Details
Stereochemistry | RACEMIC |
Molecular Formula | C17H17ClN2O |
Molecular Weight | 300.783 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCNC1=NC2=CC=C(Cl)C=C2C(C)(O1)C3=CC=CC=C3
InChI
InChIKey=IBYCYJFUEJQSMK-UHFFFAOYSA-N
InChI=1S/C17H17ClN2O/c1-3-19-16-20-15-10-9-13(18)11-14(15)17(2,21-16)12-7-5-4-6-8-12/h4-11H,3H2,1-2H3,(H,19,20)
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/25589941Curator's Comment: The description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/12871647 | https://www.ncbi.nlm.nih.gov/pubmed/25545681 | https://www.ncbi.nlm.nih.gov/pubmed/24239672 | https://www.ncbi.nlm.nih.gov/pubmed/27039042
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25589941
Curator's Comment: The description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/12871647 | https://www.ncbi.nlm.nih.gov/pubmed/25545681 | https://www.ncbi.nlm.nih.gov/pubmed/24239672 | https://www.ncbi.nlm.nih.gov/pubmed/27039042
Etifoxine (etafenoxine, StresamⓇ) is a non-benzodiazepine anxiolytic with an anticonvulsant effect. It was developed in the 1960s for anxiety disorders and is currently being studied for its ability to promote peripheral nerve healing and to treat chemotherapy-induced pain. In addition to being mediated by GABA-A2 receptors like benzodiazepines, etifoxine appears to produce anxiolytic effects directly by binding to 2 or 3 subunits of the GABAA receptor complex. It also modulates GABAA receptors indirectly via stimulation of neurosteroid production after etifoxine binds to the 18 kDa translocator protein (TSPO) of the outer mitochondrial membrane in the central and peripheral nervous systems, previously known as the peripheral benzodiazepine receptor (PBR). Therefore, the effects of etifoxine are not completely reversed by the benzodiazepine antagonist flumazenil. Etifoxine is used for various emotional and bodily reactions followed by anxiety. It is contraindicated in situations such as shock, severely impaired liver or kidney function, and severe respiratory failure. The average dosage is 150 mg per day for no more than 12 weeks. The most common adverse effect is drowsiness at the initial stage. It does not usually cause any withdrawal syndromes. In conclusion, etifoxine shows less adverse effects of anterograde amnesia, sedation, impaired psychomotor performance, and withdrawal syndromes than those of benzodiazepines.
CNS Activity
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: CHEMBL5742 Sources: https://www.ncbi.nlm.nih.gov/pubmed/25589941 |
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Target ID: CHEMBL2094121 Sources: https://www.ncbi.nlm.nih.gov/pubmed/25589941 |
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Target ID: CHEMBL2095172 Sources: https://www.ncbi.nlm.nih.gov/pubmed/25589941 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | Stresam Approved UseUnknown |
PubMed
Title | Date | PubMed |
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Etifoxine: evaluation of its anticonvulsant profile in mice in comparison with sodium valproate, phenytoin and clobazam. | 1985 |
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Functional modulation of gamma-aminobutyric acid(A) receptors by etifoxine and allopregnanolone in rodents. | 2001 Apr 6 |
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A double blind parallel group placebo controlled comparison of sedative and mnesic effects of etifoxine and lorazepam in healthy subjects [corrected]. | 2001 Jun |
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Effects of etifoxine on ligand binding to GABA(A) receptors in rodents. | 2002 Oct |
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Effects of stress and etifoxine on pentobarbital-induced loss of righting reflex in Balb/cByJ and C57BL/6J mice. | 2003 Dec 19 |
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[Etifoxine chlorhydrate-induced acute hepatitis]. | 2003 Nov |
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The modulatory effects of the anxiolytic etifoxine on GABA(A) receptors are mediated by the beta subunit. | 2003 Sep |
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Effects of etifoxine on stress-induced hyperthermia, freezing behavior and colonic motor activation in rats. | 2004 Oct 15 |
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The anxiolytic etifoxine activates the peripheral benzodiazepine receptor and increases the neurosteroid levels in rat brain. | 2005 Dec |
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Efficacy of etifoxine compared to lorazepam monotherapy in the treatment of patients with adjustment disorders with anxiety: a double-blind controlled study in general practice. | 2006 Apr |
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Anxiolytics, hypnotics, and antidepressants dispensed to adolescents in a French region in 2002. | 2006 Jul |
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Lack of interaction between etifoxine and CRF1 and CRF2 receptors in rodents. | 2006 Sep |
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Neurosteroid allopregnanolone mediates anxiolytic effect of etifoxine in rats. | 2007 Dec 12 |
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[Etifoxine: a new look at the GABA receptor and anxiety]. | 2008 Apr |
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Investigation of the anticonvulsive effect of acute immobilization stress in anxious Balb/cByJ mice using GABA A-related mechanistic probes. | 2008 May |
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[Pathomorphosis of anxiety disorder in patients with intestinal dysbiosis]. | 2009 |
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Etifoxine (Stresam) for chemotherapy-induced pain? | 2009 Dec 15 |
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Reduction and prevention of vincristine-induced neuropathic pain symptoms by the non-benzodiazepine anxiolytic etifoxine are mediated by 3alpha-reduced neurosteroids. | 2009 Dec 15 |
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Preventive and curative effects of etifoxine in a rat model of brain oedema. | 2009 Jul |
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Adjustment Disorder: epidemiology, diagnosis and treatment. | 2009 Jun 26 |
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[Lymphocytic colitis probably due to etifoxine. A case with relapse after reintroduction]. | 2009 Mar-Apr |
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The anxiolytic etifoxine protects against convulsant and anxiogenic aspects of the alcohol withdrawal syndrome in mice. | 2009 May |
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General unknown screening procedure for the characterization of human drug metabolites in forensic toxicology: applications and constraints. | 2009 Sep |
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Implication of 5-HT2 receptor subtypes in the mechanism of action of the GABAergic compound etifoxine in the four-plate test in Swiss mice. | 2010 Apr 2 |
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Limiting activity at beta1-subunit-containing GABAA receptor subtypes reduces ataxia. | 2010 Mar |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16625522
50 mg tid
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24956483
PC12 cells were exposed to various concentrations of etifoxine (5, 10, 20, and 40 µM). Etifoxine increased neuronal-like outgrowth in PC12 cells in a dose-dependent manner
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WHO-ATC |
N05BX03
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WHO-VATC |
QN05BX03
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NCI_THESAURUS |
C28197
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C81619
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24441
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X24X82MX4X
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DTXSID00865010
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21715-46-8
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135413553
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CHEMBL2106227
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100000082075
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2846
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SUB07302MIG
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DB08986
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ETIFOXINE
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m5183
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1099
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ACTIVE MOIETY