Peringatan Keamanan

In a definitive Phase 1 cardiac repolarization study, 51 patients were administered a single oral dose of 144 mcg of lubiprostone, which is 6 times the normal single administration dose. Thirty-nine (39) of the 51 patients experienced an adverse event. The adverse events reported in >1% of this group included the following: nausea (45.1%), vomiting (27.5%), diarrhea (25.5%), dizziness (17.6%), loose or watery stools (13.7%), headache (11.8%), retching (7.8%), abdominal pain (5.9%), flushing or hot flush (5.9%), dyspnea (3.9%), pallor (3.9%), stomach discomfort (3.9%), syncope (3.9%), upper abdominal pain (2.0%), anorexia (2.0%), asthenia (2.0%), chest discomfort (2.0%), dry mouth (2.0%), hyperhidrosis (2.0%), skin irritation (2.0%) and vasovagal episode (2.0%).

Lubiprostone

DB01046

small molecule approved investigational

Deskripsi

Lubiprostone is a medication used in the management of idiopathic chronic constipation. A prostaglandin E1 derivative, lubiprostone is a bicyclic fatty acid that activates ClC-2 chloride channels located on the apical side of the gastrointestinal epithelial cells. Activation of these channels promotes the secretion of a chloride-rich fluid that soften the stool, increase gastrointestinal motility, and induce spontaneous bowel movements (SBM).

Struktur Molekul 2D

Berat 390.468
Wujud solid

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) 0.9 to 1.4 hours
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Lubiprostone has low systemic availability following oral administration and concentrations of lubiprostone in plasma are below the level of quantitation (10 pg/mL).

Metabolisme

The results of both human and animal studies indicate that lubiprostone is rapidly and extensively metabolized by 15-position reduction, α-chain β-oxidation, and ω-chain ω-oxidation. These biotransformations are not mediated by the hepatic cytochrome P450 system but rather appear to be mediated by the ubiquitously expressed carbonyl reductase. M3, a metabolite of lubiprostone in both humans and animals is formed by the reduction of the carbonyl group at the 15-hydroxy moiety that consists of both α-hydroxy and β-hydroxy epimers. M3 makes up less than 10% of the dose of radiolabeled lubiprostone.

Rute Eliminasi

Peak plasma concentration was shown to be around 1.14 hours, with a majority of the drug excreted in the urine within 48 hours. Lubiprostone and M3 are only detected in trace amounts in human feces.

