thioridazine ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
2637 50-52-2

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • thioridazine
  • thioridazin
  • dl-Thioridazine
  • malloryl
  • meleril
  • thioridazine hydrochloride
  • thioridazine HCl
A phenothiazine antipsychotic used in the management of PHYCOSES, including SCHIZOPHRENIA.
  • Molecular weight: 370.57
  • Formula: C21H26N2S2
  • CLOGP: 6.20
  • LIPINSKI: 1
  • HAC: 2
  • HDO: 0
  • TPSA: 6.48
  • ALOGS: -5.64
  • ROTB: 4

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
0.30 g O

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 2 Bocci G, Oprea TI, Benet LZ
S (Water solubility) 0.00 mg/mL Bocci G, Oprea TI, Benet LZ
MRTD (Maximum Recommended Therapeutic Daily Dose) 35.89 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 40 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
azlogd74 LogD at pH 7.4 3.580 Moderate 0.72
caco2-efflux Caco-2 efflux ratio (BA/AB) 2.028 Moderate 0.72
caco2-intrinsic-papp Caco-2 intrinsic apparent permeability 10.471 10^-6 cm/s Moderate 0.72
dh-clint Dog hepatocyte intrinsic clearance 52.481 uL/min/10^6 cells Moderate 0.72
dppb Dog plasma protein binding (% unbound) 0.840 % Moderate 0.72
fcs-ppb Fetal calf serum protein binding (% unbound) 3.310 % Moderate 0.72
herg hERG pIC50 6.071 pIC50 Moderate 0.72
hh-clint Human hepatocyte intrinsic clearance 9.683 uL/min/10^6 cells Moderate 0.72
hlm-clint Human liver microsomal intrinsic clearance 40.551 uL/min/mg protein Moderate 0.72
hppb Human plasma protein binding (% unbound) 0.790 % Moderate 0.72
mdck-mdr1-bcrp-efflux MDCK-MDR1-BCRP efflux ratio 0.615 Moderate 0.72
mdck-mdr1-efflux MDCK-MDR1 efflux ratio 1.189 Moderate 0.72
mh-clint Mouse hepatocyte intrinsic clearance 145.881 Moderate 0.72
mppb Mouse plasma protein binding (% unbound) 1.340 Moderate 0.72
nih-mdck-mdr1-efflux NIH MDCK-MDR1 efflux ratio 6.998 Moderate 0.72
pfas-class PFAS structural alert (1 = True, 0 = False) 0
pppb Pig plasma protein binding (% unbound) 6.770 % Moderate 0.72
rat-kpuu-brain Rat brain Kpuu 0.291 % Moderate 0.72
rh-clint Rat hepatocyte intrinsic clearance 243.220 uL/min/10^6 cells Moderate 0.72
rh-fuinc Rat hepatocyte fraction unbound in incubation 6.100 % Moderate 0.72
rppb Rat plasma protein binding (% unbound) 1.560 % Moderate 0.72
solubility-dd Solubility at pH 7.4 in DMSO 73.621 uM Moderate 0.72

Approvals:

DateAgencyCompanyOrphan
March 15, 1962 FDA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Polydipsia 122.13 73.02 22 663 4209 90623553
Tardive dyskinesia 118.35 73.02 25 660 10905 90616857
Head titubation 110.40 73.02 17 668 1251 90626511
Apraxia 107.52 73.02 18 667 2244 90625518
Parkinsonism 101.16 73.02 23 662 14042 90613720
Dystonia 86.70 73.02 21 664 16798 90610964

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Antipsychotic drug level below therapeutic 653.39 179.46 117 2095 3087 42616036
Disinhibition 630.57 179.46 117 2095 3778 42615345
Therapeutic product effect variable 630.41 179.46 113 2099 2996 42616127
Obsessive-compulsive disorder 601.86 179.46 123 2089 6620 42612503
Euphoric mood 571.63 179.46 117 2095 6336 42612787
Increased appetite 534.06 179.46 117 2095 8789 42610334
Akathisia 520.85 179.46 118 2094 10333 42608790
Suicide attempt 343.53 179.46 117 2095 45983 42573140
Leukaemia 307.71 179.46 69 2143 5703 42613420
Therapeutic product effect incomplete 280.35 179.46 113 2099 70826 42548297
Leukopenia 257.64 179.46 108 2104 74638 42544485
Weight increased 246.99 179.46 117 2095 107866 42511257
Dyslipidaemia 239.62 179.46 62 2150 9356 42609767
Obesity 214.02 179.46 64 2148 16395 42602728
Prescribed overdose 193.14 179.46 56 2156 12871 42606252
Toxicity to various agents 181.51 179.46 124 2088 229012 42390111

