Knowledge (XXG)

Biguanide

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Valentin, Sencio; Cyril, Robil; François, Trottein; David, Péricat; Emmanuelle, Näser; Céline, Cougoule; Etienne, Meunier; Anne-Laure, Bègue; Hélène, Salmon; Nicolas, Manel; Alain, Puisieux; Sarah, Watson; Mark A., Dawson; Nicolas, Servant; Guido, Kroemer; Djillali, Annane; Raphaël, Rodriguez (2023).
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Solier, Stéphanie; Müller, Sebastian; Tatiana, Cañeque; Antoine, Versini; Arnaud, Mansart; Fabien, Sindikubwabo; Leeroy, Baron; Laila, Emam; Pierre, Gestraud; G. Dan, Pantoș; Vincent, Gandon; Christine, Gaillet; Ting-Di, Wu; Florent, Dingli; Damarys, Loew; Sylvain, Baulande; Sylvère, Durand;
870:. Kidney function should be assessed before starting metformin. Phenformin and buformin are more prone to cause acidosis than metformin; therefore they have been practically replaced by it. However, when metformin is combined with other drugs (combination therapy), 846:
in the liver, and, as a result, reduce the level of glucose in the blood. Biguanides also tend to make the cells of the body more willing to absorb glucose already present in the bloodstream, and there again reducing the level of glucose in the plasma.
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Mainly used in Type II diabetes, metformin is considered to increase insulin sensitivity in vivo, resulting in reduced plasma glucose concentrations, increased glucose uptake, and decreased gluconeogenesis.
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resulted in its withdrawal from most pharmacopeias (in the U.S. in 1978). Metformin has a much better safety profile, and it is the principal biguanide drug used in pharmacotherapy worldwide.
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Biguanides have been shown to interact with copper, specifically in mitochondria, where they interfere with cell metabolism by chelating Copper in its 2+ oxidation state (Cu(II)).
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However, in hyperinsulinemia, biguanides can lower fasting levels of insulin in plasma. Their therapeutic uses derive from their tendency to reduce
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extracts. Animal studies showed that these compounds lowered blood glucose levels. Some less toxic derivatives,
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The term "biguanidine" often refers specifically to a class of drugs that function as oral antihyperglycemic
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and dyspepsia, occurring in up to 30% of patients. The most important and serious side effect is
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of biguanides is not fully understood, and many mechanisms have been proposed for metformin.
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Nomenclature of Organic Chemistry: IUPAC Recommendations and Preferred Names 2013
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A and synthalin B, were used for diabetes treatment, but after the discovery of
678: 635:{\displaystyle \mathrm {C_{2}H_{4}N_{4}+NH_{3}\longrightarrow C_{2}H_{7}N_{5}} } 1186: 3041: 2972: 2900: 2879: 2864: 2757: 2703: 2677: 2592: 2194: 2081: 2071: 2066: 2061: 1977: 1972: 1967: 1808: 1793: 1762: 1567: 1059: 801: 756: 697: 390: 143: 2925: 2874: 2823: 2798: 2713: 2682: 2488: 2204: 2119: 2109: 2076: 1927: 1884: 1803: 1562: 945: 905: 789: 781: 770: 722: 688: 1204: 1133: 780:(French lilac) was used in diabetes treatment for centuries. In the 1920s, 985: 2633: 2104: 2099: 1557: 1253: 1235: 859: 797: 737: 703: 3067: 2708: 1321: 1299: 1009:
Güthner T, Mertschenk B, Schulz B (2006). "Guanidine and Derivatives".
