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Details

Stereochemistry RACEMIC
Molecular Formula C18H22N2S
Molecular Weight 298.446
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of TRIMEPRAZINE

SMILES

CC(CN(C)C)CN1C2=CC=CC=C2SC3=C1C=CC=C3

InChI

InChIKey=ZZHLYYDVIOPZBE-UHFFFAOYSA-N
InChI=1S/C18H22N2S/c1-14(12-19(2)3)13-20-15-8-4-6-10-17(15)21-18-11-7-5-9-16(18)20/h4-11,14H,12-13H2,1-3H3

HIDE SMILES / InChI

Molecular Formula C18H22N2S
Molecular Weight 298.446
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

Trimeprazine (also known as Alimemazine), a phenothiazine used as antipsychotic drug. This drug is used in Russia under brand name TERALIGEN and has anti-histamine, sedative, and anti-emetic (anti-nausea) effects. Teraligen is used to treat neurosis, depression and anxiety of different origins. It prevents and relieves allergic conditions, which cause pruritus and urticaria by blocking histamine produced by the body during an allergic reaction. Trimeprazine competes with free histamine for binding at HA-receptor sites. This antagonizes the effects of histamine on HA-receptors, leading to a reduction of the negative symptoms brought on by histamine HA-receptor binding. Trimeprazine is not approved for use in humans in the United States. Nevertheless, combination of alimemazine and prednisolone (commonly sold under the brand name Temaril-P) is licensed as an antipruritic and antitussive in dogs.

CNS Activity

Curator's Comment: Trimeprazine concentrations in cerebrospinal fluid (CSF) and in venous blood were compared in three other children, measured by gas chromatography. No trimeprazine was detected in the cerebrospinal fluid

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
TERALIGEN

Approved Use

is a drug combining tranquilizing, vegetostabilizing, timoanaleptic, antihistamine and antispasmodic properties. Due to these properties Teraligen has a wide range of use. It is highly effective in treating mental, neurologic and somatic diseases such as neuroses of different origin, allergies, pruritus (itching) and urticaria. Teraligen is used to prevent and relieve allergic conditions as well as to treat sleep disorders.
Primary
TERALIGEN

Approved Use

is a drug combining tranquilizing, vegetostabilizing, timoanaleptic, antihistamine and antispasmodic properties. Due to these properties Teraligen has a wide range of use. It is highly effective in treating mental, neurologic and somatic diseases such as neuroses of different origin, allergies, pruritus (itching) and urticaria. Teraligen is used to prevent and relieve allergic conditions as well as to treat sleep disorders.
Primary
TERALIGEN

Approved Use

is a drug combining tranquilizing, vegetostabilizing, timoanaleptic, antihistamine and antispasmodic properties. Due to these properties Teraligen has a wide range of use. It is highly effective in treating mental, neurologic and somatic diseases such as neuroses of different origin, allergies, pruritus (itching) and urticaria. Teraligen is used to prevent and relieve allergic conditions as well as to treat sleep disorders.
Primary
TERALIGEN

Approved Use

is a drug combining tranquilizing, vegetostabilizing, timoanaleptic, antihistamine and antispasmodic properties. Due to these properties Teraligen has a wide range of use. It is highly effective in treating mental, neurologic and somatic diseases such as neuroses of different origin, allergies, pruritus (itching) and urticaria. Teraligen is used to prevent and relieve allergic conditions as well as to treat sleep disorders.
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
0.357 μM
3 mg/kg single, oral
dose: 3 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
TRIMEPRAZINE plasma
Homo sapiens
population: UNKNOWN
age: CHILD
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
2758 μM × h
3 mg/kg single, oral
dose: 3 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
TRIMEPRAZINE plasma
Homo sapiens
population: UNKNOWN
age: CHILD
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
6.8 h
3 mg/kg single, oral
dose: 3 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
TRIMEPRAZINE plasma
Homo sapiens
population: UNKNOWN
age: CHILD
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
80 mg 1 times / day multiple, oral
Highest studied dose
Dose: 80 mg, 1 times / day
Route: oral
Route: multiple
Dose: 80 mg, 1 times / day
Sources:
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: pruritic dermatoses
Age Group: adult
Sex: M+F
Population Size: 62
Sources:
Disc. AE: Insomnia...
AEs leading to
discontinuation/dose reduction:
Insomnia
Sources:
AEs

