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Levomepromazine

HCID 72287
NotesReactions
Basic informationOverviewNames & identifiersPropertiesSafety & regulationChemistry & industryRelated reactionsCompound notes
Substructure searchFind similar structures

Basic information

CAS
60-99-1
Standard SMILES
COc1ccc2c(c1)N(C[C@H](C)CN(C)C)c1ccccc1S2
InChIKey
VRQVVMDWGGWHTJ-CQSZACIVSA-N
Molecular formula
C19H24N2OS
Average molar mass
328.5 g/mol
Monoisotopic mass
328.16093457

Overview

Methotrimeprazine is a member of the class of phenothiazines that is 10H-phenothiazine substituted by a (2R)-3-(dimethylamino)-2-methylpropyl group and a methoxy group at positions 10 and 2 respectively. It has a role as an anticoronaviral agent, a non-narcotic analgesic, a phenothiazine antipsychotic drug, a serotonergic antagonist, a dopaminergic antagonist, a cholinergic antagonist and an EC 3.4.21.26 (prolyl oligopeptidase) inhibitor. It is a tertiary amine and a member of phenothiazines. It derives from a hydride of a 10H-phenothiazine.

Names & identifiers

Preferred name
Levomepromazine
IUPAC
(2R)-3-(2-methoxyphenothiazin-10-yl)-N,N,2-trimethylpropan-1-amine
English name
(-)-10-(3-[Dimethylamino]-2-methylpropyl)-2-methoxy-phenothiazine maleate salt
Molecular formula
C19H24N2OS
Molecular weight
328.47

Names & synonyms

LevomepromazineMETHOTRIMEPRAZINE60-99-1LevopromeLevopromazineNeozineLevomepromazinaNirvanLevomepromazinum2-MethoxytrimeprazineNosinanSK&F 5116
Show more names
LevotominLevomepromazinXP 03rp7044C07192skf5116
RP-7044CL 36467CL 39743XP03RP 7044Bayer 1213Arc-VI-C-59G0LAW7ATQ

Database identifiers

CAS
60-99-1
PubChem CID
72287
DTXSID
DTXSID1023289
ChEMBL
CHEMBL1764
ChEBI
CHEBI:6838
UNII
9G0LAW7ATQ
EC Number
200-495-5
Nikkaji
J76.892H

Properties

Computed structural properties

XLogP
4.7
Topological polar surface area
41 Ų
Hydrogen bond donors
0
Hydrogen bond acceptors
4
Rotatable bonds
5
Heavy atoms
23
Formal charge
0
Complexity
378

Experimental & physicochemical properties

Drugs · 3 items

DEA NFLIS-Drug Category -> Depressants and Tranquilizers

Pharmaceuticals -> Listed in ZINC15

Pharmaceuticals -> Antipsychotics

LogP4.68
Solubility5.25e-03 g/L
Human Drugs · 3 items

FDA approved drugs -> Active ingredient

FDA approved drugs -> Active ingredient

Pharmaceuticals

Physical DescriptionSolid
Dissociation Constants · 2 items

9.19

9.19

Collision Cross Section176.8 Ų [M+H]+ [CCS Type: TW; Method: Major Mix IMS/Tof Calibration Kit (Waters)]

Physicochemical properties

Melting point
117 °C · 117°C

Safety & regulation

Safety information is for reference only and does not replace the supplier’s Safety Data Sheet (SDS), applicable regulations, or professional assessment.

GHS classification

GHS Classification · 4 items

Warning

H302 (100%): Harmful if swallowed [Warning Acute toxicity, oral]

P261, P264, P270, P271, P280, P301+P317, P302+P352, P304+P340, P317, P321, P330, P362+P364, and P501 (click each P-code to see the statement)

Aggregated GHS information provided per 40 reports by companies from 3 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.

Hazard information

Regulatory InformationMethotrimeprazine: Does not have an individual approval but may be used under an appropriate group standard
Hazard Classes and CategoriesAcute Tox. 4 (100%)

Toxicology

Exposure RoutesOral; parental (intramuscular). Methotrimeprazine has an incomplete oral bioavailability, because it undergoes considerable first-pass-metabolism in the liver. Oral bioavailability is approximately 50 to 60%.
Toxicity Summary · 1 item

Methotrimeprazine's antipsychotic effect is largely due to its antagonism of dopamine receptors in the brain. In addition, its binding to 5HT2 receptors may also play a role. Methotrimeprazine exerts its actions through a central adrenergic-blocking, a dopamine-blocking, a serotonin-blocking, and a anticholinergic blocking.

Signs and SymptomsSymptoms of overdose include convulsions, spastic movements, and coma.
Carcinogen ClassificationNo indication of carcinogenicity to humans (not listed by IARC).