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Except where otherwise noted, data are given for materials in their
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discovered (see details there) that some biguanides are useful as
741: 700:- withdrawn from the market in most countries due to toxic effects 123: 99: 89: 1175:"A druggable copper-signalling pathway that drives inflammation" 670: 518: 212: 2440: 1528: 1319: 1267: 1077:(5th ed.). Edinburgh: Churchill Livingstone. p. 388. 796:, their use declined. Biguanides were reintroduced into Type 2 823:
Biguanides do not affect the output of insulin, unlike other
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derivatives which, until recently, were believed to work by
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was widely used, but its potential for sometimes fatal
440: 866:, therefore metformin is contraindicated in advanced 550: 505:) is the organic compound with the formula HN(C(NH)NH 491: 485: 497: 473: 3094: 3066: 3040: 3004: 2957: 2948: 2893: 2853: 2832: 2809: 2765: 2756: 2722: 2696: 2643: 2632: 2623: 2614: 2605: 2568: 2550: 2525: 2509: 2498: 2487: 2217: 2187: 2118: 2090: 2052: 2045: 1957: 1918: 1860: 1827: 1724: 1712: 1703: 1672: 1639: 1576: 1548: 1539: 1462: 1425: 1382: 1364: 1336: 479: 634: 970:International Union of Pure and Applied Chemistry 706:- withdrawn from the market due to toxic effects 245: 661:of biguanide are used as pharmaceutical drugs. 529:Biguanide can be obtained from the reaction of 75: 1218:Tanzer JM, Slee AM, Kamay BA (December 1977). 1149:Clinical trials: design, conduct, and analysis 1073:Rang HP, Dale MM, Ritter KM, Moore PK (2003). 1048:Berichte der Deutschen Chemischen Gesellschaft 1011:Ullmann's Encyclopedia of Industrial Chemistry 323:InChI=1S/C2H7N5/c3-1(4)7-2(5)6/h(H7,3,4,5,6,7) 2452: 1279: 8: 2954: 2762: 2640: 2629: 2620: 2611: 2522: 2506: 2495: 2459: 2445: 2437: 2223: 2049: 1915: 1721: 1709: 1545: 1536: 1525: 1333: 1316: 1286: 1272: 1264: 298: 173: 151: 18: 3178:Substances discovered in the 19th century 1243: 1194: 1123: 625: 615: 605: 592: 576: 566: 556: 551: 549: 265: 961: 800:treatment in the late 1950s. Initially 709: 344: 319: 294: 164: 1224:Antimicrobial Agents and Chemotherapy 874:and other side effects are possible. 326:Key: XNCOSPRUTUOJCJ-UHFFFAOYSA-N 131: 7: 1306:, and other drugs used in diabetes ( 2276:Glibenclamide (glyburide)/metformin 2256:Dapagliflozin/saxagliptin/metformin 645:Biguanide was first synthesized by 236: 220: 1100:"The blooming of the French lilac" 882:During WWII a British team led by 622: 612: 602: 589: 585: 573: 563: 553: 14: 749: 730: 715: 469: 430: 380: 374: 34: 25: 1147:Tonascia S, Meinert CL (1986). 858:The most common side effect is 426:(at 25 °C , 100 kPa). 2996:piperaquine/dihydroartemisinin 978:The Royal Society of Chemistry 759:. A phenethylated biguanidine. 691:- widely used in treatment of 598: 368: 1: 2560:trimethoprim/sulfamethoxazole 1019:10.1002/14356007.a12_545.pub2 784:compounds were discovered in 2958:Fixed-dose (co-formulated) 2092:Alpha-glucosidase inhibitors 2054:Aldose reductase inhibitors 1042:Rathke, B. (January 1879). 53:Imidodicarbonimidic diamide 3194: 1920:GLP1 poly-agonist peptides 1187:10.1038/s41586-023-06017-4 925: 768: 744:derivative of biguanidine. 3118: 2840:sulfadoxine/pyrimethamine 2366:Sitagliptin/ertugliflozin 2361:Sitagliptin/dapagliflozin 2281:Glimepiride/rosiglitazone 2261:Empagliflozin/linagliptin 2251:Dapagliflozin/saxagliptin 2226: 1779:Glibenclamide (glyburide) 1535: 1524: 1332: 1315: 1060:10.1002/cber.187901201219 938:polyaminopropyl biguanide 854:Side effects and toxicity 420: 355: 335: 310: 59: 47: 42: 33: 24: 2346:Pioglitazone/sitagliptin 2336:Pioglitazone/glimepiride 2326:Phenformin/sulfonylureas 2271:Gemigliptin/rosuvastatin 2241:Cagrilintide/semaglutide 771:metformin § History 693:diabetes mellitus type 2 665:Antihyperglycemic agents 2991:artesunate/pyronaridine 2968:artemether/lumefantrine 2376:Sitagliptin/simvastatin 2351:Rosiglitazone/metformin 2331:Pioglitazone/alogliptin 2321:Metformin/teneligliptin 2316:Metformin/sulfonylureas 2296:Metformin/ertugliflozin 2266:Empagliflozin/metformin 2246:Dapagliflozin/metformin 2236:Canagliflozin/metformin 1862:GLP-1 receptor agonists 1013:. Weinheim: Wiley-VCH. 899:dihydrofolate reductase 2979:artesunate/amodiaquine 2381:Vildagliptin/metformin 2341:Pioglitazone/metformin 868:chronic kidney disease 711:bioactive biguanidines 636: 3013:artesunate/mefloquine 2985:artesunate/mefloquine 2371:Sitagliptin/metformin 2356:Saxagliptin/metformin 2311:Metformin/repaglinide 2306:Metformin/gemigliptin 2286:Linagliptin/metformin 986:10.1039/9781849733069 769:Further information: 637: 3025:quinine/tetracycline 2697:4-Methanolquinolines 2472:antiprotozoal agents 2301:Metformin/evogliptin 2231:Alogliptin/metformin 1236:10.1128/aac.12.6.721 901:. Examples include: 548: 49:Preferred IUPAC name 3022:quinine/doxycycline 3019:quinine/clindamycin 3007:(not co-formulated) 1541:Insulin sensitizers 1296:diabetes medication 825:hypoglycemic agents 818:mechanism of action 812:Mechanism of action 398: g·mol 113:Beilstein Reference 21: 3145:Never to phase III 3005:Other combinations 2885:dihydroartemisinin 2667:hydroxychloroquine 2420:Never to phase III 2291:Metformin/acarbose 1641:Dual PPAR agonists 1510:Never to phase III 1417:Ultralente insulin 1098:Witters L (2001). 948:feature biguanide 932:The disinfectants 888:antimalarial drugs 777:Galega officinalis 684:Examples include: 632: 453:Infobox references 19: 3155: 3154: 3090: 3089: 3062: 3061: 3058: 3057: 3036: 3035: 3032: 3031: 2944: 2943: 2849: 2848: 2752: 2751: 2601: 2600: 2527:Cryptosporidiosis 2434: 2433: 2430: 2429: 2393: 2392: 2389: 2388: 2213: 2212: 2041: 2040: 1953: 1952: 1856: 1855: 1699: 1698: 1520: 1519: 1483: 1482: 1427:ultra-long-acting 1351:Insulin glulisine 995:978-0-85404-182-4 950:functional groups 675:diabetes mellitus 653:Biguanidine drugs 461:Chemical compound 459: 458: 279:CompTox Dashboard 101:Interactive image 16:Chemical compound 3185: 2955: 2763: 2641: 2630: 2621: 2612: 2523: 2507: 2496: 2478:antiparasitics ( 2461: 2454: 2447: 2438: 2224: 2120:SGLT2 inhibitors 2050: 1959:DPP-4 inhibitors 1940:(GLP-1/GIP/GCGR) 1916: 1722: 1710: 1546: 1537: 1526: 1435:Insulin degludec 1397:Insulin glargine 1334: 1317: 1288: 1281: 1274: 1265: 1258: 1257: 1247: 1215: 1209: 1208: 1198: 1169: 1163: 1162: 1144: 1138: 1137: 1127: 1116:10.1172/JCI14178 1095: 1089: 1088: 1070: 1064: 1063: 1044:"Ueber Biguanid" 1039: 1033: 1032: 1006: 1000: 999: 966: 753: 734: 719: 641: 639: 638: 633: 631: 630: 629: 620: 619: 610: 609: 597: 596: 581: 580: 571: 570: 561: 560: 504: 503: 500: 499: 496: 493: 490: 487: 484: 481: 478: 475: 443: 437: 434: 433: 397: 382: 376: 370: 363:Chemical formula 303: 302: 287: 285: 269: 249: 238: 224: 202:Gmelin Reference 185: 177: 166: 155: 135: 103: 79: 38: 