Details
Stereochemistry | ACHIRAL |
Molecular Formula | C26H27N5O2 |
Molecular Weight | 441.5249 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
NC(=O)C1=CC2=C(O1)C=CC(=C2)N3CCN(CCCCC4=CNC5=CC=C(C=C45)C#N)CC3
InChI
InChIKey=SGEGOXDYSFKCPT-UHFFFAOYSA-N
InChI=1S/C26H27N5O2/c27-16-18-4-6-23-22(13-18)19(17-29-23)3-1-2-8-30-9-11-31(12-10-30)21-5-7-24-20(14-21)15-25(33-24)26(28)32/h4-7,13-15,17,29H,1-3,8-12H2,(H2,28,32)
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/9098681
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/9098681
Vilazodone is a serotonergic antidepressant. The mechanism of the antidepressant effect of vilazodone is not fully understood but is thought to be related to its inhancement of serotonergic activity in the CNS through selective inhibition of serotonin reuptake. Vilazodone is also a partial agonist at serotonergic 5-HT1A receptors; however, the net result of this action on serotonergic transmission and its role in vilazodone’s antidepressant effect are unknown. The side effects include activation of mania/hypomania in patients with bipolar disorder, seizures can occur with treatment in patients with a seizure disorder.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: P31645 Gene ID: 6532.0 Gene Symbol: SLC6A4 Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/12183683 |
0.5 nM [IC50] | ||
Target ID: CHEMBL214 |
0.2 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | VIIBRYD Approved UseIndicated for the treatment of major depressive disorder (MDD) Launch Date2011 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
156 ng/mL |
40 mg 1 times / day steady-state, oral dose: 40 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VILAZODONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1645 ng × h/mL |
40 mg 1 times / day steady-state, oral dose: 40 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VILAZODONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
25 h |
40 mg 1 times / day steady-state, oral dose: 40 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VILAZODONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1% |
40 mg 1 times / day steady-state, oral dose: 40 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VILAZODONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
Doses
Dose | Population | Adverse events |
---|---|---|
920 mg single, oral Overdose Dose: 920 mg Route: oral Route: single Dose: 920 mg Sources: Page: p.2 |
healthy, 1.8 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: Page: p.2 |
Disc. AE: Serotonin syndrome... AEs leading to discontinuation/dose reduction: Serotonin syndrome Sources: Page: p.2 |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 436 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 436 Sources: Page: p.25 |
Disc. AE: Palpitations, Diarrhea... AEs leading to discontinuation/dose reduction: Palpitations (0.92%) Sources: Page: p.25Diarrhea (0.92%) Nausea (0.46%) Depression (0.46%) Fatigue (0.46%) |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, 18 - 65 n = 599 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 599 Sources: |
Disc. AE: Diarrhea... AEs leading to discontinuation/dose reduction: Diarrhea (1.2%) Sources: |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 599 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 599 Sources: Page: p.25 |
Disc. AE: Nausea, Anxiety... AEs leading to discontinuation/dose reduction: Nausea (1.3%) Sources: Page: p.25Anxiety (1%) |
840 mg single, oral Overdose Dose: 840 mg Route: oral Route: single Dose: 840 mg Sources: Page: p.3 |
healthy, 3 n = 1 Health Status: healthy Age Group: 3 Sex: M Population Size: 1 Sources: Page: p.3 |
Disc. AE: Tachycardia, Seizure... AEs leading to discontinuation/dose reduction: Tachycardia Sources: Page: p.3Seizure Serotonin syndrome |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.10, p.11 |
healthy n = 56 Health Status: healthy Population Size: 56 Sources: Page: p.10, p.11 |
Disc. AE: Syncope convulsive... AEs leading to discontinuation/dose reduction: Syncope convulsive (1.78%) Sources: Page: p.10, p.11 |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Disc. AE: Suicidal ideation, Serotonin syndrome... AEs leading to discontinuation/dose reduction: Suicidal ideation Sources: Page: p.1Serotonin syndrome Neuroleptic malignant syndrome Seizures Bleeding Hypomania Hyponatremia |
80 mg 1 times / day multiple, oral (max) Studied dose Dose: 80 mg, 1 times / day Route: oral Route: multiple Dose: 80 mg, 1 times / day Sources: Page: p.10, p.11 |
healthy n = 56 Health Status: healthy Population Size: 56 Sources: Page: p.10, p.11 |
Disc. AE: Emesis, Palpitations... AEs leading to discontinuation/dose reduction: Emesis (3.5%) Sources: Page: p.10, p.11Palpitations (1.78%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Serotonin syndrome | Disc. AE | 920 mg single, oral Overdose Dose: 920 mg Route: oral Route: single Dose: 920 mg Sources: Page: p.2 |
healthy, 1.8 n = 1 Health Status: healthy Age Group: 1.8 Sex: F Population Size: 1 Sources: Page: p.2 |
Depression | 0.46% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 436 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 436 Sources: Page: p.25 |
Fatigue | 0.46% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 436 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 436 Sources: Page: p.25 |
Nausea | 0.46% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 436 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 436 Sources: Page: p.25 |
Diarrhea | 0.92% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 436 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 436 Sources: Page: p.25 |
Palpitations | 0.92% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 436 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 436 Sources: Page: p.25 |
Diarrhea | 1.2% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: |
unhealthy, 18 - 65 n = 599 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 599 Sources: |
Anxiety | 1% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 599 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 599 Sources: Page: p.25 |
Nausea | 1.3% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.25 |
unhealthy, 18 - 65 n = 599 Health Status: unhealthy Condition: Major depressive disorder Age Group: 18 - 65 Sex: M+F Population Size: 599 Sources: Page: p.25 |
Seizure | Disc. AE | 840 mg single, oral Overdose Dose: 840 mg Route: oral Route: single Dose: 840 mg Sources: Page: p.3 |
healthy, 3 n = 1 Health Status: healthy Age Group: 3 Sex: M Population Size: 1 Sources: Page: p.3 |
Serotonin syndrome | Disc. AE | 840 mg single, oral Overdose Dose: 840 mg Route: oral Route: single Dose: 840 mg Sources: Page: p.3 |
healthy, 3 n = 1 Health Status: healthy Age Group: 3 Sex: M Population Size: 1 Sources: Page: p.3 |
Tachycardia | Disc. AE | 840 mg single, oral Overdose Dose: 840 mg Route: oral Route: single Dose: 840 mg Sources: Page: p.3 |
healthy, 3 n = 1 Health Status: healthy Age Group: 3 Sex: M Population Size: 1 Sources: Page: p.3 |
Syncope convulsive | 1.78% Disc. AE |
40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.10, p.11 |
healthy n = 56 Health Status: healthy Population Size: 56 Sources: Page: p.10, p.11 |
Bleeding | Disc. AE | 40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Hypomania | Disc. AE | 40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Hyponatremia | Disc. AE | 40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Neuroleptic malignant syndrome | Disc. AE | 40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Seizures | Disc. AE | 40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Serotonin syndrome | Disc. AE | 40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Suicidal ideation | Disc. AE | 40 mg 1 times / day multiple, oral Recommended Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: p.1 |
unhealthy Health Status: unhealthy Condition: Major depressive disorder Sources: Page: p.1 |
Palpitations | 1.78% Disc. AE |
