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Details

Stereochemistry ACHIRAL
Molecular Formula C10H12N2
Molecular Weight 160.2157
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of TOLAZOLINE

SMILES

C(C1=NCCN1)C2=CC=CC=C2

InChI

InChIKey=JIVZKJJQOZQXQB-UHFFFAOYSA-N
InChI=1S/C10H12N2/c1-2-4-9(5-3-1)8-10-11-6-7-12-10/h1-5H,6-8H2,(H,11,12)

HIDE SMILES / InChI
Tolazoline, also known as priscoline, was used in treatment of persistent pulmonary hypertension of the newborn. But that prescription was discontinued. Priscoline given intravenously produces vasodilatation, primarily due to a direct effect on vascular smooth muscle, and cardiac stimulation; the blood pressure response depends on the relative contributions of the two effects. Priscoline usually reduces pulmonary arterial pressure and vascular resistance. The mechanisms of its therapeutic effects are not clear, but is known, that tolazoline is a non-selective competitive α-adrenergic receptor antagonist and it possesses histamine agonist activity.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
PRISCOLINE

Approved Use

Unknown

Launch Date

1948
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
3.8 mg/L
3.2 mg single, intravenous
dose: 3.2 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TOLAZOLINE blood
Homo sapiens
population: UNHEALTHY
age: NEWBORN
sex: FEMALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
0.15 h
3.2 mg single, intravenous
dose: 3.2 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TOLAZOLINE blood
Homo sapiens
population: UNHEALTHY
age: NEWBORN
sex: FEMALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Other AEs: Erythema, Thrombocytopenia...
Other AEs:
Erythema (60%)
Thrombocytopenia (45%)
Hyponatremia (40%)
Gastric acid increased (36%)
Seizures (30%)
Hematuria (23%)
Hypotension (19%)
Oliguria (11%)
Abdominal distension (9%)
Activity motor exaggerated (6%)
Tracheal bleeding (6%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Oliguria 11%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Hypotension 19%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Hematuria 23%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Seizures 30%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Gastric acid increased 36%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Hyponatremia 40%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Thrombocytopenia 45%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Activity motor exaggerated 6%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Tracheal bleeding 6%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Erythema 60%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Abdominal distension 9%
2 mg/kg single, intravenous
Highest studied dose
Dose: 2 mg/kg
Route: intravenous
Route: single
Dose: 2 mg/kg
Sources:
unhealthy, 36 weeks
n = 47
Health Status: unhealthy
Age Group: 36 weeks
Population Size: 47
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
likely
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
DDT-induced myoclonus: serotonin and alpha noradrenergic interaction.
1979 Feb
Hypochloremic metabolic alkalosis following tolazoline-induced gastric hypersecretion.
1980 Feb
Tolazoline and acute renal failure in the newborn.
1981 May 30
[Tolazoline and dopamine in the treatment of the persistent fetal circulation syndrome].
1983 Oct
[Renal disorders in the newborn infant].
1984 Jan-Feb
Bolus and continuous infusion of tolazoline in neonates with hypoxemia.
1986
Blood flow distribution and brain metabolism during tolazoline-induced hypotension in newborn dogs.
1990 Aug
Effects of tolazoline and prostacyclin on pulmonary hypertension in infants after cardiac surgery.
1992 Sep
Spasms of the hepatic artery following percutaneous transluminal angioplasty and tolazoline administration in a liver transplant patient.
1996 May-Jun
Ligand efficacy and potency at recombinant alpha2 adrenergic receptors: agonist-mediated [35S]GTPgammaS binding.
1998 Apr 1
Inhaled nitric oxide applications in paediatric practice.
2002 Jan
The effect of different combinations of lignocaine, ketoprofen, xylazine and tolazoline on the acute cortisol response to dehorning in calves.
2003 Oct
A comparison of two intramuscular doses of xylazine-ketamine combination and tolazoline reversal in llamas.
2004 Apr
An in vitro study of the effects of Cassia podocarpa fruit on the intestinal motility of rats.
2004 Feb
Effectiveness of antagonists for tiletamine-zolazepam/xylazine immobilization in female white-tailed deer.
2004 Jul
Persistent pulmonary hypertension of the newborn.
2004 Jun
Clinically diagnosed nonocclusive mesenteric ischemia after cardiopulmonary bypass: retrospective study.
2004 Mar
2-(Anilino)imidazolines and 2-(benzyl)imidazoline derivatives as h5-HT1D serotonin receptor ligands.
2004 Sep 20
Bench-to-bedside review: Ventilator strategies to reduce lung injury -- lessons from pediatric and neonatal intensive care.
2005 Apr
Ergotamine-induced upper extremity ischemia: a case report.
2005 Apr-Jun
Pulmonary hypertension in the newborn.
2005 Jun
Prevention and management of meconium aspiration syndrome--assessment of evidence based practice.
2005 May
Clinical assessment of epidural analgesia induced by xylazine-lidocaine combination accompanied by xylazine sedation in calves.
2005 Oct 1
Persistent pulmonary hypertension of the newborn: pathogenesis, etiology, and management.
2006
Comparative effects of tolazoline and nitroprusside on human isolated radial artery.
2006 Jan
Antagonism by imidazoline-type drugs of muscarinic and other receptors in the guinea-pig ileum.
2006 Jul
Reported medication use in the neonatal intensive care unit: data from a large national data set.
2006 Jun
Antagonism of detomidine sedation in the horse using intravenous tolazoline or atipamezole.
2006 May
Impaired cognition and attention in adults: pharmacological management strategies.
2007 Feb
Castration of lambs: a welfare comparison of different castration techniques in lambs over 10 weeks of age.
2007 May
A diazonium ion cascade from the nitrosation of tolazoline, an imidazoline-containing drug.
2008 Feb
Nucleoside and DNA adducts from N-nitrosotolazoline.
2008 Feb
N-nitrosotolazoline: decomposition studies of a typical N-nitrosoimidazoline.
2008 Feb
A comparison of two combinations of xylazine-ketamine administered intramuscularly to alpacas and of reversal with tolazoline.
2008 May
Effect of vasoactive agents on the dermatopharmacokinetics and systemic disposition of model compounds, salicylate and FITC-dextran 4 kDa, following intracutaneous injection of the compounds.
2008 May 22
A novel high-throughput screening assay for putative antidiabetic agents through PPARalpha interactions.
2008 Oct
Evaluation of intramuscular butorphanol, azaperone, and medetomidine and nasal oxygen insufflation for the chemical immobilization of white-tailed deer, Odocoileus virginianus.
2008 Sep
Butorphanol-azaperone-medetomidine for immobilization of captive white-tailed deer.
2009 Apr
A novel approach for percutaneous treatment of massive nonocclusive mesenteric ischemia: tolazoline and glycerol trinitrate as effective local vasodilators.
2009 Feb 1
The clinical outcomes of transcatheter microcoil embolization in patients with active lower gastrointestinal bleeding in the small bowel.
2009 Jul-Aug
Adenosine and adenosine receptors: Newer therapeutic perspective.
2009 Jun
Physiologic effects of nasal oxygen or medical air administered prior to and during carfentanil-xylazine anesthesia in North American elk (Cervus canadensis manitobensis).
2009 Mar
Accurate localization of life threatening colonic hemorrhage during nuclear medicine bleeding scan as an aid to selective angiography.
2009 May 27
Adverse drug effects in hospitalized elderly: data from the healthcare cost and utilization project.
2010
Bench-to-bedside review: carbon dioxide.
2010
Effect of sildenafil on digital ulcers in systemic sclerosis: analysis from a single centre pilot study.
2010 Aug
Pharmacological characterization of a Bombyx mori alpha-adrenergic-like octopamine receptor stably expressed in a mammalian cell line.
2010 Feb
Functional and pharmacological characterization of a beta-adrenergic-like octopamine receptor from the silkworm Bombyx mori.
2010 Jun
Cardiovascular effects of sub-daily levels of ambient fine particles: a systematic review.
2010 Jun 15
Profiling of a prescription drug library for potential renal drug-drug interactions mediated by the organic cation transporter 2.
2011 Jul 14
Patents

Patents

Sample Use Guides

In Vivo Use Guide
An initial dose of 1 to 2 mg/kg, via scalp vein, followed by an infusion of 1 to 2 mg/kg per hour have usually resulted in significant increases in arterial oxygen. There is very little experience with infusions lasting beyond 36 to 48 hours. Response, if it occurs, can be expected within 30 minutes after the initial dose.
Route of Administration: Intravenous
In Vitro Use Guide
Unknown
Name Type Language
TOLAZOLINE
INN   MI   VANDF   WHO-DD  
INN  
Official Name English
TOLAZOLINE [VANDF]
Common Name English
Tolazoline [WHO-DD]
Common Name English
NSC-35110
Code English
tolazoline [INN]
Common Name English
TOLAZOLINE [MI]
Common Name English
TOLAZINE
Brand Name English
Classification Tree Code System Code
WHO-VATC QM02AX02
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
WHO-VATC QV03AB94
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
WHO-ATC M02AX02
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
WHO-VATC QC04AB02
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
NCI_THESAURUS C29713
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
WHO-ATC C04AB02
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
Code System Code Type Description
WIKIPEDIA
TOLAZOLINE
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
EVMPD
SUB11148MIG
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
CAS
59-98-3
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
EPA CompTox
DTXSID3023683
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
NSC
35110
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
DRUG BANK
DB00797
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
ECHA (EC/EINECS)
200-448-9
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
SMS_ID
100000077751
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
MESH
D014043
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
MERCK INDEX
m10936
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY Merck Index
NCI_THESAURUS
C66608
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
IUPHAR
7310
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
INN
4213
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
ChEMBL
CHEMBL770
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
FDA UNII
CHH9H12AQ3
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
DAILYMED
CHH9H12AQ3
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
PUBCHEM
5504
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
RXCUI
10634
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY RxNorm
DRUG CENTRAL
2695
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY
CHEBI
28502
Created by admin on Fri Dec 15 16:38:36 GMT 2023 , Edited by admin on Fri Dec 15 16:38:36 GMT 2023
PRIMARY