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Details

Stereochemistry RACEMIC
Molecular Formula C16H13ClN2O2.H2O4S
Molecular Weight 398.818
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of TEMAZEPAM SULFATE

SMILES

OS(O)(=O)=O.CN1C2=C(C=C(Cl)C=C2)C(=NC(O)C1=O)C3=CC=CC=C3

InChI

InChIKey=XNBFXTXDZMWXMN-UHFFFAOYSA-N
InChI=1S/C16H13ClN2O2.H2O4S/c1-19-13-8-7-11(17)9-12(13)14(18-15(20)16(19)21)10-5-3-2-4-6-10;1-5(2,3)4/h2-9,15,20H,1H3;(H2,1,2,3,4)

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2010/018163s054lbl.pdf

Temazepam is a benzodiazepine used as a hypnotic agent in the management of insomnia. Temazepam produces CNS depression at limbic, thalamic, and hypothalamic levels of the CNS. Temazepam increases the affinity of the neurotransmitter gamma-aminobutyric acid (GABA) for GABA receptors by binding to benzodiazepine receptors. Results are sedation, hypnosis, skeletal muscle relaxation, anticonvulsant activity, and anxiolytic action. Benzodiazepines bind nonspecifically to benzodiazepine receptors, which affects muscle relaxation, anticonvulsant activity, motor coordination, and memory. As benzodiazepine receptors are thought to be coupled to gamma-aminobutyric acid-A (GABAA) receptors, this enhances the effects of GABA by increasing GABA affinity for the GABA receptor. Binding of the inhibitory neurotransmitter GABA to the site opens the chloride channel, resulting in a hyperpolarized cell membrane that prevents further excitation of the cell. Temazepam is used for the short-term treatment of insomnia (generally 7-10 days).

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Restoril

Approved Use

Restoril™ (temazepam) is indicated for the short-term treatment of insomnia (generally 7 to 10 days).

Launch Date

1981
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
865 ng/mL
30 mg 1 times / day steady-state, oral
dose: 30 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
964 ng/mL
26 mg single, intravenous
dose: 26 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1560 ng/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1800 ng × h/mL
30 mg 1 times / day steady-state, oral
dose: 30 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
6.4 μg × h/mL
26 mg single, intravenous
dose: 26 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.8 h
30 mg 1 times / day steady-state, oral
dose: 30 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
10.7 h
26 mg single, intravenous
dose: 26 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.24 h
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
4%
30 mg 1 times / day steady-state, oral
dose: 30 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
2%
26 mg single, intravenous
dose: 26 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
TEMAZEPAM plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
26 mg single, intravenous
Dose: 26 mg
Route: intravenous
Route: single
Dose: 26 mg
Sources:
healthy, 18 - 24 years
Health Status: healthy
Age Group: 18 - 24 years
Sex: M+F
Sources:
40 mg single, oral
Dose: 40 mg
Route: oral
Route: single
Dose: 40 mg
Sources:
unhealthy, 42 years (range: 22 - 59 years)
n = 14
Health Status: unhealthy
Age Group: 42 years (range: 22 - 59 years)
Sex: M+F
Population Size: 14
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer


Drug as perpetrator​

Drug as perpetrator​

Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Direct LC analysis of five benzodiazepines in human urine and plasma using an ADS restricted access extraction column.
2001 Dec
Culture of porcine hepatocytes: the dogma of exogenous matrix revisited.
2001 Jul
Ethanol, errors, and the speed-accuracy trade-off.
2001 Jul-Aug
Urinary excretion of diazepam metabolites in healthy volunteers and drug users.
2001 May
The use of vitreous humor as an alternative to whole blood for the analysis of benzodiazepines.
2001 May
Treatment of insomnia in hospitalized patients.
2001 Nov
Drugs in postmortem adipose tissues: evidence of antemortem deposition.
2001 Oct 1
Drug related deaths in the Strathclyde region of Scotland, 1995-1998.
2001 Oct 15
Determination of partial solubility parameters of five benzodiazepines in individual solvents.
2001 Oct 9
Prevention of fall from the bed of spinal cord injury patients.
2001 Sep
Experience with urine drug testing by the Correctional Service of Canada.
2001 Sep 15
Use of night-time benzodiazepines in an elderly inpatient population.
2002 Apr
Digit loss following misuse of temazepam.
2002 Apr 15
Microsomal protein concentration modifies the apparent inhibitory potency of CYP3A inhibitors.
2002 Dec
Mechanism of increased dissolution of diazepam and temazepam from polyethylene glycol 6000 solid dispersions.
2002 Dec 5
Severe vein damage caused by Temezepam injecting.
2002 Feb
Alcohol and benzodiazepines in fatal poisonings.
2002 Jul
Are changes in beliefs and attitudes about sleep related to sleep improvements in the treatment of insomnia?
2002 Jul
Prediction of poly(ethylene) glycol-drug eutectic compositions using an index based on the van't Hoff equation.
2002 Mar
Commentary on: Dou C, Bournique J, Zinda M, Gnezda M, Nally A, Salamone S. Comparison of rates of hydrolysis of lorazepam-glucuronide, oxazepam-glucuronide and temazepam-glucuronide catalyzed by E. coli beta-glucuronidase using the on-line benzodiazepine screening immunoassay on the Roche/Hitachi 917 analyzer.
2002 Mar
Direct determination of benzodiazepines in biological fluids by restricted-access solid-phase microextraction.
2002 Mar 1
[Fatal outcome of poisoning with the benzodiazepines flunitrazepam and diazepam].
2002 Mar-Apr
CNS effects of sumatriptan and rizatriptan in healthy female volunteers.
2002 May
Melatonin and zopiclone: the relationship between sleep propensity and body temperature.
2002 May 1
Long term benzodiazepine use for insomnia in patients over the age of 60: discordance of patient and physician perceptions.
2002 May 8
Insomnia. Diagnosis and management.
2002 Nov
Determination of the enantiomerization energy barrier of some 3-hydroxy-1,4-benzodiazepine drugs by supercritical fluid chromatography.
2002 Nov 5
Simple and sensitive liquid chromatography/tandem mass spectrometry method for the determination of diazepam and its major metabolites in rat cerebrospinal fluid.
2003
Analytical developments in toxicological investigation of drug-facilitated sexual assault.
2003 Aug
Improving daytime sleep with temazepam as a countermeasure for shift lag.
2003 Feb
Temazepam, but not zolpidem, causes orthostatic hypotension in astronauts after spaceflight.
2003 Jan
Association of benzodiazepine injection with the prescription of temazepam capsules.
2003 Jun
Acute pharmacological effects of temazepam, diphenhydramine, and valerian in healthy elderly subjects.
2003 Jun
Case report: severe mercuric sulphate poisoning treated with 2,3-dimercaptopropane-1-sulphonate and haemodiafiltration.
2003 Jun
Effects of diazepam and its metabolites on nocturnal melatonin secretion in the rat pineal and Harderian glands. A comparative in vivo and in vitro study.
2003 Mar
Errors in performance testing: a comparison of ethanol and temazepam.
2003 Mar
Interaction of alcohol and drugs in fatal poisonings.
2003 May
Fast analysis using monolithic columns coupled with high-flow on-line extraction and electrospray mass spectrometric detection for the direct and simultaneous quantitation of multiple components in plasma.
2003 May 25
[Comparative kinetics of 3-hydroxyphenazepam and its metabolism during transdermal and intravenous administration].
2003 May-Jun
Effects of after-midnight intake of zolpidem and temazepam on driving ability in women with non-organic insomnia.
2003 Nov
Chiral separations using polymeric surfactants and polyelectrolyte multilayers in open-tubular capillary electrochromatography.
2003 Nov 15
[Benzodiazepines and forensic aspects].
2003 Nov-Dec
[Signopam treatment of insomnia in patients with somatic pathology].
2004
Zolpidem is not superior to temazepam with respect to rebound insomnia: a controlled study.
2004 Aug
Psychological treatment for insomnia in the regulation of long-term hypnotic drug use.
2004 Feb
A postmarketing study of relative abuse liability of hypnotic sedative drugs.
2004 Feb
CNS effects of sumatriptan and rizatriptan.
2004 Jan
Comparative efficacy of newer hypnotic drugs for the short-term management of insomnia: a systematic review and meta-analysis.
2004 Jul
Sleep-inducing pharmaceuticals: a comparison of melatonin, zaleplon, zopiclone, and temazepam.
2004 Jun
Effects of zolpidem and temazepam on driving ability.
2004 Nov
Patents

Sample Use Guides

While the recommended usual adult dose is 15 mg before retiring, 7.5 mg may be sufficient for some patients, and others may need 30 mg. In transient insomnia, a 7.5 mg dose may be sufficient to improve sleep latency. In elderly or debilitated patients, it is recommended that therapy be initiated with 7.5 mg until individual responses are determined.
Route of Administration: Oral
In Vitro Use Guide
Curator's Comment: Temazepam alone caused an increase in twitch tension in lower concentrations, followed by complete depression in higher concentrations in rat phrenic nerve-hemidiaphragm preparation.
Unknown
Name Type Language
TEMAZEPAM SULFATE
Common Name English
2H-1,4-BENZODIAZEPIN-2-ONE, 7-CHLORO-1,3-DIHYDRO-3-HYDROXY-1-METHYL-5-PHENYL-, SULFATE (1:1) (SALT)
Systematic Name English
BA-2827
Code English
3-HYDROXYDIAZEPAM SULFATE
Common Name English
Code System Code Type Description
CAS
17311-34-1
Created by admin on Sat Dec 16 01:35:59 GMT 2023 , Edited by admin on Sat Dec 16 01:35:59 GMT 2023
NON-SPECIFIC STOICHIOMETRY
FDA UNII
I1HX8463I0
Created by admin on Sat Dec 16 01:35:59 GMT 2023 , Edited by admin on Sat Dec 16 01:35:59 GMT 2023
PRIMARY
PUBCHEM
121225695
Created by admin on Sat Dec 16 01:35:59 GMT 2023 , Edited by admin on Sat Dec 16 01:35:59 GMT 2023
PRIMARY
CAS
31677-86-8
Created by admin on Sat Dec 16 01:35:59 GMT 2023 , Edited by admin on Sat Dec 16 01:35:59 GMT 2023
PRIMARY
DRUG BANK
DBSALT002271
Created by admin on Sat Dec 16 01:35:59 GMT 2023 , Edited by admin on Sat Dec 16 01:35:59 GMT 2023
PRIMARY