Details
Stereochemistry | ACHIRAL |
Molecular Formula | C16H13ClN2O.ClH |
Molecular Weight | 321.201 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.CN1C2=CC=C(Cl)C=C2C(=NCC1=O)C3=CC=CC=C3
InChI
InChIKey=BPYZIOINRAWEQL-UHFFFAOYSA-N
InChI=1S/C16H13ClN2O.ClH/c1-19-14-8-7-12(17)9-13(14)16(18-10-15(19)20)11-5-3-2-4-6-11;/h2-9H,10H2,1H3;1H
DescriptionCurator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/24552479
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/24552479
Diazepam is a benzodiazepine first discovered at Hoffman-La Roche in the late 1950s. Diazepam was approved by FDA for the treatment of anxiety disorders as well as for such conditions as skeletal muscle spasm, alcohol withdrawal syndrom and convulsions (under the most known brand Valium). The drug acts by binding to GABA-A receptors and potentiating GABA evoked current. Chronic diazepam use is associated with tolerance, dependence, and withdrawal.
CNS Activity
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24007886
Curator's Comment: # Hoffmann-La Roche
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2109243 |
8.6 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | VALIUM Approved UseValium is indicated for the management of anxiety disorders or for the shortterm relief of the symptoms of anxiety. In acute alcohol withdrawal, Valium may be useful in the symptomatic relief of acute agitation, tremor, impending or acute delirium tremens and hallucinosis. Valium is a useful adjunct for the relief of skeletal muscle spasm due to reflex spasm to local pathology (such as inflammation of the muscles or joints, or secondary to trauma), spasticity caused by upper motor neuron disorders (such as cerebral palsy and paraplegia), athetosis, and stiff-man syndrome. Oral Valium may be used adjunctively in convulsive disorders, although it has not proved useful as the sole therapy. Launch Date1963 |
|||
Palliative | VALIUM Approved UseValium is indicated for the management of anxiety disorders or for the shortterm relief of the symptoms of anxiety. In acute alcohol withdrawal, Valium may be useful in the symptomatic relief of acute agitation, tremor, impending or acute delirium tremens and hallucinosis. Valium is a useful adjunct for the relief of skeletal muscle spasm due to reflex spasm to local pathology (such as inflammation of the muscles or joints, or secondary to trauma), spasticity caused by upper motor neuron disorders (such as cerebral palsy and paraplegia), athetosis, and stiff-man syndrome. Oral Valium may be used adjunctively in convulsive disorders, although it has not proved useful as the sole therapy. Launch Date1963 |
|||
Palliative | VALIUM Approved UseValium is indicated for the management of anxiety disorders or for the shortterm relief of the symptoms of anxiety. In acute alcohol withdrawal, Valium may be useful in the symptomatic relief of acute agitation, tremor, impending or acute delirium tremens and hallucinosis. Valium is a useful adjunct for the relief of skeletal muscle spasm due to reflex spasm to local pathology (such as inflammation of the muscles or joints, or secondary to trauma), spasticity caused by upper motor neuron disorders (such as cerebral palsy and paraplegia), athetosis, and stiff-man syndrome. Oral Valium may be used adjunctively in convulsive disorders, although it has not proved useful as the sole therapy. Launch Date1963 |
|||
Palliative | VALIUM Approved UseValium is indicated for the management of anxiety disorders or for the shortterm relief of the symptoms of anxiety. In acute alcohol withdrawal, Valium may be useful in the symptomatic relief of acute agitation, tremor, impending or acute delirium tremens and hallucinosis. Valium is a useful adjunct for the relief of skeletal muscle spasm due to reflex spasm to local pathology (such as inflammation of the muscles or joints, or secondary to trauma), spasticity caused by upper motor neuron disorders (such as cerebral palsy and paraplegia), athetosis, and stiff-man syndrome. Oral Valium may be used adjunctively in convulsive disorders, although it has not proved useful as the sole therapy. Launch Date1963 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
317 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1505149 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DIAZEPAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
75 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1505149 |
2 mg single, oral dose: 2 mg route of administration: Oral experiment type: SINGLE co-administered: |
DIAZEPAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
172 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1505149 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
DIAZEPAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
208 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01417078 |
20 mg single, intranasal dose: 20 mg route of administration: intranasal experiment type: single co-administered: |
DIAZEPAM plasma | Homo sapiens population: unhealthy age: sex: food status: |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1530 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1505149 |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
DIAZEPAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
330 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1505149 |
2 mg single, oral dose: 2 mg route of administration: Oral experiment type: SINGLE co-administered: |
DIAZEPAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
779 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1505149 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
DIAZEPAM plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1227 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01417078 |
20 mg single, intranasal dose: 20 mg route of administration: intranasal experiment type: single co-administered: |
DIAZEPAM plasma | Homo sapiens population: unhealthy age: sex: food status: |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
48 h |
unknown, oral |
DIAZEPAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2% |
unknown, oral |
DIAZEPAM plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
2000 mg single, oral Overdose |
healthy, 28 years |
|
500 mg single, oral Overdose |
unhealthy, 61 years |
|
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Sources: |
Other AEs: Respiratory depression, Abuse... Other AEs: Respiratory depression (serious|grade 5) Sources: Abuse (serious|grade 5) |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Disc. AE: Somnolence, Hypoventilation... AEs leading to discontinuation/dose reduction: Somnolence (3 patients) Sources: Hypoventilation (2 patients) Rash (2 patients) Asthenia (1 patient) Hyperkinesia (1 patient) Incoordination (1 patient) Vasodilatation (1 patient) Urticaria (1 patient) |
10 mg 2 times / day multiple, intranasal Recommended Dose: 10 mg, 2 times / day Route: intranasal Route: multiple Dose: 10 mg, 2 times / day Co-administed with:: benzodiazepines Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Other AEs: Respiratory depression... Other AEs: Respiratory depression (serious|grade 5) Sources: |
10 mg 4 times / day multiple, intramuscular Recommended Dose: 10 mg, 4 times / day Route: intramuscular Route: multiple Dose: 10 mg, 4 times / day Co-administed with:: benzodiazepines Sources: |
unhealthy, adult Health Status: unhealthy Condition: anxiety disorders Age Group: adult Sources: |
Other AEs: Respiratory depression, Abuse... Other AEs: Respiratory depression (serious|grade 5) Sources: Abuse (serious|grade 5) |
10 mg 4 times / day multiple, oral Recommended Dose: 10 mg, 4 times / day Route: oral Route: multiple Dose: 10 mg, 4 times / day Co-administed with:: OPIOIDS Sources: |
unhealthy, adult Health Status: unhealthy Condition: Anxiety Disorders Age Group: adult Sources: |
Other AEs: Respiratory depression... Other AEs: Respiratory depression (serious|grade 5) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Abuse | serious|grade 5 | 0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Sources: |
Respiratory depression | serious|grade 5 | 0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Sources: |
Asthenia | 1 patient Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Hyperkinesia | 1 patient Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Incoordination | 1 patient Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Urticaria | 1 patient Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Vasodilatation | 1 patient Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Hypoventilation | 2 patients Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Rash | 2 patients Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Somnolence | 3 patients Disc. AE |
0.2 mg/kg 2 times / day multiple, rectal Recommended Dose: 0.2 mg/kg, 2 times / day Route: rectal Route: multiple Dose: 0.2 mg/kg, 2 times / day Sources: |
unhealthy, > 12 years n = 573 Health Status: unhealthy Condition: seizure activity Age Group: > 12 years Population Size: 573 Sources: |
Respiratory depression | serious|grade 5 | 10 mg 2 times / day multiple, intranasal Recommended Dose: 10 mg, 2 times / day Route: intranasal Route: multiple Dose: 10 mg, 2 times / day Co-administed with:: benzodiazepines Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Abuse | serious|grade 5 | 10 mg 4 times / day multiple, intramuscular Recommended Dose: 10 mg, 4 times / day Route: intramuscular Route: multiple Dose: 10 mg, 4 times / day Co-administed with:: benzodiazepines Sources: |
unhealthy, adult Health Status: unhealthy Condition: anxiety disorders Age Group: adult Sources: |
Respiratory depression | serious|grade 5 | 10 mg 4 times / day multiple, intramuscular Recommended Dose: 10 mg, 4 times / day Route: intramuscular Route: multiple Dose: 10 mg, 4 times / day Co-administed with:: benzodiazepines Sources: |
unhealthy, adult Health Status: unhealthy Condition: anxiety disorders Age Group: adult Sources: |
Respiratory depression | serious|grade 5 | 10 mg 4 times / day multiple, oral Recommended Dose: 10 mg, 4 times / day Route: oral Route: multiple Dose: 10 mg, 4 times / day Co-administed with:: OPIOIDS Sources: |
unhealthy, adult Health Status: unhealthy Condition: Anxiety Disorders Age Group: adult Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2001/020648_S002_DIASTAT_AP.pdf#page=8 Page: 8.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2001/020648_S002_DIASTAT_AP.pdf#page=8 Page: 8.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2001/020648_S002_DIASTAT_AP.pdf#page=8 Page: 8.0 |
no | |||
Page: 1.0 |
strong [IC50 2 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
major | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2001/020648_S002_DIASTAT_AP.pdf#page=8 Page: 8.0 |
major | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2001/020648_S002_DIASTAT_AP.pdf#page=8 Page: 8.0 |
major | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
major | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/8948091/ Page: 1.0 |
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
The effect of cold and diazepam on the toxicity of fenfluramine in mice. | 1975 Mar 15 |
|
A comparative study of etomidate and methohexital as induction agents for analgesic anesthesia. | 1976 |
|
[Provocation of tonic seizures during intravenous faustan administration]. | 1978 Nov |
|
Influence of adenosine agonists and antiepileptic drugs on theophylline-induced seizures in rats. | 1998 Oct |
|
[A case of cardiac arrest after torsades de pointes due to prolonged QT interval syndrome possibly associated with subarachnoid hemorrhage]. | 1999 Jun |
|
A fugue-like state associated with diazepam use. | 1999 Jun |
|
Involvement of nitric oxide and nitric oxide synthase activity in anticonvulsive action. | 1999 Mar 1 |
|
Anticonvulsants for soman-induced seizure activity. | 1999 Mar-Apr |
|
Effects of L-arginine on picrotoxin-induced increase in brain ammonia concentrations and convulsions in rats. | 1999 Oct |
|
Syndrome of inappropriate secretion of antidiuretic hormone complicating neonatal diazepam withdrawal. | 2000 Apr |
|
Acute adverse reaction to fentanyl in a 55 year old man. | 2000 Aug |
|
Effects of anticonvulsants on local anaesthetic-induced neurotoxicity in rats. | 2000 Feb |
|
Manic episode in an ifosfamide-treated patient. | 2000 Jan-Feb |
|
Mice lacking the long splice variant of the gamma 2 subunit of the GABA(A) receptor are more sensitive to benzodiazepines. | 2000 Jun |
|
[Prevention of postoperative nausea and vomiting in gynecologic surgery with 3 fixed doses of metoclopramide, droperidol or placebo]. | 2001 Feb |
|
Extracellular serotonin is enhanced in the striatum, but not in the dorsal hippocampus or prefrontal cortex, in rats subjected to an operant conflict procedure. | 2001 Feb |
|
Diazepam in the treatment of GHB dependence. | 2001 Feb |
|
[Premedication in ambulatory surgery]. | 2001 Feb 12 |
|
Alterations in cerebral diazepam binding inhibitor expression in drug dependence: a possible biochemical alteration common to drug dependence. | 2001 Feb 2 |
|
[Premedication for endoscopy]. | 2001 Feb 2 |
|
Chronic benzodiazepine administration facilitates the subsequent development of ethanol dependence. | 2001 Feb 9 |
|
[Anesthesia for a patient with cardiac sarcoidosis]. | 2001 Jan |
|
Development of differential tolerance to the sedative and anti-stress effects of benzodiazepines. | 2001 Jan |
|
Effect of diazepam and midazolam on the antinociceptive effect of morphine, metamizol and indomethacin in mice. | 2001 Jan |
|
Sedative properties of the decoction of the rhizome of Cyperus articulatus. | 2001 Jan |
|
Treatment of nonfebrile status epilepticus in Rochester, Minn, from 1965 through 1984. | 2001 Jan |
|
Diazepam increases the number of punished responses in a conflict-operant paradigm during late proestrus and estrus in the Wistar rat. | 2001 Jan |
|
Effects of antiepileptic drugs on rat platelet aggregation: ex vivo and in vitro study. | 2001 Jan |
|
Effects of melatonin, morphine and diazepam on formalin-induced nociception in mice. | 2001 Jan 12 |
|
Intranasal midazolam for treating febrile seizures in children. Buccal midazolam for childhood seizures at home preferred to rectal diazepam. | 2001 Jan 13 |
|
Simple and sensitive high-performance liquid chromatographic method for the determination of 1,5-benzodiazepine clobazam and its active metabolite N-desmethylclobazam in human serum and urine with application to 1,4-benzodiazepines analysis. | 2001 Jan 5 |
|
Topical anesthesia for cataract surgery: a population-based perspective. | 2001 Mar |
|
Anxiogenic-like effects limit rewarding effects of cocaine in balb/cbyj mice. | 2001 Mar |
|
Modulation of GABA(A) receptors by benzodiazepines and barbiturates is autonomous of PKC activation. | 2001 Mar |
|
Evidence for a common binding cavity for three general anesthetics within the GABAA receptor. | 2001 Mar 15 |
|
Systemic EMD 68843 injections reduce anxiety in the shock-probe, but not the plus-maze test. | 2001 Mar 2 |
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Systematic Name | English |
Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C1012
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DBSALT002258
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SUB32951
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100000125956
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52468-36-7
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C98133
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6JD21U639H
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257-935-4
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ACTIVE MOIETY
SUBSTANCE RECORD