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Details

Stereochemistry ABSOLUTE
Molecular Formula C12H17NO4
Molecular Weight 239.2677
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of METHYLDOPATE

SMILES

CCOC(=O)[C@@](C)(N)CC1=CC(O)=C(O)C=C1

InChI

InChIKey=SVEBYYWCXTVYCR-LBPRGKRZSA-N
InChI=1S/C12H17NO4/c1-3-17-11(16)12(2,13)7-8-4-5-9(14)10(15)6-8/h4-6,14-15H,3,7,13H2,1-2H3/t12-/m0/s1

HIDE SMILES / InChI

Molecular Formula C12H17NO4
Molecular Weight 239.2677
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Methyldopate hydrochloride [levo-3-(3,4-dihydroxyphenyl)-2-methylalanine, ethyl ester hydrochloride] is the ethyl ester of methyldopa, supplied as the hydrochloride salt with a molecular weight of 275.73. Methyldopate hydrochloride is more soluble and stable in solution than methyldopa and is the preferred form for intravenous use. Methyldopate hydrochloride is an alpha adrenergic agonist that has both central and peripheral nervous system effects. Its primary clinical use is as an antihypertensive agent.

CNS Activity

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ALDOMET

Approved Use

INDICATION AND USAGE: Hypertension.

Launch Date

1962
Primary
ALDOMET

Approved Use

INDICATION AND USAGE: Hypertension.

Launch Date

1962
Primary
ALDOMET

Approved Use

INDICATION AND USAGE: Hypertension.

Launch Date

1962
Primary
Methyldopate hydrochloride

Approved Use

Hypertension, when parenteral medication is indicated. The treatment of hypertensive crises may be initiated with Methyldopate HCl Injection.

Launch Date

1995
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
771.3 ng/mL
250 mg single, oral
dose: 250 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
METHYLDOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
5352.9 ng × h/mL
250 mg single, oral
dose: 250 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
METHYLDOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
4.54 μg × h/mL
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
METHYLDOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
12.6 h
250 mg single, oral
dose: 250 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
METHYLDOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
1.28 h
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
METHYLDOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
85%
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
METHYLDOPA plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
2.5 g single, oral
Dose: 2.5 g
Route: oral
Route: single
Dose: 2.5 g
Sources:
unknown, 19
Health Status: unknown
Age Group: 19
Sex: M
Sources:
Other AEs: Coma...
Other AEs:
Coma (grade 1)
Sources:
2326 mg multiple, oral
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
Health Status: unhealthy
Age Group: 36-68
Sex: M+F
Sources:
Disc. AE: Depression, Tiredness...
AEs leading to
discontinuation/dose reduction:
Depression (2 patients)
Tiredness (2 patients)
Diarrhoea (1 patient)
Rash (1 patient)
Blackout (1 patient)
Sources:
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Other AEs: Somnolence, Dry mouth...
Other AEs:
Somnolence (15 patients)
Dry mouth (12 patients)
Malaise (6 patients)
Constipation (5 patients)
Anorexia (5 patients)
Diarrhoea (3 patients)
Depression (2 patients)
Weight gain (2 patients)
Mental confusion (1 patient)
Postural hypotension (1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
Coma grade 1
2.5 g single, oral
Dose: 2.5 g
Route: oral
Route: single
Dose: 2.5 g
Sources:
unknown, 19
Health Status: unknown
Age Group: 19
Sex: M
Sources:
Blackout 1 patient
Disc. AE
2326 mg multiple, oral
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
Health Status: unhealthy
Age Group: 36-68
Sex: M+F
Sources:
Diarrhoea 1 patient
Disc. AE
2326 mg multiple, oral
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
Health Status: unhealthy
Age Group: 36-68
Sex: M+F
Sources:
Rash 1 patient
Disc. AE
2326 mg multiple, oral
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
Health Status: unhealthy
Age Group: 36-68
Sex: M+F
Sources:
Depression 2 patients
Disc. AE
2326 mg multiple, oral
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
Health Status: unhealthy
Age Group: 36-68
Sex: M+F
Sources:
Tiredness 2 patients
Disc. AE
2326 mg multiple, oral
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
Health Status: unhealthy
Age Group: 36-68
Sex: M+F
Sources:
Mental confusion 1 patient
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Postural hypotension 1 patient
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Dry mouth 12 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Somnolence 15 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Depression 2 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Weight gain 2 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Diarrhoea 3 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Anorexia 5 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Constipation 5 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Malaise 6 patients
250 mg 4 times / day multiple, oral
Recommended
Dose: 250 mg, 4 times / day
Route: oral
Route: multiple
Dose: 250 mg, 4 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
likely
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
[Use of alpha-methyldopa in the treatment of arterial hypertension].
1975 Aug 31
Delayed hepatotoxicity from methyldopa.
1975 Dec
Letter: Dementia associated with clonidine therapy.
1975 Mar 15
Some side-effects of alpha-methyldopa.
1976 Apr 10
Dementia induced by methyldopa with haloperidol.
1976 May 27
Cardiac hypertrophy and antihypertensive therapy.
1977 Sep
Development and trends in the drug treatment of essential hypertension.
1992 Dec
Autoantibodies associated with lupus induced by diverse drugs target a similar epitope in the (H2A-H2B)-DNA complex.
1992 Jul
Antihypertensive treatment decreased serum leptin levels in severe preeclampsia during pregnancy.
2001
Spectrophotometric determination of certain vicinal dihydroxybenzene derivatives in pharmaceutical preparations.
2001 Apr
[Drug-induced hemolytic anemia].
2001 Aug
Ddc and amd sequences resolve phylogenetic relationships of Drosophila.
2001 Aug
Effect of methyldopa on renal function in rats with L-NAME-induced hypertension in pregnancy.
2001 Aug
Pharmacokinetic study of methyldopa in aorta-coarctated rats using a microdialysis technique.
2001 Feb
Drug interference in clinical chemistry: recommendation of drugs and their concentrations to be used in drug interference studies.
2001 Jul
NHBPEP report on high blood pressure in pregnancy: a summary for family physicians.
2001 Jul 15
Pharmacological treatment of severe hypertension in pregnancy and the role of serotonin(2)-receptor blockers.
2001 Mar
The use of a response surface methodology on HPLC analysis of methyldopa, amiloride and hydrochlorothiazide in tablets.
2001 Mar
Pharmacokinetic and pharmacodynamic alterations of methyldopa in rats with aortic coarctation. A study using microdialysis.
2001 Nov
The effects of nitric oxide synthase inhibitors on the sedative effect of clonidine.
2001 Nov
Involvement of imidazoline receptors in the baroreflex effects of rilmenidine in conscious rabbits.
2001 Sep
Excretion of antihypertensive medication into human breast milk: a systematic review.
2002
Immune-mediated drug-induced liver disease.
2002 Aug
Liddle syndrome in a newborn infant.
2002 Aug
Effects of six anti-hypertensive medications on cognitive performance.
2002 Aug
Relationship between treatment-induced changes in left ventricular mass and blood pressure in black african hypertensive patients: results of the Baragwanath Trial.
2002 Feb 19
C4 deficiency state in antiphospholipid antibody-related recurrent preeclampsia evolving into systemic lupus erythematosus.
2002 Jul
Antihypertensive medication compliance in a Veterans Affairs Healthcare System.
2002 Jun
Sympatholytic therapy in primary hypertension: a user friendly role for the future.
2002 Mar
The effect of antihypertensive drugs on the fetus.
2002 May
The effects of dopamine synthesis inhibitors and dopamine antagonists on regeneration in the hydra Hydra attenuata.
2002 May-Jun
Spectrophotometric investigations of the assay of physiologically active catecholamines in pharmaceutical formulations.
2002 Nov-Dec
Comparative single- and multiple-dose pharmacokinetics of levodopa and 3-O-methyldopa following a new dual-release and a conventional slow-release formulation of levodopa and benserazide in healthy volunteers.
2003
Shifting trends in the pharmacologic treatment of hypertension in a Nigerian tertiary hospital: a real-world evaluation of the efficacy, safety, rationality and pharmaco-economics of old and newer antihypertensive drugs.
2003 Apr
Antihypertensive drug-associated sexual dysfunction: a prescription analysis-based study.
2003 Apr-May
Angiotensin II-receptor-antagonists: further evidence of fetotoxicity but not teratogenicity.
2003 Aug
Methyldopa supplement for resistant essential hypertension: a prospective randomized placebo control crossover study.
2003 Dec
Pharmacokinetic profile of methyldopa in the brain of sinaortic-denervated rats.
2003 Jul
[Circadian blood pressure rhythm in preeclampsia as a predictor of maternal and obstetrical outcome].
2003 Jul-Aug
Replacement of antipsychotic and antiepileptic medication by L-alpha-methyldopa in a woman with velocardiofacial syndrome.
2003 Mar
The aggressive treatment of hypertension.
2003 May 3
[Clinical observation on the efficacy enhancing and toxicity attenuating effect of nuzhen yangyin granule to the anti-parkinsonism therapy mainly with Medopa].
2003 Nov
Nocturnal sleep, daytime sleepiness, and quality of life in stable patients on hemodialysis.
2003 Nov 21
Pheochromocytoma during pregnancy: laparoscopic and conventional surgical treatment of two cases.
2004 Feb
[Dementia induced by cardiokinetic and anti-hypertensive drugs].
2004 Jan
Treatment of menopause-associated vasomotor symptoms: position statement of The North American Menopause Society.
2004 Jan-Feb
Liquid chromatography-tandem mass spectrometry method for the determination of tranexamic acid in human plasma.
2004 Jun 15
Drug-induced liver injury.
2004 Mar 1
Differential modulation by estrogen of alpha2-adrenergic and I1-imidazoline receptor-mediated hypotension in female rats.
2004 Oct
Inadequate control of blood pressure in Nigerians with diabetes.
2004 Winter
Patents

