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

Details

Stereochemistry ABSOLUTE
Molecular Formula 2C10H15NO.H2O4S
Molecular Weight 428.543
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of EPHEDRINE SULFATE

SMILES

OS(O)(=O)=O.CN[C@@H](C)[C@H](O)C1=CC=CC=C1.CN[C@@H](C)[C@H](O)C2=CC=CC=C2

InChI

InChIKey=CAVQBDOACNULDN-KHFUBBAMSA-N
InChI=1S/2C10H15NO.H2O4S/c2*1-8(11-2)10(12)9-6-4-3-5-7-9;1-5(2,3)4/h2*3-8,10-12H,1-2H3;(H2,1,2,3,4)/t2*8-,10-;/m00./s1

HIDE SMILES / InChI
Ephedrine (l-form) is an alkaloid, which was initially purified from Ephedra plant. The extract form Ephedra has been used in China for medicinal purposes for several thousand years. Ephedrine acts as an agonist at alpha- and beta-adrenergic receptors and indirectly causes the release of norepinephrine from sympathetic neurons. The drug crosses the blood brain barrier and stimulates the central nervous system. Ephedrine products are now banned in many countries, as they are a major source for the production of the addictive compound methamphetamine. FDA has approved ephedrine only for the treatment of clinically important hypotension occurring in the setting of anesthesia.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P07550|||Q53GA6|||Q9UCZ3
Gene ID: 154.0
Gene Symbol: ADRB2
Target Organism: Homo sapiens (Human)
0.36 µM [EC50]
4.95 null [pKi]
Target ID: P08588
Gene ID: 153.0
Gene Symbol: ADRB1
Target Organism: Homo sapiens (Human)
0.5 µM [EC50]
4.83 null [pKi]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
AKOVAZ

Approved Use

AKOVAZ injection is an alpha- and beta- adrenergic agonist and a norepinephrine-releasing agent that is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia.

Launch Date

2016
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
79.4 ng/mL
22 mg single, oral
dose: 22 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EPHEDRINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
87.4 ng/mL
11 mg 3 times / day multiple, oral
dose: 11 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EPHEDRINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
6.75 h
22 mg single, oral
dose: 22 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
EPHEDRINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
6.69 h
11 mg 3 times / day multiple, oral
dose: 11 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
EPHEDRINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
PubMed

PubMed

TitleDatePubMed
Caffeine and exercise: metabolism, endurance and performance.
2001
Chromatographic analysis of phenethylamine-antihistamine combinations using C8, C18 or cyano columns and micellar sodium dodecyl sulfate-pentanol mixtures.
2001 Apr
Mass spectrometric quantitation of chiral drugs by the kinetic method.
2001 Apr 15
Study on the chiral recognition of the enantiomers of ephedrine derivatives with neutral and sulfated heptakis(2,3-O-diacetyl)-beta-cyclodextrins using capillary electrophoresis, UV, nuclear magnetic resonance spectroscopy and mass spectrometry.
2001 Apr 20
Dietary supplements containing ephedra alkaloids.
2001 Apr 5
Intrathecal anaesthesia for the elderly patient: the influence of the induction position on perioperative haemodynamic stability and patient comfort.
2001 Aug
Comparison of effects of remifentanil and alfentanil on cardiovascular response to tracheal intubation in hypertensive patients.
2001 Jan
[Refractory hypotension sustained during general anesthesia due to chronic treatment with angiotensin-converting enzyme inhibitors].
2001 Jan
Suspected caffeine and ephedrine toxicosis resulting from ingestion of an herbal supplement containing guarana and ma huang in dogs: 47 cases (1997-1999).
2001 Jan 15
Combined spinal and epidural anesthesia with low doses of intrathecal bupivacaine in women with severe preeclampsia: a preliminary report.
2001 Jan-Feb
Effect of organic cations on the renal tubular secretion of pseudoephedrine in the rat.
2001 Jan-Feb
The effect of betahistine on vestibular habituation: comparison of rotatory and sway habituation training.
2001 Jul
A stable gas chromatography-mass spectrometry analysis system to characterize Ma Huang products found in health foods and supplements.
2001 Jul
Reduced myocardial carbon-11 hydroxyephedrine retention is associated with poor prognosis in chronic heart failure.
2001 Mar
Venlafaxine occupation at the noradrenaline reuptake site: in-vivo determination in healthy volunteers.
2001 Mar
High-performance liquid chromatographic method development and validation for the simultaneous quantitation of naproxen sodium and pseudoephedrine hydrochloride impurities.
2001 Mar
Neuropeptide Y in obese women during treatment with adrenergic modulation drugs.
2001 May-Jun
Kinetic spectrophotometric methods for the quantitation of triprolidine in bulk and in drug formulations.
2001 Sep
[Risk management by reporting critical incidents. Vitamin K and ephedrine mix-up at a birthing unit].
2001 Sep 24
Patents

