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

Details

Stereochemistry ACHIRAL
Molecular Formula C10H22N4.H2O4S
Molecular Weight 296.387
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of GUANETHIDINE MONOSULFATE

SMILES

OS(O)(=O)=O.NC(=N)NCCN1CCCCCCC1

InChI

InChIKey=YUFWAVFNITUSHI-UHFFFAOYSA-N
InChI=1S/C10H22N4.H2O4S/c11-10(12)13-6-9-14-7-4-2-1-3-5-8-14;1-5(2,3)4/h1-9H2,(H4,11,12,13);(H2,1,2,3,4)

HIDE SMILES / InChI

Molecular Formula H2O4S
Molecular Weight 98.078
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C10H22N4
Molecular Weight 198.3085
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Guanethidine belongs to the general class of medicines called antihypertensives. It was used to treat high blood pressure (hypertension). It is believed to act mainly by preventing the release of norepinephrine at nerve endings and causes depletion of norepinephrine in peripheral sympathetic nerve terminals as well as in tissues. It is taken up by norepinephrine transporters. It becomes concentrated in NE transmitter vesicles, replacing NE in these vesicles.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ISMELIN

Approved Use

Unknown

Launch Date

1960
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
2.68 μg × h/mL
160 mg 1 times / day multiple, oral
dose: 160 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
GUANETHIDINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
2.06 μg × h/mL
80 mg 1 times / day multiple, oral
dose: 80 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
GUANETHIDINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
0.3 μg × h/mL
40 mg 1 times / day multiple, oral
dose: 40 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
GUANETHIDINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
1.5 day
160 mg 1 times / day multiple, oral
dose: 160 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
GUANETHIDINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
650 mg single, oral
Studied dose
Dose: 650 mg
Route: oral
Route: single
Dose: 650 mg
Sources:
unhealthy, 43 years
Health Status: unhealthy
Age Group: 43 years
Sources:
75 mg 1 times / day multiple, oral
Dose: 75 mg, 1 times / day
Route: oral
Route: multiple
Dose: 75 mg, 1 times / day
Sources:
unhealthy, 69 years
Health Status: unhealthy
Age Group: 69 years
Sex: M
Sources:
Disc. AE: Bradycardia...
AEs leading to
discontinuation/dose reduction:
Bradycardia (extreme, 1 patient)
Sources:
30 mg single, intravenous
Dose: 30 mg
Route: intravenous
Route: single
Dose: 30 mg
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Disc. AE: Thrombophlebitis, Ischaemia...
AEs leading to
discontinuation/dose reduction:
Thrombophlebitis (1 patient)
Ischaemia (acute, 1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
Bradycardia extreme, 1 patient
Disc. AE
75 mg 1 times / day multiple, oral
Dose: 75 mg, 1 times / day
Route: oral
Route: multiple
Dose: 75 mg, 1 times / day
Sources:
unhealthy, 69 years
Health Status: unhealthy
Age Group: 69 years
Sex: M
Sources:
Thrombophlebitis 1 patient
Disc. AE
30 mg single, intravenous
Dose: 30 mg
Route: intravenous
Route: single
Dose: 30 mg
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Ischaemia acute, 1 patient
Disc. AE
30 mg single, intravenous
Dose: 30 mg
Route: intravenous
Route: single
Dose: 30 mg
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Sources:
Overview

OverviewOther

Other InhibitorOther SubstrateOther Inducer







Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >1000 uM]
yes
yes
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
Tox targets
PubMed

PubMed

TitleDatePubMed
Physiological regulation and NO-dependent inhibition of migrating myoelectric complex in the rat small bowel by OXA.
2003-10
Prejunctional modulation of non-adrenergic non-cholinergic (NANC) inhibitory responses in the isolated guinea-pig gastric fundus.
2003-06
Cytosolic Ca2+ and phosphoinositide hydrolysis linked to constitutively active alpha 1D-adrenoceptors in vascular smooth muscle.
2003-06
Involvement of sympathetic efferents but not capsaicin-sensitive afferents in nociceptin-mediated dual control of rat synovial blood flow.
2003-06
Altered prejunctional modulation of intestinal cholinergic and noradrenergic pathways by alpha2-adrenoceptors in the presence of experimental colitis.
2003-05
Hyperalgesia induced by Asp49 and Lys49 phospholipases A2 from Bothrops asper snake venom: pharmacological mediation and molecular determinants.
2003-05
Intrinsic regulation of CGRP release by dental pulp sympathetic fibers.
2003-05
Short-chain fatty acids stimulate colonic transit via intraluminal 5-HT release in rats.
2003-05
Distribution of vasoactive intestinal polypeptide in the rat heart: effect of guanethidine and capsaicin.
2003-04
Effects of NCX 4050, a new NO donor, in rabbit and human corpus cavernosum.
2003-04
[Pharmacological sympathetic block in complex regional pain syndrome].
2003-03-21
[Therapeutic approach to complex regional pain syndrome].
2003-03-21
Investigation of the mechanism of nicotine-induced relaxation in guinea pig gallbladder.
2003-03
Chemical sympathectomy-induced changes in TH-, VIP-, and CGRP-immunoreactive fibers in the rat mandible periosteum: influence on bone resorption.
2003-03
Involvement of a purinergic pathway in the sympathetic regulation of motility in rat ileum.
2003-02-28
[Diagnose Sudeck's disease in good time and save your patient from martyrdom].
2003-02-27
Functional evidence for a role of GABA receptors in modulating nerve activities of circular smooth muscle from rat colon in vitro.
2003-02-14
Ketamine and midazolam differentially inhibit nonadrenergic noncholinergic lower esophageal sphincter relaxation in rabbits: role of superoxide anion and nitric oxide synthase.
2003-02
Role of opioid and nitric oxide systems in the nonadrenergic noncholinergic-mediated relaxation of corpus cavernosum in bile duct-ligated rats.
2003-01-24
Study of the mechanisms involved in the bradykinin-induced contraction of the pig iris sphincter muscle in vitro.
2003-01-01
Neural mechanism of acupuncture-induced gastric relaxations in rats.
2003-01
Pharmacological evidence that tetraethylammonium-sensitive, iberiotoxin-insensitive K+ channels function as a negative feedback element for sympathetic neurotransmission by suppressing omega-conotoxin-GVIA-insensitive Ca2+ channels in the relaxation of rabbit facial vein.
2003-01
Characterization of the 5-hydroxytryptamine receptors mediating contraction in the pig isolated intravesical ureter.
2003-01
Influence of nitric oxide on neurogenic contraction and relaxation of the human gastroepiploic artery.
2003-01
Mechanisms of excitatory transmission in circular smooth muscles of the guinea pig seminal vesicle.
2003-01
The effect of chemical sympathectomy on the conducting system of the white rat vagus nerve.
2002-12-10
Excitatory motor innervation in the canine rectoanal region: role of changing receptor populations.
2002-12
Involvement of peptide histidine isoleucine in non-adrenergic non-cholinergic relaxation of the rat gastric fundus induced by high-frequency neuronal firing.
2002-12
The beneficial effects of protein tyrosine kinase inhibition on the circulatory failure induced by endotoxin in the rat.
2002-11
The effect of guanethidine and local anesthetics on the electrically stimulated mouse vas deferens.
2002-11
Purines and pyrimidines are not involved in NANC relaxant responses in the rabbit vaginal wall.
2002-10
Anesthetic pain management in Siriraj Hospital: a retrospective review.
2002-09
Additional evidence that the sympathetic nervous system regulates the vessel wall release of tissue plasminogen activator.
2002-09
Cholinergic and nitrergic regulation of in vivo giant migrating contractions in rat colon.
2002-09
Characterisation of a modified approach to the study of sympathetic neurotransmission and its presynaptic modulation in the isolated rabbit thoracic aorta.
2002-08-17
Rebound contraction by nitric oxide in the longitudinal muscle of porcine gastric fundus.
2002-08
Pharmacology and thermosensitivity of the dartos muscle isolated from rat scrotum.
2002-08
Sympathetic-renal interaction in chronic arterial pressure control.
2002-08
Alpha7-nicotinic acetylcholine receptors on cerebral perivascular sympathetic nerves mediate choline-induced nitrergic neurogenic vasodilation.
2002-07-12
Effects of GABA on circular smooth muscle spontaneous activities of rat distal colon.
2002-07-12
Chemical sympathectomy alters food intake and thermogenic responses to catecholamines in rats.
2002-07-05
Effects of guanethidine administration on compensatory ovarian hypertrophy, compensatory ovulation and follicular development in the prepubertal female guinea pig.
2002-07
Effects of functional peripheral sympathetic denervation induced by guanethidine on follicular development and ovulation of the adult female guinea pig.
2002-07
Bradykinin is involved in hyperalgesia induced by Bothrops jararaca venom.
2002-07
Role of Ca2+-activated Cl- channels and MLCK in slow IJP in opossum esophageal smooth muscle.
2002-07
Intravenous regional blocks with guanethidine and prilocaine combined with physiotherapy: two children with complex regional pain syndrome, type 1.
2002-05
[Colorful pain].
2002
Effects of ecabet sodium, an antiulcer drug, on gastric adaptive relaxation in isolated guinea-pig stomachs.
2002
Influence of Helicobacter pylori infection on in vitro responsiveness of gastric fundus to agonists and to stimulation of enteric nerves in Mongolian gerbils.
2002
Factors predisposing to postural hypotensive symptoms in the treatment of high blood pressure.
1975-10
Patents

