Peringatan Keamanan

There is no clinical significance of race or ethnicity on the safety or efficacy of liraglutideLabel. Geriatric patients do not experience clinically significant differences in pharmacokinetics though patients at an especially advanced age may be more susceptible to adverse effectsLabel. Female patients have reduced clearance of liraglutide but no dose adjustment is necessaryLabel. The risk and benefit of liraglutide in pregnancy must be weighed before prescribingLabel. In animal studies, liraglutide is associated with an increased risk of embryonic death and fetal abnormalities though an HbA1c > 7 is also associated with a 20-25% risk of birth defectsLabel. In animal studies, liraglutide is present in the milk of lactating rats at half the plasma concentration of the mother but these results may not translate to humansLabel. Because it is not known if liraglutide is present in breast milk and the effects on infants are also unknown, the risk and benefit of liraglutide in breastfeeding must be considered before prescribingLabel. Liraglutide was shown to be safe and effective in patients up to 160kg in weight but has not been studied in patients at a higher weightLabel. A patient's weight significantly affects the pharmacokinetics of liraglutideLabel. Liraglutide has not been investigated for use in pediatric patientsLabel. No dosage adjustments are necessary in patients with renal impairment but studies have not been performed in patients with end stage renal diseaseLabel. There are no recommendations on dosage adjustment in patients with hepatic impairment, though caution should still be exercised when prescribing to this populationLabel.

Liraglutide

DB06655

biotech approved

Deskripsi

Victoza contains liraglutide, a synthetic analog of human glucagon-like peptide-1(GLP-1) and acts as a GLP-1 receptor agonist.Label,A6932 Liraglutide is 97% similar to native human GLP-1, differing primarily by substituting arginine for lysine at position 34.A6932 Liraglutide is made by attaching a C-16 fatty acid (palmitic acid) with a glutamic acid spacer on the remaining lysine residue at position 26 of the peptide precursor.A6932 Liraglutide was granted FDA approval on January 25, 2010.L6070

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) Terminal half life of 13 hours[A6932].
Volume Distribusi 13L[Label].
Klirens (Clearance) 1.2L/h[Label].

Absorpsi

Bioavailability of liraglutide after subcutaneous injection is approximately 55%Label and maximum concentrations are reached after 11.7 hoursA6932.

Metabolisme

Liraglutide is less sensitive to metabolism than the endogenous GLP-1 and so is more slowly metabolized by dipeptidyl peptidase-4 and neutral endopeptidase to various smaller polypeptides which have not all been structurally determinedA6932. A portion of Liraglutide may be completely metabolized to carbon dioxide and waterA6932.

Rute Eliminasi

6% excreted in urine and 5% excreted in fecesA6932.