Sample Use Guides

In Vivo Use Guide
Curator's Comment: When control has been obtained, oral therapy with tablets may be substituted for intravenous therapy, starting with the same dosage schedule used for the parenteral route. The effectiveness and anticipated responses are described in the circular for tablets.
Initial: 250 mg PO q8-12hr for 2 days, increase q2Days PRN Maintenance: 250-1000 mg/day divided q6-12hr PO, usually no more than 3 g/day IV (methyldopate): 250-1000 mg infusion over 30-60 minutes q6-8hr PRN; no more than 4 g/day
Route of Administration: Other
Human uterine microvascular endothelial cells (UtMVEC) (PromoCell, Heidelberg, Germany) were cultured in EGM-2- MV medium (Lonza, Basel, Switzerland) until about 80% confluent. Cells from passage 4-8 were used in this study. Tissue culture plates (24-wells) were coated with undiluted Matrigel (300 μL/well; In Vitro Technologies, Noble Park, Vic., Australia) and polymerized for 30 minutes at 37°C. UtMVECs (100 000 cells/well) were seeded into each well and endothelial cell tubular networks formed within 4 hours of further incubation at 37°C. HTR-8/ SVneo cells (100 000 cells/well) were then added to each well with or without a low dose of TNF-α (0.5 ng/mL) together with methyldopa (5 μg/ mL), labetalol (0.5 μg/mL), hydralazine (10 μg/mL) or clonidine (1.0 μg/ mL) and co-cultured with the endothelial cellular networks. The control co-cultured cells had neither TNF-α nor medications added. After 24 hours of culture, the cells were retrieved from the cellular networks in Matrigel with Cell Recovery Solution (CRS) (In Vitro Technologies) for RNA extraction
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:09:53 GMT 2025
Edited
by admin
on Mon Mar 31 18:09:53 GMT 2025
Record UNII
2579Z4P04J
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
METHYLDOPATE [VANDF]
Preferred Name English
METHYLDOPATE
VANDF   WHO-DD  
Common Name English
L-TYROSINE, 3-HYDROXY-.ALPHA.-METHYL-, ETHYL ESTER
Common Name English
L-3-(3,4-DIHYDROXYPHENYL)-2-METHYLALANINE ETHYL ESTER
Common Name English
Methyldopate [WHO-DD]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C29709
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
Code System Code Type Description
EPA CompTox
DTXSID8048523
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
ChEMBL
CHEMBL1201233
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
RXCUI
6877
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY RxNorm
CAS
2544-09-4
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
SUPERSEDED
DRUG CENTRAL
4218
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
FDA UNII
2579Z4P04J
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
NCI_THESAURUS
C75041
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
CAS
6014-30-8
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
PUBCHEM
17277
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
EVMPD
SUB08867MIG
Created by admin on Mon Mar 31 18:09:53 GMT 2025 , Edited by admin on Mon Mar 31 18:09:53 GMT 2025
PRIMARY
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