Gliquidone
{{Short description|Chemical compound}}
{{Drugbox
| verifiedrevid = 443836120
| IUPAC_name = 1-cyclohexyl-3-[4-[2-(7-methoxy-4,4-dimethyl-1,3-dioxoisoquinolin-2-yl)ethyl]phenyl]sulfonylurea
| image = Gliquidone.svg
| width = 275
| tradename = Glurenorm
| Drugs.com = {{drugs.com|international|gliquidone}}
| pregnancy_AU =
| pregnancy_US =
| pregnancy_category = C
| legal_AU =
| legal_CA =
| legal_UK = POM
| legal_US =
| legal_status = Rx-only
| routes_of_administration = Oral (tablets)
| bioavailability = High (Tmax = 2–3 hours)
| protein_bound =
| metabolism = Extensive hepatic
| onset = 1–1.5 hours
| elimination_half-life =
| excretion = Biliary (95%), renal (5%)
| CAS_number = 33342-05-1
| ATC_prefix = A10
| ATC_suffix = BB08
| PubChem = 91610
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB01251
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 82719
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = C7C2QDD75P
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D02430
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 383634
| C=27 | H=33 | N=3 | O=6 | S=1
| smiles = O=C(NC1CCCCC1)NS(=O)(=O)c2ccc(cc2)CCN4C(=O)c3c(ccc(OC)c3)C(C4=O)(C)C
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C27H33N3O6S/c1-27(2)23-14-11-20(36-3)17-22(23)24(31)30(25(27)32)16-15-18-9-12-21(13-10-18)37(34,35)29-26(33)28-19-7-5-4-6-8-19/h9-14,17,19H,4-8,15-16H2,1-3H3,(H2,28,29,33)
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = LLJFMFZYVVLQKT-UHFFFAOYSA-N
}}
Gliquidone (INN, sold under the trade name Glurenorm) is an anti-diabetic medication in the sulfonylurea class.{{cite journal | vauthors = Malaisse WJ | title = Gliquidone contributes to improvement of type 2 diabetes mellitus management: a review of pharmacokinetic and clinical trial data | journal = Drugs in R&D | volume = 7 | issue = 6 | pages = 331–7 | date = 2006 | pmid = 17073516 | doi = 10.2165/00126839-200607060-00002 | s2cid = 10155445 }} It is classified as a second-generation sulfonylurea. It is used in the treatment of diabetes mellitus type 2. It is marketed by the pharmaceutical company Boehringer Ingelheim (Germany).
Contraindications
- Allergy to sulfonylureas or sulfonamides
- Diabetes mellitus type 1
- Diabetic ketoacidosis
- Patients that underwent removal of the pancreas
- Acute porphyria
- Severe liver disease accompanying with liver insufficiency
- Several conditions (e.g., infectious diseases or major surgical intervention), when insulin administration is required
- Pregnancy or breastfeeding{{cite web|title=Glurenorm (gliquidone) 30 mg Tablets, for Oral Use. Full Prescribing Information|url=http://grls.rosminzdrav.ru//InstrImgMZ/PN/P%20N014529_01/2.INS/014529_002.gif|website=Russian State Register of Medicinal Products|publisher=Boehringer Ingelheim|access-date=12 July 2016|language=ru|archive-url=https://web.archive.org/web/20160814064150/http://grls.rosminzdrav.ru//InstrImgMZ/PN/P%20N014529_01/2.INS/014529_002.gif|archive-date=14 August 2016|url-status=dead}}
Pharmacokinetics
Gliquidone is fully metabolized by the liver. Its metabolites are excreted virtually completely with bile (even with long-term administration), thus allowing the use of medication in diabetic patients with kidney disease and diabetic nephropathy.
References
{{reflist}}
{{Oral hypoglycemics}}
{{Ion channel modulators}}
Category:Potassium channel blockers
Category:1-(Benzenesulfonyl)-3-cyclohexylureas
Category:Tetrahydroisoquinolines
{{gastrointestinal-drug-stub}}