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

Details

Stereochemistry RACEMIC
Molecular Formula C16H15N3
Molecular Weight 249.3104
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of EPINASTINE

SMILES

NC1=NCC2N1C3=C(CC4=C2C=CC=C4)C=CC=C3

InChI

InChIKey=WHWZLSFABNNENI-UHFFFAOYSA-N
InChI=1S/C16H15N3/c17-16-18-10-15-13-7-3-1-5-11(13)9-12-6-2-4-8-14(12)19(15)16/h1-8,15H,9-10H2,(H2,17,18)

HIDE SMILES / InChI
Epinastine (brand names Alesion, Elestat, Purivist, Relestat) is a second-generation antihistamine and mast cell stabilizer. Epinastine is a topically active, direct H1-receptor antagonist and an inhibitor of the release of histamine from the mast cell. Epinastine is selective for the histamine H1-receptor and has affinity for the histamine H2 receptor. Epinastine also possesses affinity for the α1-, α2-, and 5-HT2 –receptors. Epinastine does not penetrate the blood/brain barrier and, therefore, is not expected to induce side effects of the central nervous system. Elestat ophthalmic solution is indicated for the prevention of itching associated with allergic conjunctivitis.

CNS Activity

Curator's Comment: Epinastine does not penetrate the blood/brain barrier and, therefore, is not expected to induce side effects of the central nervous system.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ELESTAT

Approved Use

Epinastine HCl ophthalmic solution is indicated for the prevention of itching associated with allergic conjunctivitis. Epinastine HCl ophthalmic solution is an H1 histamine receptor antagonist indicated for the prevention of itching associated with allergic conjunctivitis. (1)

Launch Date

1.0662624E12
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
0.042 ng/mL
0.05 % 2 times / day multiple, ocular
dose: 0.05 %
route of administration: Ocular
experiment type: MULTIPLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
0.025 ng/mL
0.05 % single, ocular
dose: 0.05 %
route of administration: Ocular
experiment type: SINGLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
14.82 ng/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
15.69 ng/mL
20 mg 1 times / day steady-state, oral
dose: 20 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
EPINASTINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
15.5 ng/mL
20.6 mg single, oral
dose: 20.6 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
0.347 ng × h/mL
0.05 % 2 times / day multiple, ocular
dose: 0.05 %
route of administration: Ocular
experiment type: MULTIPLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
0.465 ng × h/mL
0.05 % single, ocular
dose: 0.05 %
route of administration: Ocular
experiment type: SINGLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
144.88 ng × h/mL
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
157.38 ng × h/mL
20 mg 1 times / day steady-state, oral
dose: 20 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
EPINASTINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
11.9 h
0.05 % 2 times / day multiple, ocular
dose: 0.05 %
route of administration: Ocular
experiment type: MULTIPLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
9.26 h
0.05 % single, ocular
dose: 0.05 %
route of administration: Ocular
experiment type: SINGLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
7.08 h
20 mg single, oral
dose: 20 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EPINASTINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
7.35 h
20 mg 1 times / day steady-state, oral
dose: 20 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
EPINASTINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
35.8%
single, oral
EPINASTINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
1 drop 1 times / day multiple, ophthalmic
Recommended
Dose: 1 drop, 1 times / day
Route: ophthalmic
Route: multiple
Dose: 1 drop, 1 times / day
Sources:
unhealthy, 33.8
n = 50
Health Status: unhealthy
Condition: Allergic Conjunctivitis
Age Group: 33.8
Sex: M+F
Population Size: 50
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG



OverviewOther

Other InhibitorOther SubstrateOther Inducer







Drug as victimTox targets

Tox targets

PubMed

PubMed

TitleDatePubMed
New tetracyclic guanidine derivatives with H1-antihistaminic properties. Chemistry of epinastine.
1990 Apr
Antihistaminic activity and side effect profile of epinastine and terfenadine in healthy volunteers.
1990 Dec
The various effects of four H1-antagonists on serum substance P levels in patients with atopic dermatitis.
2005 Oct
Effect of topical ophthalmic epinastine and olopatadine on tear volume in mice.
2006 Dec
Elestat (epinastine HCl ophthalmic solution 0.05%) as a therapeutic for allergic conjunctivitis.
2006 Fall
Epinastine in the management of ocular allergic disease.
2006 Fall
Role of substance P in allergic nasal symptoms in rats.
2006 Feb 17
[Pharmacological and clinical profile of epinastine hydrochloride (Alesion Dry Syrup 1%)].
2006 Jan
Parental use of the term "Hot Qi" to describe symptoms in their children in Hong Kong: a cross sectional survey "Hot Qi" in children.
2006 Jan 5
Nasal congestion model in Brown Norway rats and the effects of some H1-antagonists.
2006 May
Octopamine mediates thermal preconditioning of the locust ventilatory central pattern generator via a cAMP/protein kinase A signaling pathway.
2006 Nov 22
Efficacy and response with olopatadine versus epinastine in ocular allergic symptoms: a post hoc analysis of data from a conjunctival allergen challenge study.
2006 Oct
Roles of octopaminergic and dopaminergic neurons in mediating reward and punishment signals in insect visual learning.
2006 Oct
Antiallergic drugs, azelastine hydrochloride and epinastine hydrochloride, inhibit ongoing IgE secretion of rat IgE-producing hybridoma FE-3 cells.
2006 Oct 10
An open-label, investigator-masked, crossover study of the ocular drying effects of two antihistamines, topical epinastine and systemic loratadine, in adult volunteers with seasonal allergic conjunctivitis.
2007 Apr
Expanding the neuron's calcium signaling repertoire: intracellular calcium release via voltage-induced PLC and IP3R activation.
2007 Apr
Duration of action of topical antiallergy drugs in a Guinea pig model of histamine-induced conjunctival vascular permeability.
2007 Aug
Octopamine partially restores walking in hypokinetic cockroaches stung by the parasitoid wasp Ampulex compressa.
2007 Dec
Effect of topical olopatadine and epinastine in the botulinum toxin B-induced mouse model of dry eye.
2007 Feb
Influences of octopamine and juvenile hormone on locomotor behavior and period gene expression in the honeybee, Apis mellifera.
2007 Feb
Distribution to the skin of epinastine hydrochloride in atopic dermatitis patients.
2007 Jan-Feb
Inhibition of IgE-mediated phosphorylation of FcepsilonRIgamma protein by antiallergic drugs in rat basophilic leukemia (RBL-2H3) cells: a novel action of antiallergic drugs.
2007 Jul
Simultaneous multiresponse optimization applied to epinastine determination in human serum by using capillary electrophoresis.
2007 Jul 9
Efficacy and comfort of olopatadine 0.2% versus epinastine 0.05% ophthalmic solution for treating itching and redness induced by conjunctival allergen challenge.
2007 Jun
Development of new atopic dermatitis models characterized by not only itching but also inflammatory skin in mice.
2007 Jun 22
Influences of histamine H1 receptor antagonists on maximal electroshock seizure in infant rats.
2007 Mar
Aversive learning in honeybees revealed by the olfactory conditioning of the sting extension reflex.
2007 Mar 14
Ocular anti-allergic compounds selectively inhibit human mast cell cytokines in vitro and conjunctival cell infiltration in vivo.
2007 Nov
Effects of sedative and non-sedative H1 antagonists on cognitive tasks: behavioral and near-infrared spectroscopy (NIRS) examinations.
2007 Sep
Development and validation of liquid chromatographic and ultraviolet derivative spectrophotometric methods for determination of epinastine hydrochloride in coated tablets.
2007 Sep-Oct
Inhibition of angiogenic factor production from murine mast cells by an antiallergic agent (epinastine hydrochloride) in vitro.
2008
Analysis of disease-dependent sedative profiles of H(1)-antihistamines by large-scale surveillance using the visual analog scale.
2008 Apr
Arousal facilitates collision avoidance mediated by a looming sensitive visual neuron in a flying locust.
2008 Aug
Development and characterisation of a novel and rapid lung eosinophil influx model in the rat.
2008 Aug
Repeated pre-treatment with antihistamines suppresses [corrected] transcriptional up-regulations of histamine H(1) receptor and interleukin-4 genes in toluene-2,4-diisocyanate-sensitized rats.
2008 Dec
Ocular comfort and drying effects of three topical antihistamine/mast cell stabilizers in adults with allergic conjunctivitis: a randomized, double-masked crossover study.
2008 Jul
Intact cell binding for in vitro prediction of sedative and non-sedative histamine H1-receptor antagonists based on receptor internalization.
2008 May
Regulatory effects of antihistamines on the responses to staphylococcal enterotoxin B of human monocyte-derived dendritic cells and CD4+ T cells.
2008 Oct
Treatment of allergic conjunctivitis with olopatadine hydrochloride eye drops.
2008 Sep
Management of allergic conjunctivitis: an evaluation of the perceived comfort and therapeutic efficacy of olopatadine 0.2% and azelastine 0.05% from two prospective studies.
2009
Influence of epinastine hydrochloride, an H1-receptor antagonist, on the function of mite allergen-pulsed murine bone marrow-derived dendritic cells in vitro and in vivo.
2009
Efficacy of olopatadine HCI 0.1%, ketotifen fumarate 0.025%, epinastine HCI 0.05%, emedastine 0.05% and fluorometholone acetate 0.1% ophthalmic solutions for seasonal allergic conjunctivitis: a placebo-controlled environmental trial.
2009 Aug
Roles of octopaminergic and dopaminergic neurons in appetitive and aversive memory recall in an insect.
2009 Aug 4
Epinastine 0.05% ophthalmic solution in contact lens-wearing subjects with a history of allergic conjunctivitis.
2009 Jan
Contrasting role of octopamine in appetitive and aversive learning in the crab Chasmagnathus.
2009 Jul 15
Octopamine and tyramine modulate pheromone-sensitive olfactory sensilla of the hawkmoth Manduca sexta in a time-dependent manner.
2009 Jun
Effects of sedative and nonsedative antihistamines on prefrontal activity during verbal fluency task in young children: a near-infrared spectroscopy (NIRS) study.
2009 Nov
Multiple action agents and the eye: do they really stabilize mast cells?
2009 Oct
Drugs associated with more suicidal ideations are also associated with more suicide attempts.
2009 Oct 2
Epinastine: topical ophthalmic second generation antihistamine without significant systemic side effects.
2009 Sep
Patents

