Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C25H32ClN5O2 |
| Molecular Weight | 470.007 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CCC1=NN(CCCN2CCN(CC2)C3=CC=CC(Cl)=C3)C(=O)N1CCOC4=CC=CC=C4
InChI
InChIKey=VRBKIVRKKCLPHA-UHFFFAOYSA-N
InChI=1S/C25H32ClN5O2/c1-2-24-27-31(25(32)30(24)18-19-33-23-10-4-3-5-11-23)13-7-12-28-14-16-29(17-15-28)22-9-6-8-21(26)20-22/h3-6,8-11,20H,2,7,12-19H2,1H3
| Molecular Formula | C25H32ClN5O2 |
| Molecular Weight | 470.007 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: http://www.drugbank.ca/drugs/DB01149Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/pro/nefazodone.html
Sources: http://www.drugbank.ca/drugs/DB01149
Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/pro/nefazodone.html
Nefazodone hydrochloride (trade name Serzone) is an antidepressant drug marketed by Bristol-Myers Squibb. Its sale was discontinued in 2003 in some countries, due to the small possibility of hepatic (liver) injury, which could lead to the need for a liver transplant, or even death. The incidence of severe liver damage is approximately 1 in 250,000 to 300,000 patient-years. On May 20, 2004, Bristol-Myers Squibb discontinued the sale of Serzone in the United States. Within the serotonergic system, nefazodone acts as an antagonist at type 2 serotonin (5-HT2) post-synaptic receptors and, like fluoxetine-type antidepressants, inhibits pre-synaptic serotonin (5-HT) reuptake. These mechanisms increase the amount of serotonin available to interact with 5-HT receptors. Within the noradrenergic system, nefazodone inhibits norepinephrine uptake minimally. Nefazodone also antagonizes alpha(1)-adrenergic receptors, producing sedation, muscle relaxation, and a variety of cardiovascular effects. Nefazodone's affinity for benzodiazepine, cholinergic, dopaminergic, histaminic, and beta or alpha(2)-adrenergic receptors is not significant.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2274630
Curator's Comment: antidepressant
Originator
Sources: http://adisinsight.springer.com/drugs/800000656
Curator's Comment: # Bristol-Myers Squibb
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL224 Sources: http://www.drugbank.ca/drugs/DB01149 |
5.8 nM [Ki] | ||
Target ID: CHEMBL228 Sources: http://www.drugbank.ca/drugs/DB01149 |
290.0 nM [Ki] | ||
Target ID: CHEMBL2094251 Sources: https://www.ncbi.nlm.nih.gov/pubmed/9400006 |
5.5 nM [Ki] | ||
Target ID: CHEMBL2095158 Sources: https://www.ncbi.nlm.nih.gov/pubmed/9400006 |
84.0 nM [Ki] | ||
Target ID: CHEMBL214 Sources: http://www.drugbank.ca/drugs/DB01149 |
52.0 nM [Ki] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | NEFAZODONE HYDROCHLORIDE Approved UseNefazodone hydrochloride tablets are indicated for the treatment of depression. When deciding among the alternative treatments available for this condition, the prescriber should consider the risk of hepatic failure associated with Nefazodone hydrochloride treatment. In many cases, this would lead to the conclusion that other drugs should be tried first. Launch Date2003 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
880 μg/L |
100 mg 2 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
276 μg/L |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
415 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8951188/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
1588 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8951188/ |
200 mg 2 times / day steady-state, oral dose: 200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3213 μg × h/L |
100 mg 2 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
787 μg × h/L |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1220 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8951188/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
|
6378 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8951188/ |
200 mg 2 times / day steady-state, oral dose: 200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7 h |
100 mg 2 times / day steady-state, oral dose: 100 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
5.7 h |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
5.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8951188/ |
200 mg single, oral dose: 200 mg route of administration: Oral experiment type: SINGLE co-administered: |
NEFAZODONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
Doses
| Dose | Population | Adverse events |
|---|---|---|
200 mg single, oral Highest studied dose |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Other AEs: Nausea and vomiting... |
200 mg single, oral Highest studied dose |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Other AEs: Nausea and vomiting... |
430 mg 1 times / day steady, oral Highest studied dose Dose: 430 mg, 1 times / day Route: oral Route: steady Dose: 430 mg, 1 times / day Sources: |
unhealthy, adult |
Other AEs: Headaches, Dry mouth... Other AEs: Headaches (53%) Sources: Dry mouth (42%) Diarrhea (42%) |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Other AEs: Somnolence... |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Other AEs: Dry mouth, Nausea... Other AEs: Dry mouth (25%) Sources: Nausea (22%) Dizziness (17%) Constipation (14%) Asthenia (11%) Light headedness (10%) Blurred vision (9%) Confusion (7%) Abnormal vision (7%) |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
Disc. AE: Nausea, Headache... AEs leading to discontinuation/dose reduction: Nausea (3.5%) Sources: Headache (2.9%) Dizziness (1.9%) Somnolence (1.5%) Insomnia (1.5%) Asthenia (1.3%) Agitation (1.2%) |
200 mg single, oral Highest studied dose |
healthy, elderly Health Status: healthy Age Group: elderly Sex: unknown Sources: |
Other AEs: Nausea and vomiting... |
200 mg single, oral Highest studied dose |
healthy, younger Health Status: healthy Age Group: younger Sex: unknown Sources: |
Other AEs: Nausea and vomiting... |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Nausea and vomiting | 200 mg single, oral Highest studied dose |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
|
| Nausea and vomiting | 200 mg single, oral Highest studied dose |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
|
| Diarrhea | 42% | 430 mg 1 times / day steady, oral Highest studied dose Dose: 430 mg, 1 times / day Route: oral Route: steady Dose: 430 mg, 1 times / day Sources: |
unhealthy, adult |
| Dry mouth | 42% | 430 mg 1 times / day steady, oral Highest studied dose Dose: 430 mg, 1 times / day Route: oral Route: steady Dose: 430 mg, 1 times / day Sources: |
unhealthy, adult |
| Headaches | 53% | 430 mg 1 times / day steady, oral Highest studied dose Dose: 430 mg, 1 times / day Route: oral Route: steady Dose: 430 mg, 1 times / day Sources: |
unhealthy, adult |
| Somnolence | 25% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Light headedness | 10% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Asthenia | 11% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Constipation | 14% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Dizziness | 17% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Nausea | 22% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Dry mouth | 25% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Abnormal vision | 7% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Confusion | 7% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Blurred vision | 9% | 600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Agitation | 1.2% Disc. AE |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Asthenia | 1.3% Disc. AE |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Insomnia | 1.5% Disc. AE |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Somnolence | 1.5% Disc. AE |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Dizziness | 1.9% Disc. AE |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Headache | 2.9% Disc. AE |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Nausea | 3.5% Disc. AE |
600 mg 1 times / day steady, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Nausea and vomiting | 200 mg single, oral Highest studied dose |
healthy, elderly Health Status: healthy Age Group: elderly Sex: unknown Sources: |
|
| Nausea and vomiting | 200 mg single, oral Highest studied dose |
healthy, younger Health Status: healthy Age Group: younger Sex: unknown Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no | ||||
| weak | ||||
| yes [IC50 4.7 uM] | ||||
| yes [IC50 9 uM] | ||||
| yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no | ||||
| yes | ||||
| yes |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
PubMed
| Title | Date | PubMed |
|---|---|---|
| Nefazodone decreases anxiety during marijuana withdrawal in humans. | 2003-01 |
|
| Enhanced resolution triple-quadrupole mass spectrometry for fast quantitative bioanalysis using liquid chromatography/tandem mass spectrometry: investigations of parameters that affect ruggedness. | 2003 |
|
| An open pilot study of nefazodone in depression with anger attacks: relationship between clinical response and receptor binding. | 2002-12-30 |
|
| Combination therapy in the treatment of major depressive disorder complicated by fibromyalgia and menopause. | 2002-11-22 |
|
| Nefazodone treatment of pathological gambling: a prospective open-label controlled trial. | 2002-11 |
|
| Effects of smoked marijuana in healthy and HIV + marijuana smokers. | 2002-11 |
|
| Nefazodone alters NPY immunostaining in rat arcuate-paraventricular projection without changes in food intake and body weight. | 2002-10 |
|
| Antidepressant-induced sexual dysfunction. | 2002-10 |
|
| Effects of nefazodone on voluntary ethanol consumption induced by isolation stress in young and aged rats. | 2002-10 |
|
| Nefazodone and cyp450 3a4 interactions with cyclosporine and tacrolimus1. | 2002-09-15 |
|
| [Pharmacological justification for the use of new antidepressant drugs]. | 2002-09 |
|
| Reversible penile priapism associated with nefazodone. | 2002-09 |
|
| Rhabdomyolysis with simvastatin and nefazodone. | 2002-09 |
|
| An open-label clinical trial of nefazodone in hypochondriasis. | 2002-08-22 |
|
| Nefazodone and liver damage. | 2002-08 |
|
| Sexual function and satisfaction in the treatment of chronic major depression with nefazodone, psychotherapy, and their combination. | 2002-08 |
|
| Differential effects of amitriptyline, nefazodone and paroxetine on performance and brain indices of visual selective attention and working memory. | 2002-08 |
|
| [Acute liver failure in nefazodone therapy? A case report]. | 2002-07 |
|
| Optimizing antidepressant treatment: efficacy and tolerability. | 2002-06 |
|
| Differential effects of nefazodone and cognitive behavioral analysis system of psychotherapy on insomnia associated with chronic forms of major depression. | 2002-06 |
|
| Randomised controlled study of sleep after nefazodone or paroxetine treatment in out-patients with depression. | 2002-06 |
|
| Nefazodone treatment of dysthymic disorder an open, long-term, prospective pilot study. | 2002-05 |
|
| Pharmacological interactions of statins. | 2002-05 |
|
| Symptomatic and syndromal anxiety in chronic forms of major depression: effect of nefazodone, cognitive behavioral analysis system of psychotherapy, and their combination. | 2002-05 |
|
| Hepatic adverse reactions associated with nefazodone. | 2002-05 |
|
| Loratadine/nefazodone interaction. | 2002-05 |
|
| Prevalence of sexual dysfunction among newer antidepressants. | 2002-04 |
|
| Serzone. Beware of dangerous liver problems. | 2002-04 |
|
| Induction of hyperlocomotion in mice exposed to a novel environment by inhibition of serotonin reuptake. A pharmacological characterization of diverse classes of antidepressant agents. | 2002-04 |
|
| Human CYP3A4 and the metabolism of nefazodone and hydroxynefazodone by human liver microsomes and heterologously expressed enzymes. | 2002-04 |
|
| Evaluating changes in sexual functioning in depressed patients: sensitivity to change of the CSFQ. | 2002-03-16 |
|
| From the Food and Drug Administration. | 2002-03-06 |
|
| New antidepressants in the treatment of neuropathic pain. A review. | 2002-03 |
|
| Hepatotoxicity associated with the new antidepressants. | 2002-02 |
|
| Does psychosocial functioning improve independent of depressive symptoms? A comparison of nefazodone, psychotherapy, and their combination. | 2002-01-15 |
|
| Nefazodone in the treatment of elderly patients with depressive disorders: a prospective, observational study. | 2002 |
|
| Clinically significant drug interactions with antidepressants in the elderly. | 2002 |
|
| Mood disorders in patients with epilepsy: epidemiology and management. | 2002 |
|
| Interaction potential of lercanidipine, a new vasoselective dihydropyridine calcium antagonist. | 2002 |
|
| Cost savings with nefazodone in treating depression. | 2002 |
|
| Antidepressant dosing and switching guidelines: focus on nefazodone. | 2002 |
|
| Six-year perspectives on the safety and tolerability of nefazodone. | 2002 |
|
| Overview of psychiatric disorders and the role of newer antidepressants. | 2002 |
|
| Clinical use of nefazodone in major depression: a 6-year perspective. | 2002 |
|
| Pharmacology of antidepressants: focus on nefazodone. | 2002 |
|
| Increased premenstrual dosing of nefazodone relieves premenstrual magnification of depression. | 2002 |
|
| Pharmacotherapy for post-traumatic stress disorder: a comprehensive review. | 2001-10 |
|
| An open-label, 12-week clinical and sleep EEG study of nefazodone in chronic combat-related posttraumatic stress disorder. | 2001-10 |
|
| Charleston Antidepressant Drug Interactions Surveillance Program (CADISP). | 2001 |
|
| Pharmacokinetically induced benzodiazepine withdrawal. | 2001 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/nefazodone.html
Initial dose: 200 mg orally per day in two divided doses
Maintenance dose: 300 to 600 mg orally per day
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20606004
In vitro biliary excretion of micafungin in humans and rats was reduced by 75% in the presence of the bile salt export pump (BSEP) inhibitor nefazodone (25 uM)
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:29:35 GMT 2025
by
admin
on
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| Record UNII |
59H4FCV1TF
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| Record Status |
Validated (UNII)
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Common Name | English |
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NCI_THESAURUS |
C265
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WHO-ATC |
N06AX06
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NDF-RT |
N0000175696
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WHO-VATC |
QN06AX06
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LIVERTOX |
NBK548179
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| Code System | Code | Type | Description | ||
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DB01149
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DTXSID2023357
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7247
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31565
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59H4FCV1TF
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59H4FCV1TF
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m7793
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83366-66-9
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1890
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100000084127
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SUB09180MIG
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C051752
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Nefazodone
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4449
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CHEMBL623
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C61859
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Nefazodone
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5432
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7494
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BINDER->LIGAND |
BINDING
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METABOLIC ENZYME -> INHIBITOR | |||
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SALT/SOLVATE -> PARENT |
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METABOLITE ACTIVE -> PARENT |
MAJOR
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METABOLITE ACTIVE -> PARENT | |||
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METABOLITE ACTIVE -> PARENT |
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Volume of Distribution | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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