29: 22: 3193: 3192: 3188: 3187: 3186: 3184: 3183: 3182: 3158: 3157: 3156: 3151: 3150: 3135:Clinical trials 3114: 3097: 3086: 3069: 3054: 3028: 3006: 3000: 2950: 2940: 2889: 2856: 2845: 2828: 2805: 2767:DHFR inhibitors 2748: 2718: 2692: 2645:Aminoquinolines 2635: 2625: 2597: 2564: 2546: 2514: 2501: 2490: 2483: 2465: 2435: 2426: 2425: 2410:Clinical trials 2385: 2209: 2183: 2114: 2086: 2037: 1949: 1914: 1852: 1823: 1717: 1695: 1668: 1635: 1580:/"glitazones" ( 1572: 1531: 1516: 1515: 1500:Clinical trials 1479: 1458: 1439:+insulin aspart 1421: 1392:Insulin detemir 1378: 1374:Regular insulin 1360: 1328: 1326:insulin analogs 1311: 1304:insulin analogs 1292: 1262: 1261: 1217: 1216: 1212: 1171: 1170: 1166: 1159: 1146: 1145: 1141: 1097: 1096: 1092: 1085: 1072: 1071: 1067: 1041: 1040: 1036: 1029: 1008: 1007: 1003: 996: 980:. p. 885. 968: 967: 963: 958: 930: 924: 892:dihydrotriazine 880: 864:lactic acidosis 856: 844:gluconeogenesis 814: 806:lactic acidosis 773: 767: 760: 754: 745: 735: 726: 720: 667: 655: 647:Bernhard Rathke 621: 611: 601: 588: 572: 562: 552: 546: 545: 541:-type process. 527: 512: 508: 472: 468: 462: 455: 450: 449: 448:  ?) 439: 435: 431: 427: 412: 395: 385: 379: 373: 365: 351: 348: 343: 342: 331: 328: 327: 324: 318: 317: 306: 288: 281: 272: 252: 239: 227: 204: 195: 158: 138: 115: 106: 93: 82: 69: 55: 54: 17: 12: 11: 5: 3191: 3189: 3181: 3180: 3175: 3170: 3160: 3159: 3153: 3152: 3149: 3148: 3147: 3146: 3143: 3132: 3126: 3120: 3119: 3116: 3115: 3113: 3112: 3106:Blastocystosis 3102: 3100: 3092: 3091: 3088: 3087: 3085: 3084: 3074: 3072: 3064: 3063: 3060: 3059: 3056: 3055: 3053: 3052: 3046: 3044: 3038: 3037: 3034: 3033: 3030: 3029: 3027: 3026: 3023: 3020: 3017: 3014: 3010: 3008: 3002: 3001: 2999: 2998: 2993: 2988: 2982: 2976: 2970: 2964: 2962: 2952: 2946: 2945: 2942: 2941: 2939: 2938: 2933: 2928: 2923: 2918: 2913: 2908: 2897: 2895: 2891: 2890: 2888: 2887: 2882: 2877: 2872: 2867: 2861: 2859: 2851: 2850: 2847: 2846: 2844: 2843: 2836: 2834: 2833:Co-formulation 2830: 2829: 2827: 2826: 2821: 2815: 2813: 2807: 2806: 2804: 2803: 2802: 2801: 2796: 2794:chlorproguanil 2783: 2782: 2777: 2771: 2769: 2760: 2754: 2753: 2750: 2749: 2747: 2746: 2740: 2739: 2738: 2737: 2726: 2724: 2720: 2719: 2717: 2716: 2711: 2706: 2700: 2698: 2694: 2693: 2691: 2690: 2685: 2680: 2670: 2669: 2664: 2659: 2649: 2647: 2638: 2627: 2618: 2609: 2603: 2602: 2599: 2598: 2596: 2595: 2590: 2585: 2580: 2574: 2572: 2566: 2565: 2563: 2562: 2556: 2554: 2548: 2547: 2545: 2544: 2531: 2529: 2520: 2504: 2493: 2485: 2484: 2476:Chromalveolata 2468:Antiparasitics 2466: 2464: 2463: 2456: 2449: 2441: 2432: 2431: 2428: 2427: 2424: 2423: 2422: 2421: 2418: 2407: 2401: 2395: 2394: 2391: 2390: 2387: 2386: 2384: 2383: 2378: 2373: 2368: 2363: 2358: 2353: 2348: 2343: 2338: 2333: 2328: 2323: 2318: 2313: 2308: 2303: 2298: 2293: 2288: 2283: 2278: 2273: 2268: 2263: 2258: 2253: 2248: 2243: 2238: 2233: 2227: 2221: 2215: 2214: 2211: 2210: 2208: 2207: 2202: 2197: 2191: 2189: 2185: 2184: 2182: 2181: 2176: 2171: 2166: 2161: 2156: 2154:Luseogliflozin 2151: 2146: 2141: 2136: 2131: 2125: 2123: 2116: 2115: 2113: 2112: 2107: 2102: 2096: 2094: 2088: 2087: 2085: 2084: 2079: 2074: 2069: 2064: 2058: 2056: 2047: 2043: 2042: 2039: 2038: 2036: 2035: 2030: 2025: 2020: 2015: 2010: 2005: 2000: 1995: 1990: 1985: 1980: 1975: 1970: 1964: 1962: 1955: 1954: 1951: 1950: 1948: 1947: 1941: 1935: 1924: 1922: 1913: 1912: 1907: 1902: 1897: 1892: 1887: 1882: 1877: 