Peringatan Keamanan

Thyroid C-cell adenomas occurred in rats when exposed to >15 times human exposure of 20mcg/day.L48400 Overdose is associated with GI side effects typical of GLP-1 receptor agonists.

Lixisenatide

DB09265

biotech approved

Deskripsi

Lixisenatide is a glucagon-like peptide-1 (GLP-1) receptor agonist used in the treatment of type II diabetes mellitus (T2DM). It is sold by Sanofi-Aventis under the brand name Adlyxin in the USL763 and Lyxumia in the EU.L764 Adlyxin recieved FDA approval July 28, 2016.L763

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) Following the administration of multiple doses in patients with type II diabetes mellitus, the mean terminal half-life of lixisenatide was approximately 3 hours.[L48400]
Volume Distribusi The apparent volume of distribution following subcutaneous administration is approximately 100 L.[L48400]
Klirens (Clearance) The mean apparent clearance of lixisenatide is approximately 35 L/h.[L48400]

Absorpsi

Following subcutaneous administration, the median Tmax of lixisenatide ranged from 1-3.5 hours, with no clinically relevant differences in the rate of absorption noted between possible injection sites (i.e. thigh, abdomen, or arm).L48400

Metabolisme

Lixisenatide is likely catabolized via non-specific proteolytic degradation.L48400

Rute Eliminasi

Lixisenatide is presumably eliminated via glomerular filtration and proteolytic degradation.L48400

Interaksi Makanan

2 Data
  • 1. Take at the same time every day.
  • 2. Take before a meal. Take lixisenatide within one hour before the first meal of the day.

Interaksi Obat

1211 Data
Pegvisomant The risk or severity of hypoglycemia can be increased when Pegvisomant is combined with Lixisenatide.
Lipoic acid The risk or severity of hypoglycemia can be increased when Lipoic acid is combined with Lixisenatide.
Moxifloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Moxifloxacin.
Grepafloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Grepafloxacin.
Enoxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Enoxacin.
Pefloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Pefloxacin.
Ciprofloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Ciprofloxacin.
Trovafloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Trovafloxacin.
Nalidixic acid The therapeutic efficacy of Lixisenatide can be increased when used in combination with Nalidixic acid.
Rosoxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Rosoxacin.
Cinoxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Cinoxacin.
Lomefloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Lomefloxacin.
Gatifloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Gatifloxacin.
Norfloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Norfloxacin.
Levofloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Levofloxacin.
Gemifloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Gemifloxacin.
Ofloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Ofloxacin.
Sparfloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Sparfloxacin.
Temafloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Temafloxacin.
Fleroxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Fleroxacin.
Technetium Tc-99m ciprofloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Technetium Tc-99m ciprofloxacin.
Garenoxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Garenoxacin.
Nemonoxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Nemonoxacin.
Flumequine The therapeutic efficacy of Lixisenatide can be increased when used in combination with Flumequine.
Enrofloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Enrofloxacin.
Orbifloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Orbifloxacin.
Sarafloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Sarafloxacin.
Difloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Difloxacin.
Pazufloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Pazufloxacin.
Prulifloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Prulifloxacin.
Delafloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Delafloxacin.
Sitafloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Sitafloxacin.
Oxolinic acid The therapeutic efficacy of Lixisenatide can be increased when used in combination with Oxolinic acid.
Rufloxacin The therapeutic efficacy of Lixisenatide can be increased when used in combination with Rufloxacin.
Pipemidic acid The therapeutic efficacy of Lixisenatide can be increased when used in combination with Pipemidic acid.
Methyclothiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Methyclothiazide.
Chlorthalidone The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Chlorthalidone.
Bendroflumethiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Bendroflumethiazide.
Metolazone The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Metolazone.
Benzthiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Benzthiazide.
Hydroflumethiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Hydroflumethiazide.
Indapamide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Indapamide.
Chlorothiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Chlorothiazide.
Hydrochlorothiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Hydrochlorothiazide.
Trichlormethiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Trichlormethiazide.
Polythiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Polythiazide.
Quinethazone The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Quinethazone.
Cyclopenthiazide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Cyclopenthiazide.
Epitizide The therapeutic efficacy of Lixisenatide can be decreased when used in combination with Epitizide.
Protriptyline Protriptyline may decrease the hypoglycemic activities of Lixisenatide.
Nortriptyline Nortriptyline may decrease the hypoglycemic activities of Lixisenatide.
Amoxapine Amoxapine may decrease the hypoglycemic activities of Lixisenatide.
Trimipramine Trimipramine may decrease the hypoglycemic activities of Lixisenatide.
Amineptine Amineptine may decrease the hypoglycemic activities of Lixisenatide.
Butriptyline Butriptyline may decrease the hypoglycemic activities of Lixisenatide.
Dosulepin Dosulepin may decrease the hypoglycemic activities of Lixisenatide.
Tianeptine Tianeptine may decrease the hypoglycemic activities of Lixisenatide.
Oxaprotiline Oxaprotiline may decrease the hypoglycemic activities of Lixisenatide.
Opipramol Opipramol may decrease the hypoglycemic activities of Lixisenatide.
Amitriptylinoxide Amitriptylinoxide may decrease the hypoglycemic activities of Lixisenatide.
Dibenzepin Dibenzepin may decrease the hypoglycemic activities of Lixisenatide.
Quinupramine Quinupramine may decrease the hypoglycemic activities of Lixisenatide.
Melitracen Melitracen may decrease the hypoglycemic activities of Lixisenatide.
Lofepramine Lofepramine may decrease the hypoglycemic activities of Lixisenatide.
Iprindole Iprindole may decrease the hypoglycemic activities of Lixisenatide.
Imipramine oxide Imipramine oxide may decrease the hypoglycemic activities of Lixisenatide.
Amitriptyline Amitriptyline may decrease the hypoglycemic activities of Lixisenatide.
Imipramine Imipramine may decrease the hypoglycemic activities of Lixisenatide.
Doxepin Doxepin may decrease the hypoglycemic activities of Lixisenatide.
Desipramine Desipramine may decrease the hypoglycemic activities of Lixisenatide.
Clomipramine Clomipramine may decrease the hypoglycemic activities of Lixisenatide.
Dimetacrine Dimetacrine may decrease the hypoglycemic activities of Lixisenatide.
Dicoumarol Lixisenatide can cause a decrease in the absorption of Dicoumarol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Phenindione Lixisenatide can cause a decrease in the absorption of Phenindione resulting in a reduced serum concentration and potentially a decrease in efficacy.
Warfarin Lixisenatide can cause a decrease in the absorption of Warfarin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Phenprocoumon Lixisenatide can cause a decrease in the absorption of Phenprocoumon resulting in a reduced serum concentration and potentially a decrease in efficacy.
Acenocoumarol Lixisenatide can cause a decrease in the absorption of Acenocoumarol resulting in a reduced serum concentration and potentially a decrease in efficacy.
4-hydroxycoumarin Lixisenatide can cause a decrease in the absorption of 4-hydroxycoumarin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Coumarin Lixisenatide can cause a decrease in the absorption of Coumarin resulting in a reduced serum concentration and potentially a decrease in efficacy.
(R)-warfarin Lixisenatide can cause a decrease in the absorption of (R)-warfarin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ethyl biscoumacetate Lixisenatide can cause a decrease in the absorption of Ethyl biscoumacetate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Fluindione Lixisenatide can cause a decrease in the absorption of Fluindione resulting in a reduced serum concentration and potentially a decrease in efficacy.
Clorindione Lixisenatide can cause a decrease in the absorption of Clorindione resulting in a reduced serum concentration and potentially a decrease in efficacy.
Diphenadione Lixisenatide can cause a decrease in the absorption of Diphenadione resulting in a reduced serum concentration and potentially a decrease in efficacy.
Tioclomarol Lixisenatide can cause a decrease in the absorption of Tioclomarol resulting in a reduced serum concentration and potentially a decrease in efficacy.
(S)-Warfarin Lixisenatide can cause a decrease in the absorption of (S)-Warfarin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Glimepiride The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Glimepiride.
Acetohexamide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Acetohexamide.
Chlorpropamide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Chlorpropamide.
Tolazamide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Tolazamide.
Glyburide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Glyburide.
Glipizide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Glipizide.
Gliclazide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Gliclazide.
Tolbutamide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Tolbutamide.
Gliquidone The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Gliquidone.
Glisoxepide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Glisoxepide.
Glibornuride The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Glibornuride.
Carbutamide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Carbutamide.
Metahexamide The risk or severity of hypoglycemia can be increased when Lixisenatide is combined with Metahexamide.
Dapagliflozin Dapagliflozin may increase the hypoglycemic activities of Lixisenatide.

Target Protein

Glucagon-like peptide 1 receptor GLP1R

Referensi & Sumber

Artikel (PubMed)
  • PMID: 23665027
    Lorenz M, Pfeiffer C, Steinstrasser A, Becker RH, Rutten H, Ruus P, Horowitz M: Effects of lixisenatide once daily on gastric emptying in type 2 diabetes--relationship to postprandial glycemia. Regul Pept. 2013 Aug 10;185:1-8. doi: 10.1016/j.regpep.2013.04.001. Epub 2013 May 9.
  • PMID: 17306374
    Doyle ME, Egan JM: Mechanisms of action of glucagon-like peptide 1 in the pancreas. Pharmacol Ther. 2007 Mar;113(3):546-93. Epub 2006 Dec 28.

Contoh Produk & Brand

Produk: 19 • International brands: 0
Produk
  • Adlyxin
    Injection, solution; Kit • - • Subcutaneous • US • Approved
  • Adlyxin
    Injection, solution; Kit • - • Subcutaneous • US • Approved
  • Adlyxin
    Injection, solution • 100 ug/1mL • Subcutaneous • US • Approved
  • Adlyxine
    Solution • 10 mcg / act • Subcutaneous • Canada • Approved
  • Adlyxine
    Solution • 20 mcg / act • Subcutaneous • Canada • Approved
  • Adlyxine
    Kit; Solution • - • Subcutaneous • Canada • Approved
  • Adlyxine
    Kit; Solution • - • Subcutaneous • Canada • Approved
  • Lyxumia
    Injection, solution • 10 μg • Subcutaneous • EU • Approved
Menampilkan 8 dari 19 produk.

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