Details
Stereochemistry | ACHIRAL |
Molecular Formula | C17H19ClN2S.C14H10O4 |
Molecular Weight | 561.091 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
OC(=O)C1=C(C=CC=C1)C(=O)C2=CC=C(O)C=C2.CN(C)CCCN3C4=C(SC5=C3C=C(Cl)C=C5)C=CC=C4
InChI
InChIKey=YCMNZFDJNUBQCQ-UHFFFAOYSA-N
InChI=1S/C17H19ClN2S.C14H10O4/c1-19(2)10-5-11-20-14-6-3-4-7-16(14)21-17-9-8-13(18)12-15(17)20;15-10-7-5-9(6-8-10)13(16)11-3-1-2-4-12(11)14(17)18/h3-4,6-9,12H,5,10-11H2,1-2H3;1-8,15H,(H,17,18)
Molecular Formula | C14H10O4 |
Molecular Weight | 242.2268 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C17H19ClN2S |
Molecular Weight | 318.864 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Chlorpromazine is a psychotropic agent indicated for the treatment of schizophrenia. It also exerts sedative and antiemetic activity. Chlorpromazine has actions at all levels of the central nervous system-primarily at subcortical levels-as well as on multiple organ systems. Chlorpromazine has strong antiadrenergic and weaker peripheral anticholinergic activity; ganglionic blocking action is relatively slight. It also possesses slight antihistaminic and antiserotonin activity. Chlorpromazine acts as an antagonist (blocking agent) on different postsysnaptic receptors -on dopaminergic-receptors (subtypes D1, D2, D3 and D4 - different antipsychotic properties on productive and unproductive symptoms), on serotonergic-receptors (5-HT1 and 5-HT2, with anxiolytic, antidepressive and antiaggressive properties as well as an attenuation of extrapypramidal side-effects, but also leading to weight gain, fall in blood pressure, sedation and ejaculation difficulties), on histaminergic-receptors (H1-receptors, sedation, antiemesis, vertigo, fall in blood pressure and weight gain), alpha1/alpha2-receptors (antisympathomimetic properties, lowering of blood pressure, reflex tachycardia, vertigo, sedation, hypersalivation and incontinence as well as sexual dysfunction, but may also attenuate pseudoparkinsonism - controversial) and finally on muscarinic (cholinergic) M1/M2-receptors (causing anticholinergic symptoms like dry mouth, blurred vision, obstipation, difficulty/inability to urinate, sinus tachycardia, ECG-changes and loss of memory, but the anticholinergic action may attenuate extrapyramidal side-effects). Additionally, Chlorpromazine is a weak presynaptic inhibitor of Dopamine reuptake, which may lead to (mild) antidepressive and antiparkinsonian effects. Chlorpromazine has being marketed under the trade names Thorazine and Largactil among others. Chlorpromazine is used for treating certain mental or mood disorders (eg, schizophrenia), the manic phase of manic-depressive disorder, anxiety and restlessness before surgery, the blood disease porphyria, severe behavioral and conduct disorders in children, nausea and vomiting, and severe hiccups.
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16433053 | https://www.ncbi.nlm.nih.gov/pubmed/19300578
Curator's Comment: Chlorpromazine was synthesized in December 1951 in the laboratories of Rhône-Poiulenc, and became available on prescription in France in November 1952.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
1.0 nM [IC50] | |||
Target ID: CHEMBL224 |
3.4 nM [IC50] | ||
Target ID: CHEMBL2056 |
56.0 nM [Ki] | ||
Target ID: CHEMBL231 |
12.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | THORAZINE Approved UseFor the treatment of schizophrenia; to control nausea and vomiting; for relief of restlessness and apprehension before surgery; for acute intermittent porphyria; as an adjunct in the treatment of tetanus; to control the manifestations of the manic type of manic-depressive illness; for relief of intractable hiccups; for the treatment of severe behavioral problems in children (1 to 12 years of age) marked by combativeness and/or explosive hyperexcitable behavior (out of proportion to immediate provocations), and in the short-term treatment of hyperactive children who show excessive motor activity with accompanying conduct disorders consisting of some or all of the following symptoms: impulsivity, difficulty sustaining attention, aggressivity, mood lability, and poor frustration tolerance. Launch Date1957 |
|||
