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QuickView for Irbesartan (compound)


PubChem
Name: irbesartan
PubChem Compound ID: 10627235
Molecular formula: C25H28N6O
Molecular weight: 427.53 g/mol
DrugBank
Identification
Name: irbesartan
Name (isomeric): DB01029
Drug Type: small molecule
Brand: Irbesarran, Avalide, Lrbesartan, Avapro, Irbesartan [Usan:Inn]
Brand name mixture: Avalide 300/12.5 mg(Hydrochlorothiazide + Irbesartan), Avalide 150/12.5 mg(Hydrochlorothiazide + Irbesartan)
Category: Angiotensin II Type 1 Receptor Blockers, Angiotensin II Receptor Antagonists, Antihypertensive Agents
CAS number: 138402-11-6
Pharmacology
Indication: For the treatment of hypertension, as well as diabetic nephropathy with an elevated serum creatinine and proteinuria (>300 mg/day) in patients with type 2 diabetes and hypertension. Irbesartan is also used as a second line agent in the treatment of congestive heart failure.
Pharmacology:
Angiotensin II, the principal pressor agent of the renin-angiotensin system, is responsible for effects such as vasoconstriction, stimulation of synthesis and release of aldosterone, cardiac stimulation, and renal reabsorption of sodium. Irbesartan is a specific competitive antagonist of AT1 receptors with a much greater affinity (more t...
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Mechanism of Action:
Irbesartan is a nonpeptide tetrazole derivative and an angiotensin II antagonist that selectively blocks the binding of angiotensin II to the AT1 receptor. In the renin-angiotensin system, angiotensin I is converted by angiotensin-converting enzyme (ACE) to form angiotensin II. Angiotensin II stimulates the adrenal cortex to synthesize a...
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Absorption: Rapid and complete with an average absolute bioavailability of 60-80%. Food has no affect on bioavailability.
Protein binding: 90% bound to serum proteins (primarily albumin and a1-acid glycoprotein) with negligible binding to cellular components of blood.
Biotransformation: Hepatic. Irbesartan is metabolized via glucuronide conjugation and oxidation. In vitro studies of irbesartan oxidation by cytochrome P450 isoenzymes indicated irbesartan was oxidized primarily by 2C9; metabolism by 3A4 was negligible.
Route of elimination: Irbesartan is metabolized via glucuronide conjugation and oxidation. Irbesartan and its metabolites are excreted by both biliary and renal routes. Irbesartan is excreted in the milk of lactating rats.
Half Life: 11-15 hours
Clearance: 157-176 mL/min
Toxicity: Hypotension and tachycardia; bradycardia might also occur from overdose, LD50=mg/kg(orally in rat)
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Take without regard to meals.
Drug interaction:
LithiumThe ARB increases serum levels of lithium
TretinoinThe moderate CYP2C8 inhibitor, Irbesartan, may decrease the metabolism and clearance of oral Tretinoin. Monitor for changes in Tretinoin effectiveness and adverse/toxic effects if Irbesartan is initiated, discontinued to dose changed.
TobramycinIncreased risk of nephrotoxicity
SpironolactoneIncreased risk of hyperkalemia
PotassiumIncreased risk of hyperkalemia
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Enzymes