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Revision as of 19:52, 16 February 2012 editBeetstra (talk | contribs)Edit filter managers, Administrators172,031 edits Saving copy of the {{drugbox}} taken from revid 457487337 of page Acetohexamide for the Chem/Drugbox validation project (updated: 'DrugBank').  Latest revision as of 21:25, 12 July 2024 edit Rcfische2 (talk | contribs)106 edits Actually, this sounds better. 
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{{Short description|Chemical compound}}
{{ambox | text = This page contains a copy of the infobox ({{tl|drugbox}}) taken from revid of page ] with values updated to verified values.}}
{{distinguish|acetazolamide}}
{{Drugbox {{Drugbox
| Verifiedfields = changed | Watchedfields = changed
| verifiedrevid = 457457565 | verifiedrevid = 477239096
| IUPAC_name = 4-acetyl-''N''-(cyclohexylcarbamoyl)benzenesulfonamide | IUPAC_name = 1--3-cyclohexylurea
| image = Acetohexamide.svg


4-acetyl-''N''-(cyclohexylcarbamoyl)benzenesulfonamide
| image = Acetohexamide.svg
| image2 = Acetohexamide_ball-and-stick.png
<!--Clinical data--> <!--Clinical data-->
| tradename = Dymelor | tradename = Dymelor
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| legal_status = | legal_status =
| routes_of_administration = | routes_of_administration =

<!--Pharmacokinetic data--> <!--Pharmacokinetic data-->
| bioavailability = | bioavailability =
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| metabolism = | metabolism =
| elimination_half-life = | elimination_half-life =

<!--Identifiers--> <!--Identifiers-->
| IUPHAR_ligand = 6793
| CASNo_Ref = {{cascite|correct|CAS}}
| CAS_number_Ref = {{cascite|correct|??}} | CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 968-81-0 | CAS_number = 968-81-0
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| ATC_supplemental = | ATC_supplemental =
| PubChem = 1989 | PubChem = 1989
| DrugBank_Ref = {{drugbankcite|changed|drugbank}} | DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB00414 | DrugBank = DB00414
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} | ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
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| ChEMBL_Ref = {{ebicite|correct|EBI}} | ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 1589 | ChEMBL = 1589

<!--Chemical data--> <!--Chemical data-->
| C=15 | H=20 | N=2 | O=4 | S=1 | C=15 | H=20
| N=2 | O=4
| S=1
| molecular_weight = 324.395 g/mol
| smiles = O=C(NC1CCCCC1)NS(=O)(=O)c2ccc(C(=O)C)cc2 | smiles = O=C(NC1CCCCC1)NS(=O)(=O)c2ccc(C(=O)C)cc2
| InChI = 1/C15H20N2O4S/c1-11(18)12-7-9-14(10-8-12)22(20,21)17-15(19)16-13-5-3-2-4-6-13/h7-10,13H,2-6H2,1H3,(H2,16,17,19)
| InChIKey = VGZSUPCWNCWDAN-UHFFFAOYAN
| StdInChI_Ref = {{stdinchicite|correct|chemspider}} | StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C15H20N2O4S/c1-11(18)12-7-9-14(10-8-12)22(20,21)17-15(19)16-13-5-3-2-4-6-13/h7-10,13H,2-6H2,1H3,(H2,16,17,19) | StdInChI = 1S/C15H20N2O4S/c1-11(18)12-7-9-14(10-8-12)22(20,21)17-15(19)16-13-5-3-2-4-6-13/h7-10,13H,2-6H2,1H3,(H2,16,17,19)
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}} | StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = VGZSUPCWNCWDAN-UHFFFAOYSA-N | StdInChIKey = VGZSUPCWNCWDAN-UHFFFAOYSA-N
| melting_point = 188
| melting_high = 190
}} }}

'''Acetohexamide''' (trade name '''Dymelor''') is a first-generation ] ] used to treat ], particularly in people whose diabetes cannot be controlled by diet alone.<ref name="pmid14216839">{{cite journal | vauthors = Montgomery DA | title = Current Therapeutics. CCII. Acetohexamide | journal = The Practitioner | volume = 193 | issue = | pages = 555–60 | date = October 1964 | pmid = 14216839 | doi = | url = }}</ref>

==Mechanism of action==

Acetohexamide binds to an ] (K<sub>ATP</sub>) channel on the cell membrane of ]s. This inhibits the outflux of ], which causes the ] to become more positive. This depolarization in turn opens ]s. The rise in intracellular ] leads to increased fusion of ] with the cell membrane, and therefore increased secretion of insulin.<ref>{{cite web | title = Acetohexamide | url = https://go.drugbank.com/drugs/DB00414 | work = DrugBank }}</ref>

==Risks==
Sulfonylureas, especially first-generation sulfonylureas such as Acetohexamide, can cause severe hypoglycemia and increase the risk of adverse cardiovascular events. <ref>{{cite web |url=https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/017532s030lbl.pdf |title=www.accessdata.fda.gov}}</ref><ref>{{cite web | title = Acetohexamide | url = https://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a682478.html | work = Medline Plus | archive-url = https://web.archive.org/web/20050911024428/http://www.nlm.nih.gov/medlineplus/druginfo/medmaster/a682478.html | archive-date = 11 September 2005 }}</ref>

==References==
{{Reflist}}


{{Oral hypoglycemics}}
{{Ion channel modulators}}

]
]
]

{{Gastrointestinal-drug-stub}}