clomethiazole ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
602 533-45-9

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • chlormethiazole
  • clomethiazole
  • chlorethiazol
  • chlorethiazole
  • chlormethiazol
  • clomethiazolum
  • distraneurin
  • emineurina
  • chlormethiazole hydrochloride
  • chlormethiazole HCl
  • clomethiazole edisilate
A sedative and anticonvulsant often used in the treatment of alcohol withdrawal. Chlormethiazole has also been proposed as a neuroprotective agent. The mechanism of its therapeutic activity is not entirely clear, but it does potentiate GAMMA-AMINOBUTYRIC ACID receptors response and it may also affect glycine receptors.
  • Molecular weight: 161.65
  • Formula: C6H8ClNS
  • CLOGP: 1.98
  • LIPINSKI: 0
  • HAC: 1
  • HDO: 0
  • TPSA: 12.89
  • ALOGS: -2.38
  • ROTB: 2

Drug dosage:

DoseUnitRoute
1.50 g O
1.50 g P

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 10 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 0.05 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 33.94 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 25 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 6.60 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 33 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.36 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 4.50 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
Jan. 1, 1981 YEAR INTRODUCED

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
Vascular encephalopathy 58.68 53.57 9 698 432 63487883

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
Drug withdrawal convulsions 63.95 45.87 12 631 1165 34955123

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
Drug interaction 64.83 39.41 55 1329 415128 79327876
Drug withdrawal convulsions 56.99 39.41 12 1372 2208 79740796
Depressed level of consciousness 52.75 39.41 28 1356 96624 79646380
Vascular encephalopathy 51.56 39.41 9 1375 614 79742390
Joint hyperextension 49.94 39.41 8 1376 323 79742681
Persecutory delusion 42.60 39.41 11 1373 4898 79738106
Cogwheel rigidity 42.38 39.41 10 1374 3078 79739926
Subileus 41.05 39.41 11 1373 5643 79737361

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC N05CM02 NERVOUS SYSTEM
PSYCHOLEPTICS
HYPNOTICS AND SEDATIVES
Other hypnotics and sedatives
ATC N05CX04 NERVOUS SYSTEM
PSYCHOLEPTICS
HYPNOTICS AND SEDATIVES
Hypnotics and sedatives in combination, excl. barbiturates
MeSH PA D000927 Anticonvulsants
MeSH PA D002491 Central Nervous System Agents
MeSH PA D002492 Central Nervous System Depressants
MeSH PA D018682 GABA Agents
MeSH PA D018757 GABA Modulators
MeSH PA D006993 Hypnotics and Sedatives
MeSH PA D018696 Neuroprotective Agents
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D020011 Protective Agents

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

DiseaseRelationSNOMED_IDDOID
Alcohol withdrawal syndrome indication 191480000
Insomnia indication 193462001




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 3.16 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
GABA-A receptor alpha-1/beta-3/gamma-2 Ion channel WOMBAT-PK

External reference:

IDSource
N0000167093 NUI
D07330 KEGG_DRUG
20802 RXNORM
C0008221 UMLSCUI
CHEBI:92875 CHEBI
CHEMBL315795 ChEMBL_ID
DB06470 DRUGBANK_ID
10783 PUBCHEM_CID
1717 INN_ID
0C5DBZ19HV UNII
003691 NDDF
003692 NDDF
354039005 SNOMEDCT_US
395978007 SNOMEDCT_US
395988008 SNOMEDCT_US
D002719 MESH_DESCRIPTOR_UI

Pharmaceutical products:

None