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QuickView for miglitol (compound)


PubChem
Name: miglitol
PubChem Compound ID: 441314
Molecular formula: C8H17NO5
Molecular weight: 207.224 g/mol
Synonyms:
Plumarol; D00625; Miglitol; Bay-m-1099; SK-983; Seibule; C07708; Diastabol; Glyset; Miglitol (JAN/USAN).
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DrugBank
Identification
Name: miglitol
Name (isomeric): DB00491
Drug Type: small molecule
Brand: Glyset
Category: Anti-Bacterial Agents, Hypoglycemic Agents, Enzyme Inhibitors
CAS number: 72432-03-2
Pharmacology
Indication: For use as an adjunct to diet to improve glycemic control in patients with non-insulin-dependent diabetes mellitus (NIDDM) whose hyperglycemia cannot be managed with diet alone.
Pharmacology:
Miglitol, an oral alpha-glucosidase inhibitor, is a desoxynojirimycin derivative that delays the digestion of ingested carbohydrates, thereby resulting in a smaller rise in blood glucose concentration following meals. As a consequence of plasma glucose reduction, miglitol reduce levels of glycosylated hemoglobin in patients with Type II (non-insuli...
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Mechanism of Action:
In contrast to sulfonylureas, miglitol does not enhance insulin secretion. The antihyperglycemic action of miglitol results from a reversible inhibition of membrane-bound intestinal a-glucoside hydrolase enzymes. Membrane-bound intestinal a-glucosidases hydrolyze oligosaccharides and disaccharides to glucose and other monosaccharides in the brush b...
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Absorption: Absorption of miglitol is saturable at high doses with 25 mg being completely absorbed while a 100-mg dose is only 50-70% absorbed. No evidence exists to show that systemic absorption of miglitol adds to its therapeutic effect.
Protein binding: The protein binding of miglitol is negligible (<4.0%).
Biotransformation: Miglitol is not metabolized in man or in any animal species studied.
Route of elimination: Miglitol is not metabolized in man or in any animal species studied. It is eliminated by renal excretion as an unchanged drug.
Half Life: The elimination half-life of miglitol from plasma is approximately 2 hours.
Toxicity: Unlike sulfonylureas or insulin, an overdose will not result in hypoglycemia. An overdose may result in transient increases in flatulence, diarrhea, and abdomi-nal discomfort. Because of the lack of extra-intestinal effects seen with miglitol, no serious systemic reactions are expected in the event of an overdose.
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Take with food, at beginning of each meal. Iron needs increased.
Drug interaction:
GlucosaminePossible hyperglycemia
Somatropin recombinantSomatropin may antagonize the hypoglycemic effect of miglitol. Monitor for changes in fasting and postprandial blood sugars.

Targets


Enzymes