Primary | THORAZINE Approved UseFor the treatment of schizophrenia; to control nausea and vomiting; for relief of restlessness and apprehension before surgery; for acute intermittent porphyria; as an adjunct in the treatment of tetanus; to control the manifestations of the manic type of manic-depressive illness; for relief of intractable hiccups; for the treatment of severe behavioral problems in children (1 to 12 years of age) marked by combativeness and/or explosive hyperexcitable behavior (out of proportion to immediate provocations), and in the short-term treatment of hyperactive children who show excessive motor activity with accompanying conduct disorders consisting of some or all of the following symptoms: impulsivity, difficulty sustaining attention, aggressivity, mood lability, and poor frustration tolerance. Launch Date1957 |
|||
Primary | THORAZINE Approved UseFor the treatment of schizophrenia; to control nausea and vomiting; for relief of restlessness and apprehension before surgery; for acute intermittent porphyria; as an adjunct in the treatment of tetanus; to control the manifestations of the manic type of manic-depressive illness; for relief of intractable hiccups; for the treatment of severe behavioral problems in children (1 to 12 years of age) marked by combativeness and/or explosive hyperexcitable behavior (out of proportion to immediate provocations), and in the short-term treatment of hyperactive children who show excessive motor activity with accompanying conduct disorders consisting of some or all of the following symptoms: impulsivity, difficulty sustaining attention, aggressivity, mood lability, and poor frustration tolerance. Launch Date1957 |
|||
Primary | THORAZINE Approved UseFor the treatment of schizophrenia; to control nausea and vomiting; for relief of restlessness and apprehension before surgery; for acute intermittent porphyria; as an adjunct in the treatment of tetanus; to control the manifestations of the manic type of manic-depressive illness; for relief of intractable hiccups; for the treatment of severe behavioral problems in children (1 to 12 years of age) marked by combativeness and/or explosive hyperexcitable behavior (out of proportion to immediate provocations), and in the short-term treatment of hyperactive children who show excessive motor activity with accompanying conduct disorders consisting of some or all of the following symptoms: impulsivity, difficulty sustaining attention, aggressivity, mood lability, and poor frustration tolerance. Launch Date1957 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
37.9 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4.31 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
11.9 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
135 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
10 mg single, intravenous dose: 10 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
247 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
27.8 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
81.8 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
11.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
10 mg single, intravenous dose: 10 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
11.05 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
100 mg single, oral dose: 100 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
5.48 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
9.52 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/8157044 |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
CHLORPROMAZINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
10% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/4399487 |
unknown, unknown |
CHLORPROMAZINE plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
75 mg 1 times / day multiple, intravenous Highest studied dose Dose: 75 mg, 1 times / day Route: intravenous Route: multiple Dose: 75 mg, 1 times / day Sources: |
unhealthy, 52 years (range: 36.5-65.6 years) Health Status: unhealthy Condition: agitation Age Group: 52 years (range: 36.5-65.6 years) Sex: M+F Sources: |
|
100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, Elderly Patients Health Status: unhealthy Condition: Dementia-Related Psychosis Age Group: Elderly Patients Sources: |
Other AEs: Adverse event... Other AEs: Adverse event (grade 5) Sources: |
25 mg 1 times / day multiple, intramuscular Dose: 25 mg, 1 times / day Route: intramuscular Route: multiple Dose: 25 mg, 1 times / day Sources: |
unhealthy, Elderly Patients Health Status: unhealthy Condition: Dementia-Related Psychosis Age Group: Elderly Patients Sources: |
Other AEs: Adverse event... Other AEs: Adverse event (grade 5) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Adverse event | grade 5 | 100 mg 1 times / day multiple, oral Recommended Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, Elderly Patients Health Status: unhealthy Condition: Dementia-Related Psychosis Age Group: Elderly Patients Sources: |