Sample Use Guides

For high blood pressure: Adults—at first, 10 or 12.5 milligrams (mg) once a day. Then, your doctor may increase your dose to 25 to 50 mg once a day. Children: the dose is based on body weight and must be determined by your doctor. The usual dose is 200 micrograms (mcg) per kilogram (kg) (90.9 mcg per pound) of body weight a day.
Route of Administration: Oral
In Vitro Use Guide
Curator's Comment: It was studied the effect of guanethidine on the alpha-adrenoceptor blocking potency of phentolamine using the rabbit aortic strip and rat vas deferens. The agonists used were and. Guanethidine augmented the responses to noradrenaline and xylometazoline and increased the pA2 value of phentolamine against both agonists. Increased affinity of alpha-receptors may be partly responsible for the guanethidine-induced supersensitivity to alpha-adrenoceptor agonists.
Unknown
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:45:31 GMT 2025
Edited
by admin
on Mon Mar 31 18:45:31 GMT 2025
Record UNII
5UBY8Y002G
Record Status Validated (UNII)
Record Version
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Name Type Language
ESIMIL COMPONENT GUANETHIDINE MONOSULFATE
Preferred Name English
GUANETHIDINE MONOSULFATE
EP   MART.   MI   ORANGE BOOK   USAN   USP   USP-RS   VANDF   WHO-DD  
USAN  
Official Name English
ISMELIN
Code English
GUANETHIDINE MONOSULFATE [MART.]
Common Name English
Guanethidine monosulfate [WHO-DD]
Common Name English
GUANETHIDINE MONOSULPHATE
Common Name English
GUANETHIDINE MONOSULFATE [EP MONOGRAPH]
Common Name English
GUANETHIDINE MONOSULFATE [USAN]
Common Name English
(2-(HEXAHYDRO-1(2H)-AZOCINYL)ETHYL)GUANIDINE SULPHATE (1:1).
Common Name English
(2-(HEXAHYDRO-1(2H)-AZOCINYL)ETHYL)GUANIDINE SULFATE (1:1).
Common Name English
GUANETHIDINE MONOSULFATE [USP MONOGRAPH]
Common Name English
GUANETHIDINE MONOSULFATE [EP IMPURITY]
Common Name English
GUANIDINE, (2-(HEXAHYDRO-1(2H)-AZOCINYL)ETHYL)-, SULPHATE (1:1)
Systematic Name English
GUANETHIDINE MONOSULFATE [VANDF]
Common Name English
GUANIDINE, (2-(HEXAHYDRO-1(2H)-AZOCINYL)ETHYL)-, SULFATE (1:1)
Systematic Name English
GUANETHIDINE MONOSULFATE [USP-RS]
Common Name English
GUANETHIDINE MONOSULFATE [MI]
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 6385
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
NCI_THESAURUS C270
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
Code System Code Type Description
CHEBI
51016
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
MERCK INDEX
m5865
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY Merck Index
PUBCHEM
86471
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
CAS
645-43-2
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
ChEMBL
CHEMBL765
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
RS_ITEM_NUM
1301801
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
ECHA (EC/EINECS)
211-442-0
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
SMS_ID
100000080182
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
NCI_THESAURUS
C65831
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
EPA CompTox
DTXSID20110019
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
EVMPD
SUB12005MIG
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
FDA UNII
5UBY8Y002G
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
RXCUI
82023
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY RxNorm
DRUG BANK
DB01170
Created by admin on Mon Mar 31 18:45:31 GMT 2025 , Edited by admin on Mon Mar 31 18:45:31 GMT 2025
PRIMARY
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