Nateglinide CAS No. 105816-04-4

Category: Medicine

Product Description

Nateglinide is an oral antidiabetic medication belonging to the meglitinide class, used primarily for the treatment of type 2 diabetes mellitus. It is a derivative of D-phenylalanine that stimulates insulin secretion from pancreatic beta cells by binding to ATP-sensitive potassium channels. This mechanism helps in controlling postprandial (after-meal) blood glucose levels. Nateglinide has a rapid onset of action (within 20 minutes), peaks at about 1 hour, and has a duration of approximately 4 hours.

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Product Use & Characteristics

Properties of Nateglinide

  • Chemical Name: N-[(trans-4-Isopropylcyclohexyl)carbonyl]-D-phenylalanine

  • Chemical Formula: C₁₉H₂₇NO₃

  • Molecular Weight: 317.42 g/mol

  • Appearance: White or off-white crystalline powder

  • Formulation: Commonly available as tablets in doses such as 60 mg and 120 mg

Characteristics of Nateglinide

  • Mechanism of Action: Nateglinide is a fast-acting insulin secretagogue that binds to ATP-sensitive potassium channels on pancreatic beta cells, causing depolarization and rapid insulin release. It mimics the physiological insulin secretion pattern, acting as a "mealtime blood sugar regulator."

  • Pharmacokinetics:

    • Absorption: Rapid and extensive, with a bioavailability of about 72%.

    • Distribution: Highly bound to plasma proteins (>98%) and primarily distributed in blood and tissues.

    • Metabolism: Primarily hepatic via CYP2C9 (70%) and CYP3A4 (30%) enzymes.

    • Excretion: Mainly through urine (about 85% as metabolites), with a half-life of approximately 1.5 hours.

  • Action Characteristics: Rapid onset of action within 20 minutes, peaks at about 1 hour, and has a duration of approximately 4 hours.

Uses of Nateglinide

  • Indications: Used to control postprandial (after-meal) blood glucose levels in patients with type 2 diabetes mellitus. Often combined with other antidiabetic agents such as metformin or non-secretagogue antidiabetics.

  • Dosage: Typically administered as 60–120 mg before meals, three times a day. The maximum daily dose should not exceed 360 mg.

Side Effects of Nateglinide

  • Common Side Effects: Hypoglycemia (especially if a meal is skipped), dizziness, upper respiratory tract infections, gastrointestinal disturbances (e.g., nausea, diarrhea), and joint pain.

  • Less Common Side Effects: Severe allergic reactions (e.g., rash, itching, urticaria), liver enzyme elevations, abnormal liver function, headache, and dizziness.

Other Information

  • Contraindications: Not recommended for patients with type 1 diabetes or diabetic ketoacidosis.

  • Special Populations: Use with caution in elderly patients and those with hepatic impairment. Pregnant and lactating women should use it only under a doctor's guidance. Not recommended for children under 18 years old.

  • Drug Interactions: Caution is needed when used with CYP2C9 or CYP3A4 inhibitors or inducers, as these can affect nateglinide's metabolism and increase the risk of hypoglycemia. Regular monitoring of blood sugar and liver function is recommended during treatment. If symptoms of hypoglycemia occur, sugary foods should be consumed immediately, and medical attention should be sought if severe.

Why us!

Sigma Chemical Group is a major chemical enterprise headquartered in Hangzhou, Zhejiang Province, with a diversified portfolio of subsidiaries including Qingdao Sigma Chemical Co., Ltd., Henan Sigma Biotechnology Co., Ltd., Nanchang Sigma Chemical Co., Ltd., and Jinan Sigma Chemical Co., Ltd. Established on January 16, 2017, Qingdao Sigma Chemical Co., Ltd. operates as a micro-sized chemical product wholesaler with a registered capital of RMB 100,000. Led by legal representative Yang Yuwen and based at 2-1-2301, Jiahe Xinxing, No. 130 Shandong Road, Shibei District, Qingdao, the company’s operations span chemicals, machinery equipment, and import-export services. Henan Sigma Biotechnology Co., Ltd., located in Dongmafang, Muye District, Xinxiang City, Henan Province, specializes in the sales of pesticides, pharmaceuticals, veterinary drugs, and mixed feed additive series, including products like adenine, florfenicol injection, carbasalate calcium soluble powder, and cefotaxime sodium chloride injection. Guided by a win-win and innovative business philosophy, the company employs a modern management approach and customer-centric service, upholding integrity, diligence, and a commitment to quality, thereby earning customer trust through diverse product offerings and competitive pricing. Nanchang Sigma Chemical Co., Ltd., situated in Nanchang, Jiangxi Province, is dedicated to producing high-purity plant extracts, emphasizing eco-friendly, non-toxic chemical raw materials that generate no environmental pollutants. Jinan Sigma Chemical Co., Ltd., located in Jinan, the capital of Shandong Province known as the "City of Springs," focuses on manufacturing active pharmaceutical ingredients (APIs) and pharmaceutical intermediates. The company maintains long-term industry-academia-research collaborations with Shandong University and Qilu University of Technology, continuously enhancing R&D investments to drive innovation and growth.

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