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QuickView for Simvastatin (compound)


PubChem
Name: Simvastatin
PubChem Compound ID: 11166019
Description: A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL.
Molecular formula: C25H38O5
Molecular weight: 418.566 g/mol
DrugBank
Identification
Name: Simvastatin
Name (isomeric): DB00641
Drug Type: small molecule
Description: A derivative of LOVASTATIN and potent competitive inhibitor of 3-hydroxy-3-methylglutaryl coenzyme A reductase (HYDROXYMETHYLGLUTARYL COA REDUCTASES), which is the rate-limiting enzyme in cholesterol biosynthesis. It may also interfere with steroid hormone production. Due to the induction of hepatic LDL RECEPTORS, it increases breakdown of LDL CHOLESTEROL.
Synonyms:
Simvastatine [French]; Simvastatin [Usan:Ban:Inn]; Simvastatinum [Latin]; Simvastatina [Spanish]
Brand: Nivelipol, Zocord, Colemin, Sivastin, Lipex, Corolin, Denan, Pantok, Simovil, Vasotenal, Labistatin, Synvinolin, Sinvacor, Cholestat, Coledis, Lodales, Medipo, Zocor, Rendapid
Brand name mixture: Inegy(Simvastatin + Ezetimibe), Vytorin(Simvastatin + Ezetimibe)
Category: Antilipemic Agents, Anticholesteremic Agents, Hydroxymethylglutaryl-CoA Reductase Inhibitors
CAS number: 79902-63-9
Pharmacology
Indication: For the treatment of hypercholesterolemia.
Pharmacology: Simvastatin, the methylated form of lovastatin, is an oral antilipemic agent which inhibits HMG-CoA reductase. simvastatin is used in the treatment of primary hypercholesterolemia and is effective in reducing total and LDL-cholesterol as well as plasma triglycerides and apolipoprotein B.
Mechanism of Action:
The 6-membered lactone ring of simvastatin is hydrolyzed in vivo to generate the beta,delta-dihydroxy acid, an active metabolite structurally similar to HMG-CoA (hydroxymethylglutaryl CoA). Once hydrolyzed, simvastatin competes with HMG-CoA for HMG-CoA reductase, a hepatic microsomal enzyme. Interference with the activity of this enzyme redu...
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Absorption: Absorption of simvastatin, estimated relative to an intravenous reference dose, in each of two animal species tested, averaged about 85% of an oral dose. In animal studies, after oral dosing, simvastatin achieved substantially higher concentrations in the liver than in non-target tissues.
Protein binding: Both simvastatin and its b-hydroxyacid metabolite are highly bound (approximately 95%) to human plasma proteins.
Biotransformation: Hepatic, simvastatin is a substrate for CYP3A4.
Route of elimination: Following an oral dose of 14C-labeled simvastatin in man, 13% of the dose was excreted in urine and 60% in feces.
Half Life: 3 hours
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Avoid alcohol.
Avoid taking with grapefruit juice.
Avoid drastic changes in dietary habit.
Drug interaction:
TelithromycinTelithromycin may increase the adverse effects of simvastatin by decreasing its metabolism. Concomitant therapy should be avoided.
EfavirenzEfavirenz may decrease the serum concentration of simvastatin. Monitor for changes in the therapeutic and adverse effects of simvastatin if efavirenz is initiated, discontinued or dose changed.
AmiodaroneIncreased risk of rhabdomyolysis
CarbamazepineCarbamazepine, a p-glycoprotein inducer, may decrease the effect of simvastatin by increasing its efflux. Monitor for changes in the therapeutic and adverse effects of simvastatin if carbamazepine is initiated, discontinued or dose changed.
RifabutinRifabutin may decrease the effect of simvastatin by increasing its metabolism. Monitor for changes in the therapeutic effect of simvastatin if rifabutin is initiated, discontinued or dose changed.
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