Peringatan Keamanan

Oral Rat LD50 = 4 gm/kg. Toxic effects include convulsions, dyspnea, hypermotility, diarrhea, ataxia and muscle weakness.

Pyridoxine

DB00165

small molecule approved investigational nutraceutical vet_approved

Deskripsi

Pyridoxine is the 4-methanol form of vitamin B6, an important water-soluble vitamin that is naturally present in many foods. As its classification as a vitamin implies, Vitamin B6 (and pyridoxine) are essential nutrients required for normal functioning of many biological systems within the body. While many plants and microorganisms are able to synthesize pyridoxine through endogenous biological processes, animals must obtain it through their diet.

More specifically, pyridoxine is converted to pyridoxal 5-phosphate in the body, which is an important coenzyme for synthesis of amino acids, neurotransmitters (serotonin, norepinephrine), sphingolipids, and aminolevulinic acid. It's important to note that Vitamin B6 is the collective term for a group of three related compounds, pyridoxine, pyridoxal, and pyridoxamine, and their phosphorylated derivatives, pyridoxine 5'-phosphate, pyridoxal 5'-phosphate and pyridoxamine 5'-phosphate. Although all six of these compounds should technically be referred to as vitamin B6, the term vitamin B6 is commonly used interchangeably with just one of them, pyridoxine A32836.

Vitamin B6, principally in its biologically active coenzyme form pyridoxal 5'-phosphate, is involved in a wide range of biochemical reactions, including the metabolism of amino acids and glycogen, the synthesis of nucleic acids, hemogloblin, sphingomyelin and other sphingolipids, and the synthesis of the neurotransmitters serotonin, dopamine, norepinephrine and gamma-aminobutyric acid (GABA) A32837.

Pyridoxine is used medically for the treatment of vitamin B6 deficiency and for the prophylaxis of isoniazid-induced peripheral neuropathy (due to DB00951's mechanism of action which competitively inhibits the action of pyridoxine in the above-mentioned metabolic functions). It is also used in combination with DB00366 (as the commercially available product Diclectin) for the treatment of nausea and vomiting in pregnancy.

Struktur Molekul 2D

Berat 169.1778
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The total adult body pool consists of 16 to 25 mg of pyridoxine. Its half-life appears to be 15 to 20 days.
Volume Distribusi Pyridoxine main active metabolite, pyridoxal 5’-phosphate, is released into the circulation (accounting for at least 60% of circulating vitamin B6) and is highly protein bound, primarily to albumin.
Klirens (Clearance) -

Absorpsi

The B vitamins are readily absorbed from the gastrointestinal tract, except in malabsorption syndromes. Pyridoxine is absorbed mainly in the jejunum. The Cmax of pyridoxine is achieved within 5.5 hours.

Metabolisme

Pyridoxine is a prodrug primarily metabolized in the liver. The metabolic scheme for pyridoxine is complex, with formation of primary and secondary metabolites along with interconversion back to pyridoxine. Pyridoxine's major metabolite is 4-pyridoxic acid.

Rute Eliminasi

The major metabolite of pyridoxine, 4-pyridoxic acid, is inactive and is excreted in urine