80 mg 1 times / day multiple, oral (max) Studied dose Dose: 80 mg, 1 times / day Route: oral Route: multiple Dose: 80 mg, 1 times / day Sources: Page: p.10, p.11 |
healthy n = 56 Health Status: healthy Population Size: 56 Sources: Page: p.10, p.11 |
Emesis | 3.5% Disc. AE |
80 mg 1 times / day multiple, oral (max) Studied dose Dose: 80 mg, 1 times / day Route: oral Route: multiple Dose: 80 mg, 1 times / day Sources: Page: p.10, p.11 |
healthy n = 56 Health Status: healthy Population Size: 56 Sources: Page: p.10, p.11 |
Overview
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 58, (ClinPharm) 19, 22-23, 37-40, 90 |
moderate [IC50 2.8 uM] | |||
Page: 58, (ClinPharm) 19, 23, 37-39, 41-42, 90 |
moderate [Ki 7.37 uM] | |||
Page: 58, (ClinPharm) 23, 47-49 |
no | |||
Page: 58, (ClinPharm) 23 |
no | |||
Page: 58, (ClinPharm) 23, 47-49 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000ClinPharmR.pdf#page=18 Page: (ClinPharm) 18 |
no | |||
Page: 58, (ClinPharm) 18, 23, 47-49 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000PharmR.pdf#page=58 Page: 58.0 |
no | |||
Page: 58, (ClinPharm) 23, 47-49 |
no | |||
Page: 58, (ClinPharm) 18, 23, 47-49, 89-94 |
no | no (co-administration study) Comment: Human hepatocytes (two donors), Little/no increases were observed in mRNA expression.; Coadministration of vilazodone (20 mg QD for 10 days) with caffeine (100 mg QD on Day 10) to healthy subjects resulted in a small (9%) decrease in paraxanthine/caffeine plasma ratio (8-h post dose). Page: 58, (ClinPharm) 18, 23, 47-49, 89-94 |
||
Page: 58, (ClinPharm) 18, 23, 47-49, 89-94 |
no | no (co-administration study) Comment: Human hepatocytes (two donors), Little/no increases were observed in mRNA expression.; Coadministration of vilazodone (20 mg QD for 10 days) with flurbiprofen (50 mg QD on Day 10) to healthy subjects resulted no effect in CYP2C9 activity (4'-hydroxyflurbiprofen urinal recovery (0-8 hr)/flurbiprofen AUC0-8 (L/h)). Page: 58, (ClinPharm) 18, 23, 47-49, 89-94 |
||
Page: 58, (ClinPharm) 18, 23, 47-49, 89-94 |
no | weak (co-administration study) Comment: Human hepatocytes (two donors), Little/no increases were observed in mRNA expression.; Coadministration of vilazodone (20 mg QD for 10 days) with mephenytoin (100 mg QD on Day 10) to healthy subjects resulted in a small (11%) increase in mephenytoin biotransformation. Page: 58, (ClinPharm) 18, 23, 47-49, 89-94 |
||
Page: (ClinPharm) 16, 19, 42-45, 45-47, 90 |
unlikely [IC50 >6.3 uM] | |||
Page: 58, (ClinPharm) 22, 37-40, 42-45 |
weak [IC50 68 uM] | |||
Page: 58, (ClinPharm) 22-23, 41-42, 90 |
weak [Ki 24 uM] | |||
Page: 58, (ClinPharm) 22-23, 41-42, 90 |
weak [Ki 81.7 uM] | |||
Page: (ClinPharm) 18, 47-49, 89-94 |
weak | no (co-administration study) Comment: 2.4-fold mRNA expression (60 hr incubation with human hepatocytes from two donors); Coadministration of vilazodone (20 mg QD for 10 days) with debrisoquine (10 mg QD on Day 10) to healthy subjects resulted in a small (10%) increase in 4'-hydroxydebrisoquine/debrisoquine total urinary recovery ratio (0-8 hr post dose). Page: (ClinPharm) 18, 47-49, 89-94 |
||
Page: (ClinPharm) 18, 47-49, 89-94 |
weak | no (co-administration study) Comment: 2.2-fold mRNA expression (60 hr incubation with human hepatocytes from two donors); Coadministration of vilazodone (20 mg QD for 10 days) with nifedipine (20 mg QD on Day 8) to healthy subjects resulted in no change in Nifedipine AUC0-inf and a small increase (13%) in Cmax. Page: (ClinPharm) 18, 47-49, 89-94 |
||
Page: (Label) 12 |
weak | yes (co-administration study) Comment: Coadministration of Vilazodone slightly increased Digoxin (P-gp substrate) AUC and Cmax (less than 25%). Page: (Label) 12 |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000PharmR.pdf#page=58 Page: 58.0 |
likely | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000ClinPharmR.pdf#page=39 Page: (ClinPharm) 22, 37-39 |
likely | |||
Page: 58, (ClinPharm) 14, 18, 21, 22, 23, 37-39, 82-84 |