1872: 1866: 1864: 1858: 1857: 1854: 1853: 1851: 1850: 1845: 1840: 1834: 1832: 1825: 1824: 1822: 1821: 1819:Glyclopyramide 1816: 1811: 1806: 1801: 1796: 1791: 1786: 1781: 1775:2nd generation 1771: 1770: 1765: 1760: 1755: 1750: 1748:Chlorpropamide 1745: 1740: 1734:1st generation 1730: 1728: 1719: 1715: 1707: 1701: 1700: 1697: 1696: 1694: 1693: 1688: 1682: 1680: 1670: 1669: 1667: 1666: 1661: 1656: 1651: 1645: 1643: 1637: 1636: 1634: 1633: 1628: 1623: 1618: 1613: 1608: 1603: 1598: 1593: 1587: 1585: 1574: 1573: 1571: 1570: 1565: 1560: 1554: 1552: 1543: 1533: 1532: 1529: 1522: 1521: 1518: 1517: 1514: 1513: 1512: 1511: 1508: 1497: 1491: 1485: 1484: 1481: 1480: 1478: 1477: 1474: 1470: 1468: 1460: 1459: 1457: 1456: 1449:Insulin icodec 1446: 1431: 1429: 1423: 1422: 1420: 1419: 1414: 1409: 1404: 1394: 1388: 1386: 1380: 1379: 1377: 1376: 1370: 1368: 1362: 1361: 1359: 1358: 1356:Insulin lispro 1353: 1348: 1346:Insulin aspart 1342: 1340: 1330: 1329: 1320: 1313: 1312: 1293: 1291: 1290: 1283: 1276: 1268: 1260: 1259: 1210: 1164: 1157: 1139: 1090: 1083: 1065: 1054:(1): 776–784. 1034: 1027: 1001: 994: 960: 959: 957: 954: 923: 920: 919: 918: 916:Chlorproguanil 913: 879: 876: 855: 852: 813: 810: 766: 763: 762: 761: 755: 748: 746: 736: 729: 727: 721: 714: 712: 708: 707: 701: 695: 666: 663: 654: 651: 643: 642: 628: 624: 618: 614: 608: 604: 600: 595: 591: 587: 584: 579: 575: 569: 565: 559: 555: 526: 523: 510: 506: 460: 457: 456: 451: 429: 428: 424:standard state 421: 418: 417: 414: 410: 400: 399: 393: 387: 386: 383: 377: 371: 366: 361: 358: 357: 353: 352: 350: 349: 346: 338: 337: 336: 333: 332: 330: 329: 325: 322: 321: 313: 312: 311: 308: 307: 305: 304: 291: 289: 277: 274: 273: 271: 270: 262: 260: 254: 253: 251: 250: 242: 240: 232: 229: 228: 226: 225: 217: 215: 209: 208: 205: 200: 197: 196: 194: 193: 189: 187: 179: 178: 168: 160: 159: 157: 156: 148: 146: 140: 139: 137: 136: 128: 126: 120: 119: 116: 111: 108: 107: 105: 104: 96: 94: 87: 84: 83: 81: 80: 72: 70: 65: 62: 61: 57: 56: 52: 51: 45: 44: 40: 39: 31: 30: 15: 13: 10: 9: 6: 4: 3: 2: 3190: 3179: 3176: 3174: 3171: 3169: 3166: 3165: 3163: 3144: 3142: 3139: 3138: 3136: 3133: 3130: 3127: 3125: 3122: 3121: 3117: 3111: 3110:metronidazole 3107: 3104: 3103: 3101: 3099: 3093: 3083: 3079: 3078:Balantidiasis 3076: 3075: 3073: 3071: 3065: 3051: 3048: 3047: 3045: 3043: 3039: 3024: 3021: 3018: 3016:artesunate/SP 3015: 3012: 3011: 3009: 3003: 2997: 2994: 2992: 2989: 2986: 2983: 2980: 2977: 2974: 2971: 2969: 2966: 2965: 2963: 2961: 2956: 2953: 2947: 2937: 2934: 2932: 2929: 2927: 2924: 2922: 2919: 2917: 2914: 2912: 2909: 2906: 2902: 2899: 2898: 2896: 2892: 2886: 2883: 2881: 2878: 2876: 2873: 2871: 2868: 2866: 2863: 2862: 2860: 2858: 2855:Sesquiterpene 2852: 2841: 2838: 2837: 2835: 2831: 2825: 2822: 2820: 2817: 2816: 2814: 2812: 2808: 2800: 2797: 2795: 2792: 2791: 2790: 2789: 2785: 2784: 2781: 2778: 2776: 2775:pyrimethamine 2773: 2772: 2770: 2768: 2764: 2761: 2759: 2755: 2745: 2742: 2741: 2736: 2733: 2732: 2731: 2728: 2727: 2725: 2721: 2715: 2712: 2710: 2707: 2705: 2702: 2701: 2699: 2695: 2689: 2686: 2684: 2681: 2679: 2675: 2672: 2671: 2668: 2665: 2663: 2660: 2658: 2654: 2651: 2650: 2648: 2646: 2642: 2639: 2637: 2631: 2628: 2622: 2619: 2617: 2613: 2610: 2608: 2604: 2594: 2591: 2589: 2586: 2584: 2581: 2579: 2578:pyrimethamine 2576: 2575: 2573: 2571: 2570:Toxoplasmosis 2567: 2561: 2558: 2557: 2555: 2553: 2549: 2542: 2538: 2537: 2533: 2532: 2530: 2528: 2524: 