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Details

Stereochemistry ABSOLUTE
Molecular Formula 2C7H15NO3.C4H4O6.2H
Molecular Weight 472.4846
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of LEVOCARNITINE TARTRATE

SMILES

[H+].[H+].O[C@H]([C@@H](O)C([O-])=O)C([O-])=O.C[N+](C)(C)C[C@H](O)CC([O-])=O.C[N+](C)(C)C[C@H](O)CC([O-])=O

InChI

InChIKey=GADIJPCDIWZEMB-BTNVMJJCSA-N
InChI=1S/2C7H15NO3.C4H6O6/c2*1-8(2,3)5-6(9)4-7(10)11;5-1(3(7)8)2(6)4(9)10/h2*6,9H,4-5H2,1-3H3;1-2,5-6H,(H,7,8)(H,9,10)/t2*6-;1-,2-/m111/s1

HIDE SMILES / InChI

Molecular Formula H
Molecular Weight 1.0079
Charge 1
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C7H15NO3
Molecular Weight 161.1989
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula C4H4O6
Molecular Weight 148.071
Charge -2
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Levocarnetine also known as L-carnitine is a naturally occurring substance required in mammalian energy metabolism that functions by facilitating long-chain fatty acid entry into cellular mitochondria, thereby delivering substrate for oxidation and subsequent energy production. Levocarnetine was approved by FDA for the treatment of carnetine deficiency.

CNS Activity

Curator's Comment: Known to be CNS penetrant in model animals. Human data not available.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P50416
Gene ID: 1374.0
Gene Symbol: CPT1A
Target Organism: Homo sapiens (Human)
Target ID: P23786
Gene ID: 1376.0
Gene Symbol: CPT2
Target Organism: Homo sapiens (Human)
Target ID: P43155
Gene ID: 1384.0
Gene Symbol: CRAT
Target Organism: Homo sapiens (Human)
Target ID: O43772
Gene ID: 788.0
Gene Symbol: SLC25A20
Target Organism: Homo sapiens (Human)
Target ID: WP408
Sources: DOI: 10.1201/b17092-12
Target ID: WP623
Sources: DOI: 10.1201/b17092-12
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
CARNITOR

Approved Use

CARNITOR (levocarnitine) is indicated in the treatment of primary systemic carnitine deficiency.

Launch Date

5.04489607E11
Primary
Dromos

Approved Use

It is indicated for patients with peripheral arterial occlusive disorders and for exercise intolerance enchancement in patients with chronic congestive heart failure.
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
79.2 nmol/mL
330 mg 2 times / day multiple, oral
dose: 330 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
LEVOCARNITINE blood
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
80.3 nmol/mL
2 g 2 times / day multiple, oral
dose: 2 g
route of administration: Oral
experiment type: MULTIPLE
co-administered:
LEVOCARNITINE blood
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
771.4 nmol × h/mL
330 mg 2 times / day multiple, oral
dose: 330 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
LEVOCARNITINE blood
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
779.9 nmol × h/mL
2 g 2 times / day multiple, oral
dose: 2 g
route of administration: Oral
experiment type: MULTIPLE
co-administered:
LEVOCARNITINE blood
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
yes
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Effect of administration of carnitine on the severity of myocardial infarction induced by isoproterenol in rats.
1986 Feb
Carnitine protection against adriamycin-induced cardiomyopathy in rats.
1986 Feb 10
Echocardiographic assessment of anthracycline cardiotoxicity during different therapeutic regimens.
1987
Modulation of ethanol-mediated CYP2E1 induction by clofibrate and L-carnitine in rat liver.
1993 Dec
Zidovudine-induced mitochondrial myopathy is associated with muscle carnitine deficiency and lipid storage.
1994 Apr
Contrasting effects of propionate and propionyl-L-carnitine on energy-linked processes in ischemic hearts.
1994 Aug
Attenuation of levodopa-induced dyskinesia by normalizing dopamine D3 receptor function.
2003 Jun
Renal transport of organic compounds mediated by mouse organic anion transporter 3 (mOat3): further substrate specificity of mOat3.
2004 May
Fatty acid oxidation defects as a cause of neuromyopathic disease in infants and adults.
2005
Prediction of genotoxicity of chemical compounds by statistical learning methods.
2005 Jun
Sodium valproate -- induced skeletal myopathy.
2005 Mar
L-carnitine ameliorates doxorubicin-induced nephrotic syndrome in rats.
2006 Aug
Effects of doxorubicin-containing chemotherapy and a combination with L-carnitine on oxidative metabolism in patients with non-Hodgkin lymphoma.
2006 Feb
Acute renal failure due to phenazopyridine (Pyridium) overdose: case report and review of the literature.
2006 Nov
Role of Na+/L-carnitine transporter (OCTN2) in renal handling of pivaloylcarnitine and valproylcarnitine formed during pivalic acid-containing prodrugs and valproic acid treatment.
2008
L-carnitine mediates protection against DNA damage in lymphocytes of aged rats.
2009 Apr
Interaction between pivaloylcarnitine and L-carnitine transport into L6 cells overexpressing hOCTN2.
2009 Aug 14
The carnitine transporter SLC22A5 is not a general drug transporter, but it efficiently translocates mildronate.
2009 Feb
Identification of a novel organic anion transporter mediating carnitine transport in mouse liver and kidney.
2010
Comparative effects of captopril and l-carnitine on blood pressure and antioxidant enzyme gene expression in the heart of spontaneously hypertensive rats.
2010 Apr 25
Inhibition of gene expression of heart fatty acid binding protein and organic cation/carnitine transporter in doxorubicin cardiomyopathic rat model.
2010 Aug 25
The plasma carnitine concentration regulates renal OCTN2 expression and carnitine transport in rats.
2010 Jun 10
Inhibition of hepatic carnitine palmitoyl-transferase I (CPT IA) by valproyl-CoA as a possible mechanism of valproate-induced steatosis.
2010 Mar 1
Integration of metabolomics and transcriptomics data to aid biomarker discovery in type 2 diabetes.
2010 May
Transcellular movement of hydroxyurea is mediated by specific solute carrier transporters.
2011 Apr
L-carnitine protects against nickel-induced neurotoxicity by maintaining mitochondrial function in Neuro-2a cells.
2011 May 15
Bezafibrate upregulates carnitine palmitoyltransferase II expression and promotes mitochondrial energy crisis dissipation in fibroblasts of patients with influenza-associated encephalopathy.
2011 Nov
Inhibition of mitochondrial carnitine/acylcarnitine transporter by H(2)O(2): molecular mechanism and possible implication in pathophysiology.
2013 Apr 25
Changes in the levels of l-carnitine, acetyl-l-carnitine and propionyl-l-carnitine are involved in perfluorooctanoic acid induced developmental cardiotoxicity in chicken embryo.
2016 Dec
Patents

Sample Use Guides

One tablet (500mg) twice a day
Route of Administration: Oral
In Vitro Use Guide
L- propionyl carnitine protected the heart against ischemia-reperfusion injury at 10 mM but did not exert significant protection at 1 mM concentration. Protection provided by 10 mM L-propionyl carnitine was stronger than that of D-propionyl carnitine and similar to that of deferoxamine at 100 times the concentration.
Substance Class Chemical
Created
by admin
on Wed Jul 05 23:50:09 UTC 2023
Edited
by admin
on Wed Jul 05 23:50:09 UTC 2023
Record UNII
4D8F2Q45LQ
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
LEVOCARNITINE TARTRATE
WHO-DD  
Common Name English
Carnitine bitartrate [WHO-DD]
Common Name English
LEVOCARNITINE-L-TARTRATE
Common Name English
LEVOCARNITINE HEMITARTRATE
Common Name English
CARNIPURE TARTRATE
Common Name English
Levocarnitine tartrate [WHO-DD]
Common Name English
L-CARNITINE L-TARTRATE
Systematic Name English
BUTANEDIOIC ACID, 2,3-DIHYDROXY-(2R,3R)-, ION(2-), BIS((2R)-3-CARBOXY-2-HYDROXY-N,N,N-TRIMETHYL-1-PROPANAMINIUM)
Systematic Name English
L-CARNITINE-L-TARTRATE
Common Name English
L-CARNITINE TARTRATE
Systematic Name English
1-PROPANAMINIUM, 3-CARBOXY-2-HYDROXY-N,N,N-TRIMETHYL-, (2R)-, SALT WITH (2R,3R)-2,3-DIHYDROXYBUTANEDIOIC ACID (2:1)
Systematic Name English
1-PROPANAMINIUM, 3-CARBOXY-2-HYDROXY-N,N,N-TRIMETHYL-, (2R)-, (2R,3R)-2,3-DIHYDROXYBUTANEDIOATE (2:1)
Systematic Name English
FEMA NO. 4906
Code English
Code System Code Type Description
DAILYMED
4D8F2Q45LQ
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
RXCUI
1364375
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY RxNorm
EVMPD
SUB129663
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
NCI_THESAURUS
C1505
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
CONCEPT Dietary Supplement
GRAS Notification (GRN No.)
935
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
PUBCHEM
56973705
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
SMS_ID
100000155608
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
EPA CompTox
DTXSID501018114
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
NCI_THESAURUS
C80057
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY NCIT
FDA UNII
4D8F2Q45LQ
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
CAS
36687-82-8
Created by admin on Wed Jul 05 23:50:09 UTC 2023 , Edited by admin on Wed Jul 05 23:50:09 UTC 2023
PRIMARY
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PARENT -> SALT/SOLVATE
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ACTIVE MOIETY