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Antipsychotic drug level below therapeutic 272.51 69.60 43 1763 1692 110585801
Therapeutic product effect variable 253.23 69.60 43 1763 2675 110584818
Disinhibition 247.11 69.60 43 1763 3091 110584402
Obsessive-compulsive disorder 211.17 69.60 43 1763 7198 110580295
Euphoric mood 202.68 69.60 43 1763 8784 110578709
Akathisia 189.63 69.60 46 1760 17067 110570426
Increased appetite 180.04 69.60 43 1763 14934 110572559
Dyslipidaemia 177.31 69.60 43 1763 15922 110571571
Schizoaffective disorder 155.12 69.60 29 1777 3107 110584386
Irritability 122.64 69.60 41 1765 47768 110539725
Leukaemia 108.20 69.60 25 1781 7493 110580000
Tardive dyskinesia 107.91 69.60 28 1778 13551 110573942
Head titubation 102.71 69.60 18 1788 1339 110586154
Suicide attempt 98.37 69.60 43 1763 103351 110484142
Obesity 97.76 69.60 44 1762 113307 110474186
Leukopenia 95.21 69.60 47 1759 148744 110438749
Prescribed overdose 95.09 69.60 40 1766 87541 110499952
Polydipsia 91.91 69.60 22 1784 7666 110579827
Apraxia 85.48 69.60 18 1788 3522 110583971
Toxicity to various agents 70.66 69.60 60 1746 480495 110106998

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC N05AC02 NERVOUS SYSTEM
PSYCHOLEPTICS
ANTIPSYCHOTICS
Phenothiazines with piperidine structure
FDA CS M0016525 Phenothiazines
MeSH PA D002492 Central Nervous System Depressants
MeSH PA D011619 Psychotropic Drugs
MeSH PA D014150 Antipsychotic Agents
MeSH PA D015259 Dopamine Agents
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D018492 Dopamine Antagonists
FDA EPC N0000175746 Phenothiazine
CHEBI has role CHEBI:35469 antidepressant
CHEBI has role CHEBI:35474 anxiolytic drug
CHEBI has role CHEBI:35610 antineoplastic agent
CHEBI has role CHEBI:37890 ฮฑ-adrenergic antagonist
CHEBI has role CHEBI:37955 H<small><sub>1</sub></small>-receptor antagonist
CHEBI has role CHEBI:48279 serotonergic antagonist
CHEBI has role CHEBI:48561 dopaminergic antagonist
CHEBI has role CHEBI:65190 first generation antipsychotic
CHEBI has role CHEBI:76779 EC 3.4.21.26 (prolyl oligopeptidase) inhibitor
CHEBI has role CHEBI:77402 EC 1.8.1.12 (trypanothione-disulfide reductase) inhibitor
CHEBI has role CHEBI:176497 geroprotector

Related Drugs by ATC class:

N05AC Phenothiazines with piperidine structure 3 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Treatment-Resistant Schizophrenia indication
Hyperkalemia contraindication 14140009
Neuroleptic malignant syndrome contraindication 15244003 DOID:14464
Senile dementia contraindication 15662003
Orthostatic hypotension contraindication 28651003
Hypokalemia contraindication 43339004
Epilepsy contraindication 84757009 DOID:1826
Stupor contraindication 89458003
Tardive dyskinesia contraindication 102449007
Prolonged QT interval contraindication 111975006
Disease of blood AND/OR blood-forming organ contraindication 191124002 DOID:74
Coma contraindication 371632003
Breastfeeding (mother) contraindication 413712001
Congenital long QT syndrome contraindication 442917000
Predisposed to Torsades de Pointes Cardiac Arrhythmias contraindication