Adverse event | grade 5 | 25 mg 1 times / day multiple, intramuscular Dose: 25 mg, 1 times / day Route: intramuscular Route: multiple Dose: 25 mg, 1 times / day Sources: |
unhealthy, Elderly Patients Health Status: unhealthy Condition: Dementia-Related Psychosis Age Group: Elderly Patients Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
mild [IC50 52.2 uM] | ||||
weak [IC50 1000 uM] | ||||
yes [IC50 12 uM] | ||||
yes [IC50 14 uM] | ||||
yes [IC50 20 uM] | ||||
yes [IC50 5.8 uM] | ||||
Page: 6.0 |
yes [IC50 79 uM] | |||
yes [IC50 9.5 uM] | ||||
yes | ||||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes | ||||
yes | ||||
yes | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Deanol in the treatment of tardive dyskinesia. | 1975 Aug |
|
A comparative study of haloperidol and chlorpromazine in terms of clinical effects and therapeutic reversal with benztropine in schizophrenia. Theoretical implications for potency differences among neuroleptics. | 1975 Aug 21 |
|
Letter: Side effects from lithium. | 1975 Feb 22 |
|
Atypical tardive dyskinesia. | 1975 May |
|
[Chronic intrahepatic cholestasis following chlorpromazine; treated using phenobarbital]. | 1976 |
|
Effects of chlorpromazine hydrochloride on bile salt synthesis, bile formation and biliary lipid secretion in the rhesus monkey: a model for chlorpromazine-induced cholestasis. | 1979 Feb |
|
A case of phenobarbital exacerbation of a preexisting maladaptive behavior partially suppressed by chlorpromazine and misinterpreted as chlorpromazine efficacy. | 1992 |
|
Chlorpromazine: a drug potentially useful for treating mycobacterial infections. | 1992 |
|
Pharmacology of human dopamine D3 receptor expressed in a mammalian cell line: comparison with D2 receptor. | 1992 Apr 10 |
|
An unusual cause of convulsions in a newborn infant. | 1992 Dec |
|
Pharmacological characteristics of alpha 2-adrenergic receptors: comparison of pharmacologically defined subtypes with subtypes identified by molecular cloning. | 1992 Jul |
|
Muscle pains and biochemical changes following suxamethonium administration after six pretreatment regimens. | 1992 Mar |
|
[Intractable vomiting, convulsions and megaloblastic anemia: anamnesis, key to diagnosis]. | 1999 Jul 3 |
|
Effect of some psychotropic drugs and a barbiturate on mycoplasmas. | 2000 Apr |
|
Synthesis and biological activity of N-acylphenothiazines. | 2000 Apr |
|
Double-blind crossover study of chlorpromazine and lorazepam in the treatment of behavioral problems during treatment of children with acute lymphoblastic leukaemia receiving glucocorticoids. | 2000 Apr |
|
Effect of midodrine on chlorpromazine-induced orthostatic hypotension in rabbits: comparison with amezinium, etilefrine and droxidopa. | 2000 Dec |
|
Block of rat brain recombinant SK channels by tricyclic antidepressants and related compounds. | 2000 Jul 28 |
|
Inverse agonist activity of atypical antipsychotic drugs at human 5-hydroxytryptamine2C receptors. | 2000 Oct |
|
Chlorpromazine induces apoptosis in activated human lymphoblasts: a mechanism supporting the induction of drug-induced lupus erythematosus? | 2000 Sep |
|
Potent synergism of the combination of fluconazole and cyclosporine in Candida albicans. | 2000 Sep |
|
Evaluation of a vincristine resistant Caco-2 cell line for use in a calcein AM extrusion screening assay for P-glycoprotein interaction. | 2001 Jan |
|
Chlorpromazine-induced cholestatic liver disease with ductopenia. | 2001 Jul |
|
Torsades de pointes associated with chlorpromazine: case report and review of associated ventricular arrhythmias. | 2001 Jul |
|
Enhancement of antibiotic activity against poly-drug resistant Mycobacterium tuberculosis by phenothiazines. | 2001 Mar |
|
Bipolar disorder after mefloquine treatment. | 2001 May |
|
Enhanced dendritic cell-driven proliferation and anti-HIV activity of CD8(+) T cells by a new phenothiazine derivative, aminoperazine. | 2001 Sep 1 |
|
Specific and overlapping functions of the nuclear hormone receptors CAR and PXR in xenobiotic response. | 2002 |
|
Effects of chlorpromazine, pentoxifylline and dexamethasone on mRNA expression of lipopolysaccharide-induced inflammatory cytokines in bovine peripheral blood mononuclear cells. | 2002 Aug |
|
Carvedilol attenuates neuroleptic-induced orofacial dyskinesia: possible antioxidant mechanisms. | 2002 May |
|
Scopolamine-induced convulsions in fasted mice after food intake: determination of blood glucose levels, [3H]glutamate binding kinetics and antidopaminergic drug effects. | 2003 Feb |