2521: 2518: 2517:Coccidiostats 2512: 2508: 2505: 2503: 2497: 2494: 2492: 2486: 2481: 2477: 2473: 2469: 2462: 2457: 2455: 2450: 2448: 2443: 2442: 2439: 2419: 2417: 2414: 2413: 2411: 2408: 2405: 2402: 2400: 2397: 2396: 2382: 2379: 2377: 2374: 2372: 2369: 2367: 2364: 2362: 2359: 2357: 2354: 2352: 2349: 2347: 2344: 2342: 2339: 2337: 2334: 2332: 2329: 2327: 2324: 2322: 2319: 2317: 2314: 2312: 2309: 2307: 2304: 2302: 2299: 2297: 2294: 2292: 2289: 2287: 2284: 2282: 2279: 2277: 2274: 2272: 2269: 2267: 2264: 2262: 2259: 2257: 2254: 2252: 2249: 2247: 2244: 2242: 2239: 2237: 2234: 2232: 2229: 2228: 2225: 2222: 2220: 2216: 2206: 2203: 2201: 2200:Bromocriptine 2198: 2196: 2193: 2192: 2190: 2186: 2180: 2179:Velagliflozin 2177: 2175: 2174:Tofogliflozin 2172: 2170: 2169:Sotagliflozin 2167: 2165: 2162: 2160: 2159:Remogliflozin 2157: 2155: 2152: 2150: 2149:Ipragliflozin 2147: 2145: 2144:Ertugliflozin 2142: 2140: 2139:Empagliflozin 2137: 2135: 2134:Dapagliflozin 2132: 2130: 2129:Canagliflozin 2127: 2126: 2124: 2122:/"gliflozins" 2121: 2117: 2111: 2108: 2106: 2103: 2101: 2098: 2097: 2095: 2093: 2089: 2083: 2080: 2078: 2075: 2073: 2070: 2068: 2065: 2063: 2060: 2059: 2057: 2055: 2051: 2048: 2044: 2034: 2031: 2029: 2026: 2024: 2023:Teneligliptin 2021: 2019: 2016: 2014: 2011: 2009: 2006: 2004: 2001: 1999: 1996: 1994: 1991: 1989: 1986: 1984: 1981: 1979: 1976: 1974: 1971: 1969: 1966: 1965: 1963: 1960: 1956: 1945: 1942: 1939: 1936: 1933: 1929: 1926: 1925: 1923: 1921: 1917: 1911: 1908: 1906: 1903: 1901: 1898: 1896: 1893: 1891: 1888: 1886: 1883: 1881: 1878: 1876: 1873: 1871: 1868: 1867: 1865: 1863: 1859: 1849: 1846: 1844: 1841: 1839: 1836: 1835: 1833: 1830: 1826: 1820: 1817: 1815: 1812: 1810: 1807: 1805: 1802: 1800: 1797: 1795: 1792: 1790: 1787: 1785: 1782: 1780: 1776: 1773: 1772: 1769: 1766: 1764: 1761: 1759: 1756: 1754: 1751: 1749: 1746: 1744: 1741: 1739: 1738:Acetohexamide 1735: 1732: 1731: 1729: 1727: 1726:Sulfonylureas 1723: 1720: 1718: 1711: 1708: 1706: 1705:Secretagogues 1702: 1692: 1689: 1687: 1684: 1683: 1681: 1679: 1675: 1671: 1665: 1662: 1660: 1657: 1655: 1652: 1650: 1647: 1646: 1644: 1642: 1638: 1632: 1629: 1627: 1626:Rosiglitazone 1624: 1622: 1621:Rivoglitazone 1619: 1617: 1614: 1612: 1611:Netoglitazone 1609: 1607: 1606:Lobeglitazone 1604: 1602: 1599: 1597: 1594: 1592: 1589: 1588: 1586: 1583: 1579: 1575: 1569: 1566: 1564: 1561: 1559: 1556: 1555: 1553: 1551: 1547: 1544: 1542: 1538: 1534: 1527: 1523: 1509: 1507: 1504: 1503: 1501: 1498: 1495: 1492: 1490: 1487: 1486: 1475: 1472: 1471: 1469: 1467: 1466: 1461: 1454: 1450: 1447: 1444: 1440: 1436: 1433: 1432: 1430: 1428: 1424: 1418: 1415: 1413: 1412:Lente insulin 1410: 1408: 1405: 1402: 1401:+lixisenatide 1398: 1395: 1393: 1390: 1389: 1387: 1385: 1381: 1375: 1372: 1371: 1369: 1367: 1363: 1357: 1354: 1352: 1349: 1347: 1344: 1343: 1341: 1339: 1335: 1331: 1327: 1323: 1318: 1314: 1309: 1305: 1301: 1297: 1289: 1284: 1282: 1277: 1275: 1270: 1269: 1266: 1255: 1251: 1246: 1241: 1237: 1233: 1229: 1225: 1221: 1214: 1211: 1206: 1202: 1197: 1192: 1188: 1184: 1180: 1176: 1168: 1165: 1160: 1158:0-19-503568-2 1154: 1150: 1143: 1140: 1135: 1131: 1126: 1121: 1117: 1113: 1110:(8): 1105–7. 