pramocaine 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
local anaesthetics 3487 140-65-8

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • pramocaine hydrochloride
  • pramoxine
  • pramoxine hydrochloride
  • pramocain
  • pramocaine
  • pramoxin
  • pramoxine HCl
  • Molecular weight: 293.41
  • Formula: C17H27NO3
  • CLOGP: 3.96
  • LIPINSKI: 0
  • HAC: 4
  • HDO: 0
  • TPSA: 30.93
  • ALOGS: -3.12
  • ROTB: 9

  • Status: OFP

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

Drug dosage:

None

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
Aug. 13, 1976 FDA SEBELA IRELAND LTD

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
Macular degeneration 749.85 16.83 224 7535 24152 63457111
Chronic sinusitis 284.63 16.83 92 7667 12751 63468512
Procedural pain 199.48 16.83 81 7678 21488 63459775
Paraesthesia oral 197.79 16.83 78 7681 19178 63462085
Female genital tract fistula 142.69 16.83 48 7711 7511 63473752
Vaginal flatulence 112.89 16.83 33 7726 3260 63478003
Proctitis 100.51 16.83 34 7725 5407 63475856
Dyspepsia 92.77 16.83 86 7673 102110 63379153
Therapeutic product effect incomplete 88.81 16.83 92 7667 124964 63356299
Vaginal discharge 83.11 16.83 34 7725 9164 63472099
Radiculopathy 81.82 16.83 33 7726 8578 63472685
Drug ineffective 71.52 16.83 283 7476 1044482 62436781
Frequent bowel movements 63.81 16.83 38 7721 22984 63458279
Oral candidiasis 61.55 16.83 37 7722 22761 63458502
Colitis ulcerative 59.43 16.83 38 7721 26053 63455210
Infusion related reaction 49.50 16.83 99 7660 245422 63235841
Rectal haemorrhage 47.82 16.83 43 7716 48987 63432276
Urticaria thermal 47.62 16.83 11 7748 428 63480835
Salpingo-oophorectomy unilateral 44.68 16.83 12 7747 869 63480394
Haematochezia 44.59 16.83 43 7716 53501 63427762
Sinusitis fungal 44.14 16.83 14 7745 1817 63479446
Sputum increased 40.09 16.83 14 7745 2445 63478818
Colitis 38.58 16.83 38 7721 48490 63432773
Administration site erythema 36.83 16.83 10 7749 755 63480508
Embolism venous 36.69 16.83 14 7745 3140 63478123
Respiratory symptom 35.88 16.83 14 7745 3333 63477930
Weight decreased 35.11 16.83 93 7666 276705 63204558
Nasal polyps 30.93 16.83 15 7744 6024 63475239
Pyrexia 30.66 16.83 126 7633 470352 63010911
Diastolic dysfunction 29.95 16.83 15 7744 6456 63474807
Hypercholesterolaemia 29.71 16.83 23 7736 21311 63459952
Nail bed tenderness 27.65 16.83 7 7752 402 63480861
Erythema 27.47 16.83 64 7695 175687 63305576
Pigmentation disorder 25.20 16.83 12 7747 4627 63476636
Scratch 24.02 16.83 13 7746 6552 63474711
Vitamin B12 deficiency 23.68 16.83 12 7747 5291 63475972
Emphysema 22.62 16.83 15 7744 10923 63470340
Skin plaque 21.15 16.83 13 7746 8307 63472956
Secretion discharge 21.10 16.83 15 7744 12216 63469047
Fungal infection 20.67 16.83 24 7735 36850 63444413
Autonomic neuropathy 20.45 16.83 7 7752 1152 63480111
Dizziness postural 19.97 16.83 12 7747 7364 63473899
Hysterectomy 19.58 16.83 13 7746 9486 63471777
Diverticulum 19.07 16.83 14 7745 11977 63469286
Jarisch-Herxheimer reaction 18.48 16.83 5 7754 372 63480891
Osteoarthritis 17.45 16.83 37 7722 95306 63385957

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
Anal inflammation 85.99 19.67 20 2690 1280 34952941
SARS-CoV-2 test negative 74.43 19.67 17 2693 1003 34953218
Accident 59.15 19.67 20 2690 5027 34949194
Proctalgia 56.68 19.67 20 2690 5703 34948518
Haemorrhoids 53.65 19.67 25 2685 14550 34939671
Body temperature increased 38.11 19.67 21 2689 17347 34936874
Erythema multiforme 26.24 19.67 13 2697 8636 34945585
Pruritus 25.43 19.67 42 2668 141939 34812282
Anticholinergic syndrome 22.96 19.67 7 2703 1262 34952959
Pyrexia 22.07 19.67 66 2644 332947 34621274

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
Chronic sinusitis 278.91 16.45 88 8417 12938 79722945
Macular degeneration 232.23 16.45 74 8431 11222 79724661
Procedural pain 194.35 16.45 78 8427 23006 79712877
Paraesthesia oral 192.75 16.45 75 8430 20396 79715487
Female genital tract fistula 155.90 16.45 47 8458 5928 79729955
Vaginal flatulence 120.59 16.45 32 8473 2543 79733340
Proctitis 95.57 16.45 33 8472 6399 79729484
Dyspepsia 94.27 16.45 84 8421 108603 79627280
Vaginal discharge 90.77 16.45 33 8472 7430 79728453
Radiculopathy 81.84 16.45 32 8473 8792 79727091
Therapeutic product effect incomplete 80.73 16.45 87 8418 141558 79594325
Anal inflammation 72.85 16.45 19 8486 1411 79734472
Frequent bowel movements 59.84 16.45 38 8467 29501 79706382
SARS-CoV-2 test negative 59.29 16.45 16 8489 1355 79734528
Oral candidiasis 54.81 16.45 36 8469 29592 79706291
Colitis ulcerative 54.23 16.45 38 8467 34704 79701179
Pyrexia 50.72 16.45 173 8332 678536 79057347
Urticaria thermal 48.96 16.45 11 8494 434 79735449
Salpingo-oophorectomy unilateral 46.95 16.45 12 8493 822 79735061
Administration site erythema 45.37 16.45 10 8495 361 79735522
Rectal haemorrhage 43.65 16.45 47 8458 76253 79659630
Proctalgia 42.67 16.45 21 8484 9980 79725903
Sinusitis fungal 42.44 16.45 14 8491 2360 79733523
Infusion related reaction 40.42 16.45 81 8424 230156 79505727
Accident 39.04 16.45 19 8486 8812 79727071
Haematochezia 38.34 16.45 47 8458 87598 79648285
Weight decreased 38.16 16.45 103 8402 355095 79380788
Embolism venous 37.99 16.45 15 8490 4224 79731659
Sputum increased 33.38 16.45 14 8491 4599 79731284
Colitis 33.18 16.45 40 8465 73267 79662616
Respiratory symptom 32.87 16.45 14 8491 4777 79731106
Haemorrhoids 30.27 16.45 25 8480 29103 79706780
Nasal polyps 30.11 16.45 15 8490 7312 79728571
Pain 29.95 16.45 151 8354 703651 79032232
Malaise 29.82 16.45 117 8388 489752 79246131
Nail bed tenderness 28.51 16.45 7 8498 407 79735476
Hysterectomy 26.25 16.45 13 8492 6259 79729624
Erythema 25.20 16.45 66 8439 223224 79512659
Pigmentation disorder 24.57 16.45 12 8493 5606 79730277
Scratch 22.73 16.45 13 8492 8350 79727533
Diastolic dysfunction 22.12 16.45 14 8491 10797 79725086
Vitamin B12 deficiency 21.70 16.45 12 8493 7229 79728654
Fungal infection 20.91 16.45 24 8481 41724 79694159
Pruritus 19.87 16.45 89 8416 394559 79341324
Skin plaque 19.73 16.45 13 8492 10732 79725151
Emphysema 19.08 16.45 15 8490 16285 79719598
Vulvovaginal swelling 18.68 16.45 5 8500 410 79735473
Diverticulum 18.06 16.45 14 8491 14882 79721001
Autonomic neuropathy 18.02 16.45 7 8498 1888 79733995
Secretion discharge 17.96 16.45 14 8491 15008 79720875
Chills 17.69 16.45 47 8458 160187 79575696
Completed suicide 16.74 16.45 3 8502 245764 79490119
Tricuspid valve incompetence 16.59 16.45 15 8490 19697 79716186
Dizziness postural 16.56 16.45 12 8493 11537 79724346

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC C05AD07 CARDIOVASCULAR SYSTEM
VASOPROTECTIVES
AGENTS FOR TREATMENT OF HEMORRHOIDS AND ANAL FISSURES FOR TOPICAL USE
Local anesthetics
ATC D04AB07 DERMATOLOGICALS
ANTIPRURITICS, INCL. ANTIHISTAMINES, ANESTHETICS, ETC.
ANTIPRURITICS, INCL. ANTIHISTAMINES, ANESTHETICS, ETC.
Anesthetics for topical use
MeSH PA D000777 Anesthetics
MeSH PA D000779 Anesthetics, Local
MeSH PA D002491 Central Nervous System Agents
MeSH PA D002492 Central Nervous System Depressants
MeSH PA D018373 Peripheral Nervous System Agents
MeSH PA D018689 Sensory System Agents
CHEBI has role CHEBI:36333 local anesthetics

