Details
| Stereochemistry | RACEMIC |
| Molecular Formula | 2C9H11N.H2O4S |
| Molecular Weight | 364.459 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 4 / 4 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
OS(O)(=O)=O.N[C@H]1C[C@@H]1C2=CC=CC=C2.N[C@H]3C[C@@H]3C4=CC=CC=C4
InChI
InChIKey=BKPRVQDIOGQWTG-KAVFMPKWSA-N
InChI=1S/2C9H11N.H2O4S/c2*10-9-6-8(9)7-4-2-1-3-5-7;1-5(2,3)4/h2*1-5,8-9H,6,10H2;(H2,1,2,3,4)/t2*8-,9+;/m11./s1
| Molecular Formula | C9H11N |
| Molecular Weight | 133.1903 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 2 / 2 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
| 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 |
Tranylcypromine is a non-hydrazine monoamine oxidase inhibitor with a rapid onset of activity. Tranylcypromine has being marketed under original trade name Parnate, indicated for the treatment of major depressive episode without melancholia. Tranylcypromine irreversibly and nonselectively inhibits monoamine oxidase (MAO). Within neurons, MAO appears to regulate the levels of monoamines released upon synaptic firing. Since depression is associated with low levels of monoamines, the inhibition of MAO serves to ease depressive symptoms, as this results in an increase in the concentrations of these amines within the CNS.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1951 |
23.6 µM [IC50] | ||
Target ID: CHEMBL2039 |
4.02 µM [IC50] | ||
Target ID: CHEMBL6136 Sources: https://www.ncbi.nlm.nih.gov/pubmed/25759518 |
5.8 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | PARNATE Approved UseINDICATIONS For the treatment of Major Depressive Episode Without Melancholia. PARNATE should be used in adult patients who can be closely supervised. It should rarely be the first antidepressant drug given. Rather, the drug is suited for patients who have failed to respond to the drugs more commonly administered for depression. The effectiveness of PARNATE has been established in adult outpatients, most of whom had a depressive illness which would correspond to a diagnosis of Major Depressive Episode Without Melancholia. As described in the American Psychiatric Association’s Diagnostic and Statistical Manual, third edition (DSM III), Major Depressive Episode implies a prominent and relatively persistent (nearly every day for at least 2 weeks) depressed or dysphoric mood that usually interferes with daily functioning and includes at least 4 of the following 8 symptoms: change in appetite, change in sleep, psychomotor agitation or retardation, loss of interest in usual activities or decrease in sexual drive, increased fatigability, feelings of guilt or worthlessness, slowed thinking or impaired concentration, and suicidal ideation or attempts. The effectiveness of PARNATE in patients who meet the criteria for Major Depressive Episode with Melancholia (endogenous features) has not been established. Launch Date1961 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
112 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3757407 |
20 mg 2 times / day steady-state, oral dose: 20 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TRANYLCYPROMINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
373 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3757407 |
20 mg 2 times / day steady-state, oral dose: 20 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TRANYLCYPROMINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.45 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/3757407 |
20 mg 2 times / day steady-state, oral dose: 20 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
TRANYLCYPROMINE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
| Dose | Population | Adverse events |
|---|---|---|
500 mg single, oral Overdose |
unhealthy, 27 |
Disc. AE: Restlessness, Drowsiness... AEs leading to discontinuation/dose reduction: Restlessness Sources: Drowsiness Sweating Muscle contractions involuntary Cyanosed Cyanosis Dyspnea Spasms Acute renal failure Hyperpyrexia |
250 mg single, oral Overdose |
unhealthy, 35 |
Disc. AE: Headache, Obtundation... AEs leading to discontinuation/dose reduction: Headache (severe) Sources: Obtundation Hypertension Electrocardiogram T wave peaked |
600 mg single, oral Overdose |
unhealthy, 42 |
Disc. AE: Sweating, Nystagmus... AEs leading to discontinuation/dose reduction: Sweating Sources: Nystagmus Generalised spasm Tachycardia |
