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 |
|---|---|---|
| ATP-binding cassette transporter A1 (ABCA1) functions as a cholesterol efflux regulatory protein. | 2001-06-29 |
|
| Characteristics of pancreatic beta-cell secretion in Type 2 diabetic patients treated with gliclazide and glibenclamide. | 2001-05 |
|
| Diamidine compounds: selective uptake and targeting in Plasmodium falciparum. | 2001-05 |
|
| Phospholipids as modulators of K(ATP) channels: distinct mechanisms for control of sensitivity to sulphonylureas, K(+) channel openers, and ATP. | 2001-05 |
|
| Characterization of PGE2 receptors in fetal and newborn lamb ductus arteriosus. | 2001-05 |
|
| Low levels of K(ATP) channel activation decrease excitability and contractility of urinary bladder. | 2001-05 |
|
| Flow-induced dilation of human coronary arterioles: important role of Ca(2+)-activated K(+) channels. | 2001-04-17 |
|
| The Arabidopsis thaliana ABC transporter AtMRP5 controls root development and stomata movement. | 2001-04-17 |
|
| Effects of phosphodiesterase inhibitors on hypoxic pulmonary vasoconstriction. Influence of K(+) channels and nitric oxide. | 2001-04-06 |
|
| Protein kinase C isoform-dependent modulation of ATP-sensitive K+ channels during reoxygenation in guinea-pig ventricular myocytes. | 2001-04-01 |
|
| The endothelin antagonist bosentan inhibits the canalicular bile salt export pump: a potential mechanism for hepatic adverse reactions. | 2001-04 |
|
| Levosimendan increases diastolic coronary flow in isolated guinea-pig heart by opening ATP-sensitive potassium channels. | 2001-04 |
|
| Differential effects of short and long duration insulinotropic agents on meal-related glucose excursions. | 2001-04 |
|
| Effects of bezafibrate on insulin sensitivity and insulin secretion in non-obese Japanese type 2 diabetic patients. | 2001-04 |
|
| Troglitazone prevents the rise in visceral adiposity and improves fatty liver associated with sulfonylurea therapy--a randomized controlled trial. | 2001-04 |
|
| Formulation, characterization, and in vitro release of glyburide from proliposomal beads. | 2001-03-31 |
|
| Nicorandil--induced ATP release in endothelial cells of rat caudal artery is associated with increase in intracellular Ca(2+). | 2001-03-30 |
|
| Functional roles of cardiac and vascular ATP-sensitive potassium channels clarified by Kir6.2-knockout mice. | 2001-03-30 |
|
| Profile of moxifloxacin drug interactions. | 2001-03-15 |
|
| Role of K+ channels in N-acetylprocainamide-induced relaxation of bovine tracheal smooth muscle. | 2001-03-09 |
|
| Regulation of an outwardly rectifying chloride conductance in renal epithelial cells by external and internal calcium. | 2001-03-01 |
|
| Gramicidin-perforated patch analysis on HCO3- secretion through a forskolin-activated anion channel in rat parotid intralobular duct cells. | 2001-03-01 |
|
| Hypoglycemic and antihyperglycemic activity of Syzygium alternifolium (Wt.) Walp. seed extracts in normal and diabetic rats. | 2001-03 |
|
| Hemodynamic, metabolic and hormonal responses to oral glibenclamide in patients with cirrhosis receiving glucose. | 2001-03 |
|
| The role of K+ATP channels in the control of pre- and post-ischemic left ventricular developed pressure in septic rat hearts. | 2001-03 |
|
| Improvement of glycemic control by 1 year of insulin therapy leads to a sustained decrease in sE-selectin concentrations in type 2 diabetes. | 2001-03 |
|
| Inhibitory effects of nicorandil on rat mesangial cell proliferation via the protein kinase G pathway. | 2001-03 |
|
| HNS-32, a novel azulene-1-carboxamidine derivative, inhibits nifedipine-sensitive and -insensitive contraction of the isolated rabbit aorta. | 2001-03 |
|
| Improved glycaemic control with miglitol in inadequately-controlled type 2 diabetics. | 2001-03 |
|
| Effect of Aloe vera leaves on blood glucose level in type I and type II diabetic rat models. | 2001-03 |
|
| The mechanism of gentisic acid-induced relaxation of the guinea pig isolated trachea: the role of potassium channels and vasoactive intestinal peptide receptors. | 2001-03 |
|
| Mechanism of CGRP-induced relaxation in rat intramural coronary arteries. | 2001-03 |
|
| Investigation of mechanisms that mediate reactive hyperaemia in guinea-pig hearts: role of K(ATP) channels, adenosine, nitric oxide and prostaglandins. | 2001-03 |
|
| Functional characterisation of human TASK-3, an acid-sensitive two-pore domain potassium channel. | 2001-03 |
|
| Characterization of secretory and morphologic properties of primary cultured endocrine cells from porcine pancreata. | 2001-03 |
|
| Ascorbic acid-induced modulation of venous tone in humans. | 2001-03 |
|
| Concentration of the complement activation product, acylation-stimulating protein, is related to C-reactive protein in patients with type 2 diabetes. | 2001-03 |
|
| Effects of KRN2391 on ionic currents in rabbit femoral arterial myocytes. | 2001-03 |
|
| [Gestational diabetes: an alternative to insulin therapy?]. | 2001-02-03 |
|
| Nitrooxy alkyl apovincaminate activates K+ currents in rat neocortical neurons. | 2001-02 |
|
| Changes in cell volume induced by activation of the cyclic amp-dependent chloride channel in guinea-pig cardiac myocytes. | 2001-02 |
|
| Do ATP and UTP involve cGMP in positive inotropism on rat atria? | 2001-02 |
|
| ATP-sensitive potassium channel openers may mimic the effects of hypoxic preconditioning on the coronary artery. | 2001-02 |
|
| Effects of potassium channel opener aprikalim on the receptor-mediated vasoconstriction in the human internal mammary artery. | 2001-02 |
|
| Differential inhibition of functional dilation of small arterioles by indomethacin and glibenclamide. | 2001-02 |
|
| [Enhancing effect of switching iontophoresis on transdermal absorption of glibenclamide]. | 2001-02 |
|
| Effects of K+ channel openers on I K(ATP) of human atrial myocytes at physiological temperatures. | 2001-02 |
|
| Post-prandial hyperglycemia and its implications in pregnancy and lipid abnormalities. | 2001-01-25 |
|
| The role of oxygen-derived free radicals in augmented relaxations to levcromakalim in the aorta from hypertensive rats. | 2001-01 |
|
| Drug interaction: omeprazole and phenprocoumon. | 2001 |
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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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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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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| Biological Half-life | PHARMACOKINETIC |
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