Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C15H11I3NO4.Na |
| Molecular Weight | 672.9553 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
[Na+].N[C@@H](CC1=CC(I)=C(OC2=CC(I)=C(O)C=C2)C(I)=C1)C([O-])=O
InChI
InChIKey=SBXXSUDPJJJJLC-YDALLXLXSA-M
InChI=1S/C15H12I3NO4.Na/c16-9-6-8(1-2-13(9)20)23-14-10(17)3-7(4-11(14)18)5-12(19)15(21)22;/h1-4,6,12,20H,5,19H2,(H,21,22);/q;+1/p-1/t12-;/m0./s1
| Molecular Formula | C15H11I3NO4 |
| Molecular Weight | 649.9656 |
| Charge | -1 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
| Molecular Formula | Na |
| Molecular Weight | 22.98976928 |
| Charge | 1 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/6617571http://www.accessdata.fda.gov/drugsatfda_docs/label/2002/10379s47lbl.pdfCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/mesh/68014284
Sources: https://www.ncbi.nlm.nih.gov/pubmed/6617571http://www.accessdata.fda.gov/drugsatfda_docs/label/2002/10379s47lbl.pdf
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/mesh/68014284
Liothyronine (CYTOMEL®) is a T3 thyroid hormone normally synthesized and secreted by the thyroid gland in much smaller quantities than its prohormone thyroxine (T4). Most T3 is derived from peripheral monodeiodination of T4 at the 5' position of the outer ring of the iodothyronine nucleus. The hormone finally delivered and used by the tissues is mainly T3. The mechanisms by which thyroid hormones exert their physiologic action are not well understood. These hormones enhance oxygen consumption by most tissues of the body, increase the basal metabolic rate and the metabolism of carbohydrates, lipids, and proteins. Thus, they exert a profound influence on every organ system in the body and are of particular importance in the development of the central nervous system. Thyroid hormone drugs are indicated: as the replacement or supplemental therapy in patients with hypothyroidism of any etiology; as pituitary thyroid-stimulating hormone (TSH) suppressants, in the treatment or prevention of various types of euthyroid goiters; as diagnostic agents in suppression tests to differentiate suspected mild hyperthyroidism or thyroid gland autonomy.
CNS Activity
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1860 |
0.1 nM [Kd] | ||
Target ID: CHEMBL1947 |
0.1 nM [Kd] | ||
Target ID: CHEMBL1860 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12109914 |
0.1 nM [Kd] | ||
Target ID: CHEMBL1947 Sources: https://www.ncbi.nlm.nih.gov/pubmed/12109914 |
0.1 nM [Kd] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | CYTOMEL Approved UseThyroid hormone drugs are indicated:
1. As replacement or supplemental therapy in patients with hypothyroidism of any etiology, except transient hypothyroidism during the recovery phase of subacute thyroiditis. This category includes cretinism, myxedema and ordinary hypothyroidism in patients of any age (pediatric patients, adults, the elderly), or state (including pregnancy); primary hypothyroidism resulting from functional deficiency, primary atrophy, partial or total absence of thyroid gland, or the effects of surgery, radiation, or drugs, with or without the presence of goiter; and secondary (pituitary) or tertiary (hypothalamic) hypothyroidism.
2. As pituitary thyroid-stimulating hormone (TSH) suppressants, in the treatment or prevention of various types of euthyroid goiters, including thyroid nodules, subacute or chronic lymphocytic thyroiditis (Hashimoto’s) and multinodular goiter.
3. As diagnostic agents in suppression tests to differentiate suspected mild hyperthyroidism or thyroid gland autonomy. Launch Date1956 |
|||
| Primary | CYTOMEL Approved UseThyroid hormone drugs are indicated:
1. As replacement or supplemental therapy in patients with hypothyroidism of any etiology, except transient hypothyroidism during the recovery phase of subacute thyroiditis. This category includes cretinism, myxedema and ordinary hypothyroidism in patients of any age (pediatric patients, adults, the elderly), or state (including pregnancy); primary hypothyroidism resulting from functional deficiency, primary atrophy, partial or total absence of thyroid gland, or the effects of surgery, radiation, or drugs, with or without the presence of goiter; and secondary (pituitary) or tertiary (hypothalamic) hypothyroidism.
