DIPHENIDOL PAMOATE

US Previously Marketed

First approved in 1967

Details

Stereochemistry	ACHIRAL
Molecular Formula	C23H16O6.2C21H27NO
Molecular Weight	1007.2599
Optical Activity	NONE
Defined Stereocenters	0 / 0
E/Z Centers	0
Charge	0

SHOW SMILES / InChI

Structure Search

SMILES

OC(CCCN1CCCCC1)(C2=CC=CC=C2)C3=CC=CC=C3.OC(CCCN4CCCCC4)(C5=CC=CC=C5)C6=CC=CC=C6.OC(=O)C7=CC8=C(C=CC=C8)C(CC9=C%10C=CC=CC%10=CC(C(O)=O)=C9O)=C7O

InChI

InChIKey=VKPDUGDKKSRHPC-UHFFFAOYSA-N

InChI=1S/C23H16O6.2C21H27NO/c24-20-16(14-7-3-1-5-12(14)9-18(20)22(26)27)11-17-15-8-4-2-6-13(15)10-19(21(17)25)23(28)29;2*23-21(19-11-4-1-5-12-19,20-13-6-2-7-14-20)15-10-18-22-16-8-3-9-17-22/h1-10,24-25H,11H2,(H,26,27)(H,28,29);2*1-2,4-7,11-14,23H,3,8-10,15-18H2

HIDE SMILES / InChI

Description
Sources: https://www.drugs.com/cons/diphenidol.html | https://www.ncbi.nlm.nih.gov/pubmed/26481789

Diphenidol, a nonphenothiazinic antiemetic agent used primarily in patients with Meniere disease and labyrinthopathies to treat vomiting and vertigo, is considered to be a relatively safe drug. Since it was first approved in the United States in 1967, this drug has been widely used in Latin America and Asia and has contributed to sporadic suicidal and accidental poisonings in mainland China and Taiwan. The mechanism by which diphenidol exerts its antiemetic and antivertigo effects is not precisely known. It is thought to diminish vestibular stimulation and depress labyrinthine function and as an antimuscarinic agent. An action on the medullary chemoreceptive trigger zone may also be involved in the antiemetic effect. Diphenidol has no significant sedative, tranquilizing, or antihistaminic action. It has a weak peripheral anticholinergic effect. Diphenidol is used to relieve or prevent nausea, vomiting, and dizziness caused by certain medical problems.

CNS Activity

Originator

Approval Year

Targets

Primary Target	Pharmacology	Potency
Muscarinic acetylcholine receptor M1 169 Target ID: CHEMBL216 Sources: https://www.drugbank.ca/drugs/DB01231	Antagonist 2778	6.37 null [pKi]
Muscarinic acetylcholine receptor M2 121 Target ID: CHEMBL211 Sources: https://www.drugbank.ca/drugs/DB01231	Antagonist 2778	5.55 null [pKi]
Muscarinic acetylcholine receptor M3 159 Target ID: CHEMBL245 Sources: https://www.drugbank.ca/drugs/DB01231	Antagonist 2778	5.95 null [pKi]
Muscarinic acetylcholine receptor M4 86 Target ID: CHEMBL1821 Sources: https://www.ncbi.nlm.nih.gov/pubmed/18395442	Antagonist 2778	6.04 null [pKi]
Muscarinic acetylcholine receptor M5 62 Target ID: CHEMBL2035 Sources: https://www.ncbi.nlm.nih.gov/pubmed/18395442	Antagonist 2778	5.89 null [pKi]

Conditions

Condition	Modality	Targets	Highest Phase	Product
Peripheral vertigo 3 Sources: https://www.drugs.com/cons/diphenidol.html	Primary		Approved 8429	VONTROL Approved Use INDICATIONS VERTIGO—‘Vontrol’ is indicated in peripheral (labyrinthine) vertigo and associated nausea and vomiting, as seen in such conditions as: Meniere’s disease, middle- and inner-ear surgery (labyrinthitis). NAUSEA AND VOMITING—‘Vontrol’ is indicated in the control of nausea and vomiting, as seen in such conditions as: postoperative states, malignant neoplasms and labyrinthine disturbances. Launch Date 1967

C_max

Value	Dose	Co-administered	Analyte	Population
157.4 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/18506741/	25 mg 2 times / day multiple, oral dose: 25 mg route of administration: Oral experiment type: MULTIPLE co-administered:		DIPHENIDOL plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED

AUC

Value	Dose	Co-administered	Analyte	Population
445.57 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/18506741/	25 mg 2 times / day multiple, oral dose: 25 mg route of administration: Oral experiment type: MULTIPLE co-administered:		DIPHENIDOL plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED

T_1/2

Value	Dose	Co-administered	Analyte	Population
3.23 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/18506741/	25 mg 2 times / day multiple, oral dose: 25 mg route of administration: Oral experiment type: MULTIPLE co-administered:		DIPHENIDOL plasma	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FED

Doses

Dose	Population	Adverse events
15 mg/kg single, intravenous Highest studied dose Dose: 15 mg/kg Route: intravenous Route: single Dose: 15 mg/kg Sources: https://pubmed.ncbi.nlm.nih.gov/1091418/	unhealthy, adult n = 18 Health Status: unhealthy Condition: tachyarrhythmias Age Group: adult Sex: unknown Population Size: 18 Sources: https://pubmed.ncbi.nlm.nih.gov/1091418/	Disc. AE: Central nervous system disorder NOS... AEs leading to discontinuation/dose reduction: Central nervous system disorder NOS (14 patients) Sources: https://pubmed.ncbi.nlm.nih.gov/1091418/

AEs

AE	Significance	Dose	Population
Central nervous system disorder NOS	14 patients Disc. AE	15 mg/kg single, intravenous Highest studied dose Dose: 15 mg/kg Route: intravenous Route: single Dose: 15 mg/kg Sources: https://pubmed.ncbi.nlm.nih.gov/1091418/	unhealthy, adult n = 18 Health Status: unhealthy Condition: tachyarrhythmias Age Group: adult Sex: unknown Population Size: 18 Sources: https://pubmed.ncbi.nlm.nih.gov/1091418/

Overview

CYP3A4	CYP2C9	CYP2D6	hERG

OverviewOther

Other Inhibitor	Other Substrate	Other Inducer
OCT2 647	OCT2 355 UGT2B7 389

Drug as perpetrator

Target	Modality	Activity	Metabolite	Clinical evidence
OCT2 648	inhibitor 3277 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971011/	yes [IC50 35 uM]

Drug as victim

Target	Modality	Activity	Metabolite	Clinical evidence
OCT2 355	substrate 3367 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971011/	no
UGT2B7 389	substrate 3367 Sources: http://www.latamjpharm.org/resumenes/35/9/LAJOP_35_9_2_6.pdf	yes

Sourcing

Vendor/Aggregator	ID	URL
ChEBI	CHEBI:4638	https://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:4638
ChemicalBook	CB8474607	https://www.chemicalbook.com/ChemicalProductProperty_EN_CB8474607
ZINC	ZINC000000968266	http://zinc15.docking.org/substances/ZINC000000968266
eMolecules	1986522	https://www.emolecules.com/cgi-bin/more?vid=1986522

PubMed

Title	Date	PubMed
Simultaneous determination of enantiomers of structurally related anticholinergic analogs in human serum by liquid chromatography-electrospray ionization mass spectrometry with on-line sample cleanup.	2001 Oct 25	11678378
Oral administration of prednisone to control refractory vertigo in Ménière's disease: a pilot study.	2005 Sep	16151353
Diphenidol-related diamines as novel muscarinic M4 receptor antagonists.	2008 May 1	18395442
Ultra-fast chromatographic micro-assay for quantification of diphenidol in plasma: application in an oral multi-dose switchability trial.	2008 Oct	18506741
Diphenidol inhibited sodium currents and produced spinal anesthesia.	2010 Jun	20176039
Neuropharmacology of vestibular system disorders.	2010 Mar	20808544
Generation of gold nanostructures at the surface of platinum electrode by electrodeposition for ECL detection for CE.	2010 Mar	20309916
Profiling of a prescription drug library for potential renal drug-drug interactions mediated by the organic cation transporter 2.	2011 Jul 14	21599003

Patents

Sample Use Guides

In Vivo Use Guide

For oral dosage form (tablets): Adults: 25 to 50 milligrams (mg) every four hours as needed.

Route of Administration: Oral

In Vitro Use Guide

In vitro binding assays demonstrated that difenidol at micromolar concentrations bound to the α(1A)-, α(1B)- and α(1D)-adrenoceptor subtypes. Difenidol inhibited the phenylephrine-induced increase in [Ca(2+)](i) in Chinese hamster ovary cells expressing human α(1A)-, α(1B)- or α(1D)-adrenoceptor subtypes with similar IC(50) values in the low micromolar range.

Name

Type

Language

DIPHENIDOL PAMOATE

Official Name

English

SK&F 478-J

Code

English

2-NAPHTHALENECARBOXYLIC ACID, 4,4'-METHYLENEBIS(3-HYDROXY-, COMPD. WITH .ALPHA.,.ALPHA.-DIPHENYL-1-PIPERIDINEBUTANOL (1:2)

Common Name

English

DIPHENIDOL PAMOATE [USAN]

Common Name

English

.ALPHA.,.ALPHA.-DIPHENYL-1-PIPERIDINEBUTANOL COMPOUND WITH 4,4'-METHYLENEBIS(3-HYDROXY-2-NAPHTHOIC ACID) (2:1)

Common Name

English

SK&F-478-J

Code

English

DIPHENIDOL EMBONATE

Common Name

English

Classification Tree Code System Code

NCI_THESAURUS

C29578