Peringatan Keamanan

The most likely symptoms of human overdosage would be anticipated to be hypotension or hyperkalemia. However, no cases of human overdosage with eplerenone have been reported.

Eplerenone

DB00700

small molecule approved

Deskripsi

Eplerenone, an aldosterone receptor antagonist similar to spironolactone, has been shown to produce sustained increases in plasma renin and serum aldosterone, consistent with inhibition of the negative regulatory feedback of aldosterone on renin secretion. The resulting increased plasma renin activity and aldosterone circulating levels do not overcome the effects of eplerenone. Eplerenone selectively binds to recombinant human mineralocorticoid receptors relative to its binding to recombinant human glucocorticoid, progesterone and androgen receptors.

Struktur Molekul 2D

Berat 414.4914
Wujud solid

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) 4-6 hours
Volume Distribusi * 43 to 90 L
Klirens (Clearance) * Apparent plasma cl=10 L/hr

Absorpsi

The absolute bioavailability of eplerenone is unknown.

Metabolisme

Eplerenone is metabolized primarily by CYP3A4, however, no active metabolites have been identified in human plasma.

Rute Eliminasi

Data eliminasi belum tersedia.

Interaksi Makanan

2 Data
  • 1. Avoid grapefruit products. Grapefruit juice may increase the serum levels of eplerenone by 25% by inhibiting CYP3A4.
  • 2. Take with or without food.

