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

Stem definitionDrug idCAS RN
local anaesthetics 723 50-36-2

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • cocaine
  • cocain
  • benzoylmethylecgonine
  • cocaine hydrochloride
  • cocaine HCl
An alkaloid ester extracted from the leaves of plants including coca. It is a local anesthetic and vasoconstrictor and is clinically used for that purpose, particularly in the eye, ear, nose, and throat. It also has powerful central nervous system effects similar to the amphetamines and is a drug of abuse. Cocaine, like amphetamines, acts by multiple mechanisms on brain catecholaminergic neurons; the mechanism of its reinforcing effects is thought to involve inhibition of dopamine uptake.
  • Molecular weight: 303.36
  • Formula: C17H21NO4
  • CLOGP: 2.57
  • LIPINSKI: 0
  • HAC: 5
  • HDO: 0
  • TPSA: 55.84
  • ALOGS: -1.78
  • ROTB: 5

  • Status: ONP

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

Drug dosage:

None

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 1 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 1.60 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 1 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 4.95 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 57 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 2 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 32 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.12 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 0.76 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
Jan. 1, 1860 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
Drug abuse 3036.74 91.29 764 4116 59082 50541162
Toxicity to various agents 1419.89 91.29 582 4298 211917 50388327
Completed suicide 747.90 91.29 324 4556 131565 50468679
Cardio-respiratory arrest 606.45 91.29 218 4662 53674 50546570
Respiratory arrest 483.42 91.29 159 4721 29850 50570394
Cardiac arrest 409.02 91.29 186 4694 83465 50516779
Death 273.89 91.29 235 4645 325144 50275100
Substance abuse 211.89 91.29 54 4826 4070 50596174
Drug dependence 170.30 91.29 66 4814 19693 50580551
Intentional product misuse 169.83 91.29 85 4795 46649 50553595
Poisoning deliberate 155.96 91.29 49 4831 7863 50592381
Overdose 114.84 91.29 87 4793 99640 50500604
Poisoning 105.19 91.29 41 4839 12388 50587856
Miosis 95.51 91.29 32 4848 6278 50593966
Accidental overdose 93.56 91.29 43 4837 19490 50580754

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 abuse 6445.24 57.12 1956 9036 77927 29485608
Toxicity to various agents 2240.83 57.12 1136 9856 172525 29391010
Intentional product misuse 570.47 57.12 271 10721 34390 29529145
Cardio-respiratory arrest 484.52 57.12 275 10717 50326 29513209
Drug dependence 474.75 57.12 205 10787 20776 29542759
Respiratory arrest 394.28 57.12 192 10800 25641 29537894
Substance abuse 377.87 57.12 128 10864 6659 29556876
Completed suicide 348.35 57.12 279 10713 89967 29473568
Coma 299.98 57.12 185 10807 39265 29524270
Cardiac arrest 248.68 57.12 225 10767 85366 29478169
Poisoning 230.14 57.12 99 10893 9894 29553641
Asphyxia 214.65 57.12 79 10913 5236 29558299
Overdose 212.66 57.12 200 10792 79619 29483916
Miosis 179.97 57.12 78 10914 7931 29555604
Alcohol abuse 123.49 57.12 50 10942 4283 29559252
Incorrect route of product administration 122.97 57.12 66 10926 10735 29552800
Mydriasis 122.91 57.12 55 10937 6030 29557505
Pulmonary oedema 119.16 57.12 110 10882 42625 29520910
Poisoning deliberate 113.20 57.12 51 10941 5680 29557855
Agitation 109.33 57.12 114 10878 51190 29512345
Drug use disorder 106.23 57.12 42 10950 3380 29560155
Diarrhoea 103.26 57.12 5 10987 332693 29230842
Depressed level of consciousness 100.85 57.12 94 10898 36848 29526687
Postmortem blood drug level abnormal 100.09 57.12 23 10969 272 29563263
Drug ineffective 99.67 57.12 10 10982 363160 29200375
Death 96.80 57.12 312 10680 341772 29221763
Respiratory depression 89.01 57.12 58 10934 13465 29550070
Substance use disorder 85.43 57.12 20 10972 258 29563277
Withdrawal syndrome 84.47 57.12 52 10940 10940 29552595
Toxicologic test abnormal 81.84 57.12 22 10970 511 29563024
Pneumonia 77.73 57.12 13 10979 320159 29243376
Fatigue 76.61 57.12 13 10979 316808 29246727
Intentional product use issue 75.76 57.12 86 10906 42412 29521123
Cluster headache 69.66 57.12 19 10973 467 29563068
Pyrexia 69.07 57.12 12 10980 287610 29275925
Asthenia 67.42 57.12 3 10989 215247 29348288
Bradypnoea 66.31 57.12 27 10965 2344 29561191
Aggression 60.09 57.12 70 10922 35471 29528064
Nausea 59.53 57.12 17 10975 289238 29274297
Opiates positive 59.25 57.12 17 10975 505 29563030
Anaemia 59.21 57.12 4 10988 200947 29362588
Rash 58.29 57.12 3 10989 189816 29373719

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 abuse 9346.19 59.87 2635 12445 129739 64353913
Toxicity to various agents 3361.35 59.87 1633 13447 361880 64121772
Cardio-respiratory arrest 1026.75 59.87 486 14594 97907 64385745
Completed suicide 917.18 59.87 597 14483 223817 64259835
Respiratory arrest 825.54 59.87 347 14733 52638 64431014
Intentional product misuse 734.33 59.87 351 14729 71944 64411708
Cardiac arrest 605.84 59.87 401 14679 153663 64329989
Drug dependence 592.31 59.87 240 14840 33072 64450580
Substance abuse 462.77 59.87 144 14936 9148 64474504
Death 360.63 59.87 499 14581 482206 64001446
Poisoning 339.02 59.87 143 14937 21736 64461916
Coma 307.49 59.87 213 14867 87402 64396250
Overdose 272.09 59.87 254 14826 159312 64324340
Miosis 271.79 59.87 106 14974 13160 64470492
Asphyxia 256.18 59.87 93 14987 9473 64474179
Poisoning deliberate 249.35 59.87 100 14980 13358 64470294
Incorrect route of product administration 188.05 59.87 97 14983 23201 64460451
Agitation 158.71 59.87 145 14935 88222 64395430
Alcohol abuse 155.82 59.87 54 15026 4798 64478854
Mydriasis 153.87 59.87 74 15006 15238 64468414
Drug use disorder 144.15 59.87 54 15026 6000 64477652
Depressed level of consciousness 141.11 59.87 131 14949 81305 64402347
Diarrhoea 140.56 59.87 7 15073 722697 63760955
Drug ineffective 136.50 59.87 18 15062 840229 63643423
Pulmonary oedema 131.39 59.87 124 14956 78550 64405102
Postmortem blood drug level abnormal 128.88 59.87 30 15050 617 64483035
Respiratory depression 126.86 59.87 75 15005 23368 64460284
Substance use disorder 122.67 59.87 26 15054 341 64483311
Fatigue 121.62 59.87 16 15064 748714 63734938
Accidental overdose 118.46 59.87 82 14998 33475 64450177
Suicide attempt 109.25 59.87 107 14973 70900 64412752
Nausea 101.99 59.87 29 15051 785771 63697881
Intentional overdose 101.71 59.87 115 14965 89829 64393823
Opiates positive 99.53 59.87 26 15054 872 64482780
Bradypnoea 97.82 59.87 39 15041 5120 64478532
Withdrawal syndrome 96.31 59.87 63 15017 23429 64460223
Rash 93.84 59.87 3 15077 458546 64025106
Dyspnoea 90.51 59.87 28 15052 718646 63765006
Toxicologic test abnormal 87.04 59.87 25 15055 1200 64482452
Pain 84.72 59.87 14 15066 553497 63930155
Intentional product use issue 83.35 59.87 107 14973 95257 64388395
Aggression 83.18 59.87 76 15004 46156 64437496
Asthenia 77.49 59.87 6 15074 428038 64055614
Pyrexia 77.36 59.87 18 15062 558626 63925026
Rhabdomyolysis 77.17 59.87 101 14979 91625 64392027
Amphetamines positive 74.45 59.87 16 15064 225 64483427
Altered state of consciousness 73.49 59.87 65 15015 37837 64445815
Dizziness 72.61 59.87 8 15072 430155 64053497
Pneumonia 71.82 59.87 21 15059 559555 63924097
Headache 71.46 59.87 18 15062 529449 63954203
Anaemia 69.40 59.87 5 15075 378675 64104977
Cluster headache 67.79 59.87 19 15061 834 64482818
Postmortem blood drug level 61.90 59.87 14 15066 252 64483400
Drug abuser 61.16 59.87 29 15051 5779 64477873

FDA Adverse Event Reporting System (Pediatric)

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
Sudden infant death syndrome 17.81 15.66 3 3 53 84619

Pharmacologic Action:

SourceCodeDescription
ATC N01BC01 NERVOUS SYSTEM
ANESTHETICS
ANESTHETICS, LOCAL
Esters of benzoic acid
ATC R02AD03 RESPIRATORY SYSTEM
THROAT PREPARATIONS
THROAT PREPARATIONS
Anesthetics, local
ATC S01HA01 SENSORY ORGANS
OPHTHALMOLOGICALS
LOCAL ANESTHETICS
Local anesthetics
ATC S02DA02 SENSORY ORGANS
OTOLOGICALS
OTHER OTOLOGICALS
Analgesics and anesthetics
MeSH PA D000777 Anesthetics
MeSH PA D000779 Anesthetics, Local
MeSH PA D002317 Cardiovascular Agents
MeSH PA D002491 Central Nervous System Agents
MeSH PA D002492 Central Nervous System Depressants
MeSH PA D015259 Dopamine Agents
MeSH PA D018765 Dopamine Uptake Inhibitors
MeSH PA D049990 Membrane Transport Modulators
MeSH PA D018377 Neurotransmitter Agents
MeSH PA D014179 Neurotransmitter Uptake Inhibitors
MeSH PA D018373 Peripheral Nervous System Agents
MeSH PA D018689 Sensory System Agents
MeSH PA D014662 Vasoconstrictor Agents
CHEBI has role CHEBI:35337 analeptic
CHEBI has role CHEBI:35524 sympathomimetic
CHEBI has role CHEBI:35640 adrenergic uptake inhibitors
CHEBI has role CHEBI:35703 Xenobiotic
CHEBI has role CHEBI:36333 local anesthetics
CHEBI has role CHEBI:38633 sodium channel blockers
CHEBI has role CHEBI:50949 SSRI
CHEBI has role CHEBI:51039 dopamine reuptake inhibitor
CHEBI has role CHEBI:75771 Mus musculus metabolites
CHEBI has role CHEBI:76924 plant metabolites
CHEBI has role CHEBI:78298 environmental contaminants
CHEBI has role CHEBI:77746 Homo sapiens metabolite

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

DiseaseRelationSNOMED_IDDOID
Local anesthesia indication 386761002
Conduction disorder of the heart contraindication 44808001
Epilepsy contraindication 84757009 DOID:1826
Thyrotoxicosis contraindication 90739004 DOID:7997
Disorder of mucous membrane contraindication 95351003
Acute disease of cardiovascular system contraindication 128487001
Breastfeeding (mother) contraindication 413712001
Hypertensive urgency contraindication 443482000




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 8.27 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10016407 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC PRIOR TO PERFORMING A DIAGNOSTIC OR SURGICAL PROCEDURE ON A SUBJECT WITH HEPATIC OR RENAL IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10149843 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA PRIOR TO PERFORMING A PROCEDURE ON, THROUGH, OR ADJACENT TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10149843 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10413505 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10420760 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA PRIOR TO PERFORMING A PROCEDURE ON, THROUGH, OR ADJACENT TO THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10857095 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA OF THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10894012 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA OF THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10933060 Feb. 7, 2037 METHOD FOR THE INDUCTION OF LOCAL ANESTHESIA OF THE MUCOUS MEMBRANES
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10973811 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH RENAL IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 10987347 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH HEPATIC IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 9867815 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN GERIATRIC PATIENTS
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 9867815 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH HEPATIC IMPAIRMENT
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL 9867815 Feb. 7, 2037 METHOD OF ADMINISTERING A LOCAL ANESTHETIC TO THE MUCOUS MEMBRANES IN PATIENTS WITH RENAL IMPAIRMENT

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
4% NUMBRINO CODY LABS INC N209575 Jan. 10, 2020 RX SOLUTION NASAL Dec. 14, 2022 NEW CHEMICAL ENTITY
4% GOPRELTO GENUS LIFESCIENCES N209963 Dec. 14, 2017 RX SOLUTION NASAL Dec. 14, 2022 NEW CHEMICAL ENTITY
4% NUMBRINO CODY LABS INC N209575 Jan. 10, 2020 RX SOLUTION NASAL Jan. 10, 2023 NEW PRODUCT

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Sodium-dependent dopamine transporter Transporter INHIBITOR Ki 7.50 CHEMBL IUPHAR
Sigma non-opioid intracellular receptor 1 Membrane receptor Ki 5.05 CHEMBL
Potassium voltage-gated channel subfamily H member 2 Ion channel IC50 5.14 WOMBAT-PK
Sodium-dependent serotonin transporter Transporter Ki 6.92 WOMBAT-PK
Sodium-dependent noradrenaline transporter Transporter Ki 5.57 WOMBAT-PK
Alpha-1A adrenergic receptor GPCR Ki 5.68 WOMBAT-PK
Histamine H1 receptor GPCR Ki 5.67 WOMBAT-PK
5-hydroxytryptamine receptor 1B GPCR Ki 5.47 WOMBAT-PK
5-hydroxytryptamine receptor 3A Ion channel Ki 5.71 WOMBAT-PK
Sodium- and chloride-dependent GABA transporter 1 Transporter IC50 5.50 WOMBAT-PK
Sodium channel protein type 11 subunit alpha Ion channel WOMBAT-PK
Kappa-type opioid receptor GPCR IC50 5.10 WOMBAT-PK
Cocaine- and amphetamine-regulated transcript protein Transcription factor WOMBAT-PK
Serotonin 3 receptor (5HT3) Ion channel ANTAGONIST Ki 4.80 IUPHAR
Sodium channel alpha subunits; brain (Types I, II, III) Ion channel IC50 4.31 CHEMBL
Sodium channel protein type 5 subunit alpha Ion channel WOMBAT-PK
Muscarinic acetylcholine receptor M1 GPCR Ki 4.21 CHEMBL
Sodium-dependent serotonin transporter Transporter Ki 7.35 CHEMBL
Sodium-dependent dopamine transporter Transporter Ki 7.49 CHEMBL
Transporter Transporter Ki 6.97 CHEMBL
Sodium-dependent dopamine transporter Transporter IC50 6.70 CHEMBL
Transporter Transporter Ki 5.50 CHEMBL
Dopamine transporter Transporter IC50 7.19 CHEMBL
Dopamine transporter Transporter IC50 7.02 CHEMBL

External reference:

IDSource
4019690 VUID
N0000147782 NUI
D00110 KEGG_DRUG
53-21-4 SECONDARY_CAS_RN
2653 RXNORM
4017521 VANDF
4019690 VANDF
C0009170 UMLSCUI
CHEBI:27958 CHEBI
CCA PDB_CHEM_ID
CHEMBL370805 ChEMBL_ID
CHEMBL120901 ChEMBL_ID
DB00907 DRUGBANK_ID
CHEMBL529437 ChEMBL_ID
D003042 MESH_DESCRIPTOR_UI
446220 PUBCHEM_CID
2286 IUPHAR_LIGAND_ID
I5Y540LHVR UNII
437 MMSL
4488 MMSL
d03878 MMSL
001369 NDDF
001370 NDDF
14816004 SNOMEDCT_US
387085005 SNOMEDCT_US
74273006 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
NUMBRINO HUMAN PRESCRIPTION DRUG LABEL 1 0527-1961 SOLUTION 40 mg NASAL NDA 30 sections
cocaine hydrochloride nasal HUMAN PRESCRIPTION DRUG LABEL 1 0527-1971 SOLUTION 40 mg TOPICAL NDA authorized generic 30 sections
cocaine hydrochloride nasal HUMAN PRESCRIPTION DRUG LABEL 1 0527-1971 SOLUTION 40 mg TOPICAL NDA authorized generic 30 sections
GOPRELTO HUMAN PRESCRIPTION DRUG LABEL 1 64950-359 SOLUTION 40 mg NASAL NDA 32 sections
cocaine hydrochloride HUMAN PRESCRIPTION DRUG LABEL 1 64950-362 SOLUTION 40 mg NASAL NDA AUTHORIZED GENERIC 32 sections