30 mg 2 times / day multiple, oral Highest studied dose Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy, 47–82 |
DLT: Asthenia, Weakness of limbs... Dose limiting toxicities: Asthenia (grade 2, 33.3%) Sources: Weakness of limbs (grade 2, 33.3%) Nausea (grade 2, 33.3%) Vomiting (grade 2, 33.3%) |
20 mg 2 times / day multiple, oral MTD Dose: 20 mg, 2 times / day Route: oral Route: multiple Dose: 20 mg, 2 times / day Sources: |
unhealthy, 47–82 |
DLT: Dizziness... Dose limiting toxicities: Dizziness (grade 2, 16.7%) Sources: |
4000 mg single, oral Overdose Dose: 4000 mg Route: oral Route: single Dose: 4000 mg Sources: |
unknown Health Status: unknown Sources: |
Disc. AE: Hyperthermia, Delirium... AEs leading to discontinuation/dose reduction: Hyperthermia Sources: Delirium Thrombocytopenia |
30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Suicidal tendency, Suicidal behavior... AEs leading to discontinuation/dose reduction: Suicidal tendency Sources: Suicidal behavior Hypertensive crisis Serotonin syndrome Mania Hypomania Hypotension Hepatotoxicity |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Acute renal failure | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Cyanosed | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Cyanosis | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Drowsiness | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Dyspnea | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Hyperpyrexia | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Muscle contractions involuntary | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Restlessness | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Spasms | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Sweating | Disc. AE | 500 mg single, oral Overdose |
unhealthy, 27 |
| Electrocardiogram T wave peaked | Disc. AE | 250 mg single, oral Overdose |
unhealthy, 35 |
| Hypertension | Disc. AE | 250 mg single, oral Overdose |
unhealthy, 35 |
| Obtundation | Disc. AE | 250 mg single, oral Overdose |
unhealthy, 35 |
| Headache | severe Disc. AE |
250 mg single, oral Overdose |
unhealthy, 35 |
| Generalised spasm | Disc. AE | 600 mg single, oral Overdose |
unhealthy, 42 |
| Nystagmus | Disc. AE | 600 mg single, oral Overdose |
unhealthy, 42 |
| Sweating | Disc. AE | 600 mg single, oral Overdose |
unhealthy, 42 |
| Tachycardia | Disc. AE | 600 mg single, oral Overdose |
unhealthy, 42 |
| Asthenia | grade 2, 33.3% DLT, Disc. AE |
30 mg 2 times / day multiple, oral Highest studied dose Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy, 47–82 |
| Nausea | grade 2, 33.3% DLT, Disc. AE |
30 mg 2 times / day multiple, oral Highest studied dose Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy, 47–82 |
| Vomiting | grade 2, 33.3% DLT, Disc. AE |
30 mg 2 times / day multiple, oral Highest studied dose Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy, 47–82 |
| Weakness of limbs | grade 2, 33.3% DLT, Disc. AE |
30 mg 2 times / day multiple, oral Highest studied dose Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy, 47–82 |
| Dizziness | grade 2, 16.7% DLT, Disc. AE |
20 mg 2 times / day multiple, oral MTD Dose: 20 mg, 2 times / day Route: oral Route: multiple Dose: 20 mg, 2 times / day Sources: |
unhealthy, 47–82 |
| Delirium | Disc. AE | 4000 mg single, oral Overdose Dose: 4000 mg Route: oral Route: single Dose: 4000 mg Sources: |
unknown Health Status: unknown Sources: |
| Hyperthermia | Disc. AE | 4000 mg single, oral Overdose Dose: 4000 mg Route: oral Route: single Dose: 4000 mg Sources: |
unknown Health Status: unknown Sources: |
| Thrombocytopenia | Disc. AE | 4000 mg single, oral Overdose Dose: 4000 mg Route: oral Route: single Dose: 4000 mg Sources: |
unknown Health Status: unknown Sources: |
| Hepatotoxicity | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hypertensive crisis | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hypomania | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hypotension | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Mania | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Serotonin syndrome | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Suicidal behavior | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Suicidal tendency | Disc. AE | 30 mg 2 times / day multiple, oral Recommended Dose: 30 mg, 2 times / day Route: oral Route: multiple Dose: 30 mg, 2 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://go.drugbank.com/drugs/DB00752 |
no [IC50 112 uM] | |||