Sample Use Guides

The recommended dosage is one drop in each eye twice a day. Treatment should be continued throughout the period of exposure (i.e., until the pollen season is over or until exposure to the offending allergen is terminated), even when symptoms are absent.
Route of Administration: Topical
Nasal epithelial cells (NECs) were stimulated with 25 ng/ml TNF-alpha in the presence of Epinastine (10 to 30 ng/ml). The minimum concentration of Epinastine (EP) that caused a significant decrease in eosinophil survival was 25 ng/ml. The addition of EP into eosinophil cultures did not cause inhibition of eosinophil survival, which was prolonged by stimulation with granulocyte-macrophage colony-stimulating factor (GM-CSF), even when 40 ng/ml EP was added to cell cultures.
Name Type Language
EPINASTINE
INN   MI   VANDF   WHO-DD  
INN  
Official Name English
EPINASTINE [MI]
Common Name English
3-AMINO-9,13B-DIHYDRO-1H-DIBENZ(C,F)IMIDAZO(1,5-A)AZEPINE
Common Name English
9,13B-DIHYDRO-1H-DIBENZ(C,F)IMIDAZO(1,5-A)AZEPIN-3-AMINE
Common Name English
Epinastine [WHO-DD]
Common Name English
WAL-801
Code English
PURIVIST
Brand Name English
EPINASTINE [VANDF]
Common Name English
epinastine [INN]
Common Name English
(±)-EPINASTINE
Common Name English
1H-DIBENZ(C,F)IMIDAZO(1,5-A)AZEPIN-3-AMINE, 9,13B-DIHYDRO-
Systematic Name English
Classification Tree Code System Code
WHO-ATC R06AX24
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
NDF-RT N0000000122
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
NDF-RT N0000000190
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
NCI_THESAURUS C29578
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
NDF-RT N0000175883
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
WHO-VATC QR06AX24
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
NDF-RT N0000175519
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
NDF-RT N0000175628
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
WHO-ATC S01GX10
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
WHO-VATC QS01GX10
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
Code System Code Type Description
RXCUI
39684
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY RxNorm
IUPHAR
7176
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
INN
5953
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
DRUG CENTRAL
1027
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
CAS
134507-59-8
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
SUPERSEDED
CHEBI
51032
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
ChEMBL
CHEMBL1106
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
EVMPD
SUB06567MIG
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
PUBCHEM
3241
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
DAILYMED
Q13WX941EF
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
MESH
C053090
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
NCI_THESAURUS
C65515
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
MERCK INDEX
M4943
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY Merck Index
FDA UNII
Q13WX941EF
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
CAS
80012-43-7
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
WIKIPEDIA
EPINASTINE
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
EPA CompTox
DTXSID2048371
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
DRUG BANK
DB00751
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY
LACTMED
Epinastine
Created by admin on Fri Dec 16 18:54:15 UTC 2022 , Edited by admin on Fri Dec 16 18:54:15 UTC 2022
PRIMARY