CHLORPHENIRAMINE TANNATE

US Approved OTC

Details

Stereochemistry	EPIMERIC
Molecular Formula	C76H52O46.C16H19ClN2
Molecular Weight	1975.987
Optical Activity	UNSPECIFIED
Defined Stereocenters	5 / 6
E/Z Centers	0
Charge	0

SHOW SMILES / InChI

Structure Search

SMILES

CN(C)CCC(C1=CC=C(Cl)C=C1)C2=CC=CC=N2.OC3=CC(=CC(O)=C3O)C(=O)OC4=CC(=CC(O)=C4O)C(=O)OC[C@H]5O[C@@H](OC(=O)C6=CC(O)=C(O)C(OC(=O)C7=CC(O)=C(O)C(O)=C7)=C6)[C@H](OC(=O)C8=CC(O)=C(O)C(OC(=O)C9=CC(O)=C(O)C(O)=C9)=C8)[C@@H](OC(=O)C%10=CC(O)=C(O)C(OC(=O)C%11=CC(O)=C(O)C(O)=C%11)=C%10)[C@@H]5OC(=O)C%12=CC(O)=C(O)C(OC(=O)C%13=CC(O)=C(O)C(O)=C%13)=C%12

InChI

InChIKey=KOOFUFFGNZKXFG-HBNMXAOGSA-N

InChI=1S/C76H52O46.C16H19ClN2/c77-32-1-22(2-33(78)53(32)92)67(103)113-47-16-27(11-42(87)58(47)97)66(102)112-21-52-63(119-72(108)28-12-43(88)59(98)48(17-28)114-68(104)23-3-34(79)54(93)35(80)4-23)64(120-73(109)29-13-44(89)60(99)49(18-29)115-69(105)24-5-36(81)55(94)37(82)6-24)65(121-74(110)30-14-45(90)61(100)50(19-30)116-70(106)25-7-38(83)56(95)39(84)8-25)76(118-52)122-75(111)31-15-46(91)62(101)51(20-31)117-71(107)26-9-40(85)57(96)41(86)10-26;1-19(2)12-10-15(16-5-3-4-11-18-16)13-6-8-14(17)9-7-13/h1-20,52,63-65,76-101H,21H2;3-9,11,15H,10,12H2,1-2H3/t52-,63-,64+,65-,76+;/m1./s1

HIDE SMILES / InChI

Description
Sources: https://www.ncbi.nlm.nih.gov/pubmed/6383755 | https://www.drugs.com/cdi/chlorpheniramine.html | https://www.ncbi.nlm.nih.gov/pubmed/16413139

Chlorpheniramine is an antihistamine. Chlorpheniramine binds to the histamine H1 receptor. This blocks the action of endogenous histamine, which subsequently leads to temporary relief of the negative symptoms brought on by histamine. Chlorpheniramine is used for relieving symptoms of sinus congestion, sinus pressure, runny nose, watery eyes, itching of the nose and throat, and sneezing due to upper respiratory infections (eg, colds), allergies, and hay fever. In addition to being a histamine H1 receptor (HRH1) antagonist, chlorphenamine has been shown to work as a serotonin-norepinephrine reuptake inhibitor or SNRI.

CNS Activity

Originator

Approval Year

Targets

Primary Target	Pharmacology	Potency
Plasmodium falciparum (isolate K1 / Thailand) 8 Target ID: CHEMBL612856 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16750932	Inhibitor 8297	136.0 µM [IC50]
Histamine H1 receptor 315 Target ID: CHEMBL231 Sources: https://www.ncbi.nlm.nih.gov/pubmed/2879912 \| https://www.ncbi.nlm.nih.gov/pubmed/18363822	Antagonist 2778	12.0 nM [IC50]
Sodium-dependent serotonin transporter 40 Target ID: P31645 Gene ID: 6532.0 Gene Symbol: SLC6A4 Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/16413139 \| https://www.ncbi.nlm.nih.gov/pubmed/4390069 \| https://www.drugbank.ca/drugs/DB01114 \| https://www.ncbi.nlm.nih.gov/pubmed/18363822	Inhibitor 8297	15.2 nM [Kd]
Sodium-dependent dopamine transporter 42 Target ID: Q01959 Gene ID: 6531.0 Gene Symbol: SLC6A3 Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/18363822 \| https://www.drugbank.ca/drugs/DB01114	Inhibitor 8297	203.0 nM [Ki]

