2016-88-8NC(N)=NC(=O)c1nc(Cl)c(N)nc1NXSDQTOBWRPYKKA-UHFFFAOYSA-NAmiloride is a member of the class of pyrazines resulting from the formal monoacylation of guanidine with the carboxy group of 3,5-diamino-6-chloropyrazine-2-carboxylic acid. It has a role as a diuretic and a sodium channel blocker. It is a member of guanidines, an aromatic amine, an organochlorine compound and a member of pyrazines. It is a conjugate base of an amiloride(1+).
2016-88-8、2609-46-3Pharmaceuticals -> Listed in ZINC15
Pharmaceuticals -> Diuretics
Pharmaceuticals
-0.3
-0.86
Slightly soluble
1.22e+00 g/L
Breast Feeding; Lactation; Milk, Human; Diuretics
Pharmaceuticals
Diuretics
240.5-241.5
240 °C
157.0 Ų [M+Na]+ [CCS Type: DT; Buffer gas: N2; Ionization: ESI+; Dataset: TOXCAST; Source Identifier: DTXSID2024452]
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Danger
H300 (12.5%): Fatal if swallowed [Danger Acute toxicity, oral]
P264, P264+P265, P270, P273, P280, P301+P316, P301+P317, P302+P352, P305+P351+P338, P305+P354+P338, P317, P321, P330, P332+P317, P337+P317, P362+P364, P405, and P501 (click each P-code to see the statement)
Aggregated GHS information provided per 40 reports by companies from 3 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.
Not Classified
REACH registered substance: Amiloride (EC: 220-024-7)
REACH registered substance: N-amidino-3,5-diamino-6-chloropyrazinecarboxamide (EC: 926-801-3)
Acute Tox. 2 (12.5%)
Not Classified
Amiloride therapy has not been associated with serum aminotransferase elevations. Idiosyncratic, clinically apparent liver injury from amiloride is rare, but several instances have been reported as isolated case reports in which the combination of amiloride with hydrochlorothiazide was used (Case 1). The numbers of cases have been too few to characterize the clinical features, but the latency to onset was ranged from 2 to 12 months and the pattern of injury either hepatocellular or mixed. Immunoallergic features and autoantibodies have not been associated with the liver injury from amiloride.
C - Cardiovascular system
QC - Cardiovascular system
C03DB01
Amiloride, an antikaliuretic-diuretic agent, is a pyrazine-carbonyl-guanidine that is unrelated chemically to other known antikaliuretic or diuretic agents. It is an antihypertensive, potassium-sparing diuretic that was first approved for use in 1967 and helps to treat hypertension and congestive heart failure. The drug is often used in conjunction with thiazide or loop diuretics. Due to its potassium-sparing capacities, hyperkalemia (high blood potassium levels) are occasionally observed in patients taking amiloride. The risk is high in concurrent use of ACE inhibitors or spironolactone. Patients are also advised not to use potassium-containing salt replacements.
Amiloride works by inhibiting sodium reabsorption in the distal convoluted tubules and collecting ducts in the kidneys by binding to the amiloride-sensitive sodium channels. This promotes the loss of sodium and water from the body, but without depleting potassium. Amiloride exerts its potassium sparing effect through the inhibition of sodium reabsorption at the distal convoluted tubule, cortical collecting tubule and collecting duct; this decreases the net negative potential of the tubular lumen and reduces both potassium and hydrogen secretion and their subsequent excretion. Amiloride is not an aldosterone antagonist and its effects are seen even in the absence of aldosterone.
7DZO8EB0Z3
AMILORIDE
Physiologic Effects [PE] - Decreased Renal K+ Excretion
Physiologic Effects [PE] - Increased Diuresis
Established Pharmacologic Class [EPC] - Potassium-sparing Diuretic
Keine Reaktionsaufzeichnungen unter den aktuellen Filterkriterien.
Wird geladen…
DTXSID9043853CHEMBL945CHEBI:2639151.08 Ų [M+Na]+ [CCS Type: TW; Method: calibrated with polyalanine and drug standards]
Amiloride is generally well tolerated, with few significant adverse effects other than the risk of hyperkalemia. The most common adverse drug reactions of amiloride include nausea, vomiting, diarrhea, and headache. Other adverse drug reactions are listed below.
The most toxic effect of amiloride is hyperkalemia. A rapid increase in the extracellular potassium leads to an increase in cardiac conduction velocity, which lowers the threshold for rapid phase Na-dependent depolarization. Furthermore, after the initial increase in cardiac conduction velocity, there will be a prolongation of phase 4 diastolic depolarization and a shortening of the action potential, which leads to a delay in the conduction in the atrioventricular node and His-Purkinje system. On ECG, it manifests as a peaked "tented" T wave. The QRS complex will widen as the condition worsens, resulting in the so-called ''sine wave''. Therefore, hyperkalemia can lead to increased cardiac excitability or decreased cardiac excitability. Increased cardiac excitation can lead to ventricular tachycardia and ventricular fibrillation, while a decrease in cardiac depression leads to various degrees of heart block and asystole. Hyperkalemia can also cause an absence of the P wave on ECG. Moreover, patients with hyperkalemia may present with fatigue, dizziness, and weakness.
Drug-Induced Liver Injury Severity and Toxicity (DILIst)
amiloride
DILI Positive
Oral
DOI:10.1016/j.drudis.2019.09.022
Amiloride
0.1
0.5
If it is necessary to use amiloride HCl tablets alone, the starting dosage should be one 5 mg tablet daily. This dosage may be increased to 10 mg per day, if necessary.
Data used to generate the benchmarks include the following: Lowest Daily Dose (LDD): 5 mg/day, Lowest Therapeutic Dose (LTD): 0.1 mg/kg-day, and Screening Dose: 0.00002 mg/kg-day.
21-Dec-21
Amiloride is a Potassium-sparing Diuretic. The physiologic effect of amiloride is by means of Decreased Renal K+ Excretion and Increased Diuresis.
Agents that promote the excretion of urine through their effects on kidney function.
A subclass of sodium channel blockers that are specific for ACID-SENSING SODIUM CHANNELS.
A subclass of sodium channel blockers that are specific for EPITHELIAL SODIUM CHANNELS.
Readily absorbed following oral administration.
Amiloride HCl is not metabolized by the liver but is excreted unchanged by the kidneys. About 50 percent of a 20 mg dose of amiloride HCl is excreted in the urine and 40 percent in the stool within 72 hours.
BeschreibungAmyloride is also a potassium sparing diuretic that exhibits moderate activity. It is not an antagonist of aldosterone. It inhibits reabsorption of sodium ions and reduces excretion of potassium ions.
VerwendenAmiloride is an epithelial sodium channel blocker.
DefinitionChEBI: A monocarboxylic acid amide that is N-carbamimidoylpyrazine-2-carboxamide substituted by amino groups at positions 3 and 5 and a chloro group at position 6.