1109: 1105: 1104:J Clin Invest 1101: 1094: 1091: 1086: 1084:0-443-07145-4 1080: 1076: 1069: 1066: 1061: 1057: 1053: 1049: 1045: 1038: 1035: 1030: 1024: 1020: 1016: 1012: 1005: 1002: 997: 991: 987: 983: 979: 975: 971: 965: 962: 955: 953: 951: 947: 943: 939: 935: 934:chlorhexidine 929: 922:Disinfectants 921: 917: 914: 911: 907: 904: 903: 902: 900: 897: 893: 889: 885: 877: 875: 873: 869: 865: 861: 853: 851: 848: 845: 840: 836: 834: 830: 829:sulfonylureas 826: 821: 819: 811: 809: 807: 803: 799: 795: 791: 787: 783: 779: 778: 772: 764: 758: 752: 747: 743: 739: 733: 728: 724: 718: 713: 710: 705: 702: 699: 696: 694: 690: 687: 686: 685: 682: 680: 676: 672: 664: 662: 660: 657:A variety of 652: 650: 648: 626: 616: 606: 593: 582: 577: 567: 557: 544: 543: 542: 540: 536: 532: 531:dicyandiamide 524: 522: 520: 516: 502: 466: 454: 447: 442: 425: 419: 415: 409: 405: 402: 401: 394: 392: 389: 388: 367: 364: 360: 359: 354: 347:N=C(N)NC(=N)N 345: 341: 334: 320: 316: 309: 301: 297: 296:DTXSID7074664 293: 292: 290: 280: 276: 275: 268: 264: 263: 261: 259: 256: 255: 248: 244: 243: 241: 235: 231: 230: 223: 219: 218: 216: 214: 211: 210: 206: 203: 199: 198: 191: 190: 188: 186: 181: 180: 176: 172: 169: 167: 165:ECHA InfoCard 162: 161: 154: 150: 149: 147: 145: 142: 141: 134: 130: 129: 127: 125: 122: 121: 117: 114: 110: 109: 102: 98: 97: 95: 91: 86: 85: 78: 74: 73: 71: 68: 64: 63: 58: 50: 46: 41: 37: 32: 28: 23: 3082:tetracycline 2975:/piperaquine 2931:pyronaridine 2911:tetracycline 2811:Sulfonamides 2787: 2786: 2744:halofantrine 2735:+ artemether 2730:lumefantrine 2607:Aconoidasida 2583:sulfadiazine 2552:Isosporiasis 2541:nitazoxanide 2534: 2219:Combinations 2164:Sergliflozin 2033:Vildagliptin 2028:Trelagliptin 2008:Omarigliptin 1983:Garvagliptin 1910:Taspoglutide 1900:Orforglipron 1895:Lixisenatide 1829:Meglitinides 1784:Glibornuride 1774: 1758:Metahexamide 1753:Glycyclamide 1733: 1686:Cagrilintide 1676:analogs and 1664:Tesaglitazar 1659:Saroglitazar 1654:Muraglitazar 1631:Troglitazone 1616:Pioglitazone 1596:Darglitazone 1549: 1530:Non-insulins 1463: 1453:+semaglutide 1443:+liraglutide 1426: 1383: 1366:short-acting 1365: 1337: 1230:(6): 721–9. 1227: 1223: 1213: 1178: 1167: 1148: 1142: 1107: 1103: 1093: 1075:Pharmacology 1074: 1068: 1051: 1047: 1037: 1010: 1004: 973: 964: 942:polihexanide 931: 928:Bisbiguanide 881: 878:Antimalarial 872:hypoglycemia 857: 849: 841: 837: 833:meglitinides 822: 815: 785: 775: 774: 683: 668: 656: 644: 528: 464: 463: 416:3.07, 13.25 407: 60:Identifiers 3131:from market 3050:clindamycin 2936:piperaquine 2921:clindamycin 2916:doxycycline 2905:+ proguanil 2870:artemisinin 2819:sulfadoxine 2780:cycloguanil 2758:Antifolates 2688:tafenoquine 2662:chloroquine 2657:amodiaquine 2624:Individual 2588:clindamycin 2536:thiazolides 2511:Conoidasida 2406:from market 2018:Sitagliptin 2013:Saxagliptin 2003:Melogliptin 1998:Linagliptin 1993:Gosogliptin 1988:Gemigliptin 1961:/"gliptins" 1946:(GLP-1/GIP) 1944:Tirzepatide 1938:Retatrutide 1905:Semaglutide 1890:Liraglutide 1880:Dulaglutide 1875:Danuglipron 1870:Albiglutide 1848:Repaglinide 1843:Nateglinide 1838:Mitiglinide 1831:/"glinides" 1814:Glisoxepide 1799:Glimepiride 1789:Glicaramide 1768:Tolbutamide 1743:Carbutamide 1691:Pramlintide 1649:Aleglitazar 1601:Englitazone 1591:Ciglitazone 1496:from market 1407:NPH insulin 1384:long-acting 1338:fast-acting 910:cycloguanil 681:treatment. 