Conditions

Condition	Modality	Targets	Highest Phase	Product
Allergic rhinitis 100 Sources: http://www.rxlist.com/chlor-trimeton-side-effects-drug-center.htm	Primary		Approved 8429	Chlor-Trimeton Approved Use Uses temporarily relieves the following symptoms due to hay fever or other upper respiratory allergies: sneezing runny nose itchy, watery eyes itching of the nose or throat Launch Date 1950

C_max

Value	Dose	Analyte	Population
30.6 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	8 mg 2 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
32.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	4 mg 4 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
25.9 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	8 mg 2 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
13.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7069073/	0.12 mg/kg bw single, oral dose: 0.12 mg/kg bw route of administration: Oral experiment type: SINGLE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: UNHEALTHY age: CHILD sex: UNKNOWN food status: FASTED

AUC

Value	Dose	Analyte	Population
1075.7 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	8 mg 2 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
1202.1 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	4 mg 4 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
961 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	8 mg 2 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
246.16 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7069073/	0.12 mg/kg bw single, oral dose: 0.12 mg/kg bw route of administration: Oral experiment type: SINGLE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: UNHEALTHY age: CHILD sex: UNKNOWN food status: FASTED

T_1/2

Value	Dose	Analyte	Population
24.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	8 mg 2 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
25.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	4 mg 4 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
25.4 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7104467/	8 mg 2 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN
13.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7069073/	0.12 mg/kg bw single, oral dose: 0.12 mg/kg bw route of administration: Oral experiment type: SINGLE co-administered:	CHLORPHENIRAMINE serum	Homo sapiens population: UNHEALTHY age: CHILD sex: UNKNOWN food status: FASTED

Doses

Dose	Population	Adverse events
5 mg single, intravenous Dose: 5 mg Route: intravenous Route: single Dose: 5 mg Sources: https://pubmed.ncbi.nlm.nih.gov/7106172	healthy, 27-40 years n = 2 Health Status: healthy Age Group: 27-40 years Sex: M+F Population Size: 2 Sources: https://pubmed.ncbi.nlm.nih.gov/7106172	Sources: https://pubmed.ncbi.nlm.nih.gov/7106172
48 mg 1 times / day multiple, oral Studied dose Dose: 48 mg, 1 times / day Route: oral Route: multiple Dose: 48 mg, 1 times / day Sources: https://pubmed.ncbi.nlm.nih.gov/4008807/	unhealthy, 34 years (range: 13-52 years) n = 10 Health Status: unhealthy Age Group: 34 years (range: 13-52 years) Sex: M+F Population Size: 10 Sources: https://pubmed.ncbi.nlm.nih.gov/4008807/	Sources: https://pubmed.ncbi.nlm.nih.gov/4008807/
4 mg single, intravenous Dose: 4 mg Route: intravenous Route: single Dose: 4 mg Sources: https://pubmed.ncbi.nlm.nih.gov/31852144	unhealthy, 50-54 years n = 2 Health Status: unhealthy Age Group: 50-54 years Sex: F Population Size: 2 Sources: https://pubmed.ncbi.nlm.nih.gov/31852144	Other AEs: Tryptase increased, Urticaria... Other AEs: Tryptase increased (1 patient) Urticaria (2 patients) Abdominal cramp (1 patient) Nausea (1 patient) Diarrhea (1 patient) Sources: https://pubmed.ncbi.nlm.nih.gov/31852144

AEs

AE	Significance	Dose	Population
Abdominal cramp	1 patient	4 mg single, intravenous Dose: 4 mg Route: intravenous Route: single Dose: 4 mg Sources: https://pubmed.ncbi.nlm.nih.gov/31852144	unhealthy, 50-54 years n = 2 Health Status: unhealthy Age Group: 50-54 years Sex: F Population Size: 2 Sources: https://pubmed.ncbi.nlm.nih.gov/31852144
Diarrhea	1 patient	4 mg single, intravenous Dose: 4 mg Route: intravenous Route: single Dose: 4 mg Sources: https://pubmed.ncbi.nlm.nih.gov/31852144	unhealthy, 50-54 years n = 2 Health Status: unhealthy Age Group: 50-54 years Sex: F Population Size: 2 Sources: https://pubmed.ncbi.nlm.nih.gov/31852144
Nausea	1 patient	4 mg single, intravenous Dose: 4 mg Route: intravenous Route: single Dose: 4 mg Sources: https://pubmed.ncbi.nlm.nih.gov/31852144	unhealthy, 50-54 years n = 2 Health Status: unhealthy Age Group: 50-54 years Sex: F Population Size: 2 Sources: https://pubmed.ncbi.nlm.nih.gov/31852144
Tryptase increased	1 patient	4 mg single, intravenous Dose: 4 mg Route: intravenous Route: single Dose: 4 mg Sources: https://pubmed.ncbi.nlm.nih.gov/31852144	unhealthy, 50-54 years n = 2 Health Status: unhealthy Age Group: 50-54 years Sex: F Population Size: 2 Sources: https://pubmed.ncbi.nlm.nih.gov/31852144
Urticaria	2 patients	4 mg single, intravenous Dose: 4 mg Route: intravenous Route: single Dose: 4 mg Sources: https://pubmed.ncbi.nlm.nih.gov/31852144	unhealthy, 50-54 years n = 2 Health Status: unhealthy Age Group: 50-54 years Sex: F Population Size: 2 Sources: https://pubmed.ncbi.nlm.nih.gov/31852144

Overview

CYP3A4	CYP2C9	CYP2D6	hERG
		substrate 1217 inhibitor 1852	inhibitor 1612

OverviewOther

Other Inhibitor	Other Substrate	Other Inducer
MATE1 306 MATE2 263	P-gp 1537

Drug as perpetrator

Target	Modality	Activity
CYP2D6 1891	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/9616188/	weak [Ki 11 uM]
MATE2 263	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/19164462/	yes [Ki 191.2 uM]
MATE1 308	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/19164462/	yes [Ki 87.6 uM]

Drug as victim

Target	Modality	Activity	Metabolite	Clinical evidence
P-gp 1537	substrate 3367 Sources: https://pubmed.ncbi.nlm.nih.gov/11284026/ Page: 6.0	no
CYP2D6 1217	substrate 3367 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1874352/	yes		likely (co-administration study) Comment: The two poor metabolizers with respect to CYP2D6 were included as controls in the present study, as quinidine would not be expected to produce any further inhibition of CYP2D6 in those subjects. However, a slight decrease in AUC(0,∞) and a slight increase in CLoral was observed for both the (R)-(−)- and the (S)-(+)-enantiomers following administration of quinidine, although it is not possible to draw a firm conclusion from such a small number of subjects Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1874352/

Tox targets

Target	Modality	Activity	Metabolite	Clinical evidence
hERG 1647	inhibitor 1626 Sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2766741/

Sourcing

Vendor/Aggregator	ID	URL
001 Chemical	DY544662	https://www.001chemical.com/chem/25523-97-1
Alfa Chemistry	1185054-60-7	https://www.alfa-chemistry.com/cas_1185054-60-7.htm
Aurum Pharmatech LLC	T7375	http://www.Aurumpharmatech.com/Product/ProductDetails/T7375
BLD Pharm	BD01108280	http://www.bldpharm.com/products/132-22-9.html
BOC Sciences	132-22-9	https://www.bocsci.com/chlorpheniramine-cas-132-22-9-item-332358.html
BioSynth	W-108317	https://www.biosynth.com/en/products/life-science/other-biochemicals/products/W-108317.html
Chemspace	CSSB00025765201	https://chem-space.com/CSSB00025765201
Clearsynth	CS-T-51081	https://www.clearsynth.com/en/CST51081.html
Finetech	FT-0665002	http://www.finetechnology-ind.com/prod/detail/pub/1185054-60-7.html
Finetech	FT-0772034	http://www.finetechnology-ind.com/prod/detail/pub/25523-97-1.html
MolPort	MolPort-002-507-837	https://www.molport.com/shop/molecule-link/MolPort-002-507-837
Molcore	MC544662	https://www.molcore.com/product/25523-97-1
Parchem	28520	http://www.parchem.com/chemical-supplier-distributor/Chlorpheniramine-Maleate-B-P--018520.aspx
Smolecule	S525766	http://www.smolecule.com/products/s525766
Smolecule	S793296	https://www.smolecule.com/products/s793296
Synblock Inc	SB19135	http://www.synblock.com/product/132-22-9.html
THE BioTek	bt-267099	https://www.thebiotek.com/product/inhibitors/bt-267099
iChemical	EBD3323802	http://www.ichemical.com/products/132-22-9.html?utm_source=PubChem&utm_medium=website&utm_campaign=product%20catalogs
mcule	MCULE-2363896855	https://mcule.com/MCULE-2363896855/