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 9.22 Basic
pKa2 3.45 Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
D(2) dopamine receptor GPCR ANTAGONIST IC50 7.40 WOMBAT-PK CHEMBL
Muscarinic acetylcholine receptor M1 GPCR Ki 8.57 PDSP
Muscarinic acetylcholine receptor M2 GPCR Ki 7.85 PDSP
Muscarinic acetylcholine receptor M3 GPCR Ki 7.60 PDSP
D(3) dopamine receptor GPCR ANTAGONIST IC50 7.30 WOMBAT-PK
D(1B) dopamine receptor GPCR ANTAGONIST Ki 5.60 IUPHAR
Alpha-1A adrenergic receptor GPCR IC50 7.90 WOMBAT-PK
Nuclear receptor subfamily 1 group I member 3 Nuclear hormone receptor WOMBAT-PK
D(1A) dopamine receptor GPCR IC50 7.10 WOMBAT-PK
Alpha-2A adrenergic receptor GPCR Ki 6.87 PDSP
Sigma non-opioid intracellular receptor 1 Membrane receptor Ki 6.82 DRUG MATRIX
Potassium voltage-gated channel subfamily H member 2 Ion channel IC50 7 WOMBAT-PK
Sodium-dependent serotonin transporter Transporter Ki 5.90 PDSP
Sodium-dependent noradrenaline transporter Transporter Ki 5.81 DRUG MATRIX
5-hydroxytryptamine receptor 1A GPCR ANTAGONIST Ki 7.10 IUPHAR
5-hydroxytryptamine receptor 2A GPCR ANTAGONIST EC50 8 WOMBAT-PK
5-hydroxytryptamine receptor 2B GPCR Ki 7.09 DRUG MATRIX
5-hydroxytryptamine receptor 2C GPCR ANTAGONIST Ki 7.30 IUPHAR
5-hydroxytryptamine receptor 6 GPCR ANTAGONIST Ki 7.20 IUPHAR
5-hydroxytryptamine receptor 7 GPCR Ki 7.15 CHEMBL
Histamine H1 receptor GPCR ANTAGONIST Ki 7.70 IUPHAR
Histamine H2 receptor GPCR Ki 6.87 PDSP
Histamine H4 receptor GPCR Ki 5.62 PDSP
Muscarinic acetylcholine receptor M4 GPCR Ki 8.05 PDSP
Muscarinic acetylcholine receptor M5 GPCR Ki 7.89 PDSP
Aldehyde oxidase Enzyme IC50 6.80 WOMBAT-PK
5-hydroxytryptamine receptor 1B GPCR Ki 6.96 PDSP
5-hydroxytryptamine receptor 1D GPCR Ki 6.24 PDSP
Alpha-2C adrenergic receptor GPCR Ki 7.13 PDSP
Sodium-dependent dopamine transporter Transporter Ki 5.77 PDSP
Cytochrome P450 2D6 Enzyme IC50 5.75 DRUG MATRIX
D(4) dopamine receptor GPCR ANTAGONIST Ki 7.98 PDSP
Alpha-1D adrenergic receptor GPCR Ki 8.69 DRUG MATRIX
Alpha-1B adrenergic receptor GPCR Ki 8.62 PDSP
Kappa-type opioid receptor GPCR Ki 6.00 DRUG MATRIX
ATP-binding cassette sub-family G member 2 Transporter IC50 5.18 CHEMBL
5-hydroxytryptamine receptor 5A GPCR Ki 6.44 PDSP
Cytochrome P450 1A2 Enzyme IC50 5.03 DRUG MATRIX
5-hydroxytryptamine receptor 1E GPCR Ki 6.71 PDSP
Epidermal growth factor receptor Kinase IC50 5.53 DRUG MATRIX
Cytochrome P450 2C19 Enzyme IC50 5.20 DRUG MATRIX
Tyrosine-protein kinase Fyn Kinase IC50 5.30 DRUG MATRIX
Serine/threonine-protein kinase pim-1 Kinase IC50 5.16 CHEMBL
Sodium channel alpha subunits; brain (Types I, II, III) Ion channel IC50 5.19 CHEMBL
Alpha-2B adrenergic receptor GPCR Ki 6.47 PDSP
Mucosa-associated lymphoid tissue lymphoma translocation protein 1 Enzyme IC50 5.46 CHEMBL
Alpha-1B adrenergic receptor GPCR Ki 8.59 DRUG MATRIX
Membrane-associated progesterone receptor component 1 Membrane receptor Ki 6.28 DRUG MATRIX
Alpha-1A adrenergic receptor GPCR IC50 8.29 CHEMBL
D(2) dopamine receptor GPCR IC50 8.55 CHEMBL
5-hydroxytryptamine receptor 7 GPCR ANTAGONIST Ki 7.20 IUPHAR
D(1A) dopamine receptor GPCR IC50 7.76 CHEMBL
Histamine H1 receptor GPCR IC50 7 CHEMBL
5-hydroxytryptamine receptor 6 GPCR ANTAGONIST Ki 8.20 IUPHAR
Pleiotropic ABC efflux transporter of multiple drugs Transporter IC50 5.89 CHEMBL
Muscarinic acetylcholine receptor GPCR IC50 8.70 CHEMBL
Serotonin 1 (5-HT1) receptor GPCR IC50 5.06 CHEMBL
Adrenergic receptor alpha-2 GPCR IC50 5.89 CHEMBL
Dopamine receptor GPCR IC50 7.07 CHEMBL
Serotonin 2 (5-HT2) receptor GPCR IC50 7.74 CHEMBL
G protein-activated inward rectifier potassium channel 2 Ion channel GATING INHIBITOR EC50 4.20 IUPHAR

