Details
Stereochemistry | ACHIRAL |
Molecular Formula | C22H23ClN2O2.ClH |
Molecular Weight | 419.344 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.CCOC(=O)N1CCC(CC1)=C2C3=C(CCC4=C2N=CC=C4)C=C(Cl)C=C3
InChI
InChIKey=DUWMKTXPAFUTGI-UHFFFAOYSA-N
InChI=1S/C22H23ClN2O2.ClH/c1-2-27-22(26)25-12-9-15(10-13-25)20-19-8-7-18(23)14-17(19)6-5-16-4-3-11-24-21(16)20;/h3-4,7-8,11,14H,2,5-6,9-10,12-13H2,1H3;1H
Loratadine is a derivative of azatadine and a second-generation histamine H1 receptor antagonist used in the treatment of allergic rhinitis and urticaria. Unlike most classical antihistamines (histamine H1 antagonists) it lacks central nervous system depressing effects such as drowsiness. Loratadine competes with free histamine and exhibits specific, selective peripheral H1 antagonistic activity. This blocks the action of endogenous histamine, which subsequently leads to temporary relief of the negative symptoms (eg. nasal congestion, watery eyes) brought on by histamine. Loratadine has low affinity for cholinergic receptors and does not exhibit any appreciable alpha-adrenergic blocking activity in-vitro. Loratadine also appears to suppress the release of histamine and leukotrienes from animal mast cells, and the release of leukotrienes from human lung fragments, although the clinical importance of this is unknown.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=11023307
Curator's Comment: The second generation antihistamines were less soluble in lipid and thus less readily penetrated the blood-brain barrier
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL231 Sources: https://www.ncbi.nlm.nih.gov/pubmed/7581058 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | CLARITIN Approved UseUses temporarily relieves these symptoms due to hay fever or other upper respiratory allergies: •runny nose •itchy, watery eyes •sneezing •itching of the nose or throat Launch Date1993 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4 ng/mL |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DESLORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
27.1 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2958516/ |
40 mg 1 times / day steady-state, oral dose: 40 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
LORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
10.8 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22806583/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
56.9 ng × h/mL |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DESLORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
96 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2958516/ |
40 mg 1 times / day steady-state, oral dose: 40 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
LORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
34.4 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22806583/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
27 h |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DESLORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
14.4 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2958516/ |
40 mg 1 times / day steady-state, oral dose: 40 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
LORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
11 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/22806583/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
84.5% |
5 mg 1 times / day steady-state, oral dose: 5 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DESLORATADINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 29 n = 103 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 29 Sex: M+F Population Size: 103 Sources: |
Other AEs: Somnolence, Headache... Other AEs: Somnolence (10%) Sources: Headache (9%) Fatigue (5%) Dry mouth (4%) |
5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Other AEs: Fatigue, Fever... Other AEs: Fatigue (2%) Sources: Fever (7%) Headache (5%) Influenza-like symptoms (2%) Constipation (2%) Diarrhea (3%) Dyspepsia (2%) Loose stools (2%) Stomatitis (2%) Tooth disorder (2%) Vomiting (5%) Earache (2%) Drowsiness (7%) Infection viral (2%) Allergic rhinitis (2%) Coughing (3%) Epistaxis (3%) Pharyngitis (3%) Rash (2%) |
10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 35.3 n = 331 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 35.3 Sex: M+F Population Size: 331 Sources: |
Other AEs: Headache... |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Somnolence | 10% | 10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 29 n = 103 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 29 Sex: M+F Population Size: 103 Sources: |
Dry mouth | 4% | 10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 29 n = 103 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 29 Sex: M+F Population Size: 103 Sources: |
Fatigue | 5% | 10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 29 n = 103 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 29 Sex: M+F Population Size: 103 Sources: |
Headache | 9% | 10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 29 n = 103 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 29 Sex: M+F Population Size: 103 Sources: |
Allergic rhinitis | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Constipation | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Dyspepsia | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Earache | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Fatigue | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Infection viral | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Influenza-like symptoms | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Loose stools | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Rash | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Stomatitis | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Tooth disorder | 2% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Coughing | 3% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Diarrhea | 3% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Epistaxis | 3% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Pharyngitis | 3% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Headache | 5% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Vomiting | 5% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Drowsiness | 7% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Fever | 7% | 5 mg 1 times / day multiple, oral Recommended Dose: 5 mg, 1 times / day Route: oral Route: multiple Dose: 5 mg, 1 times / day Sources: |
unhealthy, 3.6 n = 60 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 3.6 Sex: M+F Population Size: 60 Sources: |
Headache | 4.2% | 10 mg 1 times / day multiple, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 35.3 n = 331 Health Status: unhealthy Condition: seasonal allergic rhinitis Age Group: 35.3 Sex: M+F Population Size: 331 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/1534660/ Page: 1.0 |
no | |||
no | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/10597902/ Page: 11.0 |
no | |||
no | ||||
yes [IC50 0.61 uM] | ||||
yes [IC50 0.76 uM] | ||||
yes [IC50 11 uM] | ||||
Sources: https://pubmed.ncbi.nlm.nih.gov/15601807/ Page: 6.0 |
yes [IC50 3.36 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/1534660/ Page: 1.0 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/1534660/ Page: 1.0 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/10597902/ Page: 1,8 |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/1534660/ Page: 1.0 |
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 1.0 |
major | yes (co-administration study) Comment: Coadministration with either ketoconazole, erythromycin (both CYP3A4 inhibitors) increased AUC of drug by 307%, 40%, respectively; coadministration with cimetidine (CYP2D6 and CYP3A4 inhibitor) increased AUC of drug by 103% Page: 1.0 |
||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
Page: 1.0 |
minor | yes (co-administration study) Comment: coadministration with cimetidine (CYP2D6 and CYP3A4 inhibitor) increased AUC of drug by 103% Page: 1.0 |
||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Stimulation of dopa decarboxylase activity in striatum of healthy human brain secondary to NMDA receptor antagonism with a low dose of amantadine. | 1999 Dec 15 |
|
Central nervous system effects of H1-receptor antagonists in the elderly. | 1999 Feb |
|
Efficacy and safety of mizolastine 10 mg in a placebo-controlled comparison with loratadine in chronic idiopathic urticaria: results of the MILOR Study. | 1999 Jan |
|
Double-blind trials of azelastine nasal spray monotherapy versus combination therapy with loratadine tablets and beclomethasone nasal spray in patients with seasonal allergic rhinitis. Rhinitis Study Groups. | 1999 Jun |
|
Treatment with amantadine potentiated motor learning in a patient with traumatic brain injury of 15 years' duration. | 1999 Sep |
|
Loratadine blockade of K(+) channels in human heart: comparison with terfenadine under physiological conditions. | 2000 Jan |
|
Clinical prescribing of allergic rhinitis medication in the preschool and young school-age child: what are the options? | 2001 |
|
The pharmacologic profile of desloratadine: a review. | 2001 |
|
Desloratadine: a new approach in the treatment of allergy as a systematic disease--pharmacology and clinical overview. Introduction. | 2001 |
|