Interaksi Makanan

1 Data
  • 1. Take with or without food.

Interaksi Obat

602 Data
Insulin human Liraglutide may increase the hypoglycemic activities of Insulin human.
Insulin lispro Liraglutide may increase the hypoglycemic activities of Insulin lispro.
Insulin glargine Liraglutide may increase the hypoglycemic activities of Insulin glargine.
Insulin pork Liraglutide may increase the hypoglycemic activities of Insulin pork.
Insulin aspart Liraglutide may increase the hypoglycemic activities of Insulin aspart.
Insulin detemir Liraglutide may increase the hypoglycemic activities of Insulin detemir.
Insulin glulisine Liraglutide may increase the hypoglycemic activities of Insulin glulisine.
NN344 Liraglutide may increase the hypoglycemic activities of NN344.
Insulin beef Liraglutide may increase the hypoglycemic activities of Insulin beef.
Insulin peglispro Liraglutide may increase the hypoglycemic activities of Insulin peglispro.
Insulin tregopil Liraglutide may increase the hypoglycemic activities of Insulin tregopil.
Insulin argine Liraglutide may increase the hypoglycemic activities of Insulin argine.
Pegvisomant The risk or severity of hypoglycemia can be increased when Pegvisomant is combined with Liraglutide.
Lipoic acid The risk or severity of hypoglycemia can be increased when Lipoic acid is combined with Liraglutide.
Moxifloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Moxifloxacin.
Grepafloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Grepafloxacin.
Enoxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Enoxacin.
Pefloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Pefloxacin.
Ciprofloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Ciprofloxacin.
Trovafloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Trovafloxacin.
Nalidixic acid The therapeutic efficacy of Liraglutide can be increased when used in combination with Nalidixic acid.
Rosoxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Rosoxacin.
Cinoxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Cinoxacin.
Lomefloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Lomefloxacin.
Gatifloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Gatifloxacin.
Norfloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Norfloxacin.
Levofloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Levofloxacin.
Gemifloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Gemifloxacin.
Ofloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Ofloxacin.
Sparfloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Sparfloxacin.
Temafloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Temafloxacin.
Fleroxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Fleroxacin.
Technetium Tc-99m ciprofloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Technetium Tc-99m ciprofloxacin.
Garenoxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Garenoxacin.
Nemonoxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Nemonoxacin.
Flumequine The therapeutic efficacy of Liraglutide can be increased when used in combination with Flumequine.
Enrofloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Enrofloxacin.
Orbifloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Orbifloxacin.
Sarafloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Sarafloxacin.
Difloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Difloxacin.
Pazufloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Pazufloxacin.
Prulifloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Prulifloxacin.
Delafloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Delafloxacin.
Sitafloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Sitafloxacin.
Oxolinic acid The therapeutic efficacy of Liraglutide can be increased when used in combination with Oxolinic acid.
Rufloxacin The therapeutic efficacy of Liraglutide can be increased when used in combination with Rufloxacin.
Pipemidic acid The therapeutic efficacy of Liraglutide can be increased when used in combination with Pipemidic acid.
Methyclothiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Methyclothiazide.
Chlorthalidone The therapeutic efficacy of Liraglutide can be decreased when used in combination with Chlorthalidone.
Bendroflumethiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Bendroflumethiazide.
Metolazone The therapeutic efficacy of Liraglutide can be decreased when used in combination with Metolazone.
Benzthiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Benzthiazide.
Hydroflumethiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Hydroflumethiazide.
Indapamide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Indapamide.
Chlorothiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Chlorothiazide.
Hydrochlorothiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Hydrochlorothiazide.
Trichlormethiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Trichlormethiazide.
Polythiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Polythiazide.
Quinethazone The therapeutic efficacy of Liraglutide can be decreased when used in combination with Quinethazone.
Cyclopenthiazide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Cyclopenthiazide.
Epitizide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Epitizide.
Amitriptyline Amitriptyline may decrease the hypoglycemic activities of Liraglutide.
Protriptyline Protriptyline may decrease the hypoglycemic activities of Liraglutide.
Imipramine Imipramine may decrease the hypoglycemic activities of Liraglutide.
Nortriptyline Nortriptyline may decrease the hypoglycemic activities of Liraglutide.
Amoxapine Amoxapine may decrease the hypoglycemic activities of Liraglutide.
Trimipramine Trimipramine may decrease the hypoglycemic activities of Liraglutide.
Doxepin Doxepin may decrease the hypoglycemic activities of Liraglutide.
Desipramine Desipramine may decrease the hypoglycemic activities of Liraglutide.
Clomipramine Clomipramine may decrease the hypoglycemic activities of Liraglutide.
Amineptine Amineptine may decrease the hypoglycemic activities of Liraglutide.
Dimetacrine Dimetacrine may decrease the hypoglycemic activities of Liraglutide.
Butriptyline Butriptyline may decrease the hypoglycemic activities of Liraglutide.
Dosulepin Dosulepin may decrease the hypoglycemic activities of Liraglutide.
Tianeptine Tianeptine may decrease the hypoglycemic activities of Liraglutide.
Oxaprotiline Oxaprotiline may decrease the hypoglycemic activities of Liraglutide.
Opipramol Opipramol may decrease the hypoglycemic activities of Liraglutide.
Amitriptylinoxide Amitriptylinoxide may decrease the hypoglycemic activities of Liraglutide.
Dibenzepin Dibenzepin may decrease the hypoglycemic activities of Liraglutide.
Quinupramine Quinupramine may decrease the hypoglycemic activities of Liraglutide.
Melitracen Melitracen may decrease the hypoglycemic activities of Liraglutide.
Lofepramine Lofepramine may decrease the hypoglycemic activities of Liraglutide.
Iprindole Iprindole may decrease the hypoglycemic activities of Liraglutide.
Imipramine oxide Imipramine oxide may decrease the hypoglycemic activities of Liraglutide.
Glimepiride Liraglutide may increase the hypoglycemic activities of Glimepiride.
Acetohexamide Liraglutide may increase the hypoglycemic activities of Acetohexamide.
Chlorpropamide Liraglutide may increase the hypoglycemic activities of Chlorpropamide.
Tolazamide Liraglutide may increase the hypoglycemic activities of Tolazamide.
Glyburide Liraglutide may increase the hypoglycemic activities of Glyburide.
Glipizide Liraglutide may increase the hypoglycemic activities of Glipizide.
Gliclazide Liraglutide may increase the hypoglycemic activities of Gliclazide.
Tolbutamide Liraglutide may increase the hypoglycemic activities of Tolbutamide.
Gliquidone Liraglutide may increase the hypoglycemic activities of Gliquidone.
Glisoxepide Liraglutide may increase the hypoglycemic activities of Glisoxepide.
Glibornuride Liraglutide may increase the hypoglycemic activities of Glibornuride.
Carbutamide Liraglutide may increase the hypoglycemic activities of Carbutamide.
Metahexamide Liraglutide may increase the hypoglycemic activities of Metahexamide.
Dapagliflozin Dapagliflozin may increase the hypoglycemic activities of Liraglutide.
Canagliflozin Canagliflozin may increase the hypoglycemic activities of Liraglutide.
Leuprolide The therapeutic efficacy of Liraglutide can be decreased when used in combination with Leuprolide.