External reference:

IDSource
4019946 VUID
N0000148031 NUI
D00373 KEGG_DRUG
130-61-0 SECONDARY_CAS_RN
4017892 VANDF
4019946 VANDF
C0039943 UMLSCUI
CHEBI:9566 CHEBI
LZU PDB_CHEM_ID
CHEMBL479 ChEMBL_ID
DB00679 DRUGBANK_ID
CHEMBL1200916 ChEMBL_ID
D013881 MESH_DESCRIPTOR_UI
5452 PUBCHEM_CID
100 IUPHAR_LIGAND_ID
818 INN_ID
N3D6TG58NI UNII
10502 RXNORM
2125 MMSL
5571 MMSL
5572 MMSL
d00389 MMSL
001482 NDDF
004591 NDDF
18550006 SNOMEDCT_US
33588000 SNOMEDCT_US
372706001 SNOMEDCT_US
N3D6TG58NI INXIGHT DRUGS

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0378-0612 TABLET, FILM COATED 10 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0378-0614 TABLET, FILM COATED 25 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0378-0616 TABLET, FILM COATED 50 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 0378-0618 TABLET, FILM COATED 100 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 48433-095 TABLET, FILM COATED 10 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 48433-096 TABLET, FILM COATED 25 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 48433-097 TABLET, FILM COATED 50 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 48433-098 TABLET, FILM COATED 100 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-565 TABLET, FILM COATED 10 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-565 TABLET, FILM COATED 10 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-566 TABLET, FILM COATED 25 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-566 TABLET, FILM COATED 25 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-567 TABLET, FILM COATED 50 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-567 TABLET, FILM COATED 50 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-580 TABLET, FILM COATED 100 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 51079-580 TABLET, FILM COATED 100 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 53489-148 TABLET, FILM COATED 10 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 53489-149 TABLET, FILM COATED 25 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 53489-150 TABLET, FILM COATED 50 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 53489-500 TABLET, FILM COATED 100 mg ORAL ANDA 18 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 62135-934 TABLET, FILM COATED 10 mg ORAL ANDA 13 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 62135-936 TABLET, FILM COATED 25 mg ORAL ANDA 13 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 62135-938 TABLET, FILM COATED 50 mg ORAL ANDA 13 sections
Thioridazine Hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 62135-939 TABLET, FILM COATED 100 mg ORAL ANDA 13 sections