Desloratadine in the treatment of chronic idiopathic urticaria. | 2001 |
|
Desloratadine activity in concurrent seasonal allergic rhinitis and asthma. | 2001 |
|
Decongestant efficacy of desloratadine in patients with seasonal allergic rhinitis. | 2001 |
|
Safety of antihistamines in children. | 2001 |
|
Effect of desloratadine and loratadine on rhinovirus-induced intercellular adhesion molecule 1 upregulation and promoter activation in respiratory epithelial cells. | 2001 Aug |
|
Evaluation of the interaction of loratadine and desloratadine with P-glycoprotein. | 2001 Aug |
|
Once-daily desloratadine improves the signs and symptoms of chronic idiopathic urticaria: a randomized, double-blind, placebo-controlled study. | 2001 Jan |
|
FDA panel recommends OTC status for second-generation antihistamines. | 2001 Jul |
|
[Azelastine in the treatment of allergic conjunctivitis]. | 2001 Jul-Aug |
|
Pharmacology and clinical efficacy of desloratadine as an anti-allergic and anti-inflammatory drug. | 2001 Mar |
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Loratadine and terfenadine interaction with nefazodone: Both antihistamines are associated with QTc prolongation. | 2001 Mar |
|
Cloning and pharmacological characterization of a fourth histamine receptor (H(4)) expressed in bone marrow. | 2001 Mar |
|
Synergistic antiallergic activity of combined histamine H1- and cysteinyl leukotriene1-receptor blockade in human bronchus. | 2001 May 11 |
|
[Seasonal allergic rhinitis. Nasal obstruction can also beh improved]. | 2001 May 3 |
|
Desloratadine reduces nasal congestion in patients with intermittent allergic rhinitis. | 2001 Nov |
|
Inhibition of depolarization-induced [3H]noradrenaline release from SH-SY5Y human neuroblastoma cells by some second-generation H(1) receptor antagonists through blockade of store-operated Ca(2+) channels (SOCs). | 2001 Nov 1 |
|
Variant effect of first- and second-generation antihistamines as clues to their mechanism of action on the sneeze reflex in the common cold. | 2001 Nov 1 |
|
Effect of specific immunotherapy versus loratadine on serum adhesion molecules. | 2001 Oct |
|
A double-blind, placebo-controlled, and randomized study of loratadine (Clarityne) syrup for the treatment of allergic rhinitis in children aged 3 to 12 years. | 2001 Sep |
|
Controlled clinical study of the efficacy of loratadine in Nigerian patients with allergic rhinitis. | 2001 Sep |
|
In vitro characterization of the inhibition profile of loratadine, desloratadine, and 3-OH-desloratadine for five human cytochrome P-450 enzymes. | 2001 Sep |
|
Pollen immunotherapy reduces the development of asthma in children with seasonal rhinoconjunctivitis (the PAT-study). | 2002 Feb |
|
A comparison of once daily fexofenadine versus the combination of montelukast plus loratadine on domiciliary nasal peak flow and symptoms in seasonal allergic rhinitis. | 2002 Jan |
|
Relationship between direct-to-consumer advertising and physician diagnosing and prescribing. | 2002 Jan 1 |
|
Effect of desloratadine versus placebo on nasal airflow and subjective measures of nasal obstruction in subjects with grass pollen-induced allergic rhinitis in an allergen-exposure unit. | 2002 Jun |
|
Comparison of a nasal glucocorticoid, antileukotriene, and a combination of antileukotriene and antihistamine in the treatment of seasonal allergic rhinitis. | 2002 Jun |
|
Comparison of cetirizine, ebastine and loratadine in the treatment of immediate mosquito-bite allergy. | 2002 Jun |
|
LC determination of loratadine and related impurities. | 2002 Jun 20 |
|
Influence of zafirlukast and loratadine on exercise-induced bronchoconstriction. | 2002 May |
|
Exercise-induced asthma: is there still a case for histamine? | 2002 May |
|
Ventricular tachycardia following ingestion of a commonly used antihistamine. | 2002 May 6 |
Sample Use Guides
Adults and children 6 years and over: 1 tablet daily; not more than 1 tablet in 24 hours
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/7510965
dose-dependent inhibition of histamine release was observed at loratadine dose above 7 UM. In the rat basophilic leukemia cells (RBL-2H3) experimental system, inhibition by loratadine increased when the concentration of extracellular Ca2+ was reduced from 1.8 to 0.45 mM. Loratadine also inhibited the Mn2+ influx into these cells, thus reflecting the Ca2+ influx.
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10112775
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RTQ46SZY8H
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100000176868
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444995-23-7
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ACTIVE MOIETY
SUBSTANCE RECORD