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Nateglinide
drug data and news
Nateglinide drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.
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| Generic name | Nateglinide | ||
| Brand Names/Synonyms | Fastic; Nateglinide; Nateglinide [Inn]; SDZ-DJN 608; Starlix; Starsis | ||
| Indication | Fro the treatment of type II diabetes (combination therapy when administered with metformin) | ||
| Sponsored links | Description | Not Available | |
| Pharmacology | Not Available | ||
| Mechanism Of Action | Nateglinide is an amino-acid derivative that lowers blood glucose levels by stimulating insulin secretion from the pancreas. This action is dependent upon functioning beta-cells in the pancreatic islets. Nateglinide interacts with the ATP-sensitive potassium (K+ ATP ) channel on pancreatic beta-cells. The subsequent depolarization of the beta cell opens the calcium channel, producing calcium influx and insulin secretion. The extent of insulin release is glucose dependent and diminishes at low glucose levels. Nateglinide is highly tissue selective with low affinity for heart and skeletal muscle. | ||
| Nateglinide News (When available) |
SNDA for a Fast-acting Postprandial Hypoglicemic Agent FASTIC ... Jan 27, 2006 Ajinomoto, Astellas Pharma Jointly File Application Seeking ... Jan 31, 2006 NAVIGATOR Screening Turns up 9,000 People with Undiagnosed ... Nov 17, 2005 NAVIGATOR data presented at American Heart Association's ... Nov 16, 2005 NAVIGATOR Data Presented at American Heart Association's ... Nov 16, 2005 Type 2 diabetes, treatment with Starlix and Metformin results in a ... Oct 17, 2005 Glimepiride in the medical management of Type 2 diabetes Oct 23, 2005 Contributions of Basal and Post-Prandial Hyperglycaemia to Micro ... Aug 12, 2005 Strategies to Prevent Type 2 Diabetes Aug 12, 2005 The Broadening Domain of the Metabolic Syndrome Jul 29, 2005 Ask the internist: Variety of medications can help with diabetes ... Jul 19, 2005 New diabetic drug class shows promise Mar 25, 2005 | ||
| Dosage Forms | TABLET | ||
| Drug_Category | Hypoglycemic Agents; Meglitinides; ATC:A10BX03 | ||
| Absorption | Rapidly absorbed in GI tract before a meal. | ||
| Interactions |
Interactions for Nateglinide: In vitro drug metabolism studies indicate that Starlix is predominantly metabolized by the cytochrome P450 isozyme CYP2C9 (70%) and to a lesser extent CYP3A4 (30%). Starlix is a potential inhibitor of the CYP2C9 isoenzyme in vivo as indicated by its ability to inhibit the in vitro metabolism of tolbutamide. Inhibition of CYP3A4 metabolic reactions was not detected in in vitro experiments. Glyburide: In a randomized, multiple-dose crossover study, patients with Type 2 diabetes were administered 120 mg Starlix three times a day before meals for 1 day in combination with glyburide 10 mg daily. There were no clinically relevant alterations in the pharmacokinetics of either agent. Metformin: When Starlix 120 mg three times daily before meals was administered in combination with metformin 500 mg three times daily to patients with Type 2 diabetes, there were no clinically relevant changes in the pharmacokinetics of either agent. Digoxin: When Starlix 120 mg before meals was administered in combination with a single 1-mg dose of digoxin to healthy volunteers, there were no clinically relevant changes in the pharmacokinetics of either agent. Warfarin: When healthy subjects were administered Starlix 120 mg three times daily before meals for four days in combination with a single dose of warfarin 30 mg on day 2, there were no alterations in the pharmacokinetics of either agent. Prothrombin time was not affected. Diclofenac: Administration of morning and lunch doses of Starlix 120 mg in combination with a single 75-mg dose of diclofenac in healthy volunteers resulted in no significant changes to the pharmacokinetics of either agent. Nateglinide is highly bound to plasma proteins (98%), mainly albumin. In vitro displacement studies with highly protein-bound drugs such as furosemide, propranolol, captopril, nicardipine, pravastatin, glyburide, warfarin, phenytoin, acetylsalicylic acid, tolbutamide, and metformin showed no influence on the extent of nateglinide protein binding. Similarly, nateglinide had no influence on the serum protein binding of propranolol, glyburide, nicardipine, warfarin, phenytoin, acetylsalicylic acid, and tolbutamide in vitro . However, prudent evaluation of individual cases is warranted in the clinical setting. Certain drugs, including nonsteroidal anti-inflammatory agents (NSAIDs), salicylates, monoamine oxidase inhibitors, and non-selective beta-adrenergic-blocking agents may potentiate the hypoglycemic action of Starlix and other oral antidiabetic drugs. Certain drugs including thiazides, corticosteroids, thyroid products, and sympathomimetics may reduce the hypoglycemic action of Starlix and other oral antidiabetic drugs. When these drugs are administered to or withdrawn from patients receiving Starlix, the patient should be observed closely for changes in glycemic control. | ||
| Toxicity | Not Available | ||
| Organisms Affected | Humans and other mammals | ||
| Chemical IUPAC Name | 2-[4-(1-methylethyl)cyclohexyl]carbonylamino-3-phenyl-propanoicacid | ||
| Chemical Formula | C19H27NO3 | ||
| Molecular Weight | 317.423 g/mol | ||
| Smiles String | CC(C)C1CCC(CC1)C(=O)NC(CC2=CC=CC=C2)C(=O)O | ||
| Melting Point | Not Available | ||
| Water Solubility | Not Available | ||
| State | Solid | ||
| LogP/Hphobicity | 3.824 | ||
| Isoelectric Point | Not Available | ||
| Biotransformation | Cytochrome P450 isoenzymes CYP2C9 and CYP3A4 | ||
| Half Life | 1.5 hours | ||
| Protein Binding [%] | 98% | ||
| RxList Link | RXlist | ||
| Sponsored links | |||
| Drug Reference |
http://www.drugs.com/cons/Nateglinide.html http://www.rxlist.com/cgi/generic2/nateglinide.htm | ||
| Drug Type | Approved Drug | ||
| Accession No | APRD00593 | ||
| CAS Registry Number | 105816-04-4 | ||
| KEGG Compound ID | C12508 | ||
| PubChem ID | SID:196417 | ||
| PharmGKB ID | PA450600 | ||
| SwissProt ID | Not Available | ||
| GenBank ID | Not Available | ||
| Drug ID Number [DIN] | 2245439 |
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