Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C21H27N5O4S |
| Molecular Weight | 445.535 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=NC=C(N=C1)C(=O)NCCC2=CC=C(C=C2)S(=O)(=O)NC(=O)NC3CCCCC3
InChI
InChIKey=ZJJXGWJIGJFDTL-UHFFFAOYSA-N
InChI=1S/C21H27N5O4S/c1-15-13-24-19(14-23-15)20(27)22-12-11-16-7-9-18(10-8-16)31(29,30)26-21(28)25-17-5-3-2-4-6-17/h7-10,13-14,17H,2-6,11-12H2,1H3,(H,22,27)(H2,25,26,28)
| Molecular Formula | C21H27N5O4S |
| Molecular Weight | 445.535 |
| 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/DB01067Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/glipizide.html
Sources: http://www.drugbank.ca/drugs/DB01067
Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/glipizide.html
Glipizide, a second-generation sulfonylurea, is used with diet to lower blood glucose in patients with diabetes mellitus type II. The primary mode of action of glipizide in experimental animals appears to be the stimulation of insulin secretion from the beta cells of pancreatic islet tissue and is thus dependent on functioning beta cells in the pancreatic islets. In humans glipizide appears to lower the blood glucose acutely by stimulating the release of insulin from the pancreas, an effect dependent upon functioning beta cells in the pancreatic islets. In man, stimulation of insulin secretion by glipizide in response to a meal is undoubtedly of major importance. Fasting insulin levels are not elevated even on long-term glipizide administration, but the postprandial insulin response continues to be enhanced after at least 6 months of treatment. Some patients fail to respond initially, or gradually lose their responsiveness to sulfonylurea drugs, including glipizide. Sulfonylureas likely bind to ATP-sensitive potassium-channel receptors 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. Glipizide is used as an adjunct to diet for the control of hyperglycemia and its associated symptomatology in patients with non-insulin-dependent diabetes mellitus (NIDDM; type II), formerly known as maturity-onset diabetes, after an adequate trial of dietary therapy has proved unsatisfactory. Glipizide is marketed by Pfizer under the brand name Glucotrol in the USA, where Pfizer sells Glucotrol in doses of 5 and 10 milligrams and Glucotrol XL (an extended release form of glipizide) in doses of 2.5, 5, and 10 milligrams. Other companies also market glipizide, most commonly extended release tablets of 5 and 10 milligrams.
Originator
Sources: http://imr.sagepub.com/content/1/7/608.full.pdf
Curator's Comment: first described by Ambrogi in 1971
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL235 Sources: http://www.drugbank.ca/drugs/DB01067 |
|||
Target ID: CHEMBL2071 Sources: http://www.drugbank.ca/drugs/DB01067 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | GLUCOTROL Approved UseGLUCOTROL 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 |
|---|---|---|---|---|
465 ng/mL |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLIPIZIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
523 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/16509763 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLIPIZIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1878 ng × h/mL |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLIPIZIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1897 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/16509763 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLIPIZIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3 h |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLIPIZIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1.65 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/16509763 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
GLIPIZIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1.5% |
GLIPIZIDE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
375 mg single, oral Overdose |
healthy, 15 |
Disc. AE: Hypoglycaemia... AEs leading to discontinuation/dose reduction: Hypoglycaemia Sources: |
1 g single, oral Overdose |
unhealthy, 55 |
Disc. AE: Hypoglycaemic encephalopathy... AEs leading to discontinuation/dose reduction: Hypoglycaemic encephalopathy (grade 5) Sources: |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 56.6 (9.8) Health Status: unhealthy Age Group: 56.6 (9.8) Sex: M+F Sources: |
Disc. AE: Myocardial infarction, Abortion spontaneous... AEs leading to discontinuation/dose reduction: Myocardial infarction (serious, 0.17%) Sources: Abortion spontaneous (serious, 0.17%) |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, >/=18 years Health Status: unhealthy Age Group: >/=18 years Sex: M+F Sources: |
Disc. AE: Hypoglycemia, Pyelonephritis... AEs leading to discontinuation/dose reduction: Hypoglycemia (0.7%) Sources: Pyelonephritis (0.25%) |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Cardiovascular disorder NOS... AEs leading to discontinuation/dose reduction: Cardiovascular disorder NOS (grade 5) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Hypoglycaemia | Disc. AE | 375 mg single, oral Overdose |
healthy, 15 |
| Hypoglycaemic encephalopathy | grade 5 Disc. AE |
1 g single, oral Overdose |
unhealthy, 55 |
| Abortion spontaneous | serious, 0.17% Disc. AE |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 56.6 (9.8) Health Status: unhealthy Age Group: 56.6 (9.8) Sex: M+F Sources: |
| Myocardial infarction | serious, 0.17% Disc. AE |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, 56.6 (9.8) Health Status: unhealthy Age Group: 56.6 (9.8) Sex: M+F Sources: |
| Pyelonephritis | 0.25% Disc. AE |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, >/=18 years Health Status: unhealthy Age Group: >/=18 years Sex: M+F Sources: |