Target Protein

Glucagon-like peptide 1 receptor GLP1R

Referensi & Sumber

Artikel (PubMed)
  • PMID: 20709939
    Malm-Erjefalt M, Bjornsdottir I, Vanggaard J, Helleberg H, Larsen U, Oosterhuis B, van Lier JJ, Zdravkovic M, Olsen AK: Metabolism and excretion of the once-daily human glucagon-like peptide-1 analog liraglutide in healthy male subjects and its in vitro degradation by dipeptidyl peptidase IV and neutral endopeptidase. Drug Metab Dispos. 2010 Nov;38(11):1944-53. doi: 10.1124/dmd.110.034066. Epub 2010 Aug 13.
  • PMID: -
    Knudsen B, Jesper Lau: The Discovery and Development of Liraglutide and Semaglutide Frontiers in Endocrinology.
  • PMID: 19041364
    Russell-Jones D: Molecular, pharmacological and clinical aspects of liraglutide, a once-daily human GLP-1 analogue. Mol Cell Endocrinol. 2009 Jan 15;297(1-2):137-40. doi: 10.1016/j.mce.2008.11.018. Epub 2008 Nov 25.

Contoh Produk & Brand

Produk: 24 • International brands: 0
Produk
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    Injection • 6 mg/1mL • Subcutaneous • US • Generic • Approved
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    Injection, solution • 18 mg/3mL • Subcutaneous • US • Generic • Approved
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    Injection • 6 mg/1mL • Subcutaneous • US • Generic • Approved
  • Saxenda
    Injection, solution • 6 mg/1mL • Subcutaneous • US • Approved
  • Saxenda
    Injection, solution • 6 mg/1mL • Subcutaneous • US • Approved
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    Solution • 6 mg / mL • Subcutaneous • Canada • Approved
  • Saxenda
    Injection, solution • 6 mg/ml • Subcutaneous • EU • Approved
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Menampilkan 8 dari 24 produk.

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