Interaksi Makanan

2 Data
  • 1. Take with a full glass of water.
  • 2. Take with food. Taking lubiprostone with food may reduce nausea.

Interaksi Obat

1016 Data
Methadone The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Methadone.
Trospium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Trospium.
Oxyphenonium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Oxyphenonium.
Ziprasidone The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Ziprasidone.
Ipratropium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Ipratropium.
Olanzapine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Olanzapine.
Metixene The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Metixene.
Terfenadine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Terfenadine.
Buclizine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Buclizine.
Doxylamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Doxylamine.
Trihexyphenidyl The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Trihexyphenidyl.
Oxyphencyclimine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Oxyphencyclimine.
Procyclidine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Procyclidine.
Profenamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Profenamine.
Promazine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Promazine.
Hyoscyamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Hyoscyamine.
Cyproheptadine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Cyproheptadine.
Methscopolamine bromide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Methscopolamine bromide.
Gallamine triethiodide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Gallamine triethiodide.
Darifenacin The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Darifenacin.
Tridihexethyl The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Tridihexethyl.
Triflupromazine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Triflupromazine.
Anisotropine methylbromide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Anisotropine methylbromide.
Nortriptyline The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Nortriptyline.
Amoxapine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Amoxapine.
Atropine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Atropine.
Nicardipine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Nicardipine.
Pirenzepine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Pirenzepine.
Paroxetine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Paroxetine.
Homatropine methylbromide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Homatropine methylbromide.
Rocuronium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Rocuronium.
Scopolamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Scopolamine.
Benzquinamide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Benzquinamide.
Clidinium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Clidinium.
Propiomazine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Propiomazine.
Biperiden The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Biperiden.
Brompheniramine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Brompheniramine.
Flupentixol The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Flupentixol.
Cocaine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Cocaine.
Methantheline The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Methantheline.
Cycrimine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Cycrimine.
Glycopyrronium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Glycopyrronium.
Oxybutynin The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Oxybutynin.
Diphenhydramine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Diphenhydramine.
Orphenadrine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Orphenadrine.
Escitalopram The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Escitalopram.
Mivacurium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Mivacurium.
Diphenidol The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Diphenidol.
Aripiprazole The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Aripiprazole.
Chlorprothixene The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Chlorprothixene.
Metocurine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Metocurine.
Pancuronium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Pancuronium.
Pipecuronium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Pipecuronium.
Methotrimeprazine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Methotrimeprazine.
Solifenacin The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Solifenacin.
Isopropamide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Isopropamide.
Rapacuronium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Rapacuronium.
Mepenzolate The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Mepenzolate.
Pizotifen The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Pizotifen.
Hexocyclium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Hexocyclium.
Dimetindene The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Dimetindene.
Dexetimide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Dexetimide.
Benactyzine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Benactyzine.
Umeclidinium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Umeclidinium.
Dosulepin The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Dosulepin.
Butylscopolamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Butylscopolamine.
Thonzylamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Thonzylamine.
Methscopolamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Methscopolamine.
Revefenacin The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Revefenacin.
Oxitropium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Oxitropium.
Batefenterol The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Batefenterol.
Mebeverine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Mebeverine.
Tropatepine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Tropatepine.
Prifinium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Prifinium.
Piperidolate The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Piperidolate.
Benzilone The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Benzilone.
Difemerine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Difemerine.
Phenglutarimide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Phenglutarimide.
Mazaticol The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Mazaticol.
Etybenzatropine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Etybenzatropine.
Otilonium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Otilonium.
Emepronium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Emepronium.
Poldine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Poldine.
Bevonium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Bevonium.
Rociverine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Rociverine.
Bornaprine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Bornaprine.
Etanautine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Etanautine.
Tiemonium iodide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Tiemonium iodide.
Dihexyverine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Dihexyverine.
Penthienate The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Penthienate.
Diphemanil The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Diphemanil.
Camylofin The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Camylofin.
Fenpiverinium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Fenpiverinium.
Emetonium iodide The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Emetonium iodide.
Pipenzolate The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Pipenzolate.
Timepidium The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Timepidium.
Desipramine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Desipramine.
Chlorphenoxamine The therapeutic efficacy of Lubiprostone can be decreased when used in combination with Chlorphenoxamine.
Torasemide The risk or severity of dehydration can be increased when Torasemide is combined with Lubiprostone.
Methyclothiazide The risk or severity of dehydration can be increased when Methyclothiazide is combined with Lubiprostone.

Target Protein

Chloride channel protein 2 CLCN2

Referensi & Sumber

Synthesis reference: Zhijun Tang, Zhonghao Zhuo, Yunman Zheng, Bingming He, Huichun Yang, Jushang Zheng, "LUBIPROSTONE CRYSTAL, THE USE AND THE METHOD FOR THE PREPARATION THEREOF." U.S. Patent US20110028541, issued February 03, 2011.
Artikel (PubMed)
  • PMID: 17263187
    Crowell MD, Harris LA, DiBaise JK, Olden KW: Activation of type-2 chloride channels: a novel therapeutic target for the treatment of chronic constipation. Curr Opin Investig Drugs. 2007 Jan;8(1):66-70.
  • PMID: 19236188
    Lacy BE, Chey WD: Lubiprostone: chronic constipation and irritable bowel syndrome with constipation. Expert Opin Pharmacother. 2009 Jan;10(1):143-52. doi: 10.1517/14656560802631319 .
  • PMID: 17519292
    Ambizas EM, Ginzburg R: Lubiprostone: a chloride channel activator for treatment of chronic constipation. Ann Pharmacother. 2007 Jun;41(6):957-64. Epub 2007 May 22.
  • PMID: 18686757
    Lacy BE, Levy LC: Lubiprostone: a novel treatment for chronic constipation. Clin Interv Aging. 2008;3(2):357-64.

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Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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