| Hypoglycemia | 0.7% Disc. AE |
20 mg 1 times / day multiple, oral Recommended Dose: 20 mg, 1 times / day Route: oral Route: multiple Dose: 20 mg, 1 times / day Sources: |
unhealthy, >/=18 years Health Status: unhealthy Age Group: >/=18 years Sex: M+F Sources: |
| Cardiovascular disorder NOS | grade 5 Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| yes | no (pharmacogenomic study) Comment: there were detectable differences between CYP2C19 EMs and PMs in the pharmacokinetics and pharmacodynamics of glipizide, but none of these differences were statistically significant |
|||
| yes | weak (co-administration study) Comment: rifampin decreased the AUC(0-infinity) of glipizide by 22% (P <.05) and shortened its half-life from 3.0 to 1.9 hours (P =.01); pharmacogenomic studies also performed: CYP2C9 polymorphism significantly influences the pharmacokinetics and pharmacodynamics of glipizide, which needs to be considered in clinical practice |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Kinetics-effect relations of insulin-releasing drugs in patients with type 2 diabetes: brief overview. | 2004-12 |
|
| The association of patient trust and self-care among patients with diabetes mellitus. | 2004-11-16 |
|
| Detection of anti-diabetics in equine plasma and urine by liquid chromatography-tandem mass spectrometry. | 2004-11-05 |
|
| Tempol augments angiotensin II-induced AT2 receptor-mediated relaxation in diabetic rat thoracic aorta. | 2004-11 |
|
| Emphysematous cystitis: an unusual disease of the Genito-Urinary system suspected on imaging. | 2004-10-05 |
|
| Beta-cell insulin secretory response to oral hypoglycemic agents is blunted in humans in vivo during moderate hypoglycemia. | 2004-09 |
|
| Cross-reactivity among p-amino group compounds in sulfonamide fixed drug eruption: diagnostic value of patch testing. | 2004-08 |
|
| Cost-effective management of hyperglycemia in patients with type 2 diabetes using oral agents. | 2004-07 |
|
| ppt level detection of samarium(III) with a coated graphite sensor based on an antibiotic. | 2004-07 |
|
| Prolonged hypoglycaemia secondary to extended-release form glipizide. | 2004-07 |
|
| Idiosyncratic toxicity associated with potentiated sulfonamides in the dog. | 2004-06 |
|
| Effects of glipizide GITS and glibenclamide on metabolic control, hepatic glucose production, and insulin secretion in patients with type 2 diabetes. | 2004-05-11 |
|
| Metformin-associated respiratory alkalosis. | 2004-05-11 |
|
| Sulfonylurea treatment of type 2 diabetes mellitus: focus on glimepiride. | 2004-05 |
|
| Development and evaluation of osmotically controlled oral drug delivery system of glipizide. | 2004-05 |
|
| Beneficial metabolic effects of chronic glipizide in obese African Americans with impaired glucose tolerance: implications for primary prevention of type 2 diabetes. | 2004-04 |
|
| Simultaneous determination of glipizide and rosiglitazone unbound drug concentrations in plasma by equilibrium dialysis and liquid chromatography-tandem mass spectrometry. | 2004-03-05 |
|
| Basal nitric oxide production contributes to membrane potential and vasotone regulation of guinea pig in vitro spiral modiolar artery. | 2004-03 |
|
| Induction of human CYP2C9 by rifampicin, hyperforin, and phenobarbital is mediated by the pregnane X receptor. | 2004-02 |
|
| The role of sulphonylureas in the management of type 2 diabetes mellitus. | 2004 |
|
| Repaglinide : a pharmacoeconomic review of its use in type 2 diabetes mellitus. | 2004 |
|
| Effect of some penetration enhancers on the permeation of glibenclamide and glipizide through mouse skin. | 2003-12 |
|
| Improvements in glycemic control in type 2 diabetes patients switched from sulfonylurea coadministered with metformin to glyburide-metformin tablets. | 2003-11-14 |
|
| Weight uniformity of split tablets required by a Veterans Affairs policy. | 2003-11-14 |
|
| Effects of rosiglitazone maleate when added to a sulfonylurea regimen in patients with type 2 diabetes mellitus and mild to moderate renal impairment: a post hoc analysis. | 2003-11 |
|
| Targeting postprandial hyperglycemia: a comparative study of insulinotropic agents in type 2 diabetes. | 2003-11 |
|
| Efficacy of sulfonylureas with insulin in type 2 diabetes mellitus. | 2003-11 |
|
| Risk of hypoglycaemia with oral antidiabetic agents in patients with Type 2 diabetes. | 2003-10 |
|
| Managing hemorrhagic shock: fluids on the way out--drugs on the way in? | 2003-10 |
|
| Parenteral administration of glipizide sodium salt, an inhibitor of adenosine triphosphate-sensitive potassium channels, prolongs short-term survival after severe controlled hemorrhage in rats. | 2003-10 |
|
| Differential responsiveness of rat striatal nerve endings to the mitochondrial toxin 3-nitropropionic acid: implications for Huntington's disease. | 2003-08 |
|
| K(ATP) channels and pancreatic islet blood flow in anesthetized rats: increased blood flow induced by potassium channel openers. | 2003-08 |
|
| Performance liquid chromatographic analysis of glipizide: application to in vitro and in vivo studies. | 2003-07 |
|
| Glipizide treatment with short-term alcohol abuse resulting in subfulminant hepatic failure. | 2003-07 |
|
| Modification of cardiovascular response of posterior hypothalamic adenosine A(2) receptor stimulation by adenylate cylase, guanylate cyclase and by K(ATP) channel blockade in anesthetized rats. | 2003-06-19 |
|
| Combination agents for diabetes. | 2003-06 |
|
| Insulin secretagogues, but not glucose, stimulate an increase in [Ca2+]i in the fetal human and porcine beta-cell. | 2003-06 |
|
| Small amounts of some drugs can be toxic to young children: one pill or one swallow can require aggressive treatment. | 2003-06 |
|