|
Variant Creutzfeldt-Jakob disease. | 2003 Mar |
|
H1-histamine receptor affinity predicts short-term weight gain for typical and atypical antipsychotic drugs. | 2003 Mar |
|
Copper-stimulated endocytosis and degradation of the human copper transporter, hCtr1. | 2003 Mar 14 |
|
New generation antipsychotics versus low-potency conventional antipsychotics: a systematic review and meta-analysis. | 2003 May 10 |
|
Mechanism of C2-toxin inhibition by fluphenazine and related compounds: investigation of their binding kinetics to the C2II-channel using the current noise analysis. | 2003 Oct 24 |
|
[Differences in prooxidant effect of neuroleptics haloperidol and aminazine]. | 2003 Sep-Oct |
|
Valproate-induced hyperammonemic encephalopathy. | 2004 Aug |
|
Effects of lipopolysaccharide and chlorpromazine on glucocorticoid receptor-mediated gene transcription and immunoreactivity: a possible involvement of p38-MAP kinase. | 2004 Dec |
|
Smoking impact on CYP1A2 activity in a group of patients with schizophrenia. | 2004 Jan |
|
Drug-induced liver injury. | 2004 Mar 1 |
|
Oral terbutaline in the management of pharmacologically induced prolonged erection. | 2004 Oct |
|
Intraoperative preparation of the radial artery for coronary artery bypass grafting. | 2005 |
|
Effects of chlorpromazine with and without UV irradiation on gene expression of HepG2 cells. | 2005 Aug 4 |
|
Non-paracetamol drug-induced fulminant hepatic failure among adults in Scotland. | 2005 Feb |
|
A toxicogenomic approach to drug-induced phospholipidosis: analysis of its induction mechanism and establishment of a novel in vitro screening system. | 2005 Feb |
|
[Thanatogenesis in poisoning with psychopharmaceuticals]. | 2005 Mar-Apr |
|
Differential antibiotic susceptibilities of starved Mycobacterium tuberculosis isolates. | 2005 Nov |
|
The effects of desmethylimipramine on cyclic AMP-stimulated gene transcription in a model cell system. | 2005 Sep 1 |
|
Retinoid-mediated stimulation of steroid sulfatase activity in myeloid leukemic cell lines requires RARalpha and RXR and involves the phosphoinositide 3-kinase and ERK-MAP kinase pathways. | 2006 Feb 1 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/chlorpromazine.html
Usual Adult Dose for Psychosis
HOSPITALIZED PATIENTS:
Acute Schizophrenia/Manic States:
Oral:
-Usual dose: 500 mg/day orally
-Maximum dose: 2000 mg/day
Parenteral:
-Usual dose: 25 mg IM once, with a subsequent 25 to 50 mg injection in 1 hour if necessary
-Maintenance dose: 400 mg IM every 4 to 6 hours until the patient is controlled
Prompt Control of Severe Symptoms:
Oral:
-Usual dose: After an initial IM dose, 25 to 50 mg orally 3 times a day
Parenteral:
-Usual dose: 25 mg IV once, repeated in 1 hour if necessary
Less Acutely Disturbed:
Oral:
-Initial dose: 25 mg orally 3 times a day
-Usual dose: 400 mg/day
Usual Adult Dose for Schizophrenia
HOSPITALIZED PATIENTS:
Acute Schizophrenia/Manic States:
Oral:
-Usual dose: 500 mg/day orally
-Maximum dose: 2000 mg/day
Parenteral:
-Usual dose: 25 mg IM once, with a subsequent 25 to 50 mg injection in 1 hour if necessary
-Maintenance dose: 400 mg IM every 4 to 6 hours until the patient is controlled
Prompt Control of Severe Symptoms:
Oral:
-Usual dose: After an initial IM dose, 25 to 50 mg orally 3 times a day
Parenteral:
-Usual dose: 25 mg IV once, repeated in 1 hour if necessary
Less Acutely Disturbed:
Oral:
-Initial dose: 25 mg orally 3 times a day
-Usual dose: 400 mg/day
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/7513386
Chlorpromazine inhibited the serotonin2-mediated excitation of the interneurons of rat piriform cortex with an IC50 of 14 uM.
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 05:50:36 GMT 2023
by
admin
on
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Record UNII |
657G38Q829
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Record Status |
Validated (UNII)
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Record Version |
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CHEMBL71
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32043-97-3
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DTXSID40185860
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6431825
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SUB22077
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100000085394
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657G38Q829
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ACTIVE MOIETY |