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

Details

Stereochemistry RACEMIC
Molecular Formula C16H21N5O2.ClH
Molecular Weight 351.831
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ALIZAPRIDE HYDROCHLORIDE

SMILES

Cl.COC1=C(C=C2N=NNC2=C1)C(=O)NCC3CCCN3CC=C

InChI

InChIKey=BRECEDGYMYXGNF-UHFFFAOYSA-N
InChI=1S/C16H21N5O2.ClH/c1-3-6-21-7-4-5-11(21)10-17-16(22)12-8-13-14(19-20-18-13)9-15(12)23-2;/h3,8-9,11H,1,4-7,10H2,2H3,(H,17,22)(H,18,19,20);1H

HIDE SMILES / InChI

Molecular Formula C16H21N5O2
Molecular Weight 315.3702
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Alizapride is a dopamine antagonist with prokinetic and antiemetic effects used in the treatment of nausea and vomiting, including postoperative nausea and vomiting. The anti-emetic action of Alizapride is due to its antagonist activity at D2 receptors in the chemoreceptor trigger zone (CTZ) in the central nervous system (CNS)—this action prevents nausea and vomiting triggered by most stimuli. Structurally similar to metoclopramide and, therefore, shares similar other attributes related to emesis and prokinetics.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
200.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Limican

Approved Use

Alizapride is used in the treatment of nausea and vomiting, including postoperative nausea and vomiting.
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1.977 mg × h/L
50 mg single, intravenous
dose: 50 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3.533 mg × h/L
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
4.66 mg × h/L
150 mg single, intravenous
dose: 150 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
7.587 mg × h/L
200 mg single, intravenous
dose: 200 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1.706 mg × h/L
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3.76 mg × h/L
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3.17 mg × h/L
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
6.573 mg × h/L
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
7595 ng × h/mL
3.78 mg/kg single, intravenous
dose: 3.78 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: UNHEALTHY
age: ADOLESCENT
sex: FEMALE / MALE
food status: UNKNOWN
5574 ng × h/mL
4 mg/kg single, intravenous
dose: 4 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
4260.5 ng × h/mL
3.97 mg/kg single, intravenous
dose: 3.97 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.98 h
50 mg single, intravenous
dose: 50 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3.2 h
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2.51 h
150 mg single, intravenous
dose: 150 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2.52 h
200 mg single, intravenous
dose: 200 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2.17 h
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3.14 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2.26 h
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3.22 h
200 mg single, oral
dose: 200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2.28 h
3.78 mg/kg single, intravenous
dose: 3.78 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: UNHEALTHY
age: ADOLESCENT
sex: FEMALE / MALE
food status: UNKNOWN
2.27 h
4 mg/kg single, intravenous
dose: 4 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
4.68 h
3.97 mg/kg single, intravenous
dose: 3.97 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
ALIZAPRIDE plasma
Homo sapiens
population: UNHEALTHY
age: CHILD
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
5 mg/kg single, intravenous
Recommended
Dose: 5 mg/kg
Route: intravenous
Route: single
Dose: 5 mg/kg
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Other AEs: Diarrhoea...
Other AEs:
Diarrhoea (1 pt)
Sources:
100 mg single, intramuscular
Studied dose
Dose: 100 mg
Route: intramuscular
Route: single
Dose: 100 mg
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Sources:
100 mg single, oral
Studied dose
Dose: 100 mg
Route: oral
Route: single
Dose: 100 mg
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Sources:
4 mg/kg single, intravenous
Studied dose
Dose: 4 mg/kg
Route: intravenous
Route: single
Dose: 4 mg/kg
Sources:
unhealthy, CHILD
Health Status: unhealthy
Age Group: CHILD
Sex: M+F
Food Status: UNKNOWN
Sources:
100 mg single, rectal
Studied dose
Dose: 100 mg
Route: rectal
Route: single
Dose: 100 mg
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Food Status: FASTED
Sources:
AEs

