imipramine Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definition	Drug id	CAS RN
substances of the imipramine group	1427	50-49-7

Description:

Molecule

Description

Molfile Inchi Smiles Synonyms: imipramine prazepine melipramine imipramine hydrochloride imipramine pamoate imipramine HCl

The prototypical tricyclic antidepressant. It has been used in major depression, dysthymia, bipolar depression, attention-deficit disorders, agoraphobia, and panic disorders. It has less sedative effect than some other members of this therapeutic group. Molecular weight: 280.42 Formula: C19H24N2 CLOGP: 5.04 LIPINSKI: 1 HAC: 2 HDO: 0 TPSA: 6.48 ALOGS: -3.63 ROTB: 4 Status: OFP Legend: OFP - off patent OFM - off market ONP - on patent

Drug dosage:

Dose	Unit	Route
0.10	g	O
0.10	g	P

ADMET properties:

Property	Value	Reference
BDDCS (Biopharmaceutical Drug Disposition Classification System)	1	Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine)	1.50 %	Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose)	5.09 µM/kg/day	Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability)	42 %	Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution)	12 L/kg	Lombardo F, Berellini G, Obach RS
CL (Clearance)	13 mL/min/kg	Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma)	0.08 %	Lombardo F, Berellini G, Obach RS
t_half (Half-life)	16 hours	Lombardo F, Berellini G, Obach RS

Approvals:

Date	Agency	Company	Orphan
April 16, 1959	FDA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event term	Likelihood ratio	Likelihood ratio threshold	Patients taking drug having adverse event	Patients taking drug not having adverse event	Patients not taking drug having adverse event	Patients not taking drug not having adverse event
Completed suicide	229.79	39.56	60	363	20974	2336688
Toxicity to various agents	159.92	39.56	50	373	32704	2324958
Cardio-respiratory arrest	88.85	39.56	24	399	9122	2348540
Overdose	82.46	39.56	27	396	19880	2337782
Drug hypersensitivity	69.91	39.56	30	393	46613	2311049
Hallucination, auditory	64.04	39.56	14	409	2178	2355484
Psychotic disorder	63.28	39.56	16	407	4663	2352999
Dyspnoea	57.77	39.56	31	392	78702	2278960
Electrocardiogram QT prolonged	55.15	39.56	16	407	7798	2349864
Paranoia	53.49	39.56	12	411	2095	2355567
Cardiac arrest	52.70	39.56	18	405	14912	2342750
Drug abuse	44.36	39.56	15	408	12011	2345651
Electrocardiogram QRS complex prolonged	43.32	39.56	9	414	1093	2356569
Hypotension	42.33	39.56	19	404	32417	2325245
Death	40.61	39.56	25	398	81443	2276219
Intentional product misuse	39.62	39.56	13	410	9476	2348186

FDA Adverse Event Reporting System (Male)

MedDRA adverse event term	Likelihood ratio	Likelihood ratio threshold	Patients taking drug having adverse event	Patients taking drug not having adverse event	Patients not taking drug having adverse event	Patients not taking drug not having adverse event
Completed suicide	232.43	50.27	58	219	16254	1730250
Toxicity to various agents	217.39	50.27	62	215	29079	1717425
Neuroleptic malignant syndrome	79.22	50.27	18	259	3130	1743374
Serotonin syndrome	54.46	50.27	13	264	2775	1743729
Intentional overdose	54.35	50.27	16	261	7654	1738850
Overdose	53.32	50.27	19	258	16682	1729822

Pharmacologic Action:

Source	Code	Description
ATC	N06AA02	NERVOUS SYSTEM PSYCHOANALEPTICS ANTIDEPRESSANTS Non-selective monoamine reuptake inhibitors
MeSH PA	D018663	Adrenergic Agents
FDA EPC	N0000175752	Tricyclic Antidepressant
MeSH PA	D018759	Adrenergic Uptake Inhibitors
CHEBI has role	CHEBI:35640	adrenergic uptake inhibitor
CHEBI has role	CHEBI:35469	antidepressant
MeSH PA	D000928	Antidepressive Agents
MeSH PA	D000929	Antidepressive Agents, Tricyclic
MeSH PA	D002491	Central Nervous System Agents
MeSH PA	D049990	Membrane Transport Modulators
MeSH PA	D018377	Neurotransmitter Agents
MeSH PA	D014179	Neurotransmitter Uptake Inhibitors
MeSH PA	D011619	Psychotropic Drugs