2. As pituitary thyroid-stimulating hormone (TSH) suppressants, in the treatment or prevention of various types of euthyroid goiters, including thyroid nodules, subacute or chronic lymphocytic thyroiditis (Hashimoto’s) and multinodular goiter.
3. As diagnostic agents in suppression tests to differentiate suspected mild hyperthyroidism or thyroid gland autonomy. Launch Date1956 |
|||
| Diagnostic | CYTOMEL Approved UseThyroid hormone drugs are indicated:
1. As replacement or supplemental therapy in patients with hypothyroidism of any etiology, except transient hypothyroidism during the recovery phase of subacute thyroiditis. This category includes cretinism, myxedema and ordinary hypothyroidism in patients of any age (pediatric patients, adults, the elderly), or state (including pregnancy); primary hypothyroidism resulting from functional deficiency, primary atrophy, partial or total absence of thyroid gland, or the effects of surgery, radiation, or drugs, with or without the presence of goiter; and secondary (pituitary) or tertiary (hypothalamic) hypothyroidism.
2. As pituitary thyroid-stimulating hormone (TSH) suppressants, in the treatment or prevention of various types of euthyroid goiters, including thyroid nodules, subacute or chronic lymphocytic thyroiditis (Hashimoto’s) and multinodular goiter.
3. As diagnostic agents in suppression tests to differentiate suspected mild hyperthyroidism or thyroid gland autonomy. Launch Date1956 |
|||
| Primary | Unknown Approved UseUnknown |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
346 ng/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
404 ng/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
342 ng/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
4740 ng × h/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
13938 ng × h/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
4926 ng × h/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE food status: FASTED |
|
12929 ng × h/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4370 ng × h/dL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
22.04 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24977379 |
50 μg 1 times / day multiple, oral dose: 50 μg route of administration: Oral experiment type: MULTIPLE co-administered: |
LIOTHYRONINE SODIUM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
| Dose | Population | Adverse events |
|---|---|---|
10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
Disc. AE: Anxiety, Palpitations... AEs leading to discontinuation/dose reduction: Anxiety (severe) Sources: Palpitations Agitation Shortness of breath Irritability Tachycardia Tremor |
15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
Disc. AE: Nausea, Vomiting... AEs leading to discontinuation/dose reduction: Nausea Sources: Vomiting Abdominal pain Headache (severe) Confusion Disorientation Diplopia |
50 ug 2 times / day multiple, oral Highest studied dose Dose: 50 ug, 2 times / day Route: oral Route: multiple Dose: 50 ug, 2 times / day Sources: |
unhealthy, 39 ± 6.2 Health Status: unhealthy Age Group: 39 ± 6.2 Sex: M+F Sources: |
DLT: Anxiety, Tachycardia... Dose limiting toxicities: Anxiety (50%) Sources: Tachycardia (50%) Loose stools (100%) |
37.5 ug 2 times / day multiple, oral MTD Dose: 37.5 ug, 2 times / day Route: oral Route: multiple Dose: 37.5 ug, 2 times / day Sources: |
unhealthy, 39 ± 6.2 Health Status: unhealthy Age Group: 39 ± 6.2 Sex: M+F Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Agitation | Disc. AE | 10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
| Irritability | Disc. AE | 10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
| Palpitations | Disc. AE | 10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
| Shortness of breath | Disc. AE | 10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
| Tachycardia | Disc. AE | 10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
| Tremor | Disc. AE | 10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
| Anxiety | severe Disc. AE |
10794.4 ug 2 times / day multiple, oral Overdose Dose: 10794.4 ug, 2 times / day Route: oral Route: multiple Dose: 10794.4 ug, 2 times / day Sources: |
unhealthy, 20 |
| Abdominal pain | Disc. AE | 15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
| Confusion | Disc. AE | 15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
| Diplopia | Disc. AE | 15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
| Disorientation | Disc. AE | 15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
| Nausea | Disc. AE | 15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
| Vomiting | Disc. AE | 15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
| Headache | severe Disc. AE |