AEs

AESignificanceDosePopulation
Insomnia Disc. AE
80 mg 1 times / day multiple, oral
Highest studied dose
Dose: 80 mg, 1 times / day
Route: oral
Route: multiple
Dose: 80 mg, 1 times / day
Sources:
unhealthy, adult
n = 62
Health Status: unhealthy
Condition: pruritic dermatoses
Age Group: adult
Sex: M+F
Population Size: 62
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
weak
yes
yes (co-administration study)
Comment: A similar effect as for the CYP2D6 inhibitors was observed when aripiprazole was coadministered with alimemazine (TRIMEPRAZINE)
PubMed

PubMed

TitleDatePubMed
Possible role of phenothiazines in sudden infant death.
1979 Aug 18
Adverse cardiovascular response to oral trimeprazine in children.
1985 May 25
[Antimycobacterial properties of phenothiazine type compounds].
1989 Mar
Trimeprazine tartrate and convulsions.
1995 Jan
Patents

Patents

Sample Use Guides

In Vivo Use Guide
Teraligen is administrated orally 3-4 times a day. Hypnotic effect for adults: initial dose is 5-10 mg/day. Anxiolytic effect: initial dose is 60-80 mg/day. Antipsychotic effect: initial dose 200-400 mg/day. Sedative effect for chidren: initial dose 2.5-5 mg/day Symptomatic treatment of allergic reactions: initial dose 5-20 mg/day Anxiolytic effect: initial dose 20-40 mg/day
Route of Administration: Oral
Trimeprazine (TMP), a phenothiazine used as antipsychotic drug, was previously shown to induce a decrease in thyroid hormone serum levels in rats. Different mechanisms might be involved, mainly (i) a central mechanism, involving a reduction of thyroid-stimulating hormone (TSH) secretion; (ii) a peripheral mechanism, acting upon the synthesis of thyroid hormones, by inhibition of thyroperoxidase (TPO) or trapping of molecular iodine present in the thyroid gland. In vitro studies concerned TMP, and its three main metabolites: trimeprazine sulphoxide (TSO), N-desmethyl trimeprazine (NDT), and 3-hydroxy-trimeprazine (3-OHT). TMP and TSO expressed a high affinity for iodine in vitro, contrary to NDT, which did not complex iodine. Only 3-OHT inhibited TPO in vitro.
Substance Class Chemical
Created
by admin
on Fri Dec 15 17:34:46 GMT 2023
Edited
by admin
on Fri Dec 15 17:34:46 GMT 2023
Record UNII
76H78MJJ52
Record Status Validated (UNII)
Record Version
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Name Type Language
TRIMEPRAZINE
MI   VANDF  
Common Name English
(±)-TRIMEPRAZINE
Common Name English
TRIMEPRAZINE [VANDF]
Common Name English
BAYER-1219
Code English
ALIMEMAZINE [HSDB]
Common Name English
alimemazine [INN]
Common Name English
RP-6549
Code English
Alimemazine [WHO-DD]
Common Name English
10-(3-(DIMETHYLAMINO)-2-METHYLPROPYL)PHENOTHIAZINE
Systematic Name English
(±)-ALIMEMAZINE
Common Name English
10H-PHENOTHIAZINE-10-PROPANAMINE N,N,.BETA.-TRIMETHYL-
Common Name English
ALIMEMAZINE
HSDB   INN   WHO-DD  
INN  
Official Name English
DL-TRIMEPRAZINE
Common Name English
METHYLPROMAZINE
Common Name English
TRIMEPRAZINE [MI]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C29756
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
WHO-VATC QR06AD01
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
WHO-ATC R06AD01
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
NCI_THESAURUS C29578
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
CFR 21 CFR 520.2605
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
CFR 21 CFR 520.2604
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
Code System Code Type Description
EVMPD
SUB05328MIG
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
PUBCHEM
5574
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
WIKIPEDIA
ALIMEMAZINE
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
IUPHAR
7237
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
DRUG CENTRAL
2749
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
EPA CompTox
DTXSID9023708
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
ChEMBL
CHEMBL829
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
NCI_THESAURUS
C72677
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
HSDB
3197
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
SMS_ID
100000088291
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
ECHA (EC/EINECS)
201-577-3
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
RXCUI
10825
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY RxNorm
MESH
D014291
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
INN
706
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
MERCK INDEX
m11143
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY Merck Index
CAS
84-96-8
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
FDA UNII
76H78MJJ52
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
DRUG BANK
DB01246
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
DAILYMED
76H78MJJ52
Created by admin on Fri Dec 15 17:34:46 GMT 2023 , Edited by admin on Fri Dec 15 17:34:46 GMT 2023
PRIMARY
Related Record Type Details
ENANTIOMER -> RACEMATE
SALT/SOLVATE -> PARENT
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SALT/SOLVATE -> PARENT
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ACTIVE MOIETY