LOPERAMIDE OXIDE MONOHYDRATE

Details

Stereochemistry	ACHIRAL
Molecular Formula	C29H33ClN2O3.H2O
Molecular Weight	511.052
Optical Activity	UNSPECIFIED
Defined Stereocenters	2 / 2
E/Z Centers	0
Charge	0

SHOW SMILES / InChI

Structure of LOPERAMIDE OXIDE MONOHYDRATE

Structure Search

SMILES

O.CN(C)C(=O)C(CC[N@+]1([O-])CC[C@](O)(CC1)C2=CC=C(Cl)C=C2)(C3=CC=CC=C3)C4=CC=CC=C4

InChI

InChIKey=MVMJRVIHTNVDRP-AYFKLSOTSA-N

InChI=1S/C29H33ClN2O3.H2O/c1-31(2)27(33)29(24-9-5-3-6-10-24,25-11-7-4-8-12-25)19-22-32(35)20-17-28(34,18-21-32)23-13-15-26(30)16-14-23;/h3-16,34H,17-22H2,1-2H3;1H2/t28-,32-;

HIDE SMILES / InChI

Description
Sources: https://www.drugs.com/international/loperamide-oxide.html | https://www.ncbi.nlm.nih.gov/pubmed/1735336 | https://www.ncbi.nlm.nih.gov/pubmed/7697694

Loperamide Oxide is a prodrug of loperamide, an antidiarrheal agent, patented by Belgian pharmaceutical company Janssen Pharmaceutica N. V. as an antidiarrheal agent. Loperamide oxide is reduced to loperamide and has the same antisecretory potency as loperamide in jejunum and colon. In clinical trials, Loperamide oxide provides a safe and effective treatment for chronic diarrhea associated with Crohn's disease. Loperamide Oxide is used in the Netherlands for the treatment of acute diarrhea in adults under brand name Arestal.

Originator

Approval Year

Targets

Primary Target	Pharmacology	Condition	Potency
oxidation-reduction process 2 Target ID: GO:0055114 Sources: https://www.ncbi.nlm.nih.gov/pubmed/7628301	Substrate 661

PubMed

Title	Date	PubMed
Dose proportionality study of loperamide following oral administration of loperamide oxide.	1992	1623916
Effects of the prodrug loperamide oxide, loperamide, and placebo on jejunal motor activity.	1992 Feb	1735336
Influence of loperamide and loperamide oxide on the anal sphincter. A manometric study.	1992 Sep	1511646
Loperamide oxide in the treatment of acute diarrhea in adults.	1994 Nov-Dec	7697694

Sample Use Guides

In Vivo Use Guide

1 or 2 mg after passage of each unformed stool for 1-week The mean daily dose of loperamide oxide was 2.7 mg.

Route of Administration: Oral

Name

Type

Language

LOPERAMIDE OXIDE MONOHYDRATE

Common Name

English

LOPERAMIDE OXIDE [MART.]

Common Name

English

LOPERAMIDE OXIDE MONOHYDRATE [EP MONOGRAPH]

Common Name

English

ARESTAL

Brand Name

English

R58425

Code

English

Classification Tree Code System Code

WHO-VATC

QA07DA05