15000 ug 2 times / day multiple, oral Overdose Dose: 15000 ug, 2 times / day Route: oral Route: multiple Dose: 15000 ug, 2 times / day Sources: |
unhealthy, 30 |
| Loose stools | 100% DLT |
50 ug 2 times / day multiple, oral Highest studied dose Dose: 50 ug, 2 times / day Route: oral Route: multiple Dose: 50 ug, 2 times / day Sources: |
unhealthy, 39 ± 6.2 Health Status: unhealthy Age Group: 39 ± 6.2 Sex: M+F Sources: |
| Anxiety | 50% DLT |
50 ug 2 times / day multiple, oral Highest studied dose Dose: 50 ug, 2 times / day Route: oral Route: multiple Dose: 50 ug, 2 times / day Sources: |
unhealthy, 39 ± 6.2 Health Status: unhealthy Age Group: 39 ± 6.2 Sex: M+F Sources: |
| Tachycardia | 50% DLT |
50 ug 2 times / day multiple, oral Highest studied dose Dose: 50 ug, 2 times / day Route: oral Route: multiple Dose: 50 ug, 2 times / day Sources: |
unhealthy, 39 ± 6.2 Health Status: unhealthy Age Group: 39 ± 6.2 Sex: M+F Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Slower skeletal muscle phenotypes are critical for constitutive expression of Hsp70 in overloaded rat plantaris muscle. | 2006-03 |
|
| An array of positioned nucleosomes potentiates thyroid hormone receptor action in vivo. | 2001-06-08 |
|
| Transcriptional repression by thyroid hormone receptors. A role for receptor homodimers in the recruitment of SMRT corepressor. | 2001-05-18 |
|
| Circannual pattern of hypothalamic-pituitary-thyroid (HPT) function and mood during extended antarctic residence. | 2001-05 |
|
| Variable effects of goitrogens in inducing precocious metamorphosis in sea lampreys (Petromyzon marinus). | 2001-04-15 |
|
| Effect of transient early hyperthyroidism on onset of puberty in Suffolk ram lambs. | 2001-04 |
|
| Thyroid hormone increases pacemaker activity in rat neonatal atrial myocytes. | 2001-04 |
|
| The pituitary-thyroid axis in healthy men living under subarctic climatological conditions. | 2001-04 |
|
| Effect of thyroxine administration on the IGF/IGF binding protein system in neonatal and adult thyroidectomized rats. | 2001-04 |
|
| Expression and regulation of osteopontin and connective tissue growth factor transcripts in rat anterior pituitary. | 2001-04 |
|
| Habituation of thermal sensations, skin temperatures, and norepinephrine in men exposed to cold air. | 2001-04 |
|
| Insulin-like growth factor binding proteins in femoral and vertebral bone marrow stromal cells: expression and regulation by thyroid hormone and dexamethasone. | 2001-03-26 |
|
| Effect of different drugs on the level of DNA-hydrolyzing polyclonal IgG antibodies in sera of patients with Hashimoto's thyroiditis and nontoxic nodal goiter. | 2001-03-21 |
|
| Regulation of microglial development: a novel role for thyroid hormone. | 2001-03-15 |
|
| Regulation of mucous differentiation and mucin gene expression in the tracheobronchial epithelium. | 2001-03-07 |
|
| Thyroid hormone receptors in neonatal, prepubertal, and adult rat testis. | 2001-03-07 |
|
| Thyroid hormone promotes serine phosphorylation of p53 by mitogen-activated protein kinase. | 2001-03-06 |
|
| The effects of triiodothyronine augmentation on antithrombin III levels in sepsis. | 2001-03 |
|
| Effects of caloric restriction on skeletal muscle mitochondrial proton leak in aging rats. | 2001-03 |
|
| Characterization of hepatic low-K(m) outer-ring deiodination in red drum (Sciaenops ocellatus). | 2001-03 |
|
| The biological relevance of thyroid hormone receptors in immortalized human umbilical vein endothelial cells. | 2001-03 |
|
| Perioperative considerations in a hypothyroid infant with hepatic haemangioma. | 2001-03 |
|
| Selenium decreases thyroglobulin concentrations but does not affect the increased thyroxine-to-triiodothyronine ratio in children with congenital hypothyroidism. | 2001-03 |
|
| Effect of levothyroxine on cardiac function and structure in subclinical hypothyroidism: a double blind, placebo-controlled study. | 2001-03 |
|
| Usefulness of thyrotropin (TSH)-releasing hormone test and nocturnal surge of TSH for diagnosis of isolated deficit of TSH secretion. | 2001-03 |
|
| Homogeneous enzyme immunoassay for triiodothyronine in serum. | 2001-03 |
|
| Distinct tissue-specific roles for thyroid hormone receptors beta and alpha1 in regulation of type 1 deiodinase expression. | 2001-03 |
|
| Hormone selectivity in thyroid hormone receptors. | 2001-03 |
|
| Thyroid hormones regulate pituitary growth hormone secretagogue receptor gene expression. | 2001-03 |
|
| Role of thyroid hormones in hepatic effects of peroxisome proliferators. | 2001-02-24 |
|
| Ramadan fasting alters endocrine and neuroendocrine circadian patterns. Meal-time as a synchronizer in humans? | 2001-02-23 |
|
| Relationships between plasma levels of organochlorines, retinol and thyroid hormones from polar bears (Ursus maritimus) at Svalbard. | 2001-02-23 |