PubMed

Title	Date	PubMed
Cholinesterase inhibition by phenothiazine and nonphenothiazine antihistaminics: analysis of its postulated role in synergizing organophosphate toxicity.	1975 Feb	236606
Oral facial dyskinesia associated with prolonged use of antihistaminic decongestants.	1975 Sep 4	239337
Death attributed to ventricular arrhythmia induced by thioridazine in combination with a single Contac C capsule.	1978 Oct 7	709472
The I antigen as an immune complex receptor in a case of haemolytic anaemia induced by an antihistaminic agent.	1981 Sep	6115667
Profile of capsaicin-induced mouse ear oedema as neurogenic inflammatory model: comparison with arachidonic acid-induced ear oedema.	1993 Dec	7508328
Benefit/risk ratio of the antihistamines (H1-receptor antagonists) terfenadine and chlorpheniramine in children.	1994 Jun	8201490
[Dexchlorpheniramine-induced acute hepatitis: a case with positive rechallenge].	1998 Oct	9854210
Mechanism responsible for epileptogenic activity by first-generation H1-antagonists in rats.	2000 Dec 22	11134603
Retrospective analysis of drug-induced urticaria and angioedema: a survey of 2287 patients.	2001 Nov	11792017
Single-patient drug trial methodology for allergic rhinitis.	2002 Sep	12196053
Adrenaline given outside the context of life threatening allergic reactions.	2003 Mar 15	12637407
[Roles of histamine receptors in pain perception: a study using receptors gene knockout mice].	2003 Nov	14569158
2-O-(2-hydroxybutyl)-beta-cyclodextrin as a chiral selector for the capillary electrophoretic separation of chiral drugs.	2005 Aug	16122168
Differentiating midazolam over-sedation from neurological damage in the intensive care unit.	2005 Feb	15693964
Cutaneous adverse drug reaction to oral chlorphenamine detected with patch testing.	2005 Jan	15701135
Carrier mediated transport of chlorpheniramine and chlorcyclizine across bovine olfactory mucosa: implications on nose-to-brain transport.	2005 Mar	15666293
Excitatory effect of histamine on neuronal activity of rat globus pallidus by activation of H2 receptors in vitro.	2005 Nov	16143415
Allergic hemiglossitis as a unique case of food allergy: a case report.	2008 Mar 6	18321388
Rare case of "red man" syndrome in a female patient treated with oral vancomycin for Clostridium difficile diarrhoea.	2009	21886654
Investigation of enantiomeric separation of basic drugs by capillary electrophoresis using clindamycin phosphate as a novel chiral selector.	2009 Aug	19621372
Suspected anaphylactic reactions associated with anaesthesia.	2009 Feb	19143700
Toxicity associated with combination oxaliplatin plus fluoropyrimidine with or without cetuximab in the MRC COIN trial experience.	2009 Jan 27	19165196
Extended weekly dose-dense paclitaxel/carboplatin is feasible and active in heavily pre-treated platinum-resistant recurrent ovarian cancer.	2009 Mar 10	19223898
Hepatotoxicity induced by methimazole in a previously healthy patient.	2009 Sep	19534646
Retro-orbital oedema and transient blindness following endoscopic oesophagogastroduodenoscopy: a case report.	2009 Sep 2	19918358
Association of nutritional status and serum albumin levels with development of toxicity in patients with advanced non-small cell lung cancer treated with paclitaxel-cisplatin chemotherapy: a prospective study.	2010 Feb 21	20170547
Two cases of h(2)-receptor antagonist hypersensitivity and cross-reactivity.	2011 Apr	21461253
The discovery of phthalazinone-based human H1 and H3 single-ligand antagonists suitable for intranasal administration for the treatment of allergic rhinitis.	2011 Apr 14	21381763
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

Tablets or syrup: 4 mg orally every 4 to 6 hours. Sustained-release: 8 to 16 mg orally every 8 to 12 hours as needed or 16 mg orally once a day as needed. Maximum dose 32 mg/day.

Route of Administration: Oral

In Vitro Use Guide

Chlorpheniramine inhibits the [3H]mepyramine binding to the histamine H1 receptor in guinea pig cortex with IC50 of 8.8 nM.

Name

Type

Language

CHLORPHENIRAMINE TANNATE

Common Name

English

CHLORPHENAMINE TANNATE

Common Name

English

CHLORPHENAMINE TANNATE [WHO-DD]

Common Name

English

CHLORPHENIRAMINE TANNATE [VANDF]

Common Name

English

Classification Tree Code System Code

NCI_THESAURUS

C29578