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Miglitol



Miglitol
Systematic (IUPAC) name
(2R,3R,4R,5S)-1-(2-hydroxyethyl)-2-(hydroxymethyl)
piperidine-3,4,5-triol
Identifiers
CAS number 72432-03-2
ATC code A10BF02
PubChem 441314
DrugBank APRD01117
Chemical data
Formula C8H17NO5 
Mol. mass 207.224 g/mol
Pharmacokinetic data
Bioavailability Dose-dependent
Protein binding Negligible (<4.0%)
Metabolism Nil
Half life 2 hours
Excretion Renal (95%)
Therapeutic considerations
Licence data

US

Pregnancy cat.

B3(AU) B(US)

Legal status

-only(US)

Routes Oral

Miglitol is an oral anti-diabetic drug that acts by inhibiting the ability of the patient to breakdown complex carbohydrates into glucose. It is primarily used in diabetes mellitus type 2 for establishing greater glycemic control by preventing the digestion of carbohydrates (such as disaccharides, oligosaccharides, and polysaccharides) into monosaccharides which can be absorbed by the body.

Additional recommended knowledge

Miglitol inhibits glycoside hydrolase enzymes called alpha-glucosidases. Since miglitol works by preventing digestion of carbohydrates, it lowers the degree of postprandial hyperglycemia. It must be taken at the start of main meals to have maximal effect. Its effect will depend on the amount of non-monosaccharide carbohydrates in a person's diet.

In contrast to acarbose (another alpha-glucosidase inhibitor), miglitol is systemically absorbed; however, it is not metabolized and is excreted by the kidneys.

See also

 
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Miglitol". A list of authors is available in Wikipedia.
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