Sample Use Guides

The recommended dosages for the treatment of clinically important hypotension in the setting of anesthesia is an initial dose of 5 to 10 mg administered by intravenous bolus. Administer additional boluses as needed, not to exceed a total dosage of 50 mg.
Route of Administration: Intravenous
In Vitro Use Guide
Segments of guinea-pig ileum were treated with 10(-6)-10(-3) M ephedrine. Ephedrine inhibited the ileal responses to transmural stimulation in the terminal and the proximal ileum with EC50 values of 57.2 and 85.5 uM, respectively. In the proximal part of the ileum, more than 70% of preparations were relaxed by ephedrine.
Name Type Language
EPHEDRINE SULFATE
MART.   MI   USP   USP-RS   VANDF   WHO-DD   WHO-IP  
Common Name English
Ephedrine sulfate [WHO-DD]
Common Name English
EPHEDRINE SULFATE [WHO-IP]
Common Name English
EPHEDRINI SULFAS [WHO-IP LATIN]
Common Name English
EPHEDRINE SULFATE [MI]
Common Name English
(-)-EPHEDRINE SULFATE (2:1) (SALT)
Common Name English
EPHEDRINE SULFATE [VANDF]
Common Name English
AKOVAZ
Common Name English
(R-(R*,S*))-.ALPHA.-(1-(METHYLAMINO)ETHYL)BENZENEMETHANOL SULFATE (2:1) (SALT) [WHO-IP]
Systematic Name English
EPHEDRINE SULFATE [USP-RS]
Common Name English
EPHEDRINE SULFATE [USP MONOGRAPH]
Common Name English
EPHEDRINE SULPHATE
Common Name English
CORPHEDRA
Brand Name English
EPHEDRINE SULFATE [ORANGE BOOK]
Common Name English
BENZENEMETHANOL, .ALPHA.-(1-(METHYLAMINO)ETHYL)-, (R-(R*,S*))-, SULFATE (2:1) (SALT)
Common Name English
EPHEDRINE SULFATE [MART.]
Common Name English
ISOFEDROL
Brand Name English
EMERPHED
Brand Name English
Classification Tree Code System Code
NCI_THESAURUS C319
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
CFR 21 CFR 346.12
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
CFR 21 CFR 341.16
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
CFR 21 CFR 341.20
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
NCI_THESAURUS C87053
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
Code System Code Type Description
EVMPD
SUB13688MIG
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
WHO INTERNATIONAL PHARMACOPEIA
EPHEDRINE SULFATE
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY Description: Colourless crystals or a white, crystalline powder; odourless.Solubility: Freely soluble in water; sparingly soluble in ethanol (~750 g/l) TS.Category: Antiasthmatic drug.Storage: Ephedrine sulfate should be kept in a well-closed container, protected from light.Additional information: Ephedrine sulfate darkens on exposure to light. Even in the absence of light, it is gradually degraded onexposure to a humid atmosphere, the decomposition being faster at higher temperatures.RequirementsDefinition: Ephedrine sulfate contains not less than 98.0% and not more than 101.0% of (C10H15NO)2,H2SO4, calculated withreference to the dried substance.
SMS_ID
100000078927
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
RXCUI
91166
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY RxNorm
EPA CompTox
DTXSID6020565
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
DAILYMED
U6X61U5ZEG
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
DRUG BANK
DBSALT001503
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
ChEMBL
CHEMBL211456
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
CAS
134-72-5
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
NCI_THESAURUS
C72765
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
RS_ITEM_NUM
1236007
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
MERCK INDEX
m4933
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY Merck Index
ECHA (EC/EINECS)
205-154-4
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
FDA UNII
U6X61U5ZEG
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY
PUBCHEM
5359318
Created by admin on Fri Dec 15 15:19:24 GMT 2023 , Edited by admin on Fri Dec 15 15:19:24 GMT 2023
PRIMARY