Interaksi Obat

1476 Data
Duloxetine The risk or severity of orthostatic hypotension and syncope can be increased when Eplerenone is combined with Duloxetine.
Levodopa The risk or severity of hypotension and orthostatic hypotension can be increased when Eplerenone is combined with Levodopa.
Risperidone Eplerenone may increase the hypotensive activities of Risperidone.
Alfuzosin Alfuzosin may increase the hypotensive activities of Eplerenone.
Amifostine Eplerenone may increase the hypotensive activities of Amifostine.
Diazoxide Diazoxide may increase the hypotensive activities of Eplerenone.
Valsartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Valsartan.
Olmesartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Olmesartan.
Losartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Losartan.
Eprosartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Eprosartan.
Telmisartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Telmisartan.
Irbesartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Irbesartan.
Forasartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Forasartan.
Saprisartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Saprisartan.
Tasosartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Tasosartan.
Saralasin The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Saralasin.
Azilsartan medoxomil The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Azilsartan medoxomil.
Fimasartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Fimasartan.
Candesartan The risk or severity of hyperkalemia can be increased when Eplerenone is combined with Candesartan.
Methylphenidate Methylphenidate may decrease the antihypertensive activities of Eplerenone.
Dexmethylphenidate Dexmethylphenidate may decrease the antihypertensive activities of Eplerenone.
Obinutuzumab Eplerenone may increase the hypotensive activities of Obinutuzumab.
Pentoxifylline Pentoxifylline may increase the hypotensive activities of Eplerenone.
Rituximab Eplerenone may increase the hypotensive activities of Rituximab.
Midodrine Midodrine may decrease the antihypertensive activities of Eplerenone.
Isoetharine Isoetharine may decrease the antihypertensive activities of Eplerenone.
Zolmitriptan Zolmitriptan may decrease the antihypertensive activities of Eplerenone.
Protriptyline Protriptyline may decrease the antihypertensive activities of Eplerenone.
Phenylephrine Phenylephrine may decrease the antihypertensive activities of Eplerenone.
Phenylpropanolamine Phenylpropanolamine may decrease the antihypertensive activities of Eplerenone.
Droperidol Droperidol may decrease the antihypertensive activities of Eplerenone.
Amoxapine Amoxapine may decrease the antihypertensive activities of Eplerenone.
Doxapram Doxapram may decrease the antihypertensive activities of Eplerenone.
Atropine Atropine may decrease the antihypertensive activities of Eplerenone.
Metaraminol Metaraminol may decrease the antihypertensive activities of Eplerenone.
Nicergoline Nicergoline may decrease the antihypertensive activities of Eplerenone.
Methoxamine Methoxamine may decrease the antihypertensive activities of Eplerenone.
Propiomazine Propiomazine may decrease the antihypertensive activities of Eplerenone.
Orciprenaline Orciprenaline may decrease the antihypertensive activities of Eplerenone.
Phenmetrazine Phenmetrazine may decrease the antihypertensive activities of Eplerenone.
Trifluoperazine Trifluoperazine may decrease the antihypertensive activities of Eplerenone.
Pseudoephedrine Pseudoephedrine may decrease the antihypertensive activities of Eplerenone.
Ritodrine Ritodrine may decrease the antihypertensive activities of Eplerenone.
Flupentixol Flupentixol may decrease the antihypertensive activities of Eplerenone.
Bitolterol Bitolterol may decrease the antihypertensive activities of Eplerenone.
Diethylpropion Diethylpropion may decrease the antihypertensive activities of Eplerenone.
Naratriptan Naratriptan may decrease the antihypertensive activities of Eplerenone.
Formoterol Formoterol may decrease the antihypertensive activities of Eplerenone.
Frovatriptan Frovatriptan may decrease the antihypertensive activities of Eplerenone.
Isoprenaline Isoprenaline may decrease the antihypertensive activities of Eplerenone.
Arbutamine Arbutamine may decrease the antihypertensive activities of Eplerenone.
Lisdexamfetamine Lisdexamfetamine may decrease the antihypertensive activities of Eplerenone.
Fenoterol Fenoterol may decrease the antihypertensive activities of Eplerenone.
Pirbuterol Pirbuterol may decrease the antihypertensive activities of Eplerenone.
Ephedra sinica root Ephedra sinica root may decrease the antihypertensive activities of Eplerenone.
Mephentermine Mephentermine may decrease the antihypertensive activities of Eplerenone.
Procaterol Procaterol may decrease the antihypertensive activities of Eplerenone.
Methotrimeprazine Methotrimeprazine may decrease the antihypertensive activities of Eplerenone.
Clenbuterol Clenbuterol may decrease the antihypertensive activities of Eplerenone.
Bambuterol Bambuterol may decrease the antihypertensive activities of Eplerenone.
MMDA MMDA may decrease the antihypertensive activities of Eplerenone.
Midomafetamine Midomafetamine may decrease the antihypertensive activities of Eplerenone.
2,5-Dimethoxy-4-ethylamphetamine 2,5-Dimethoxy-4-ethylamphetamine may decrease the antihypertensive activities of Eplerenone.
4-Methoxyamphetamine 4-Methoxyamphetamine may decrease the antihypertensive activities of Eplerenone.
4-Bromo-2,5-dimethoxyamphetamine 4-Bromo-2,5-dimethoxyamphetamine may decrease the antihypertensive activities of Eplerenone.
Tenamfetamine Tenamfetamine may decrease the antihypertensive activities of Eplerenone.
Chlorphentermine Chlorphentermine may decrease the antihypertensive activities of Eplerenone.
Dextroamphetamine Dextroamphetamine may decrease the antihypertensive activities of Eplerenone.
Phendimetrazine Phendimetrazine may decrease the antihypertensive activities of Eplerenone.
Periciazine Periciazine may decrease the antihypertensive activities of Eplerenone.
Acepromazine Acepromazine may decrease the antihypertensive activities of Eplerenone.
Thioproperazine Thioproperazine may decrease the antihypertensive activities of Eplerenone.
Epicaptopril Epicaptopril may decrease the antihypertensive activities of Eplerenone.
1-benzylimidazole 1-benzylimidazole may decrease the antihypertensive activities of Eplerenone.
Amineptine Amineptine may decrease the antihypertensive activities of Eplerenone.
Amibegron Amibegron may decrease the antihypertensive activities of Eplerenone.
Naluzotan Naluzotan may decrease the antihypertensive activities of Eplerenone.
Pizotifen Pizotifen may decrease the antihypertensive activities of Eplerenone.
Solabegron Solabegron may decrease the antihypertensive activities of Eplerenone.
Esmirtazapine Esmirtazapine may decrease the antihypertensive activities of Eplerenone.
Nitrous oxide Nitrous oxide may decrease the antihypertensive activities of Eplerenone.
Xylometazoline Xylometazoline may decrease the antihypertensive activities of Eplerenone.
Isometheptene Isometheptene may decrease the antihypertensive activities of Eplerenone.
Naphazoline Naphazoline may decrease the antihypertensive activities of Eplerenone.
Tetryzoline Tetryzoline may decrease the antihypertensive activities of Eplerenone.
Cinitapride Cinitapride may decrease the antihypertensive activities of Eplerenone.
Tyramine Tyramine may decrease the antihypertensive activities of Eplerenone.
Adrafinil Adrafinil may decrease the antihypertensive activities of Eplerenone.
Ifenprodil Ifenprodil may decrease the antihypertensive activities of Eplerenone.
Hexoprenaline Hexoprenaline may decrease the antihypertensive activities of Eplerenone.
Etilefrine Etilefrine may decrease the antihypertensive activities of Eplerenone.
Butriptyline Butriptyline may decrease the antihypertensive activities of Eplerenone.
Olodaterol Olodaterol may decrease the antihypertensive activities of Eplerenone.
Dosulepin Dosulepin may decrease the antihypertensive activities of Eplerenone.
Cirazoline Cirazoline may decrease the antihypertensive activities of Eplerenone.
Synephrine Synephrine may decrease the antihypertensive activities of Eplerenone.
Oxaprotiline Oxaprotiline may decrease the antihypertensive activities of Eplerenone.
Iofetamine I-123 Iofetamine I-123 may decrease the antihypertensive activities of Eplerenone.
Amitraz Amitraz may decrease the antihypertensive activities of Eplerenone.
Medetomidine Medetomidine may decrease the antihypertensive activities of Eplerenone.

Target Protein

Mineralocorticoid receptor NR3C2

Referensi & Sumber

Synthesis reference: Bhaskar Reddy Guntoori, Svetoslav S. Bratovanov, Mohamed Ibrahim Zaki, Elena Bejan, Stephen E. Horne, "Process for the preparation and purification of eplerenone." U.S. Patent US20080234478, issued September 25, 2008.

Contoh Produk & Brand

Produk: 55 • International brands: 0
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