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

Details

Stereochemistry RACEMIC
Molecular Formula C16H16ClNO3
Molecular Weight 305.756
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of FENOLDOPAM

SMILES

OC1=CC=C(C=C1)C2CNCCC3=C(Cl)C(O)=C(O)C=C23

InChI

InChIKey=TVURRHSHRRELCG-UHFFFAOYSA-N
InChI=1S/C16H16ClNO3/c17-15-11-5-6-18-8-13(9-1-3-10(19)4-2-9)12(11)7-14(20)16(15)21/h1-4,7,13,18-21H,5-6,8H2

HIDE SMILES / InChI
Fenoldopam (marketed under the brand name Corlopam) is a drug and synthetic benzazepine derivative which acts as a selective D1 receptor partial agonist. Fenoldopam is a rapid-acting vasodilator. It is an agonist for D1-like dopamine receptors and binds with moderate affinity to α2-adrenoceptors. It has no significant affinity for D2-like receptors, α1 and β adrenoceptors, 5HT1 and 5HT2 receptors, or muscarinic receptors. Fenoldopam is a racemic mixture with the R-isomer responsible for the biological activity. The R-isomer has approximately 250-fold higher affinity for D1-like receptors than does the S-isomer. Fenoldopam Mesylate Injection, USP is indicated for the in-hospital, short-term (up to 48 hours) management of severe hypertension when rapid, but quickly reversible, emergency reduction of blood pressure is clinically indicated, including malignant hypertension with deteriorating end-organ function.

CNS Activity

Curator's Comment: Fenoldopam does not cross the blood-brain barrier

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
CORLOPAM

Approved Use

Adult Patients: Fenoldopam is indicated for the in-hospital, short-term (up to 48 hours) management of severe hypertension when rapid, but quickly reversible, emergency reduction of blood pressure is clinically indicated, including malignant hypertension with deteriorating end-organ function. Transition to oral therapy with another agent can begin at any time after blood pressure is stable during fenoldopam infusion. Pediatric Patients: Fenoldopam is indicated for the in-hospital, short-term (up to 4 hours) reduction in blood pressure.

Launch Date

1997
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
10.9 ng/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FENOLDOPAM plasma
Homo sapiens
population: UNHEALTHY
age: UNKNOWN
sex: FEMALE / MALE
food status: FED
26.5 ng/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FENOLDOPAM plasma
Homo sapiens
population: UNHEALTHY
age: UNKNOWN
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
26.8 ng × h/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FENOLDOPAM plasma
Homo sapiens
population: UNHEALTHY
age: UNKNOWN
sex: FEMALE / MALE
food status: FED
44.7 ng × h/mL
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FENOLDOPAM plasma
Homo sapiens
population: UNHEALTHY
age: UNKNOWN
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.6 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FENOLDOPAM plasma
Homo sapiens
population: UNHEALTHY
age: UNKNOWN
sex: FEMALE / MALE
food status: FED
2.9 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FENOLDOPAM plasma
Homo sapiens
population: UNHEALTHY
age: UNKNOWN
sex: FEMALE / MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
1.5 ug/kg/min single, intravenous
Highest studied dose
Dose: 1.5 ug/kg/min
Route: intravenous
Route: single
Dose: 1.5 ug/kg/min
Sources: Page: 1-61
unhealthy, 46±3
n = 9
Health Status: unhealthy
Condition: Hypertension
Age Group: 46±3
Sex: M+F
Population Size: 9
Sources: Page: 1-61
0.8 ug/kg/min single, intravenous
Recommended
Dose: 0.8 ug/kg/min
Route: intravenous
Route: single
Dose: 0.8 ug/kg/min
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Hypertension
Sources: Page: p.1
Disc. AE: Tachycardia, Hypokalemia...
AEs leading to
discontinuation/dose reduction:
Tachycardia
Hypokalemia
Anaphylactic reaction
Sources: Page: p.1
AEs

AEs

AESignificanceDosePopulation
Anaphylactic reaction Disc. AE
0.8 ug/kg/min single, intravenous
Recommended
Dose: 0.8 ug/kg/min
Route: intravenous
Route: single
Dose: 0.8 ug/kg/min
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Hypertension
Sources: Page: p.1
Hypokalemia Disc. AE
0.8 ug/kg/min single, intravenous
Recommended
Dose: 0.8 ug/kg/min
Route: intravenous
Route: single
Dose: 0.8 ug/kg/min
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Hypertension
Sources: Page: p.1
Tachycardia Disc. AE
0.8 ug/kg/min single, intravenous
Recommended
Dose: 0.8 ug/kg/min
Route: intravenous
Route: single
Dose: 0.8 ug/kg/min
Sources: Page: p.1
unhealthy
Health Status: unhealthy
Condition: Hypertension
Sources: Page: p.1
PubMed

PubMed

TitleDatePubMed
Patents

Sample Use Guides

Adults: Initiate dosing at 0.01 to 0.3 mcg/kg/min by continuous infusion. Dosing can be increased in increments of 0.05 to 0.1 mcg/kg/minute every 15 minutes or longer until target blood pressure is reached. Dilute prior to administration Pediatrics: Initiate dosing at 0.2 mcg/kg/minute by continuous infusion and titrate dose by 0.3 to 0.5 mcg/kg/min every 20-30 minutes to a maximum dose of 0.8 mcg/kg/minute
Route of Administration: Intravenous
Incubation of freshly isolated mouse kidney slices with the selective D(1)-like receptor agonists fenoldopam (10 uM) and SKF-38393 (10 uM) for 1 h induced NaPi-IIa internalization and reduced expression of NaPi-IIa in the brush border membrane (BBM).
Name Type Language
FENOLDOPAM
INN   MI   VANDF   WHO-DD  
INN  
Official Name English
FENOLDOPAM [MI]
Common Name English
Fenoldopam [WHO-DD]
Common Name English
CARLACOR
Brand Name English
fenoldopam [INN]
Common Name English
FENOLDOPAM [VANDF]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C66884
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
WHO-ATC C01CA19
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
NDF-RT N0000175580
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
NDF-RT N0000000117
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
WHO-VATC QC01CA19
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
Code System Code Type Description
EPA CompTox
DTXSID0043896
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
PUBCHEM
3341
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
DRUG BANK
DB00800
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
RXCUI
24853
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY RxNorm
IUPHAR
939
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
WIKIPEDIA
FENOLDOPAM
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
SMS_ID
100000081281
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
INN
4673
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
NCI_THESAURUS
C61759
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
MESH
D018818
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
DAILYMED
INU8H2KAWG
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
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MERCK INDEX
m5280
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY Merck Index
CHEBI
5002
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
DRUG CENTRAL
1153
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
LACTMED
Fenoldopam
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
CAS
67227-56-9
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
EVMPD
SUB07577MIG
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
FDA UNII
INU8H2KAWG
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY
ChEMBL
CHEMBL588
Created by admin on Fri Dec 15 15:30:37 GMT 2023 , Edited by admin on Fri Dec 15 15:30:37 GMT 2023
PRIMARY