Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C33H40N2O9 |
Molecular Weight | 608.68 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 6 / 6 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COc1ccc2c3CCN4C[C@@]5([H])C[C@]([H])([C@@]([H])([C@]([H])([C@@]5([H])C[C@]4([H])c3[nH]c2c1)C(=O)OC)OC)OC(=O)c6cc(c(c(c6)OC)OC)OC
InChI
InChIKey=QEVHRUUCFGRFIF-MDEJGZGSSA-N
InChI=1S/C33H40N2O9/c1-38-19-7-8-20-21-9-10-35-16-18-13-27(44-32(36)17-11-25(39-2)30(41-4)26(12-17)40-3)31(42-5)28(33(37)43-6)22(18)15-24(35)29(21)34-23(20)14-19/h7-8,11-12,14,18,22,24,27-28,31,34H,9-10,13,15-16H2,1-6H3/t18-,22+,24-,27-,28+,31+/m1/s1
Reserpine is an alkaloid, isolated from the Rauwolfia serpentina plant and developed by Ciba pharma. Reserpine was approved by FDA for the treatment of hypertension and psychotic disorders. The drug exerts its effect by blocking two vesicular monoamine transporters, VMAT1 and VMAT2. The blockade results in vesicles that lose their ability to store neurotransmitter molecules. Neurotransmitters, thus retained in cytosol, are then neutralized by MAO.
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/15529229
Curator's Comment:: Later Ciba-Geigy and now Novartis.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1838 Sources: https://www.ncbi.nlm.nih.gov/pubmed/23831411 |
160.0 nM [IC50] | ||
Target ID: CHEMBL1893 Sources: https://www.ncbi.nlm.nih.gov/pubmed/23831411 |
350.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | RESERPINE Approved UseMild essential hypertension; also useful as adjunctive therapy with other antihypertensive agents in the more severe forms of hypertension; relief of symptoms in agitated psychotic states (e.g., schizophrenia), primarily in those individuals unable to tolerate phenothiazine derivatives or in those who also require antihypertensive medication. Launch Date-4.66300797E11 |
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Palliative | RESERPINE Approved UseMild essential hypertension; also useful as adjunctive therapy with other antihypertensive agents in the more severe forms of hypertension; relief of symptoms in agitated psychotic states (e.g., schizophrenia), primarily in those individuals unable to tolerate phenothiazine derivatives or in those who also require antihypertensive medication. Launch Date-4.66300797E11 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.2 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30465727 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
RESERPINE plasma | Equus caballus population: HEALTHY age: ADULT sex: MALE food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.8 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30465727 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
RESERPINE plasma | Equus caballus population: HEALTHY age: ADULT sex: MALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
23.6 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30465727 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
RESERPINE plasma | Equus caballus population: HEALTHY age: ADULT sex: MALE food status: FED |
Doses
Dose | Population | Adverse events |
---|---|---|
0.25 mg 2 times / day multiple, oral Dose: 0.25 mg, 2 times / day Route: oral Route: multiple Dose: 0.25 mg, 2 times / day Sources: |
unhealthy, 41.2 years n = 60 Health Status: unhealthy Condition: cocaine dependence Age Group: 41.2 years Sex: M+F Population Size: 60 Sources: |
Disc. AE: Drowsiness, Light headedness... AEs leading to discontinuation/dose reduction: Drowsiness (1 patient) Sources: Light headedness (light, 1 patient) |
0.25 mg 2 times / day multiple, oral Dose: 0.25 mg, 2 times / day Route: oral Route: multiple Dose: 0.25 mg, 2 times / day Sources: |
unhealthy, 41.2 years n = 60 Health Status: unhealthy Condition: cocaine dependence Age Group: 41.2 years Sex: M+F Population Size: 60 Sources: |
Disc. AE: Upper abdominal pain, Postural hypotension... AEs leading to discontinuation/dose reduction: Upper abdominal pain (1 patient) Sources: Postural hypotension (1 patient) Electrocardiogram abnormal (1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Drowsiness | 1 patient Disc. AE |
0.25 mg 2 times / day multiple, oral Dose: 0.25 mg, 2 times / day Route: oral Route: multiple Dose: 0.25 mg, 2 times / day Sources: |
unhealthy, 41.2 years n = 60 Health Status: unhealthy Condition: cocaine dependence Age Group: 41.2 years Sex: M+F Population Size: 60 Sources: |
Light headedness | light, 1 patient Disc. AE |
0.25 mg 2 times / day multiple, oral Dose: 0.25 mg, 2 times / day Route: oral Route: multiple Dose: 0.25 mg, 2 times / day Sources: |
unhealthy, 41.2 years n = 60 Health Status: unhealthy Condition: cocaine dependence Age Group: 41.2 years Sex: M+F Population Size: 60 Sources: |
Electrocardiogram abnormal | 1 patient Disc. AE |
0.25 mg 2 times / day multiple, oral Dose: 0.25 mg, 2 times / day Route: oral Route: multiple Dose: 0.25 mg, 2 times / day Sources: |
unhealthy, 41.2 years n = 60 Health Status: unhealthy Condition: cocaine dependence Age Group: 41.2 years Sex: M+F Population Size: 60 Sources: |
Postural hypotension | 1 patient Disc. AE |
0.25 mg 2 times / day multiple, oral Dose: 0.25 mg, 2 times / day Route: oral Route: multiple Dose: 0.25 mg, 2 times / day Sources: |
unhealthy, 41.2 years n = 60 Health Status: unhealthy Condition: cocaine dependence Age Group: 41.2 years Sex: M+F Population Size: 60 Sources: |
Upper abdominal pain | 1 patient Disc. AE |
0.25 mg 2 times / day multiple, oral Dose: 0.25 mg, 2 times / day Route: oral Route: multiple Dose: 0.25 mg, 2 times / day Sources: |
unhealthy, 41.2 years n = 60 Health Status: unhealthy Condition: cocaine dependence Age Group: 41.2 years Sex: M+F Population Size: 60 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no [Activation >3.9811 uM] | ||||
no [IC50 >10 uM] | ||||
no [IC50 >10 uM] | ||||
no | ||||
no | ||||
unlikely [Inhibition 20 uM] | ||||
weak [IC50 133 uM] | ||||
weak [IC50 133 uM] | ||||
weak [IC50 58 uM] | ||||
yes [IC50 2.8 uM] | ||||
yes [IC50 20.4 uM] | ||||
yes [IC50 26.3 uM] | ||||
yes [IC50 <0.03 uM] | ||||
yes [IC50 <0.2 uM] | ||||
yes [Inhibition 20 uM] | ||||
yes [Inhibition 20 uM] | ||||
yes [Ki 1.38 uM] | ||||
yes [Ki 295 uM] | ||||
yes | ||||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
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Antagonistic effect of cyproheptadine on neuroleptic-induced catalepsy. | 1975 Jan-Feb |
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Effects of aminergic drugs and glutamic acid on audiogenic seizures induced by early exposure to ethanol. | 1975 Mar |
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[Behavior pharmacology of maprotiline, a new antidepressant]. | 1975 Nov |
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Transient global amnesia associated with cardiac arrhythmia and digitalis intoxication. | 1975 Sep-Oct |
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Effects of reserpine on expression of the LDL receptor in liver and on plasma and tissue lipids, low density lipoprotein and fibrinogen in rabbits in vivo. | 2000 Apr |
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Effects of ropinirole on various parkinsonian models in mice, rats, and cynomolgus monkeys. | 2000 Mar |
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Role of prolactin in chloro-S-triazine rat mammary tumorigenesis. | 2000 Nov |
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A sensitive method for the determination of gemfibrozil in human plasma samples by RP-LC. | 2001 Aug |
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Trends in antihypertensive drug use among orally treated diabetic patients, in France between 1981 and 1992. Impact of guidelines and new drugs. | 2001 Dec |
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A stability-indicating HPLC assay method for budesonide. | 2001 Jan |
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Determination of vitamin B(6) in cooked sausages. | 2001 Jan |
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Multiple complexes involved in tyrosine hydroxylase mRNA stability in rat adrenal medulla, after reserpine stimulation. | 2001 Jan |
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[Characterization and recognition key components in Astragalus membranaceus]. | 2001 Jul |
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Determination of famotidine in low-volume human plasma by normal-phase liquid chromatography/tandem mass spectrometry. | 2001 Jul |
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Spectrophotometric, septrofluorimetric and LC determination of lisinopril. | 2001 Jul |
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Analysis of phenolic constituents of biological interest in red wines by high-performance liquid chromatography. | 2001 Jul 13 |
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Direct analysis of urinary trans,trans-muconic acid by coupled column liquid chromatography and spectrophotometric ultraviolet detection: method applicability to human urine. | 2001 Jul 15 |
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Striatal cannabinoid CB1 receptor mRNA expression is decreased in the reserpine-treated rat model of Parkinson's disease. | 2001 Jun |
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[Recognition and quantitative contrast characteristic components for root of Chinese angelica]. | 2001 Mar |
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Quantitation of itraconazole in rat heparinized plasma by liquid chromatography-mass spectrometry. | 2001 Mar 5 |
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[Determination of bifonazole in cream by high performance liquid chromatography]. | 2001 May |
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Peroxisome proliferator-activated receptor-gamma agonist troglitazone protects against nondiabetic glomerulosclerosis in rats. | 2001 May |
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Determination of 3'-azido-2',3'-dideoxyuridine in maternal plasma, amniotic fluid, fetal and placental tissues by high-performance liquid chromatography. | 2001 May 5 |
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Determination of aliphatic amines in water by liquid chromatography using solid-phase extraction cartridges for preconcentration and derivatization. | 2001 Oct |
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Behavioral effects of MK-801 on reserpine-treated mice. | 2002 Apr |
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Heterologous expression of a Rauvolfia cDNA encoding strictosidine glucosidase, a biosynthetic key to over 2000 monoterpenoid indole alkaloids. | 2002 Apr |
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[Determination of ofloxacin in human fallopian tube, uterus and serum by high performance liquid chromatography]. | 2002 Feb |
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Development and validation of a reversed-phase high-performance liquid chromatographic method for the determination of ethyl-3-(N-n-butyl-N-acetyl)aminopropionate in an insect repellent semi-solid formulation. | 2002 Feb 8 |
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Increase of free cysteine and citric acid in plant cells exposed to cobalt ions. | 2002 Jul |
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Validated HPLC method for determination of sennosides A and B in senna tablets. | 2002 Jul 31 |
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Development and optimization of a reversed-phase high-performance liquid chromatographic method for the determination of piperacillin and tazobactam in tazocin injectable powder. | 2002 Jul 31 |
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Determination of ethylenediamine tetraacetic acid in injection forms by ion-pair chromatography. | 2002 Jun 15 |
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Simultaneous determination of N-oxides and free bases of pyrrolizidine alkaloids by cation-exchange solid-phase extraction and ion-pair high-performance liquid chromatography. | 2002 Mar 8 |
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Validation of a simple liquid chromatographic method for determination and quantitation of residual ivermectin and doramectin in pig liver. | 2002 Mar-Apr |
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[The effect of shourong compound formula on levels of dopamine and its metabolites in brain of Parkinson's disease mice induced by reserpine]. | 2002 May |
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[Determination of aspirin and free salicylic acid in lysinipirine injection by high performance liquid chromatography]. | 2002 May |
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LC-MS/MS determination of a farnesyl transferase inhibitor in human plasma and urine. | 2002 Nov 7 |
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Determination of undecylenic and sorbic acids in cosmetic preparations by high performance liquid chromatography with electrochemical detection. | 2002 Nov 7 |
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A modified HPLC method for the determination of ochratoxin A by fluorescence detection. | 2002 Oct |
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Development and substantiation of a liquid chromatographic method for monitoring organic reactions involved in synthesis of 4-methoxyphenylacetic acid. | 2002 Oct 4 |
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The physiology of overwintering in a turtle that occupies multiple habitats, the common snapping turtle (Chelydra serpentina). | 2002 Sep-Oct |
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Osteology and skeletal development of Apalone spinifera (Reptilia: Testudines: Trionychidae). | 2003 Apr |
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Effects of CB1 cannabinoid receptor modulating compounds on the hyperkinesia induced by high-dose levodopa in the reserpine-treated rat model of Parkinson's disease. | 2003 Feb |
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Determination of peptides and amino acids from wool and beer with sensitive fluorescent reagent 2-(9-carbazole)-ethyl chloroformate by reverse phase high-performance liquid chromotography and liquid chromotography mass spectrometry. | 2003 Feb 1 |
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DNA damage and cell cycle arrest induced by 2-(4-amino-3-methylphenyl)-5-fluorobenzothiazole (5F 203, NSC 703786) is attenuated in aryl hydrocarbon receptor deficient MCF-7 cells. | 2003 Feb 24 |
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Analysis of selected withanolides in plant extract by capillary electrochromatography and microemulsion electrokinetic chromatography. | 2003 Jan |
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Growth-inhibitory effects of the chemopreventive agent indole-3-carbinol are increased in combination with the polyamine putrescine in the SW480 colon tumour cell line. | 2003 Jan 14 |
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Analysis of flecainide and two metabolites in biological specimens by HPLC: application to a fatal intoxication. | 2003 Jan-Feb |
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Studies on the long-term thermal stability of stationary phases in subcritical water chromatography. | 2003 Mar 7 |
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Assessment of a controlled release hydrophilic matrix formulation for metoclopramide HCl. | 2003 May |
Patents
Sample Use Guides
Hypertension: In the average patient not receiving other antihypertensive agents, the usual initial dosage is 0.5 mg daily for 1 or 2 weeks. For maintenance, reduce to 0.1-0.25 mg daily. Psychiatric Disorders: the usual initial dosage is 0.5 mg daily, but may range from 0.1 mg to 1.0 mg. Adjust dosage upward or downward according to the patient's response.
Route of Administration:
Oral
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Classification Tree | Code System | Code | ||
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WHO-ATC |
C02LA71
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NCI_THESAURUS |
C1744
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WHO-ATC |
C02AA52
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NDF-RT |
N0000175650
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WHO-ATC |
C02LA01
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NCI_THESAURUS |
C29747
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WHO-ATC |
C02LA51
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WHO-VATC |
QC02LA51
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WHO-ATC |
C02AA02
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NDF-RT |
N0000175640
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EPA PESTICIDE CODE |
123101
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WHO-VATC |
QC02AA02
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WHO-VATC |
QC02LA01
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WHO-VATC |
QC02AA52
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WHO-VATC |
QC02LA71
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LIVERTOX |
841
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IARC | Reserpine |
Code System | Code | Type | Description | ||
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M9535
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PRIMARY | Merck Index | ||
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282
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PRIMARY | |||
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2370
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DB00206
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PRIMARY | |||
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5770
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C803
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4823
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50-55-5
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1601000
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PRIMARY | USP-RS | ||
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RESERPINE
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PRIMARY | Description: Small, white to pale beige crystals or a white to pale beige, crystalline powder; odourless. Solubility: Practically insoluble in water; soluble in 90 parts of acetone R; very slightly soluble in methanol R, ethanol (~750 g/l) TS, and ether R. Category: Neuroleptic; hypotensive. Storage: Reserpine should be kept in a well-closed container, protected from light.Additional information: Reserpine darkens slowly on exposure to light, but more rapidly in solution. Definition: Reserpine contains not less than 98.0% and not more than 102.0% of C33H40N2O9, calculated with reference to thedried substance. | ||
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8B1QWR724A
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50-55-5
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200-047-9
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SUB10286MIG
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213
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CHEMBL772
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9260
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RESERPINE
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D012110
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Reserpine
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PRIMARY |
ACTIVE MOIETY
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)