Chemistry & industry

Pharmacology

ATC Code · 3 items

N05AA02

N - Nervous system

QN - Nervous system

Pharmacodynamics · 1 item

Methotrimeprazine is a phenothiazine with pharmacological activity similar to that of both chlorpromazine and promethazine. It has the histamine-antagonist properties of the antihistamines together with central nervous system effects resembling those of chlorpromazine. (From Martindale, The Extra Pharmacopoeia, 30th ed, p604)

Mechanism of ActionMethotrimeprazine's antipsychotic effect is largely due to its antagonism of dopamine receptors in the brain. In addition, its binding to 5HT2 receptors may also play a role.
Biological Half-LifeApproximately 20 hours.
Metabolism/Metabolites · 2 items

Hepatic. Methotrimeprazine is metabolized in the liver and degraded to a sulfoxid-, a glucuronid- and a demethyl-moiety.

Hepatic. Methotrimeprazine is metabolized in the liver and degraded to a sulfoxid-, a glucuronid- and a demethyl-moiety. Half Life: Approximately 20 hours.

MeSH Pharmacological Classification · 3 items

Agents that control agitated psychotic behavior, alleviate acute psychotic states, reduce psychotic symptoms, and exert a quieting effect. They are used in SCHIZOPHRENIA; senile dementia; transient psychosis following surgery; or MYOCARDIAL INFARCTION; etc. These drugs are often referred to as neuroleptics alluding to the tendency to produce neurological side effects, but not all antipsychotics are likely to produce such effects. Many of these drugs may also be effective against nausea, emesis, and pruritus.

Drugs that bind to but do not activate DOPAMINE RECEPTORS, thereby blocking the actions of dopamine or exogenous agonists. Many drugs used in the treatment of psychotic disorders (ANTIPSYCHOTIC AGENTS) are dopamine antagonists, although their therapeutic effects may be due to long-term adjustments of the brain rather than to the acute effects of blocking dopamine receptors. Dopamine antagonists have been used for several other clinical purposes including as ANTIEMETICS, in the treatment of Tourette syndrome, and for hiccup. Dopamine receptor blockade is associated with NEUROLEPTIC MALIGNANT SYNDROME.

Related reactions

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Compound notes

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On this pageBasic informationOverviewNames & identifiersPropertiesSafety & regulationChemistry & industryRelated reactionsCompound notes
Boiling point
468 · 468.0±45.0 °C(Predicted)
Density
1.0897 · 1.0897 (rough estimate)
refractive index
1.595 · 1.5950 (estimate)
storage temp.
-20 °C · Store at -20°C
solubility
Chloroform (Slightly), Methanol (Very Slightly)
form
Solid
pka
9.32 · 9.32±0.28(Predicted)
color
White to Off-White
Water Solubility
20 mg/L · 20mg/L(25 ºC)
Major Application
pharmaceutical (small molecule)
InChI
1S/C19H24N2OS/c1-14(12-20(2)3)13-21-16-7-5-6-8-18(16)23-19-10-9-15(22-4)11-17(19)21/h5-11,14H,12-13H2,1-4H3/t14-/m1/s1
InChIKey
VRQVVMDWGGWHTJ-CQSZACIVSA-N
SMILES
S1c2c(cc(cc2)OC)N(c3c1cccc3)C[C@@H](CN(C)C)C
FDA UNII
9 G0LAW7ATQ · 9G0LAW7ATQ
ATC code
5 AA02 · N05AA02
UNSPSC Code
41116107 · 41116107
NACRES
24 · NA.24
Symbol(GHS)
7 · GHS07
Signal word
Warning
Hazard statements
302 · H302+H312+H332
Precautionary statements
261 · P261-P280-P301+P312+P330
Hazard Codes
Xn
Risk Statements
20 · 20/21/22
Safety Statements
36 · 36
RIDADR
3249 · 3249
WGK Germany
3 · WGK 3
RTECS
6125000 · SO6125000
HazardClass
6.1 · 6.1(b)
PackingGroup
III
HS Code
2934302300 · 2934302300
Storage Class
11 · 11 - Combustible Solids
Hazard Classifications
4 DermalAcute · Acute Tox. 4 DermalAcute Tox. 4 InhalationAcute Tox. 4 Oral
Toxicity
50 oral · LD50 oral in rat: 1100mg/kg
Drug Induced Liver Injury · 5 items

Drug-Induced Liver Injury Severity and Toxicity (DILIst)

LEVOMEPROMAZINE

DILI Positive

Oral,Intramuscular; Intravenous

DOI:10.1016/j.drudis.2019.09.022

Safety data

wgk
WGK 3
rtecs
SO6125000
ridadr
3249
hs_code
2934302300
Toxicity
LD50 oral in rat: 1100mg/kg
risk_code
20/21/22
Signal word
Warning
Symbol(GHS)
GHS07
hazard_code
Xn
safety_code
36
hazard_class
6.1(b)
Storage Class
11 - Combustible Solids
packing_group
III
Hazard statements
H302+H312+H332
Hazard Classifications
Acute Tox. 4 DermalAcute Tox. 4 InhalationAcute Tox. 4 Oral
Precautionary statements
P261-P280-P301+P312+P330

A subclass of analgesic agents that typically do not bind to OPIOID RECEPTORS and are not addictive. Many non-narcotic analgesics are offered as NONPRESCRIPTION DRUGS.