| Rapid increase in the use of oral antidiabetic drugs in the United States, 1990-2001. | 2003-06 |
|
| Treatment of feline diabetes mellitus using an alpha-glucosidase inhibitor and a low-carbohydrate diet. | 2003-06 |
|
| Effects of sulfonylurea hypoglycemic agents and adenosine triphosphate dependent potassium channel antagonists on ventricular arrhythmias in patients with decompensated heart failure. | 2003-05 |
|
| Metabolic effects of chronic glipizide gastrointestinal therapeutic system on serum glucose, insulin secretion, insulin sensitivity, and hepatic insulin extraction in glucose-tolerant, first-degree relatives of African American patients with type 2 diabetes: new insights on mechanisms of action. | 2003-05 |
|
| Light and scanning electron microscopic evaluation of Glyde File Prep in smear layer removal. | 2003-05 |
|
| [Oral antidiabetic therapy and cardiovascular complications: theoretical problem or clinical evidence?]. | 2003-04-06 |
|
| [Differences between oral antidiabetics]. | 2003-03-20 |
|
| Barriers to self-monitoring of blood glucose among adults with diabetes in an HMO: a cross sectional study. | 2003-03-19 |
|
| Multicenter, randomized, double-masked, parallel-group assessment of simultaneous glipizide/metformin as second-line pharmacologic treatment for patients with type 2 diabetes mellitus that is inadequately controlled by a sulfonylurea. | 2003-03 |
|
| Design and in vitro and in vivo evaluation of mucoadhesive microcapsules of glipizide for oral controlled release: a technical note. | 2003 |
|
| Presentation and 5-year follow-up of type 2 diabetes mellitus in African-American and Caribbean-Hispanic adolescents. | 2003 |
|
| Economic model of first-line drug strategies to achieve recommended glycaemic control in newly diagnosed type 2 diabetes mellitus. | 2003 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/glipizide.html
Initial dose: 5 mg orally once a day, 30 minutes before breakfast
Maintenance dose: Up to 40 mg in divided doses 30 minutes before a meal of adequate caloric content. Doses may be increased in intervals of 2.5 to 5 mg a day according to blood glucose response.
Maximum single dose: 15 mg
Maximum daily dose: 40 mg
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21977453
Glipizide (100 uM) increased PPARγ transcriptional activity in Cos7 cells
| Substance Class |
Chemical
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| Record UNII |
X7WDT95N5C
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Validated (UNII)
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LIVERTOX |
460
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QA10BB07
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N0000008054
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A10BB07
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N0000008054
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N0000175608
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N0000008054
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NCI_THESAURUS |
C97936
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29094-61-9
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1292507
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3478
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5384
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X7WDT95N5C
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C29074
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CHEMBL1073
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DB01067
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1301
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m5747
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D005913
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6821
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Glipizide
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249-427-6
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SUB07927MIG
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100000090337
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Glipizide
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| Related Record | Type | Details | ||
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BINDER->LIGAND |
BINDING
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (TITRATION)
EP
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TARGET -> INHIBITOR |
Sulfonylureas bind to and close ATP-sensitive K+ (KATP) channels on the cell membrane of pancreatic beta cells, which depolarizes the cell by preventing potassium from exiting. This depolarization opens voltage-gated Ca2+ channels. The rise in intracellular calcium leads to increased fusion of insulin granulae with the cell membrane, and therefore increased secretion of mature insulin.
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE LESS ACTIVE -> PARENT |
URINE
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METABOLITE LESS ACTIVE -> PARENT | |||
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METABOLITE LESS ACTIVE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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IMPURITY -> PARENT |
For the calculation of contents, multiply the peak areas by 1.3
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
For the calculation of contents, multiply the peak areas by 2.1
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
For the calculation of contents, multiply the peak areas by 1.7
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (GC)
EP
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Biological Half-life | PHARMACOKINETIC |
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| Volume of Distribution | PHARMACOKINETIC |
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