Interaksi Obat

708 Data
Altretamine The therapeutic efficacy of Altretamine can be decreased when used in combination with Pyridoxine.
Phenytoin The metabolism of Phenytoin can be increased when combined with Pyridoxine.
Fosphenytoin The metabolism of Fosphenytoin can be increased when combined with Pyridoxine.
Levodopa The therapeutic efficacy of Levodopa can be decreased when used in combination with Pyridoxine.
Butalbital The metabolism of Butalbital can be increased when combined with Pyridoxine.
Pentobarbital The metabolism of Pentobarbital can be increased when combined with Pyridoxine.
Secobarbital The metabolism of Secobarbital can be increased when combined with Pyridoxine.
Methohexital The metabolism of Methohexital can be increased when combined with Pyridoxine.
Thiopental The metabolism of Thiopental can be increased when combined with Pyridoxine.
Primidone The metabolism of Primidone can be increased when combined with Pyridoxine.
Methylphenobarbital The metabolism of Methylphenobarbital can be increased when combined with Pyridoxine.
Thiamylal The metabolism of Thiamylal can be increased when combined with Pyridoxine.
Phenobarbital The metabolism of Phenobarbital can be increased when combined with Pyridoxine.
Amobarbital The metabolism of Amobarbital can be increased when combined with Pyridoxine.
Hexobarbital The metabolism of Hexobarbital can be increased when combined with Pyridoxine.
Barbital The metabolism of Barbital can be increased when combined with Pyridoxine.
Barbexaclone The metabolism of Barbexaclone can be increased when combined with Pyridoxine.
Butabarbital The metabolism of Butabarbital can be increased when combined with Pyridoxine.
Cyclosporine Cyclosporine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefotiam Cefotiam may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Mesalazine Mesalazine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefmenoxime Cefmenoxime may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefmetazole Cefmetazole may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Pamidronic acid Pamidronic acid may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Tenofovir disoproxil Tenofovir disoproxil may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Indomethacin Indomethacin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cidofovir Cidofovir may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefpiramide Cefpiramide may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Ceftazidime Ceftazidime may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Loracarbef Loracarbef may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefalotin Cefalotin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Nabumetone Nabumetone may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Tenoxicam Tenoxicam may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Celecoxib Celecoxib may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefotaxime Cefotaxime may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Tolmetin Tolmetin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Foscarnet Foscarnet may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Rofecoxib Rofecoxib may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Piroxicam Piroxicam may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Methotrexate Methotrexate may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cephalexin Cephalexin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Fenoprofen Fenoprofen may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Valaciclovir Valaciclovir may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Valdecoxib Valdecoxib may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Sulindac Sulindac may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Bacitracin Bacitracin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Amphotericin B Amphotericin B may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cephaloglycin Cephaloglycin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Flurbiprofen Flurbiprofen may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Adefovir dipivoxil Adefovir dipivoxil may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Pentamidine Pentamidine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Etodolac Etodolac may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Mefenamic acid Mefenamic acid may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Acyclovir Acyclovir may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Naproxen Naproxen may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Sulfasalazine Sulfasalazine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Phenylbutazone Phenylbutazone may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Carprofen Carprofen may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefaclor Cefaclor may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Diflunisal Diflunisal may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Tacrolimus Tacrolimus may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Ceforanide Ceforanide may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Salicylic acid Salicylic acid may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Meclofenamic acid Meclofenamic acid may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Acetylsalicylic acid Acetylsalicylic acid may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Carboplatin Carboplatin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Oxaprozin Oxaprozin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Balsalazide Balsalazide may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefditoren Cefditoren may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Atazanavir Atazanavir may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Colistimethate Colistimethate may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefuroxime Cefuroxime may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefapirin Cefapirin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefadroxil Cefadroxil may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefprozil Cefprozil may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Ceftriaxone Ceftriaxone may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Olsalazine Olsalazine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Lumiracoxib Lumiracoxib may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefamandole Cefamandole may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefazolin Cefazolin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefonicid Cefonicid may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefoperazone Cefoperazone may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefotetan Cefotetan may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefoxitin Cefoxitin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Ceftizoxime Ceftizoxime may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefradine Cefradine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Magnesium salicylate Magnesium salicylate may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Salsalate Salsalate may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Choline magnesium trisalicylate Choline magnesium trisalicylate may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefepime Cefepime may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefacetrile Cefacetrile may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Ceftibuten Ceftibuten may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Cefpodoxime Cefpodoxime may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Antrafenine Antrafenine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Aminophenazone Aminophenazone may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Antipyrine Antipyrine may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Tiaprofenic acid Tiaprofenic acid may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Lopinavir Lopinavir may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Etoricoxib Etoricoxib may decrease the excretion rate of Pyridoxine which could result in a higher serum level.
Hydrolyzed Cephalothin Hydrolyzed Cephalothin may decrease the excretion rate of Pyridoxine which could result in a higher serum level.

Target Protein

Aromatic-L-amino-acid decarboxylase DDC
Pyridoxal kinase PDXK

Referensi & Sumber

Synthesis reference: Harumi Kita, "Production of pyridoxine." U.S. Patent US4339586, issued October, 1972.
Artikel (PubMed)
  • PMID: 17224143
    Sang Y, Barbosa JM, Wu H, Locy RD, Singh NK: Identification of a pyridoxine (pyridoxamine) 5'-phosphate oxidase from Arabidopsis thaliana. FEBS Lett. 2007 Feb 6;581(3):344-8. doi: 10.1016/j.febslet.2006.12.028. Epub 2007 Jan 3.
  • PMID: 16157873
    Tambasco-Studart M, Titiz O, Raschle T, Forster G, Amrhein N, Fitzpatrick TB: Vitamin B6 biosynthesis in higher plants. Proc Natl Acad Sci U S A. 2005 Sep 20;102(38):13687-92. doi: 10.1073/pnas.0506228102. Epub 2005 Sep 12.
  • PMID: 3541289
    Cohen M, Bendich A: Safety of pyridoxine--a review of human and animal studies. Toxicol Lett. 1986 Dec;34(2-3):129-39. doi: 10.1016/0378-4274(86)90202-x.

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