AEs

AESignificanceDosePopulation
Diarrhoea 1 pt
5 mg/kg single, intravenous
Recommended
Dose: 5 mg/kg
Route: intravenous
Route: single
Dose: 5 mg/kg
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer



Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Macrophage Fcgamma receptors expression is altered by treatment with dopaminergic drugs.
1999-03
Prevention of emesis by tropisetron (Navoban) in children receiving cytotoxic therapy for solid malignancies.
1994-10
The role of dopamine (D2), alpha and beta-adrenoceptor receptors in the decrease in gastrointestinal transit induced by dopamine and dopamine-related drugs in the rat.
1993-05-01
[Comparison of the antiemetic effectiveness of granisetron and alizapride plus dexamethasone in cytostatic therapy].
1991-11-29
Role of dopamine receptors in gastrointestinal motility.
1989-06
Manometric study of the activity of alizapride on the motor function of the human sphincter of Oddi.
1988-08
Comparison of the in-vitro receptor selectivity of substituted benzamide drugs for brain neurotransmitter receptors.
1988-06
Activity of a new antiemetic agent: alizapride. A randomized double-blind crossover controlled trial.
1988
Gastro-oesophageal reflux in paediatric patients: studies with alizapride.
1987
Hypertension and intravenous antidopaminergic drugs.
1985-04-25
[Hydrolysis of the antiemetic alizapride].
1984
Patents

Sample Use Guides

The treatment duration should not exceed one week.Oral administration: 100-200 mg per day in divided dosesParenteral administration:nausea and vomiting in pre-or post-operative, 50-200 mg, usually intramuscularly within 24 hours.Nausea and vomiting during chemotherapy: 100 mg intravenously 20-30 minutes prior to chemotherapy treatment, followed by 50-100 mg intramuscularly 4-8 hours after the end of chemotherapy.
Route of Administration: Other
In Vitro Use Guide
Alizapride inhibited binding of [3H]spiperone to rat striatal membrane preparations with the IC50 value of 66 nm.
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:42:48 GMT 2025
Edited
by admin
on Mon Mar 31 18:42:48 GMT 2025
Record UNII
41BT72BOQ7
Record Status Validated (UNII)
Record Version
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Name Type Language
ALIZAPRIDE HYDROCHLORIDE
MART.   MI   WHO-DD  
Common Name English
LIMICAN
Preferred Name English
6-METHOXY-N-((1-(2-PROPEN-1-YL)-2-PYRROLIDINYL)METHYL)-1H-BENZOTRIAZOLE-5-CARBOXAMIDE HYDROCHLORIDE
Systematic Name English
N-(1-ALLYL-2-PYRROLIDINYLMETHYL)-6-METHOXY-1H-BENZOTRIAZOLE-5-CARBOXAMIDE HYDROCHLORIDE
Systematic Name English
Alizapride hydrochloride [WHO-DD]
Common Name English
NAUSILEN
Brand Name English
ALIZAPRIDE HCL
Common Name English
(±)-N-(1-ALLYL-2-PYRROLIDINYLMETHYL)-6-METHOXY-1H-BENZOTRIAZOLE-5-CARBOXAMIDE HYDROCHLORIDE
Systematic Name English
VERGENTAN
Brand Name English
ALIZAPRIDE HYDROCHLORIDE [MI]
Common Name English
ALIZAPRIDE HYDROCHLORIDE [MART.]
Common Name English
PLITICAN
Brand Name English
Code System Code Type Description
MERCK INDEX
m1512
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY Merck Index
NCI_THESAURUS
C200683
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
EPA CompTox
DTXSID20974759
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
SMS_ID
100000088880
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
DRUG BANK
DBSALT000918
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
CAS
59338-87-3
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
PUBCHEM
6410734
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
FDA UNII
41BT72BOQ7
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
EVMPD
SUB00345MIG
Created by admin on Mon Mar 31 18:42:48 GMT 2025 , Edited by admin on Mon Mar 31 18:42:48 GMT 2025
PRIMARY
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