非布司他

非布司他(Febuxostat)是一种用于治疗痛风的药物,而药品所针对的痛风基本因尿酸水平过高而引起[4]。该药物通过抑制黄嘌呤氧化酶,从而减少体内尿酸的产生。该药的给药途径口服。该药常见的副作用包括肝脏出现问题、恶心、关节痛和皮疹[4]等症状。妊娠或哺乳期妇女不建议服用该药物[5][6]

非布司他
临床资料
商品名英语Drug nomenclatureUloric, Adenuric[1]
AHFS/Drugs.comMonograph
MedlinePlusa609020
核准状况
怀孕分级
给药途径口服
ATC码
法律规范状态
法律规范
药物动力学数据
生物利用度≥84% absorbed
血浆蛋白结合率99.2% to albumin
药物代谢通过CYP1A1英语CYP1A1, CYP1A2, CYP2C8英语CYP2C8, CYP2C9, UGT1A1英语UGT1A1, UGT1A8英语UGT1A8, UGT1A9英语UGT1A9[3]
生物半衰期~5–8 小时
排泄途径Urine (~49%, mostly as metabolites, 3% as unchanged drug); feces (~45%, mostly as metabolites, 12% as unchanged drug)
识别信息
  • 2-(3-cyano-4-isobutoxyphenyl)-4-methyl-
    1,3-thiazole-5-carboxylic acid
CAS号144060-53-7  checkY
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard英语CompTox Chemicals Dashboard (EPA)
ECHA InfoCard100.207.329 编辑维基数据链接
化学信息
化学式C16H16N2O3S
摩尔质量316.38 g·mol−1
3D模型(JSmol英语JSmol
  • N#Cc1c(OCC(C)C)ccc(c1)c2nc(c(s2)C(=O)O)C
  • InChI=1S/C16H16N2O3S/c1-9(2)8-21-13-5-4-11(6-12(13)7-17)15-18-10(3)14(22-15)16(19)20/h4-6,9H,8H2,1-3H3,(H,19,20) checkY
  • Key:BQSJTQLCZDPROO-UHFFFAOYSA-N checkY

非布司他于2008年和2009年分别在欧盟和美国被批准用于医疗用途[7][4]。2019年,该药的仿制药被监管部门批准,2020年起正式上市[8] [9]

参考文献

  1. ^ Drugs.com Drugs.com international names for febuxostat页面存档备份,存于互联网档案馆) Page accessed June 25, 2015
  2. ^ 2.0 2.1 Febuxostat (Uloric) Use During Pregnancy. Drugs.com. 22 February 2019 [17 May 2020]. (原始内容存档于2021-02-09). 
  3. ^ Adenuric: EPAR – Product Information (PDF). European Medicines Agency. 2019-08-06 [2021-02-04]. (原始内容 (PDF)存档于2021-08-28). 
  4. ^ 4.0 4.1 4.2 Febuxostat Monograph for Professionals. Drugs.com. American Society of Health-System Pharmacists. [26 February 2019]. (原始内容存档于2021-02-08) (英语). 
  5. ^ British national formulary : BNF 76 76. Pharmaceutical Press. 2018: 1087. ISBN 9780857113382. 
  6. ^ Drug Safety and Availability - FDA adds Boxed Warning for increased risk of death with gout medicine Uloric (febuxostat). FDA. 21 February 2019 [26 February 2019]. (原始内容存档于2019-04-23) (英语). 
  7. ^ Adenuric. European Medicines Agency - Commission. 17 September 2018 [26 February 2019]. (原始内容存档于2020-12-30) (英语). 
  8. ^ Generic Uloric Availability. Drugs.com. [1 August 2019]. (原始内容存档于2020-11-11) (英语). 
  9. ^ Febuxostat Generic Uloric. [15 April 2020]. (原始内容存档于2016-10-16).