation of Na(+), K(+), Cl(-)-cotransport mediates intracellular Ca(2+) increase and apoptosis induced by Pinacidil in HepG2 human hepatoblastoma cells. | 2001 Feb 23 |
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Effect of glibenclamide in gabapentin antinociception. | 2001 Jan |
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Near-normoglycaemic remission in African-Americans with Type 2 diabetes mellitus is associated with recovery of beta cell function. | 2001 Jan |
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Vascular effects of metabolic inhibition by 2-deoxy-D-glucose in humans. | 2001 Jan |
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Involvement of Ca2+ -activated K+ channels in ginsenosides-induced aortic relaxation in rats. | 2001 Jan |
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Effect of oral administration of bark extracts of Pterocarpus santalinus L. on blood glucose level in experimental animals. | 2001 Jan |
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Protection of cardiac myocytes via delta(1)-opioid receptors, protein kinase C, and mitochondrial K(ATP) channels. | 2001 Jan |
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Role of mitochondrial and sarcolemmal K(ATP) channels in ischemic preconditioning of the canine heart. | 2001 Jan |
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Cause of high variability in drug dissolution testing and its impact on setting tolerances. | 2001 Jan |
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Intrahippocampal infusions of k-atp channel modulators influence spontaneous alternation performance: relationships to acetylcholine release in the hippocampus. | 2001 Jan 15 |
|
Insulin-induced relaxation of rat mesenteric artery is mediated by Ca(2+)-activated K(+) channels. | 2001 Jan 5 |
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Hypoglycemic and antihyperglycemic activity of Syzygium alternifolium (Wt.) Walp. seed extracts in normal and diabetic rats. | 2001 Mar |
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Hemodynamic, metabolic and hormonal responses to oral glibenclamide in patients with cirrhosis receiving glucose. | 2001 Mar |
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Improvement of glycemic control by 1 year of insulin therapy leads to a sustained decrease in sE-selectin concentrations in type 2 diabetes. | 2001 Mar |
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Inhibitory effects of nicorandil on rat mesangial cell proliferation via the protein kinase G pathway. | 2001 Mar |
|
The mechanism of gentisic acid-induced relaxation of the guinea pig isolated trachea: the role of potassium channels and vasoactive intestinal peptide receptors. | 2001 Mar |
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Mechanism of CGRP-induced relaxation in rat intramural coronary arteries. | 2001 Mar |
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Functional characterisation of human TASK-3, an acid-sensitive two-pore domain potassium channel. | 2001 Mar |
|
Characterization of secretory and morphologic properties of primary cultured endocrine cells from porcine pancreata. | 2001 Mar |
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Concentration of the complement activation product, acylation-stimulating protein, is related to C-reactive protein in patients with type 2 diabetes. | 2001 Mar |
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Regulation of an outwardly rectifying chloride conductance in renal epithelial cells by external and internal calcium. | 2001 Mar 1 |
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Gramicidin-perforated patch analysis on HCO3- secretion through a forskolin-activated anion channel in rat parotid intralobular duct cells. | 2001 Mar 1 |
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Profile of moxifloxacin drug interactions. | 2001 Mar 15 |
|
Functional roles of cardiac and vascular ATP-sensitive potassium channels clarified by Kir6.2-knockout mice. | 2001 Mar 30 |
|
Characteristics of pancreatic beta-cell secretion in Type 2 diabetic patients treated with gliclazide and glibenclamide. | 2001 May |
Sample Use Guides
The usual starting dose is 2.5 to 5 mg daily, administered
with breakfast or the first main meal. Those patients who may be more sensitive to hypoglycemic drugs should be started at 1.25 mg daily. The usual maintenance dose is in the range of 1.25 to 20 mg daily, which may be given as a single dose or in divided doses.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22399138
Inhibition of ABCA1 by glibenclamide (Glyburide) has been reported to
occur in the concentration range of 100 to 1,000 uM
Substance Class |
Chemical
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Record UNII |
SX6K58TVWC
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Validated (UNII)
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Classification Tree | Code System | Code | ||
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NDF-RT |
N0000008054
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NDF-RT |
N0000008054
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FDA ORPHAN DRUG |
502615
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FDA ORPHAN DRUG |
518816
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LIVERTOX |
463
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WHO-VATC |
QA10BB01
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NDF-RT |
N0000175608
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FDA ORPHAN DRUG |
539316
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NDF-RT |
N0000008054
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FDA ORPHAN DRUG |
491215
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WHO-ESSENTIAL MEDICINES LIST |
18.5
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EU-Orphan Drug |
EU/3/15/1589
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NCI_THESAURUS |
C97936
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WHO-ATC |
A10BB01
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Code System | Code | Type | Description | ||
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SUB07916MIG
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2386
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GLYBURIDE
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PRIMARY | Description: A white or almost white, crystalline powder; odourless or almost odourless. Solubility: Practically insoluble in water and ether R; slightly soluble in ethanol (~750 g/l) TS and methanol R. Category: Antidiabetic agent. Storage: Glibenclamide should be kept in a well-closed container. Definition: Glibenclamide contains not less than 98.5% and not more than 101.0% of C23H28ClN3O5S, calculated with reference to the dried substance. | ||
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1314
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759618
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m5784
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PRIMARY | Merck Index | ||
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SX6K58TVWC
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5441
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Glyburide
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3488
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10238-21-8
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SX6K58TVWC
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233-570-6
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100000080403
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D005905
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1295505
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2414
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GLIBENCLAMIDE
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DB01016
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4815
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DTXSID0037237
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C29076
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CHEMBL472
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Related Record | Type | Details | ||
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PARENT->INNOVATOR |
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TARGET -> INHIBITOR |
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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TARGET -> INHIBITOR |
Glyburide stimulates insulin secretion through the closure of ATP-sensitive potassium channels decrease the K+ permeability of the cell membrane which leads to a depolarization of the cell, an enhanced Ca 2+ influx and the release of insulin
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TRANSPORTER -> INHIBITOR |
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METABOLITE -> PARENT |
1/400 as active as the parent in rat
URINE
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METABOLITE -> PARENT |
1/40 as active as the parent in rat
URINE
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ACTIVE MOIETY |
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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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