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QuickView for Methimazole (compound)


PubChem
Name: Methimazole
PubChem Compound ID: 1349907
Description: A thioureylene antithyroid agent that inhibits the formation of thyroid hormones by interfering with the incorporation of iodine into tyrosyl residues of thyroglobulin. This is done by interfering with the oxidation of iodide ion and iodotyrosyl groups through inhibition of the peroxidase enzyme.
Molecular formula: C4H6N2S
Molecular weight: 114.17 g/mol
Synonyms:
ZINC00896701; AIDS-076131; 2H-Imidazole-2-thione, 1,3-dihydro-1-methyl-; Thiamazol; N-Methyl-2-mercaptoimidazole; 2-Mercapto-1-methylimidazole; Metazolo; KBio3_001489; 1-Metylo 2 merkaptoimidazolem [Polish]; 1-Methyl-1,3-dihydroimidazole-2-thione.
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DrugBank
Identification
Name: Methimazole
Name (isomeric): DB00763
Drug Type: small molecule
Description: A thioureylene antithyroid agent that inhibits the formation of thyroid hormones by interfering with the incorporation of iodine into tyrosyl residues of thyroglobulin. This is done by interfering with the oxidation of iodide ion and iodotyrosyl groups through inhibition of the peroxidase enzyme.
Synonyms:
Thiamazole; Merkazolil; Methiamazole; Methimazol; Mercazolyl; Thiamazol; Thymidazol; Metazolo; Thymidazole; Metothyrine.
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Brand: Thycapzol, Basolan, Favistan, Tapazole, Thycapsol, Metotirin, Strumazol, Tapuzole, Merkastan, Frentirox, Thacapzol, Metizol, Strumazole, Danantizol
Category: Antithyroid Agents
CAS number: 60-56-0
Pharmacology
Indication: For the treatment of hyperthyroidism, goiter, Graves disease and psoriasis.
Pharmacology: Used in the treatment of hyperthyroidism or an overactive thyroid gland, methimazole inhibits the synthesis of thyroid hormones and thus is effective in the treatment of hyperthyroidism. It may also be used to ameliorate hyperthyroidism in preparation for subtotal thyroidectomy or radioactive iodine therapy.
Mechanism of Action:
Methimazole binds to thyroid peroxidase and thereby inhibits the conversion of iodide to iodine. Thyroid peroxidase normally converts iodide to iodine (via hydrogen peroxide as a cofactor) and also catalyzes the incorporation of the resulting iodide molecule onto both the 3 and/or 5 positions of the phenol rings of tyrosines found in thyroglobulin....
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Absorption: Rapid with an oral bioavailability of 93%.
Protein binding: None or minimal
Biotransformation: Primarily hepatic. Metabolized rapidly, requiring frequent administration.
Route of elimination: Methimazole is excreted in the urine.
Half Life: 5-6 hours
Toxicity: Oral LD50 in rats is 2250 mg/kg. Symptoms of overdose include nausea, vomiting, epigastric distress, headache, fever, joint pain, pruritus, and edema. Aplastic anemia (pancy-topenia) or agranulocytosis may be manifested in hours to days. Less frequent events are hepatitis, nephrotic syndrome, exfoliative dermatitis, neuropathies, and CNS stimulation or depression.
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Always take at the same moment in regard to meals, food may affect absorption unpredictably.
Drug interaction:
WarfarinMethimazole may decrease the anticoagulant effect of warfarin. Monitor for changes in the therapeutic and adverse effects of warfarin if methimazole is initiated, discontinued or dose changed.
TamsulosinMethimazole, a CYP2D6 inhibitor, may decrease the metabolism and clearance of Tamsulosin, a CYP2D6 substrate. Monitor for changes in therapeutic/adverse effects of Tamsulosin if Methimazole is initiated, discontinued, or dose changed.
AnisindioneThe antithyroid agent, methimazole, may decrease the anticoagulant effect of anisindione.
DigoxinThe antithyroid agent increases the effect of digoxin
TamoxifenMethimazole may decrease the therapeutic effect of Tamoxifen by decreasing the production of active metabolites. Consider alternate therapy.
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Targets


Enzymes