Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C12H15NO3 |
| Molecular Weight | 221.2524 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=CC(OCC2CNC(=O)O2)=CC(C)=C1
InChI
InChIKey=IMWZZHHPURKASS-UHFFFAOYSA-N
InChI=1S/C12H15NO3/c1-8-3-9(2)5-10(4-8)15-7-11-6-13-12(14)16-11/h3-5,11H,6-7H2,1-2H3,(H,13,14)
| Molecular Formula | C12H15NO3 |
| Molecular Weight | 221.2524 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
DescriptionCurator's Comment: description was created based on several sources, including:
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=da237968-1c52-47c3-986b-4f878bd6b173
http://www.drugbank.ca/drugs/DB00660
https://en.wikipedia.org/wiki/Metaxalone
Curator's Comment: description was created based on several sources, including:
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=da237968-1c52-47c3-986b-4f878bd6b173
http://www.drugbank.ca/drugs/DB00660
https://en.wikipedia.org/wiki/Metaxalone
Metaxalone (marketed by King Pharmaceuticals under the brand name Skelaxin) is a muscle relaxant used to relax muscles and relieve pain caused by strains, sprains, and other musculoskeletal conditions. The mechanism of action of metaxalone in humans has not been established, but may be due to general central nervous system depression. Metaxalone has no direct action on the contractile mechanism of striated muscle, the motor end plate, or the nerve fiber. Skelaxin is available in an 800 mg scored tablet. Metaxalone relatively low incidence of side effects. The most common adverse reactions to Metaxalone tablets include drowsiness, dizziness, headache, and nervousness or “irritability”, nausea, vomiting, gastrointestinal upset.
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103716/
Curator's Comment: CNS depressant used for acute musculoskeletal spasmodic pain.
Originator
Sources: http://www.patentdocs.org/2010/08/king-pharmaceuticals-inc-v-eon-labs-inc-fed-cir-2010.html
Curator's Comment: Metaxalone was first discovered in the 1960s, and had been sold under the brand name Skelaxin since 1962 -- first by A.H. Robins Co., then by Elan Pharma, Inc ('Elan'), and finally by King.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: central nervous system |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Secondary | METAXALONE Approved Useare indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomforts associated with acute, painful musculoskeletal conditions Launch Date1963 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
983 ng/mL |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1816 ng/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1816 ng/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
3510 ng/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7479 ng × h/mL |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
15044 ng × h/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
15045 ng × h/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
20833 ng × h/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
9 h |
400 mg single, oral dose: 400 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
8 h |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
METAXALONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
| Dose | Population | Adverse events |
|---|---|---|
800 mg 4 times / day multiple, oral Dose: 800 mg, 4 times / day Route: oral Route: multiple Dose: 800 mg, 4 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Serotonin syndrome... AEs leading to discontinuation/dose reduction: Serotonin syndrome Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Serotonin syndrome | Disc. AE | 800 mg 4 times / day multiple, oral Dose: 800 mg, 4 times / day Route: oral Route: multiple Dose: 800 mg, 4 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no | |||
Page: 3.0 |
no |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 7.0 |
no | |||
Page: 3.0 |
weak | |||
Page: 3.0 |
weak | |||
Page: 3.0 |
weak | |||
Page: 3.0 |
yes | |||
Page: 3.0 |
yes | |||
Page: 3.0 |
yes | |||
Page: 3.0 |
yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Development of a list of potentially inappropriate drugs for the korean elderly using the delphi method. | 2010-12 |
|
| Pharmaceutical factories as a source of drugs in water. | 2010-09 |
|
| Pharmaceutical formulation facilities as sources of opioids and other pharmaceuticals to wastewater treatment plant effluents. | 2010-07-01 |
|
| Pharmacologic management of chronic pain. | 2010-06 |
|
| Inappropriate prescribing in the hospitalized elderly patient: defining the problem, evaluation tools, and possible solutions. | 2010-04-07 |
|
| Pediatric metaxalone ingestions reported to Texas poison control centers, 2000-2007. | 2010-01 |
|
| Adult metaxalone ingestions reported to Texas poison control centers, 2000-2006. | 2010-01 |
|
| Drugs associated with more suicidal ideations are also associated with more suicide attempts. | 2009-10-02 |
|
| Fibromyalgia and myofascial pain syndrome-a dilemma. | 2009-10 |
|
| Choosing a skeletal muscle relaxant. | 2008-08-01 |
|
| HPLC-ESI-MS/MS validated method for simultaneous quantification of zopiclone and its metabolites, N-desmethyl zopiclone and zopiclone-N-oxide in human plasma. | 2008-03-15 |
|
| Steady state bioequivalence of generic and innovator formulations of stavudine, lamivudine, and nevirapine in HIV-infected Ugandan adults. | 2008 |
|
| High throughput LC-MS/MS method for simultaneous quantification of lamivudine, stavudine and nevirapine in human plasma. | 2007-06-15 |
|
| Synthesis of poly(ethylene glycol)-metaxalone conjugates and study of its controlled release in vitro. | 2007-03-06 |
|
| Quantification of metaxalone in human plasma by liquid chromatography coupled to tandem mass spectrometry. | 2006-05 |
|
| Postmortem distribution of tramadol, amitriptyline, and their metabolites in a suicidal overdose. | 2005-08-18 |
|
| A fatality involving metaxalone. | 2005-05-10 |
|
| Auditory hallucinations elicited by combined meclizine and metaxalone use at bedtime. | 2004-11 |
|
| Commonly used muscle relaxant therapies for acute low back pain: a review of carisoprodol, cyclobenzaprine hydrochloride, and metaxalone. | 2004-09 |
|
| Metaxalone (Skelaxin)-related death. | 2004-09 |
|
| Comparative efficacy and safety of skeletal muscle relaxants for spasticity and musculoskeletal conditions: a systematic review. | 2004-08 |
|
| Comparison of the dissolution of metaxalone tablets (Skelaxin) using USP Apparatus 2 and 3. | 2004-02-06 |
|
| Polydrug fatality involving metaxalone. | 2003-03 |
|
| Centrally acting oral skeletal muscle relaxants. | 1980-10 |
Patents
| Substance Class |
Chemical
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| Record UNII |
1NMA9J598Y
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Validated (UNII)
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NDF-RT |
N0000175730
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LIVERTOX |
NBK548838
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NDF-RT |
N0000175737
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NCI_THESAURUS |
C29696
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216-777-6
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SUB08817MIG
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15459
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1722
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METAXALONE
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DTXSID3023269
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m322
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3236
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105801-80-7
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1NMA9J598Y
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1665-48-1
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7609
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1396149
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1NMA9J598Y
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C011301
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1027
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CHEMBL1079604
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170959
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59078
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DB00660
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100000081199
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C47606
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE -> PARENT |
MINOR
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
MINOR
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |