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Fesoterodine

非索羅定
Mechanism of action:
Fesoterodine 是一種抗毒蕈鹼(antimuscarinic agent)分子。Fesoterodine 進入體內後迅速轉化為其主要活性代謝物 5-hydroxymethyl tolterodine(5-HMT),能拮抗膀胱平滑肌上的毒蕈鹼型乙醯膽鹼受體(muscarinic acetylcholine receptor),主要為 M₃,抑制逼尿肌非自主性收縮。
Reference(s):
1. Malhotra B et al. (2011). Effects of the moderate CYP3A4 inhibitor, fluconazole, on the pharmacokinetics of fesoterodine in healthy subjects. Br J Clin Pharmacol.
2. Malhotra B et al. (2009). The design and development of fesoterodine as a prodrug of 5-hydroxymethyl tolterodine (5-HMT), the active metabolite of tolterodine. Curr Med Chem.
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