Sources: https://go.drugbank.com/drugs/DB00752 |
no [IC50 >10 uM] | |||
| no [IC50 >1000 uM] | ||||
Sources: https://go.drugbank.com/drugs/DB00752 |
weak [IC50 >10 uM] | |||
| weak | ||||
Sources: https://go.drugbank.com/drugs/DB00752 |
yes [IC50 0.42 uM] | |||
| yes [IC50 12.1 uM] | ||||
| yes [IC50 6.9 uM] | ||||
Sources: https://go.drugbank.com/drugs/DB00752 |
yes [Ki 32 uM] | |||
Sources: https://go.drugbank.com/drugs/DB00752 |
yes [Ki 56 uM] | |||
| yes | ||||
| yes | ||||
| yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| On the formation and nature of the imidazoline I2 binding site on human monoamine oxidase-B. | 2010-12 |
|
| Ziprasidone, monoamine oxidase inhibitors, and the serotonin syndrome. | 2010-08 |
|
| An overview of curcumin in neurological disorders. | 2010-03 |
|
| TCP-FA4: a derivative of tranylcypromine showing improved blood-brain permeability. | 2009-12-01 |
|
| Inhibition of monoamine oxidases desensitizes 5-HT1A autoreceptors and allows nicotine to induce a neurochemical and behavioral sensitization. | 2009-01-28 |
|
| Effects of bisphenol-A and other endocrine disruptors compared with abnormalities of schizophrenia: an endocrine-disruption theory of schizophrenia. | 2009-01 |
|
| Safety of high-intensity treatment with the irreversible monoamine oxidase inhibitor tranylcypromine in patients with treatment-resistant depression. | 2008-11 |
|
| NF-Y substitutes H2A-H2B on active cell-cycle promoters: recruitment of CoREST-KDM1 and fine-tuning of H3 methylations. | 2008-11 |
|
| Synthesis and studies on antidepressant and anticonvulsant activities of some 3-(2-thienyl)pyrazoline derivatives. | 2008-11 |
|
| Repeated unpredictable stress and antidepressants differentially regulate expression of the bcl-2 family of apoptotic genes in rat cortical, hippocampal, and limbic brain structures. | 2008-06 |
|
| Withdrawal from high-dose tranylcypromine. | 2008-03 |
|
| Pharmacological management of panic disorder. | 2008-02 |
|
| Rasagiline in treatment of Parkinson's disease. | 2008-02 |
|
| Cellular and molecular mechanisms in the long-term action of antidepressants. | 2008 |
|
| A possible role for the endocannabinoid system in the neurobiology of depression. | 2007-11-19 |
|
| Not all monoamine oxidase inhibitors are created equal. | 2007-11 |
|
| The guinea pig forced swim test as a new behavioral despair model to characterize potential antidepressants. | 2007-11 |
|
| Receptor mediation of exaggerated responses to serotonin-enhancing drugs in serotonin transporter (SERT)-deficient mice. | 2007-10 |
|
| Involvement of alpha1-adrenergic receptors in tranylcypromine enhancement of nicotine self-administration in rat. | 2007-09 |
|
| Effect on [11C]DASB binding after tranylcypromine-induced increase in serotonin concentration: positron emission tomography studies in monkeys and rats. | 2007-06 |
|
| Tranylcypromine enhancement of nicotine self-administration. | 2007-05 |
|
| Venlafaxine in the treatment of panic disorder. | 2007-02 |
|
| Honokiol up-regulates prostacyclin synthease protein expression and inhibits endothelial cell apoptosis. | 2007-01-05 |
|
| CYP3A4 mediated in vitro metabolism of vinflunine in human liver microsomes. | 2007-01 |
|
| New findings from the Bipolar Collaborative Network: clinical implications for therapeutics. | 2006-12 |
|
| Sustained effects of phenelzine and tranylcypromine on orthostatic challenge in antidepressant-refractory depression. | 2006-10 |
|
| Monoamine oxidase inhibitors allow locomotor and rewarding responses to nicotine. | 2006-08 |
|
| Tyramine pressor sensitivity during treatment with the selegiline transdermal system 6 mg/24 h in healthy subjects. | 2006-08 |
|
| Combination rapid transcranial magnetic stimulation in treatment refractory depression. | 2006-03 |
|
| Isatin interaction with glyceraldehyde-3-phosphate dehydrogenase, a putative target of neuroprotective drugs: partial agonism with deprenyl. | 2006 |
|
| Cyp2a6 is a principal enzyme involved in hydroxylation of 1,7-dimethylxanthine, a main caffeine metabolite, in humans. | 2005-09 |
|
| An extensive new literature concerning low-dose effects of bisphenol A shows the need for a new risk assessment. | 2005-08 |
|
| Potential of [11C]DASB for measuring endogenous serotonin with PET: binding studies. | 2005-02 |
|
| Effect of antidepressants on GABA(B) receptor function and subunit expression in rat hippocampus. | 2004-10-15 |
|
