Tikagrelor: Perbedaan antara revisi
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{{Infobox drug
| Verifiedfields = changed
| Watchedfields = changed
| verifiedrevid = 443228756
| image = Ticagrelor.svg
| width = 200
| alt =
| image2 = Ticagrelor ball-and-stick animation.gif
| alt2 =
| caption =
<!-- Clinical data -->
| pronounce =
| tradename = Briclot, Brilinta, Brilique, dll
| Drugs.com = {{drugs.com|monograph|ticagrelor}}
| MedlinePlus = a611050
| DailyMedID = Ticagrelor
| pregnancy_AU = B1
| pregnancy_AU_comment = <ref>{{cite web | title=Updates to the Prescribing Medicines in Pregnancy database | website=Therapeutic Goods Administration (TGA) | date=12 May 2022 | url=https://www.tga.gov.au/resources/resource/guidance/updates-prescribing-medicines-pregnancy-database | access-date=13 May 2022}}</ref>
| pregnancy_category =
| routes_of_administration = Oral
| class =
| ATC_prefix = B01
| ATC_suffix = AC24
| ATC_supplemental =
<!-- Legal status -->
| legal_AU = S4
| legal_AU_comment = <ref>{{cite web | title=Ticalor; Blooms The Chemist Ticagrelor; Apo-Ticagrelor; Ticagrelor Arx (Accelagen Pty Ltd) | website=Therapeutic Goods Administration (TGA) | date=11 November 2022 | url=https://www.tga.gov.au/resources/prescription-medicines-registrations/ticalor-blooms-chemist-ticagrelor-apo-ticagrelor-ticagrelor-arx-accelagen-pty-ltd | access-date=9 April 2023}}</ref>
| legal_BR = <!-- OTC, A1, A2, A3, B1, B2, C1, C2, C3, C4, C5, D1, D2, E, F -->
| legal_BR_comment =
| legal_CA = Rx-only
| legal_CA_comment = <ref>{{cite web | title=Product monograph brand safety updates | website=Health Canada | date=February 2024 | url=https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database/label-safety-assessment-update/product-monograph-brand-safety-updates.html | access-date=24 March 2024}}</ref>
| legal_DE = <!-- Anlage I, II, III or Unscheduled -->
| legal_DE_comment =
| legal_NZ = <!-- Class A, B, C -->
| legal_NZ_comment =
| legal_UK = <!-- GSL, P, POM, CD, CD Lic, CD POM, CD No Reg POM, CD (Benz) POM, CD (Anab) POM or CD Inv POM / Class A, B, C -->
| legal_UK_comment =
| legal_US = Rx-only
| legal_US_comment = <ref name="Brilinta FDA label">{{cite web | title=Brilinta- ticagrelor tablet | website=DailyMed | date=10 August 2021 | url=https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=f7b3f443-e83d-4bf2-0e96-023448fed9a8 | access-date=19 May 2022}}</ref>
| legal_EU = Rx-only
| legal_EU_comment = <ref name="Brilique EPAR">{{cite web | title=Brilique EPAR | website=European Medicines Agency | date=17 September 2018 | url=https://www.ema.europa.eu/en/medicines/human/EPAR/brilique | access-date=18 May 2022}} Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.</ref>
| legal_UN = <!-- N I, II, III, IV / P I, II, III, IV -->
| legal_UN_comment =
| legal_status = <!-- For countries not listed above -->
<!-- Pharmacokinetic data -->
| bioavailability = 36%
| protein_bound = >99.7%
| metabolism = [[Hati]] (CYP3A4)
| metabolites =
| onset =
| elimination_half-life = 7 jam (tikagrelor), 8.5 jam metabolit aktif AR-C124910XX)
| duration_of_action =
| excretion = [[Saluran empedu]]
<!-- Identifiers -->
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 274693-27-5
| PubChem = 9871419
| IUPHAR_ligand = 1765
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB08816
| ChemSpiderID_Ref = {{chemspidercite|changed|chemspider}}
| ChemSpiderID = 8047109
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = GLH0314RVC
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D09017
| ChEBI =
| ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = 398435
| NIAID_ChemDB =
| PDB_ligand =
| synonyms = AZD-6140
<!-- Chemical and physical data -->
| IUPAC_name = (1''S'',2''S'',3''R'',5''S'')-3-[7-[(1''R'',2''S'')-2-(3,4-Difluorofenil)siklopropilamino]-5-(propiltio)- 3''H''-[1,2,3]triazolo[4,5-''d'']pirimidin-3-il]-5-(2-hidroksietoksi)siklopentana-1,2-diol
| C=23 | H=28 | F=2 | N=6 | O=4 | S=1
| SMILES = CCCSc1nc(N[C@@H]2C[C@H]2c2ccc(F)c(F)c2)c2nnn([C@@H]3C[C@H](OCCO)[C@@H](O)[C@H]3O)c2n1
| StdInChI_Ref = {{stdinchicite|changed|chemspider}}
| StdInChI = 1S/C23H28F2N6O4S/c1-2-7-36-23-27-21(26-15-9-12(15)11-3-4-13(24)14(25)8-11)18-22(28-23)31(30-29-18)16-10-17(35-6-5-32)20(34)19(16)33/h3-4,8,12,15-17,19-20,32-34H,2,5-7,9-10H2,1H3,(H,26,27,28)/t12-,15+,16+,17-,19-,20+/m0/s1
| StdInChI_comment =
| StdInChIKey_Ref = {{stdinchicite|changed|chemspider}}
| StdInChIKey = OEKWJQXRCDYSHL-FNOIDJSQSA-N
| density =
| density_notes =
| melting_point =
| melting_high =
| melting_notes =
| boiling_point =
| boiling_notes =
| solubility =
| sol_units =
| specific_rotation =
}}
'''Tikagrelor''' adalah obat yang digunakan untuk pencegahan [[strok]], [[serangan jantung]] dan kejadian lain pada penderita [[sindrom koroner akut]], yaitu masalah suplai darah di [[arteri koroner]]. Ia bertindak sebagai [[antiplatelet]] dengan memusuhi reseptor P2Y<sub>12</sub>.<ref>{{cite journal | vauthors = Jacobson KA, Boeynaems JM | title = P2Y nucleotide receptors: promise of therapeutic applications | journal = Drug Discovery Today | volume = 15 | issue = 13–14 | pages = 570–578 | date = July 2010 | pmid = 20594935 | pmc = 2920619 | doi = 10.1016/j.drudis.2010.05.011 }}</ref> Obat tersebut diproduksi oleh [[AstraZeneca]].
Efek samping yang paling umum termasuk [[dispnea]] (kesulitan bernapas), pendarahan, dan peningkatan kadar [[asam urat]] dalam darah.<ref name="Brilique EPAR" />
Obat ini disetujui untuk penggunaan medis di Uni Eropa pada bulan Desember 2010,<ref name="Brilique EPAR" /><ref name="EPAR Brilique">{{cite web|url=http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/001241/WC500100492.pdf|title=Assessment Report for Brilique|publisher=[[European Medicines Agency]]|date=January 2011}}</ref><ref>[http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/medicines/002303/human_med_001399.jsp&murl=menus/medicines/medicines.jsp&mid=WC0b01ac058001d125 European Public Assessment Report Possia]</ref> dan di Amerika Serikat pada bulan Juli 2011.<ref name="Brilinta FDA label" /><ref>{{cite press release |url=http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm263964.htm|archive-url=https://wayback.archive-it.org/7993/20170112024017/http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm263964.htm|url-status=dead|archive-date=12 January 2017|title=FDA approves blood-thinning drug Brilinta to treat acute coronary syndromes|publisher=U.S. [[Food and Drug Administration]] (FDA)|date=20 July 2011}}</ref><ref>{{cite web | title=Drug Approval Package: Brilinta (ticagrelor) NDA #022433 | publisher=U.S. [[Food and Drug Administration]] (FDA) | date=22 August 2011 | url=https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022433Orig1s000TOC.cfm | access-date=22 May 2021}}</ref>
== Fungsi Klinis ==
Penggunaan
== Referensi ==
{{reflist}}
[[Kategori:
[[Kategori:
[[Kategori:Triazolopirimidina]]
[[Kategori:Fluoroarena]]
[[Kategori:Siklopropana]]
[[Kategori:Senyawa propil]]
[[Kategori:Obat yang dikembangkan oleh AstraZeneca]]
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