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Dapagliflozin

達格列淨
Mechanism of action:
Dapagliflozin 是一種鈉-葡萄糖共轉運蛋白 2 抑制劑(SGLT2 inhibitor)。正常情況下,腎臟的近曲小管會透過 SGLT2 重新吸收約 90% 的濾過葡萄糖,其餘 10% 由 SGLT1 吸收。Dapagliflozin 能抑制 SGLT2 的功能,使葡萄糖無法再被吸收,隨尿液排出,導致血糖濃度下降;同時伴隨滲透性利尿與排鈉效應,可降低血壓並減少體液容積。
Reference(s):
1. Obermeier M et al. (2010). In vitro characterization and pharmacokinetics of dapagliflozin (BMS-512148), a potent sodium-glucose cotransporter type II inhibitor, in animals and humans. Drug Metab Dispos.
2. Kasichayanula S et al. (2014). Clinical pharmacokinetics and pharmacodynamics of dapagliflozin, a selective inhibitor of sodium-glucose co-transporter type 2. Clin Pharmacokinet.
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