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

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=C(O)C(O)=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
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
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
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
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
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
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
n = 1
Health Status: unknown
Age Group: 19
Sex: M
Population Size: 1
Sources:
Other AEs: Coma...
Other AEs:
Coma (grade 1)
Sources:
2326 mg multiple, oral (mean)
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
n = 30
Health Status: unhealthy
Condition: hypertension
Age Group: 36-68
Sex: M+F
Population Size: 30
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 1
Health Status: unknown
Age Group: 19
Sex: M
Population Size: 1
Sources:
Blackout 1 patient
Disc. AE
2326 mg multiple, oral (mean)
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
n = 30
Health Status: unhealthy
Condition: hypertension
Age Group: 36-68
Sex: M+F
Population Size: 30
Sources:
Diarrhoea 1 patient
Disc. AE
2326 mg multiple, oral (mean)
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
n = 30
Health Status: unhealthy
Condition: hypertension
Age Group: 36-68
Sex: M+F
Population Size: 30
Sources:
Rash 1 patient
Disc. AE
2326 mg multiple, oral (mean)
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
n = 30
Health Status: unhealthy
Condition: hypertension
Age Group: 36-68
Sex: M+F
Population Size: 30
Sources:
Depression 2 patients
Disc. AE
2326 mg multiple, oral (mean)
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
n = 30
Health Status: unhealthy
Condition: hypertension
Age Group: 36-68
Sex: M+F
Population Size: 30
Sources:
Tiredness 2 patients
Disc. AE
2326 mg multiple, oral (mean)
Recommended
Dose: 2326 mg
Route: oral
Route: multiple
Dose: 2326 mg
Sources:
unhealthy, 36-68
n = 30
Health Status: unhealthy
Condition: hypertension
Age Group: 36-68
Sex: M+F
Population Size: 30
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
n = 39
Health Status: unhealthy
Condition: hypertension
Sex: M+F
Population Size: 39
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
Letter: side effects of methyldopa.
1975 May 31
Drug-associated acute pancreatitis: twenty-one years of spontaneous reporting in The Netherlands.
1999 Sep
Spectrophotometric determination of certain vicinal dihydroxybenzene derivatives in pharmaceutical preparations.
2001 Apr
Effect of alpha-methyldopa on pentoxyresorufin O-dealkylation in liver microsomes from rats treated with phenobarbital.
2001 Aug 1
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
Hepatotoxicity of commonly used drugs: nonsteroidal anti-inflammatory drugs, antihypertensives, antidiabetic agents, anticonvulsants, lipid-lowering agents, psychotropic drugs.
2002
Immune-mediated drug-induced liver disease.
2002 Aug
Brain catecholamine metabolism in catechol-O-methyltransferase (COMT)-deficient mice.
2002 Jan
Quantification of methyldopa in human plasma by high-performance liquid chromatography-electrospray tandem mass spectrometry application to a bioequivalence study.
2002 Mar 5
Analysis of L-dopa in human serum.
2002 Nov
Oral beta-blockers for mild to moderate hypertension during pregnancy.
2003
Methyldopa supplement for resistant essential hypertension: a prospective randomized placebo control crossover study.
2003 Dec
Oral enalapril-hydrochlorothiazide-methyldopa as first line treatment for severe hypertension in Nigerians.
2004 Jan
Differential modulation by estrogen of alpha2-adrenergic and I1-imidazoline receptor-mediated hypotension in female rats.
2004 Oct
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 Fri Dec 15 15:49:16 GMT 2023
Edited
by admin
on Fri Dec 15 15:49:16 GMT 2023
Record UNII
2579Z4P04J
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
METHYLDOPATE
VANDF   WHO-DD  
Common Name English
METHYLDOPATE [VANDF]
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 Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
Code System Code Type Description
EPA CompTox
DTXSID8048523
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
ChEMBL
CHEMBL1201233
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
RXCUI
6877
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY RxNorm
CAS
2544-09-4
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
SUPERSEDED
DRUG CENTRAL
4218
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
FDA UNII
2579Z4P04J
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
NCI_THESAURUS
C75041
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
CAS
6014-30-8
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
PUBCHEM
17277
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
EVMPD
SUB08867MIG
Created by admin on Fri Dec 15 15:49:16 GMT 2023 , Edited by admin on Fri Dec 15 15:49:16 GMT 2023
PRIMARY
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