User:Mr. Ibrahem/Tolbutamide

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Mr. Ibrahem/Tolbutamide
Clinical data
Trade namesOrinase, others
AHFS/Drugs.comMonograph
MedlinePlusa682481
License data
Pregnancy
category
  • AU: C
Routes of
administration
By mouth (tablet)
Drug classSulfonylurea[1]
Legal status
Legal status
Pharmacokinetic data
Protein binding96%
MetabolismLiver (CYP2C19-mediated)
Elimination half-life4.5 to 6.5 hours
ExcretionKidney
Identifiers
  • N-[(Butylamino)carbonyl]-4-methylbenzenesulfonamide
Chemical and physical data
FormulaC12H18N2O3S
Molar mass270.35 g·mol−1
3D model (JSmol)
Melting point128.5 to 129.5 °C (263.3 to 265.1 °F)
  • O=S(=O)(c1ccc(cc1)C)NC(=O)NCCCC
  • InChI=1S/C12H18N2O3S/c1-3-4-9-13-12(15)14-18(16,17)11-7-5-10(2)6-8-11/h5-8H,3-4,9H2,1-2H3,(H2,13,14,15) checkY
  • Key:JLRGJRBPOGGCBT-UHFFFAOYSA-N checkY
  (verify)

Tolbutamide is a medication used to treat type 2 diabetes.[1] It is a second line treatment after metformin.[1] It is taken by mouth.[1] Effects may last for up to 24 hrs.[1]

Common side effects include nausea, itchiness, and rash.[1] Other side effect may include low blood sugar.[1] Those with liver or kidney problems have more frequent side effects.[1] Use in pregnancy is not generally recommended.[2] It is a sulfonylurea.[1] It works by stimulating the release of insulin by the pancreas.[1]

Tolbutamide was discovered in 1956 and approved for medical use in 1957.[3][1] It is available as a generic medication.[2] In the United States 100 tablets of 500 mg costs about 92 USD as of 2021.[4] This amount in the United Kingdom costs the NHS about £73.[2]

References[edit]

  1. ^ a b c d e f g h i j k l m "Tolbutamide Monograph for Professionals". Drugs.com. Archived from the original on 17 August 2019. Retrieved 5 October 2021.
  2. ^ a b c BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 749. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  3. ^ Walker SR (2012). Trends and Changes in Drug Research and Development. Springer Science & Business Media. p. 109. ISBN 9789400926592. Archived from the original on 2017-09-10. Retrieved 2020-11-29.
  4. ^ "Tolbutamide Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 17 April 2021. Retrieved 5 October 2021.