Absorption, Distribution and ExcretionMethotrimeprazine has an incomplete oral bioavailability, because it undergoes considerable first-pass-metabolism in the liver. Oral bioavailability is approximately 50 to 60%.
Cellular LocationsMembrane

Uses & manufacturing

Uses · 2 items

Use (kg) in Switzerland (2009): >100

For the treatment of psychosis, particular those of schizophrenia, and manic phases of bipolar disorder. As a potentiator of anesthetics: In general anesthesia where it can be used as both a pre- and post-operative sedative and analgesic. (L1857) As an anti-emetic: For the treatment of nausea and vomiting of central origin.(L1857) As a sedative: For the management of insomnia. (L1857)

Use ClassificationPharmaceuticals

Applications

Uses(R)-Methotrimeprazine acts as an analgesic agent.

Upstream & downstream products

Upstream raw materials

Sodium amide

Suppliers37 total

国药集团化学试剂有限公司86-21-63210123 · [email protected]
Dayang Chem (Hangzhou) Co.,Ltd.+86-0571-88938639 17705817739 · [email protected]
南京世洲生物科技有限公司025-025-85560043 17301488900 · [email protected]
浙江珲达生物科技有限公司0571-89903022 18679456698 · [email protected]
上海赛可锐生物科技有限公司021-58000709 13120558703 · [email protected]
安耐吉化学&3A(安徽泽升科技有限公司)021-58432009 400-005-6266 · [email protected]
上海柯维化学技术有限公司021-64609169 18901607656 · [email protected]
InvivoChem中国13549236410 · [email protected]
玺标(上海)科技有限公司18512111473 18512111473 · [email protected]
广州爱纯医药科技有限公司020-39119399 18927568969 · [email protected]
南京世洲生物科技有限公司13675144456 · [email protected]
上海喀露蓝科技有限公司18149758185 18149758185 · [email protected]
天津普西唐生物医药科技有限公司010-60605840 · [email protected]
Chongqing jooe co., ltd+86-15223382610 · [email protected]
池州凯隆进出口贸易有限公司[email protected]
上海陶术生物科技股份有限公司+1-781-999-5354; +1-00000000000 · [email protected]
艾吉析科技(上海)有限公司17717235263 17717235263 · [email protected]
陕西缔都医药化工有限公司029-029-81120477 17792793610 · [email protected]
BOC Sciences16314854226 · [email protected]
上海源叶生物科技有限公司18916372613 · [email protected]
成都标样生物科技有限公司028-81700200 13308200041 · [email protected]
上海立崎生物医学研究中心18014399201 · [email protected]
Shanghai Acmec Biochemical Technology Co., Ltd.+86-18621343501 · [email protected]
Shaanxi Didu New Materials Co. Ltd+86-86-17392712779 +86-13289823923 · [email protected]
杭州洁汉化工有限公司+86-571-86217390; +8618058761490 · [email protected]
上海吉至生化科技有限公司021-4009004166/18616739031 18616739031 · [email protected]
Xiamen Wonderful Bio Technology Co., Ltd.+86-13043004613 · [email protected]
XIAMEN AMITY INDUSTRY AND TRADE CO., LTD.+8618950047208 · [email protected]
TargetMol中国(陶术生物)4008200310 15002144251 · [email protected]
SHANGHAI KEAN TECHNOLOGY CO., LTD.+8613817748580 · [email protected]
ChemeGen 中国18818260767 · [email protected]
上海陶术生物科技股份有限公司+1-781-999-5354 · [email protected]
TLC梯尔希(南京)药物研发有限公司18012923235 · [email protected]
上海阿摩尔生物科技有限公司13370042665 18916960931 · [email protected]
AFINE CHEMICALS LIMITED+86-571-85134551 +86-18958018566 · [email protected]
南京世洲生物科技有限公司18351873721 · [email protected]
湖北清北云研医药科技有限责任公司18162595016; 18162595016 · [email protected]

Additional notes

DefinitionChEBI: A member of the class of phenothiazines that is 10H-phenothiazine substituted by a (2R)-3-(dimethylamino)-2-methylpropyl group and a methoxy group at positions 10 and 2 respectively.