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

DiseaseRelationSNOMED_IDDOID
Otitis externa indication 3135009
Proctitis indication 3951002 DOID:3127
Tinea pedis indication 6020002 DOID:12403
Wound indication 13924000
Dry skin indication 16386004
Burn injury indication 48333001
Hemorrhoids indication 70153002 DOID:9746
Rectal pain indication 77880009
Tinea corporis indication 84849002
Pruritus ani indication 90446007
Eruption of skin indication 271807003 DOID:0050486
Skin irritation indication 367466007
Tinea cruris indication 399029005
Allergic otitis externa indication 405821001
Arthropod bite wound indication 409985002
Itching of skin indication 418363000
Itching of ear indication 699392007
Inflammatory dermatosis indication 703938007
Prevent Minor Bacterial Skin Infection indication
Minor Skin Wound Pain indication
Minor Bacterial Skin Infections indication
Mycosis contraindication 3218000 DOID:1564
Measles contraindication 14189004 DOID:8622
Herpes zoster auricularis contraindication 21954000 DOID:9210
Abscess of intestine contraindication 24557004
Acute tuberculosis contraindication 25629007
Hyperthyroidism contraindication 34486009 DOID:7998
Gastrointestinal fistula contraindication 37831005
Hypertensive disorder contraindication 38341003 DOID:10763
Contact dermatitis contraindication 40275004 DOID:2773
Infectious disease contraindication 40733004
Hypothyroidism contraindication 40930008 DOID:1459
Conduction disorder of the heart contraindication 44808001
Skin ulcer contraindication 46742003
Chronic heart failure contraindication 48447003
Anxiety contraindication 48694002
Perforation of tympanic membrane contraindication 60442001
Osteoporosis contraindication 64859006 DOID:11476
Psychotic disorder contraindication 69322001
Diabetes mellitus contraindication 73211009 DOID:9351
Third degree burn injury contraindication 80247002
Open-angle glaucoma contraindication 84494001 DOID:1067
Herpes simplex contraindication 88594005 DOID:8566
Kidney disease contraindication 90708001 DOID:557
Fissure in skin contraindication 95321009
Open wound contraindication 125643001
Tuberculosis of ear contraindication 186269001
Ophthalmic herpes simplex contraindication 186542001
Anastomosis of intestine contraindication 235407009
Telangiectasia disorder contraindication 247479008
Benign prostatic hyperplasia contraindication 266569009
Diverticulitis of gastrointestinal tract contraindication 271366000
Varicella-zoster virus infection contraindication 309465005
Viral ear infection contraindication 312137007
Fungal ear infection contraindication 312148000
Adrenal cortical hypofunction contraindication 386584007 DOID:10493
Atrophoderma contraindication 399979006
Peripheral vascular disease contraindication 400047006
Disorder of coronary artery contraindication 414024009
Denuded skin contraindication 418242004
Nervousness contraindication




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 7.65 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
Sigma non-opioid intracellular receptor 1 Membrane receptor Ki 7.29 DRUG MATRIX
Sodium channel alpha subunits; brain (Types I, II, III) Ion channel IC50 4.67 CHEMBL
Membrane-associated progesterone receptor component 1 Membrane receptor Ki 6.20 DRUG MATRIX

External reference:

IDSource
4018983 VUID
N0000171570 NUI
D00739 KEGG_DRUG
637-58-1 SECONDARY_CAS_RN
4018197 VANDF
4018983 VANDF
C0071810 UMLSCUI
CHEBI:8357 CHEBI
PX9 PDB_CHEM_ID
CHEMBL1198 ChEMBL_ID
CHEMBL1201171 ChEMBL_ID
DB09345 DRUGBANK_ID
C005548 MESH_SUPPLEMENTAL_RECORD_UI
4886 PUBCHEM_CID
34347 RXNORM
5341 MMSL
5342 MMSL
72272 MMSL
001359 NDDF
004571 NDDF
31872002 SNOMEDCT_US
387175007 SNOMEDCT_US
387284004 SNOMEDCT_US
235 INN_ID
068X84E056 UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
PROCTOFOAMHC HUMAN PRESCRIPTION DRUG LABEL 2 0037-6822 AEROSOL, FOAM 100 mg TOPICAL ANDA 22 sections
PROCTOFOAMHC HUMAN PRESCRIPTION DRUG LABEL 2 0037-6822 AEROSOL, FOAM 100 mg TOPICAL ANDA 22 sections
PROCTOFOAMNS HUMAN OTC DRUG LABEL 1 0037-6823 AEROSOL, FOAM 150 mg RECTAL OTC monograph final 11 sections
EPIFOAM HUMAN PRESCRIPTION DRUG LABEL 2 0037-6824 AEROSOL, FOAM 100 mg TOPICAL ANDA 20 sections
Good Sense Triple Antibioticand Pain Relief HUMAN OTC DRUG LABEL 4 0113-0679 OINTMENT 10 mg TOPICAL OTC monograph final 13 sections
Good Sense HemorrhoidalMaximum Strength Pain Relief HUMAN OTC DRUG LABEL 4 0113-0944 CREAM 1 g TOPICAL OTC monograph final 15 sections
good sense triple antibiotic HUMAN OTC DRUG LABEL 4 0113-1140 OINTMENT 10 mg TOPICAL OTC monograph final 13 sections
Basic Care First Aid Antibiotic Plus Pain Relief HUMAN OTC DRUG LABEL 4 0113-7679 OINTMENT 10 mg TOPICAL OTC monograph final 13 sections
Caladryl HUMAN OTC DRUG LABEL 3 0187-5465 LOTION 10 mg TOPICAL OTC monograph final 14 sections
Caladryl HUMAN OTC DRUG LABEL 3 0187-5465 LOTION 10 mg TOPICAL OTC monograph final 14 sections
Caladryl Clear HUMAN OTC DRUG LABEL 2 0187-5466 LOTION 10 mg TOPICAL OTC monograph final 14 sections
ITCH X HUMAN OTC DRUG LABEL 2 0225-0495 GEL 1 g TOPICAL OTC monograph not final 14 sections
ITCH X HUMAN OTC DRUG LABEL 2 0225-0495 GEL 1 g TOPICAL OTC monograph not final 14 sections
ITCH-X HUMAN OTC DRUG LABEL 2 0225-0516 SPRAY 1 g TOPICAL OTC monograph not final 13 sections
ITCH-X HUMAN OTC DRUG LABEL 2 0225-0516 SPRAY 1 g TOPICAL OTC monograph not final 13 sections
Sarna HUMAN OTC DRUG LABEL 1 0316-0230 LOTION 10 mg TOPICAL OTC monograph not final 13 sections
Sarna HUMAN OTC DRUG LABEL 1 0316-0230 LOTION 10 mg TOPICAL OTC monograph not final 13 sections
Triple Antibiotic with Pain ReliefMaximum Strength HUMAN OTC DRUG LABEL 4 0363-0123 OINTMENT 10 mg TOPICAL OTC MONOGRAPH FINAL 13 sections
Walgreen Anti-Itch HUMAN OTC DRUG LABEL 1 0363-0263 LOTION 1 g TOPICAL OTC monograph not final 13 sections
Hemorrhoidal Cream HUMAN OTC DRUG LABEL 4 0363-0641 CREAM 1 g TOPICAL OTC monograph not final 15 sections
Hemorrhoidal Cream HUMAN OTC DRUG LABEL 4 0363-0641 CREAM 1 g TOPICAL OTC monograph not final 15 sections
Hemorrhoidal Cream HUMAN OTC DRUG LABEL 4 0363-0641 CREAM 1 g TOPICAL OTC monograph not final 15 sections
Hemorrhoidal Cream HUMAN OTC DRUG LABEL 4 0363-0641 CREAM 1 g TOPICAL OTC monograph not final 15 sections
First Aid Antibiotic HUMAN OTC DRUG LABEL 4 0363-0841 OINTMENT 10 mg TOPICAL OTC monograph final 13 sections
First Aid Antibiotic HUMAN OTC DRUG LABEL 4 0363-0841 OINTMENT 10 mg TOPICAL OTC monograph final 13 sections
Walgreens Maximum Strength Hemorrhoidal HUMAN OTC DRUG LABEL 4 0363-1760 CREAM 0.01 mg TOPICAL OTC monograph final 13 sections
Walgreens Kids Multi-Antibiotic with Pain Relief Cream HUMAN OTC DRUG LABEL 3 0363-2122 CREAM 10 mg TOPICAL OTC monograph not final 11 sections
Walgreens Multi-Antibiotic with Pain Relief Cream HUMAN OTC DRUG LABEL 3 0363-2123 CREAM 10 mg TOPICAL OTC monograph not final 9 sections
Triple Antibiotic HUMAN OTC DRUG LABEL 4 0363-2900 OINTMENT 10 mg TOPICAL OTC monograph final 13 sections
Triple Antibiotic HUMAN OTC DRUG LABEL 4 0363-2900 OINTMENT 10 mg TOPICAL OTC monograph final 13 sections