Drug Use (View source of the data)

Disease	Relation	SNOMED_ID	DOID
Nocturnal enuresis	indication	8009008
Depressive disorder	indication	35489007
Neuralgia	off-label use	16269008
Cataplexy	off-label use	46263000
Anxiety	off-label use	48694002
Narcolepsy	off-label use	60380001	DOID:8986
Bulimia nervosa	off-label use	78004001
Neuropathic pain	off-label use	247398009
Panic disorder	off-label use	371631005	DOID:594
Attention deficit hyperactivity disorder	off-label use	406506008
Ocular hypertension	contraindication	4210003	DOID:9282
Suicidal thoughts	contraindication	6471006
Alcoholism	contraindication	7200002
Bipolar disorder	contraindication	13746004	DOID:3312
Electroconvulsive therapy	contraindication	23835007
Alcohol intoxication	contraindication	25702006
Hyperthyroidism	contraindication	34486009	DOID:7998
Conduction disorder of the heart	contraindication	44808001
Chronic heart failure	contraindication	48447003
Disorder of cardiovascular system	contraindication	49601007	DOID:1287
Paralytic ileus	contraindication	55525008	DOID:8442
Schizophrenia	contraindication	58214004	DOID:5419
Intestinal obstruction	contraindication	81060008	DOID:8437
Epilepsy	contraindication	84757009	DOID:1826
Kidney disease	contraindication	90708001	DOID:557
Seizure disorder	contraindication	128613002
Cerebrovascular accident	contraindication	230690007
Mania	contraindication	231494001
Hypomania	contraindication	231496004
Disease of liver	contraindication	235856003	DOID:409
Benign prostatic hyperplasia	contraindication	266569009
Retention of urine	contraindication	267064002
Syncope	contraindication	271594007
Thrombocytopenic disorder	contraindication	302215000	DOID:1588
Neutropenic disorder	contraindication	303011007	DOID:1227
Surgical procedure	contraindication	387713003
Angle-closure glaucoma	contraindication	392291006	DOID:13550
Disorder of coronary artery	contraindication	414024009
Myocardial infarction in recovery phase	contraindication	418044006

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation level	Dissociation constant	Type (acidic/basic)
pKa1	9.04	Basic
pKa2	5.01	Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

Target	Class	Pharos	UniProt	Action	Type	Activity value (-log[M])	Mechanism action	Bioact source	MoA source
Sodium-dependent serotonin transporter	Transporter	P31645	SC6A4_HUMAN	INHIBITOR	Kd	8.85		WOMBAT-PK	CHEMBL
Sodium-dependent noradrenaline transporter	Transporter	P23975	SC6A2_HUMAN	INHIBITOR	Kd	7.43		WOMBAT-PK	CHEMBL
Potassium voltage-gated channel subfamily H member 1	Ion channel	O95259	KCNH1_HUMAN	BLOCKER	IC50	5.70		IUPHAR
Adenosine receptor A3	GPCR	P0DMS8	AA3R_HUMAN		IC50	8.36		CHEMBL
Solute carrier family 22 member 1	Transporter	O15245	S22A1_HUMAN		IC50	4.77		CHEMBL
Sodium channel alpha subunits; brain (Types I, II, III)	Ion channel	P35498 Q99250 Q9NY46	SCN1A_HUMAN SCN2A_HUMAN SCN3A_HUMAN		IC50	5.44		CHEMBL
Major prion protein	Surface antigen	P04156	PRIO_HUMAN		EC50	5		CHEMBL
Sigma non-opioid intracellular receptor 1	Membrane receptor	Q99720	SGMR1_HUMAN		Ki	6.28		WOMBAT-PK
Muscarinic acetylcholine receptor M5	GPCR	P08912	ACM5_HUMAN		Ki	7.08		WOMBAT-PK
Muscarinic acetylcholine receptor M4	GPCR	P08173	ACM4_HUMAN		Ki	6.95		WOMBAT-PK
Muscarinic acetylcholine receptor M3	GPCR	P20309	ACM3_HUMAN		Ki	7.22		WOMBAT-PK
Muscarinic acetylcholine receptor M2	GPCR	P08172	ACM2_HUMAN		Ki	8.08		WOMBAT-PK
Muscarinic acetylcholine receptor M1	GPCR	P11229	ACM1_HUMAN		Ki	7.38		WOMBAT-PK
Histamine H1 receptor	GPCR	P35367	HRH1_HUMAN		IC50	7.61		WOMBAT-PK
D(3) dopamine receptor	GPCR	P35462	DRD3_HUMAN		Ki	6.41		WOMBAT-PK
Alpha-2B adrenergic receptor	GPCR	P18089	ADA2B_HUMAN		IC50	7.10		WOMBAT-PK
Alpha-1A adrenergic receptor	GPCR	P35348	ADA1A_HUMAN		IC50	7.49		WOMBAT-PK
5-hydroxytryptamine receptor 2C	GPCR	P28335	5HT2C_HUMAN		Ki	6.80		WOMBAT-PK
5-hydroxytryptamine receptor 2A	GPCR	P28223	5HT2A_HUMAN		Ki	6.82		WOMBAT-PK
Potassium voltage-gated channel subfamily H member 2	Ion channel	Q12809	KCNH2_HUMAN		IC50	5.90		WOMBAT-PK
D(2) dopamine receptor	GPCR	P14416	DRD2_HUMAN		Ki	6.17		WOMBAT-PK
Solute carrier family 22 member 2	Transporter	O15244	S22A2_HUMAN		IC50	5.22		WOMBAT-PK
Sodium-dependent dopamine transporter	Transporter	Q01959	SC6A3_HUMAN		Ki	5.07		PDSP
5-hydroxytryptamine receptor 1A	GPCR	P08908	5HT1A_HUMAN		Ki	5.24		PDSP
Sodium-dependent serotonin transporter	Transporter		SC6A4_RAT		Ki	7.38		CHEMBL
Serotonin 2 (5-HT2) receptor	GPCR		5HT2A_RAT 5HT2B_RAT 5HT2C_RAT		Ki	7.64		CHEMBL
Dopamine receptor	GPCR		DRD1_RAT DRD2_RAT DRD3_RAT DRD4_RAT DRD5_RAT		IC50	6.19		CHEMBL
Muscarinic acetylcholine receptor M5	GPCR		ACM5_RAT		IC50	6.52		CHEMBL
Sodium-dependent dopamine transporter	Transporter		SC6A3_MOUSE		Ki	7.38		CHEMBL
Alpha-1A adrenergic receptor	GPCR		ADA1A_RAT		IC50	8.77		CHEMBL
Adrenergic receptor alpha-2	GPCR		ADA2A_RAT ADA2B_RAT ADA2C_RAT		Ki	6.59		CHEMBL
Sodium-dependent noradrenaline transporter	Transporter		SC6A2_MOUSE		Ki	7.92		CHEMBL
Pleiotropic ABC efflux transporter of multiple drugs	Transporter		PDR5_YEAST		IC50	4.66		CHEMBL
Transporter	Transporter		Q9WTR4_RAT		Ki	7.92		CHEMBL
5-hydroxytryptamine receptor 2C	GPCR		5HT2C_MOUSE		Ki	6.80		CHEMBL
Glutamate NMDA receptor	Ion channel		NMD3A_RAT NMD3B_RAT NMDE1_RAT NMDE2_RAT NMDE3_RAT NMDE4_RAT NMDZ1_RAT		IC50	4.85		CHEMBL
Muscarinic acetylcholine receptor	GPCR		ACM1_RAT ACM2_RAT ACM3_RAT ACM4_RAT ACM5_RAT		Ki	7.19		CHEMBL
Adrenergic receptor alpha-1	GPCR		ADA1A_RAT ADA1B_RAT ADA1D_RAT		Ki	7.34		CHEMBL
D(2) dopamine receptor	GPCR		DRD2_MOUSE		Ki	6.14		CHEMBL
Sodium-dependent serotonin transporter	Transporter		SC6A4_MOUSE		Ki	8.30		CHEMBL
Histamine H1 receptor	GPCR		HRH1_RAT		IC50	10.22		CHEMBL
Serotonin (5-HT) receptor	GPCR		5HT1A_RAT 5HT1B_RAT 5HT1D_RAT 5HT1F_RAT 5HT2A_RAT 5HT2B_RAT 5HT2C_RAT 5HT3A_RAT 5HT3B_RAT 5HT4R_RAT 5HT5A_RAT 5HT5B_RAT 5HT6R_RAT 5HT7R_RAT		IC50	7.36		CHEMBL
G protein-activated inward rectifier potassium channel 2	Ion channel		KCNJ6_MOUSE	BLOCKER	IC50	4.30		IUPHAR
G protein-activated inward rectifier potassium channel 4	Unclassified		KCNJ5_MOUSE	BLOCKER	EC50	4.50		IUPHAR

External reference:

ID	Source
D007099	MESH_DESCRIPTOR_UI
4019785	VUID
N0000147875	NUI
C0020934	UMLSCUI
D00815	KEGG_DRUG
72O4809PU1	UNII
1916	INN_ID
73-07-4	SECONDARY_CAS_RN
36113004	SNOMEDCT_US
5691	RXNORM
372718005	SNOMEDCT_US
d00259	MMSL
4019785	VANDF
001498	NDDF
CHEBI:47499	CHEBI
CHEMBL11	ChEMBL_ID
DB00458	DRUGBANK_ID
CHEMBL1692	ChEMBL_ID
3696	PUBCHEM_CID
CHEMBL2105257	ChEMBL_ID
CHEMBL3989845	ChEMBL_ID
357	IUPHAR_LIGAND_ID

Pharmaceutical products:

Product	Category	Ingredients	NDC	Form	Quantity	Route	Marketing	Label
TOFRANIL	HUMAN PRESCRIPTION DRUG LABEL	1	0406-9920	TABLET, SUGAR COATED	10 mg	ORAL	ANDA	15 sections
TOFRANIL	HUMAN PRESCRIPTION DRUG LABEL	1	0406-9921	TABLET, SUGAR COATED	25 mg	ORAL	ANDA	15 sections
TOFRANIL	HUMAN PRESCRIPTION DRUG LABEL	1	0406-9922	TABLET, SUGAR COATED	50 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	0781-1762	TABLET, FILM COATED	10 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	0781-1764	TABLET, FILM COATED	25 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	0781-1766	TABLET, FILM COATED	50 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	42291-345	TABLET, FILM COATED	10 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	42291-346	TABLET, FILM COATED	25 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	42291-347	TABLET, FILM COATED	50 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	49884-054	TABLET	10 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	49884-055	TABLET	25 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	49884-056	TABLET	50 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	50090-0034	TABLET	25 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	50090-0035	TABLET, FILM COATED	25 mg	ORAL	ANDA	15 sections
IMIPRAMINE HYDROCHLORIDE	HUMAN PRESCRIPTION DRUG LABEL	1	51655-455	TABLET, FILM COATED	50 mg	ORAL	ANDA	12 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	53489-330	TABLET, FILM COATED	10 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	53489-331	TABLET, FILM COATED	25 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	53489-332	TABLET, FILM COATED	50 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	54738-912	TABLET, FILM COATED	10 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	54738-913	TABLET, FILM COATED	25 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	54738-914	TABLET, FILM COATED	50 mg	ORAL	ANDA	15 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	54868-2221	TABLET, FILM COATED	50 mg	ORAL	ANDA	13 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	55289-144	TABLET, FILM COATED	25 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	55700-709	TABLET, FILM COATED	10 mg	ORAL	ANDA	13 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	55700-710	TABLET, FILM COATED	25 mg	ORAL	ANDA	13 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	60429-095	TABLET	10 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	60429-096	TABLET	25 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	60429-097	TABLET	50 mg	ORAL	ANDA	14 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	63629-5028	TABLET, FILM COATED	25 mg	ORAL	ANDA	13 sections
Imipramine Hydrochloride	HUMAN PRESCRIPTION DRUG LABEL	1	63629-8149	TABLET	10 mg	ORAL	ANDA	14 sections