major | yes (co-administration study) Comment: Ketoconazole (200 mg QD for 13 days), a strong CYP3A4 inhibitor, increased vilazodone (5 mg or 10 mg QD on Day 4) systemic exposure (AUC0-t) by 42% (5 mg), 51% (10 mg), and Cmax by 48% (5 mg), 38% (10 mg), Human liver microsomes (specific inhibitor: troleandomycin 50 mcM) Page: 58, (ClinPharm) 14, 18, 21, 22, 23, 37-39, 82-84 |
||
Page: 58, (ClinPharm) 18, 22, 37-39 |
minor | |||
Page: 58, (ClinPharm) 18, 22, 37-39 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000ClinPharmR.pdf#page=39 Page: (ClinPharm) 22, 37-39 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000ClinPharmR.pdf#page=39 Page: (ClinPharm) 22, 37-39 |
unlikely | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000ClinPharmR.pdf#page=39 Page: (ClinPharm) 22, 37-39 |
unlikely |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2011/022567Orig1s000PharmR.pdf#page=48 Page: 48.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Relative efficacy and tolerability of vortioxetine versus selected antidepressants by indirect comparisons of similar clinical studies. | 2014 Dec |
|
A review of the clinical efficacy, safety and tolerability of the antidepressants vilazodone, levomilnacipran and vortioxetine. | 2014 Dec |
|
Bioavailability comparison of a new form of vilazodone XVII to IV in beagles using liquid chromatography/mass spectrometry. | 2014 Dec |
|
Efficacy and safety of vilazodone in major depressive disorder: a randomized, double-blind, placebo-controlled trial. | 2014 Nov |
|
Efficacy of vilazodone on anxiety symptoms in patients with major depressive disorder. | 2014 Nov |
|
A validated LC-MS/MS method for the rapid quantification of vilazodone in rat plasma: application to a pharmacokinetic study. | 2014 Sep |
|
Identification of hydrolytic and isomeric N-oxide degradants of vilazodone by on line LC-ESI-MS/MS and APCI-MS. | 2015 Jan |
|
Psychotropic exposures in pediatric patients: Symptomatic iloperidone and vilazodone ingestions. | 2015 Mar |
|
Issues encountered in recent attempts to develop novel antidepressant agents. | 2015 May |
Sample Use Guides
Recommended target dosage: 20 mg to 40 mg once daily with food. To titrate: start with initial dosage of 10 mg once daily for 7 days, followed by 20 mg once daily. The dose may be increased up to 40 mg once daily after a minimum of 7 days between dosage increases. Prior to initiating VIIBRYD, screen for bipolar disorder.
Route of Administration:
Oral
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C265
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WHO-ATC |
N06AX24
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LIVERTOX |
NBK548223
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WHO-VATC |
QN06AX24
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1086769
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S239O2OOV3
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70707
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8197
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CHEMBL439849
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SUB32166
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m11446
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C494040
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DB06684
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163521-12-8
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S239O2OOV3
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100000124411
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6918314
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Vilazodone
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7427
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7638
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VILAZODONE
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WW-101
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DTXSID80870086
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C90716
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4223
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ACTIVE MOIETY
METABOLITE (PARENT)
METABOLITE INACTIVE (PARENT)
SALT/SOLVATE (PARENT)