679:prediabetes 659:derivatives 356:Properties 171:100.000.229 3173:Guanidines 3168:Biguanides 3162:Categories 3042:Babesiosis 2973:arterolane 2901:atovaquone 2880:artesunate 2865:artemether 2788:biguanides 2704:mefloquine 2678:primaquine 2636:inhibitors 2593:atovaquone 2195:Benfluorex 2082:Zenarestat 2072:Ranirestat 2067:Fidarestat 2062:Epalrestat 1978:Evogliptin 1973:Anagliptin 1968:Alogliptin 1809:Gliquidone 1794:Gliclazide 1763:Tolazamide 1568:Phenformin 1550:Biguanides 1028:3527306730 956:References 926:See also: 896:inhibiting 884:Frank Rose 802:phenformin 757:Phenformin 698:Phenformin 391:Molar mass 267:FB4Q52I9K2 144:ChemSpider 133:CHEBI:3095 88:3D model ( 67:CAS Number 20:Biguanide 3141:Phase III 3129:Withdrawn 2926:mepacrine 2875:artemotil 2824:sulfalene 2799:proguanil 2714:quinidine 2683:pamaquine 2416:Phase III 2404:Withdrawn 2205:Imeglimin 2110:Voglibose 2077:Tolrestat 1928:Mazdutide 1885:Exenatide 1804:Glipizide 1563:Metformin 1506:Phase III 1494:Withdrawn 1465:inhalable 946:alexidine 906:Proguanil 790:synthalin 782:guanidine 723:Metformin 689:Metformin 673:used for 649:in 1879. 599:⟶ 525:Synthesis 465:Biguanide 192:200-251-8 184:EC Number 3096:Stramen- 2857:lactones 2634:Hemozoin 2105:Miglitol 2100:Acarbose 1558:Buformin 1322:Insulins 1300:insulins 1205:37100912 1196:10131557 1134:11602616 972:(2014). 940:(PAPB), 860:diarrhea 827:such as 798:diabetes 738:Buformin 704:Buformin 537:, via a 2951:nations 2709:quinine 2616:Malaria 2500:Apicom- 1930:(GLP-1/ 1476:Afrezza 1473:Exubera 1181:: 1–9. 794:insulin 765:History 535:ammonia 515:ammonia 446:what is 444: ( 404:Acidity 396:101.113 234:PubChem 207:240093 118:507183 77:56-03-1 3124:WHO-EM 3068:Cilio- 2987:(ASMQ) 2981:(ASAQ) 2949:Combi- 2626:agents 2489:Alveo- 2399:WHO-EM 1678:DACRAs 1674:Amylin 1489:WHO-EM 1254:931371 1252:  1245:430011 1242:  1203:  1193:  1179:Nature 1155:  1132:  1125:209536 1122:  1081:  1025:  992:  944:, and 786:Galega 539:Pinner 441:verify 438:  340:SMILES 222:C07672 43:Names 3098:opile 3070:phora 2894:Other 2723:Other 2502:plexa 2188:Other 2046:Other 1294:Oral 908:(> 742:butyl 671:drugs 533:with 315:InChI 124:ChEBI 90:JSmol 2960:ACTs 2842:(SP) 2674:(8-) 2653:(4-) 2491:late 1932:GCGR 1582:PPAR 1578:TZDs 1302:and 1250:PMID 1201:PMID 1153:ISBN 1130:PMID 1079:ISBN 1023:ISBN 990:ISBN 831:and 816:The 740:. A 519:urea 517:and 258:UNII 247:5939 213:KEGG 153:5726 2480:P01 1716:ATP 1308:A10 1240:PMC 1232:doi 1191:PMC 1183:doi 1120:PMC 1112:doi 1108:108 1056:doi 1015:doi 982:doi 677:or 284:EPA 237:CID 3164:: 3137:: 3108:: 3080:: 2676:: 2655:: 2474:– 2470:– 2412:: 1777:: 1736:: 1502:: 1441:, 1298:, 1248:. 1238:. 1228:12 1226:. 1222:. 1199:. 1189:. 1177:. 1128:. 1118:. 1106:. 1102:. 1052:12 1050:. 1046:. 1021:. 988:. 976:. 952:. 936:, 521:. 495:aɪ 477:aɪ 413:) 406:(p 2907:) 2903:( 2543:) 2539:( 2519:) 2515:( 2513:/ 2482:) 2460:e 2453:t 2446:v 1934:) 1714:K 1584:) 1455:) 1451:( 1445:) 1437:( 1403:) 1399:( 1324:/ 1310:) 1287:e 1280:t 1273:v 1256:. 1234:: 1207:. 1185:: 1161:. 1136:. 1114:: 1087:. 1062:. 1058:: 1031:. 1017:: 998:. 984:: 912:) 627:5 623:N 617:7 613:H 607:2 603:C 594:3 590:H 586:N 583:+ 578:4 574:N 568:4 564:H 558:2 554:C 511:2 509:) 507:2 501:/ 498:d 492:n 489:ɒ 486:w 483:ɡ 480:ˈ 474:b 471:/ 467:( 436:Y 411:a 408:K 384:5 381:N 378:7 375:H 372:2 369:C 286:) 282:( 92:)

Index

Skeletal formula of biguanide
Ball and stick model of biguanide
Preferred IUPAC name
CAS Number
56-03-1
JSmol
Interactive image
Beilstein Reference
ChEBI
CHEBI:3095
ChemSpider
5726
ECHA InfoCard
100.000.229
Edit this at Wikidata
EC Number
Gmelin Reference
KEGG
C07672
PubChem
5939
UNII
FB4Q52I9K2
CompTox Dashboard
DTXSID7074664
Edit this at Wikidata
InChI
SMILES
Chemical formula
Molar mass

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