U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C18H29NO3
Molecular Weight 307.4278
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of LEVOBETAXOLOL

SMILES

CC(C)NC[C@H](O)COC1=CC=C(CCOCC2CC2)C=C1

InChI

InChIKey=NWIUTZDMDHAVTP-KRWDZBQOSA-N
InChI=1S/C18H29NO3/c1-14(2)19-11-17(20)13-22-18-7-5-15(6-8-18)9-10-21-12-16-3-4-16/h5-8,14,16-17,19-20H,3-4,9-13H2,1-2H3/t17-/m0/s1

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2010/021114s003lbl.pdf

BETAXON™ is a trade name for levobetaxolol hydrochloride ophthalmic suspension 0.5%, which is indicated for lowering intraocular pressure in patients with chronic open-angle glaucoma or ocular hypertension. The brand name Betaxon is discontinued in USA, but generic versions may be available. Levobetaxolol is a cardioselective (beta-1¬ adrenergic) receptor-blocking agent that does not have significant membrane-stabilizing (local anesthetic) activity and is devoid of intrinsic sympathomimetic action. Animal studies suggest levobetaxolol (S-isomer) is the more active enantiomer of betaxolol (racemate).

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
BETAXON

Approved Use

BETAXON™ (levobetaxolol hydrochloride ophthalmic suspension) 0.5% is indicated for lowering intraocular pressure in patients with chronic open-angle glaucoma or ocular hypertension.

Launch Date

2000
Primary
BETAXON

Approved Use

BETAXON™ (levobetaxolol hydrochloride ophthalmic suspension) 0.5% is indicated for lowering intraocular pressure in patients with chronic open-angle glaucoma or ocular hypertension.

Launch Date

2000
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
4.7 ng/g
1 drop 2 times / day multiple, ocular
dose: 1 drop
route of administration: Ocular
experiment type: MULTIPLE
co-administered:
LEVOBETAXOLOL plasma
Oryctolagus cuniculus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
0.5 ng/mL
1 drop 2 times / day steady-state, ocular
dose: 1 drop
route of administration: Ocular
experiment type: STEADY-STATE
co-administered:
LEVOBETAXOLOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
10.4 ng × h/g
1 drop 2 times / day multiple, ocular
dose: 1 drop
route of administration: Ocular
experiment type: MULTIPLE
co-administered:
LEVOBETAXOLOL plasma
Oryctolagus cuniculus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.6 h
1 drop 2 times / day multiple, ocular
dose: 1 drop
route of administration: Ocular
experiment type: MULTIPLE
co-administered:
LEVOBETAXOLOL plasma
Oryctolagus cuniculus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
20 h
1 drop 2 times / day steady-state, ocular
dose: 1 drop
route of administration: Ocular
experiment type: STEADY-STATE
co-administered:
LEVOBETAXOLOL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
48%
1 drop 2 times / day multiple, ocular
dose: 1 drop
route of administration: Ocular
experiment type: MULTIPLE
co-administered:
LEVOBETAXOLOL plasma
Oryctolagus cuniculus
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
0.5 % 2 times / day steady, ophthalmic
Recommended
Dose: 0.5 %, 2 times / day
Route: ophthalmic
Route: steady
Dose: 0.5 %, 2 times / day
Sources:
unhealthy, 1 - 6 years
n = 48
Health Status: unhealthy
Condition: pediatric glaucomas
Age Group: 1 - 6 years
Sex: M+F
Population Size: 48
Sources:
Other AEs: Eye disorders NEC, Bradycardia...
Other AEs:
Eye disorders NEC (6 patients)
Bradycardia (1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
Bradycardia 1 patient
0.5 % 2 times / day steady, ophthalmic
Recommended
Dose: 0.5 %, 2 times / day
Route: ophthalmic
Route: steady
Dose: 0.5 %, 2 times / day
Sources:
unhealthy, 1 - 6 years
n = 48
Health Status: unhealthy
Condition: pediatric glaucomas
Age Group: 1 - 6 years
Sex: M+F
Population Size: 48
Sources:
Eye disorders NEC 6 patients
0.5 % 2 times / day steady, ophthalmic
Recommended
Dose: 0.5 %, 2 times / day
Route: ophthalmic
Route: steady
Dose: 0.5 %, 2 times / day
Sources:
unhealthy, 1 - 6 years
n = 48
Health Status: unhealthy
Condition: pediatric glaucomas
Age Group: 1 - 6 years
Sex: M+F
Population Size: 48
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Levobetaxolol (Betaxon) and other beta-adrenergic antagonists: preclinical pharmacology, IOP-lowering activity and sites of action in human eyes.
2001 Aug
Metipranolol attenuates lipid peroxidation in rat brain: a comparative study with other antiglaucoma drugs.
2003 Oct
Levobetaxolol hydrochloride: a review of its pharmacology and use in the treatment of chronic open-angle glaucoma and ocular hypertension.
2007 Jun
Patents

Sample Use Guides

The recommended dose is one drop of BETAXON™ (levobetaxolol hydrochloride ophthalmic suspension) 0.5% in the affected eye(s) twice daily. In some patients, the intraocular pressure lowering responses to BETAXONTM Ophthalmic Suspension may require a few weeks to stabilize.
Route of Administration: Other
In Vitro Use Guide
Unknown
Name Type Language
LEVOBETAXOLOL
INN  
INN  
Official Name English
Levobetaxolol [WHO-DD]
Common Name English
BETAXOLOL, (S)-
Common Name English
levobetaxolol [INN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C29576
Created by admin on Fri Dec 15 16:29:20 GMT 2023 , Edited by admin on Fri Dec 15 16:29:20 GMT 2023
Code System Code Type Description
RXCUI
353497
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PRIMARY RxNorm
ChEMBL
CHEMBL1201274
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PRIMARY
SMS_ID
100000082805
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PRIMARY
IUPHAR
8035
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PRIMARY
CHEBI
59254
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PRIMARY
NCI_THESAURUS
C66006
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PRIMARY
EPA CompTox
DTXSID30239341
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PRIMARY
DRUG BANK
DB09351
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PRIMARY
WIKIPEDIA
Levobetaxolol
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PRIMARY
PUBCHEM
60657
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PRIMARY
EVMPD
SUB08462MIG
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PRIMARY
FDA UNII
75O9XHA4TU
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PRIMARY
CAS
93221-48-8
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PRIMARY
DRUG CENTRAL
4752
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PRIMARY
INN
6447
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PRIMARY