| Evaluation of the effect of chronic antidepressant treatment on neurokinin-1 receptor expression in the rat brain. | 2004-06 |
|
| Zinc treatment induces cortical brain-derived neurotrophic factor gene expression. | 2004-05-10 |
|
| Purification and characterization of recombinant human prostacyclin synthase. | 2004-04 |
|
| Current perspectives in the management of treatment-resistant depression. | 2004-03 |
|
| Utility of microtiter plate assays for human cytochrome P450 inhibition studies in drug discovery: application of simple method for detecting quasi-irreversible and irreversible inhibitors. | 2004-02 |
|
| Treatment of seasonal affective disorders. | 2003-12 |
|
| Differential regulation of brain derived neurotrophic factor transcripts by antidepressant treatments in the adult rat brain. | 2003-09 |
|
| Noradrenergic and serotonergic blockade inhibits BDNF mRNA activation following exercise and antidepressant. | 2003-04 |
|
| Regulation of GAP-43 expression by chronic desipramine treatment in rat cultured hippocampal cells. | 2003-03-15 |
|
| Effects of stress and tranylcypromine on amphetamine-induced locomotor activity and GABA(B) receptor function in rat brain. | 2003-01-17 |
|
| [Protease inhibitors as an anesthetic component in ENT surgery]. | 2002-12-05 |
|
| The N-demethylation of the doxepin isomers is mainly catalyzed by the polymorphic CYP2C19. | 2002-07 |
|
| Successful treatment of recurrent brief depression with reboxetine -- a single case analysis. | 2002-03 |
|
| Synthesis and antidepressant activities of some 3,5-diphenyl-2-pyrazolines. | 2001-06 |
|
| Role of ETB and B2 receptors in the ex vivo platelet inhibitory properties of endothelin and bradykinin in the mouse. | 2001-02 |
|
| Regulation of GFRalpha-1 and GFRalpha-2 mRNAs in rat brain by electroconvulsive seizure. | 2001-01 |
Patents
Sample Use Guides
The usual effective dosage is 30 mg per day, usually given in divided doses. If there are no
signs of improvement after a reasonable period (up to 2 weeks), then the dosage may be
increased in 10 mg per day increments at intervals of 1 to 3 weeks; the dosage range may be
extended to a maximum of 60 mg per day from the usual 30 mg per day.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24271411
Curator's Comment: The release of [(3)H]5-hydroxytryptamine ([(3)H]5-HT) byL-5-hydroxytryptophan (L-5-HTP),α-methyl-m-tyramine (α-MMTA), and elevated levels of K(+) was studied using crude synaptosomal preparations (P2) isolated from the telencephalon of the rat and pigeon.
Studies were conducted in vitro in the presence of 2×10(-5) M tranylcypromine, which inhibited the MAO activity of both the extrasynaptosomal mitochondria and the mitochondria contained within the nerve endings (intrasynaptosomal mitochondria).
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 21:30:02 GMT 2025
by
admin
on
Mon Mar 31 21:30:02 GMT 2025
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| Record UNII |
7ZAT6ES870
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| Record Status |
Validated (UNII)
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| Record Version |
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NCI_THESAURUS |
C667
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DTXSID90928820
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7ZAT6ES870
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757342
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1672905
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DBSALT000960
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236-807-1
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11473982
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7ZAT6ES870
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C61980
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91119
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CHEMBL313833
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13492-01-8
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m11004
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13614-18-1
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SUB04930MIG
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100000084640
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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| Related Record | Type | Details | ||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
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