|
| Thyroid function after bone marrow transplantation: possible association between immune-mediated thyrotoxicosis and hypothyroidism. | 2001-02-15 |
|
| Measurement of serum concentrations of free thyroxine, total thyroxine, and total triiodothyronine in cats with hyperthyroidism and cats with nonthyroidal disease. | 2001-02-15 |
|
| What is the optimal treatment for hypothyroidism? | 2001-02-05 |
|
| Side-effects of iodized oil administration in patients with simple goiter. | 2001-02 |
|
| Changes in serum thyroid hormone levels in newborn calves as a diagnostic index of endemic goiter. | 2001-02 |
|
| [Diabetes mellitus caused by pancreatitis in a bull]. | 2001-02 |
|
| Effects of melatonin in perimenopausal and menopausal women: a randomized and placebo controlled study. | 2001-02 |
|
| Inhibition of T3 production in levothyroxine-treated female mice by the root extract of Convolvulus pluricaulis. | 2001-01 |
|
| Influence of selenium supplements on the post-traumatic alterations of the thyroid axis: a placebo-controlled trial. | 2001-01 |
|
| Routine measurement of serum calcitonin is useful for early detection of medullary thyroid carcinoma in patients with nodular thyroid diseases. | 2001-01 |
|
| Direct effect of thyroxine on pig sphincter of Oddi contractility. | 2001-01 |
|
| [Diagnosis of hyperthyroidism]. | 2001-01 |
|
| Impairment in cognitive and exercise performance during prolonged antarctic residence: effect of thyroxine supplementation in the polar triiodothyronine syndrome. | 2001-01 |
|
| Effect of acute elevation of IGF-I on circulating GH, TSH, insulin, IGF-II and IGFBP-3 levels in non-endocrine short stature (NESS). | 2001-01 |
|
| Effect of cold exposure on energy balance and liver respiratory capacity in post-weaning rats fed a high-fat diet. | 2001-01 |
|
| Endogenous depression, thyroid function and acupuncture. | 2001-01 |
|
| Neurofilament expression in cultured rat adenohypophysial cells. | 2001 |
|
| Hypothalamus-hypophysis-thyroid axis, triiodothyronine and antithyroid antibodies in patients with primary and secondary Sjögren's syndrome. | 2001 |
Sample Use Guides
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/1606687
The relative affinity of the rat synaptosomes for various T3 analogs was measured by incubating [3H]T3 with increasing amounts of T3, D-T3, T4, TRIAC and rT3, The results were expressed as the molar ratio of the concentrations of T3 or analog needed to decreaseby 50% the binding of [3H]T3.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 17:47:42 GMT 2025
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admin
on
Mon Mar 31 17:47:42 GMT 2025
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| Record UNII |
GCA9VV7D2N
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| Record Status |
Validated (UNII)
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| Record Version |
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| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
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NCI_THESAURUS |
C1553
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FDA ORPHAN DRUG |
46090
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WHO-VATC |
QH03AA02
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FDA ORPHAN DRUG |
523216
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WHO-ATC |
H03AA02
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| Code System | Code | Type | Description | ||
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GCA9VV7D2N
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PRIMARY | |||
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80774
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18258
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SUB02931MIG
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GCA9VV7D2N
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100000089973
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m6835
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1368019
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C2581
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CHEMBL1544
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142448
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200-223-5
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DBSALT000321
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DTXSID8047505
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23666110
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758175
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6484
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55-06-1
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |