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Details

Stereochemistry UNKNOWN
Molecular Formula C22H29NO5
Molecular Weight 387.4694
Optical Activity ( + )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of TRIMEBUTINE, (+)-

SMILES

CCC(COC(=O)C1=CC(OC)=C(OC)C(OC)=C1)(N(C)C)C2=CC=CC=C2

InChI

InChIKey=LORDFXWUHHSAQU-UHFFFAOYSA-N
InChI=1S/C22H29NO5/c1-7-22(23(2)3,17-11-9-8-10-12-17)15-28-21(24)16-13-18(25-4)20(27-6)19(14-16)26-5/h8-14H,7,15H2,1-6H3

HIDE SMILES / InChI

Molecular Formula C22H29NO5
Molecular Weight 387.4694
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

Trimebutine [3,4,5-trimethoxybenzoic acid 2-(dimethylamino)-2-phenylbutylester] is a noncompetitive spasmolytic agent. The actions of trimebutine on the gastrointestinal tract are mediated via (i) an agonist effect on peripheral mu, kappa and delta opiate receptors and (ii) release of gastrointestinal peptides such as motilin and modulation of the release of other peptides, including vasoactive intestinal peptide, gastrin and glucagon. Trimebutine attenuated colonic motility mainly through the inhibition of L-type Ca(2+) channels at higher concentrations, whereas, at lower concentrations, it depolarized membrane potentials by reducing BK(ca) currents, resulting in the enhancement of the muscle contractions.Trimebutine accelerates gastric emptying, induces premature phase III of the migrating motor complex in the intestine and modulates the contractile activity of the colon. It is indicated for the treatment and relief of symptoms associated with the irritable bowel syndrome (spastic colon); and in postoperative paralytic ileus in order to accelerate the resumption of the intestinal transit following abdominal surgery.

CNS Activity

Curator's Comment: Trimebutine is CNS active in animals. No human data available.

Originator

Sources: FR1344455
Curator's Comment: reference retrieved from https://www.google.com/patents/US20040209960 | http://www.funakoshi.co.jp/data/datasheet/SPB/MI7957.pdf

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
TRIMEBUTINE

Approved Use

TRIMEBUTINE (trimebutine maleate) is indicated: – for the treatment and relief of symptoms associated with the irritable bowel syndrome (spastic colon); and – in postoperative paralytic ileus in order to accelerate the resumption of the intestinal transit following abdominal surgery.
Primary
Unknown

Approved Use

Unknown
PubMed

PubMed

TitleDatePubMed
General pharmacology of the four gastrointestinal motility stimulants bethanechol, metoclopramide, trimebutine, and cisapride.
1991 Jun
Comparison of the effects of trimebutine and YM114 (KAE-393), a novel 5-HT3 receptor antagonist, on stress-induced defecation.
1993 Dec 7
[HPCE determination of trimebutine maleate in rat plasma and its pharmacokinetics].
2001 Feb
[Dysfunction of the Oddi's sphincter].
2001 Sep
[Prokinetics of gastrointestinal system; its newer aspects with regard to motillity stimulants].
2002 Feb
Centrally acting agents and visceral sensitivity.
2002 Jul
Laxative and anti-diarrheal activity of polycarbophil in mice and rats.
2002 Jun
[Physicochemical and pharmacological characteristic and clinical efficacy of an anti-irritable bowel syndrome agent, polycarbophil calcium (Polyful)].
2002 Mar
Factors affecting gallbladder motility: drugs.
2003 Jul
Beneficial effect of trimebutine and N-monodesmethyl trimebutine on trinitrobenzene sulfonic acid-induced colitis in rats.
2004 Dec 3
Acute treatment of migraine. Breaking the paradigm of monotherapy.
2004 Jan 28
[Abdominal migraine as a cause of chronic recurrent abdominal pain in a 9-years-old girl--case report].
2005 Aug
Novelty stress increases fecal pellet output in mongolian gerbils: effects of several drugs.
2005 Aug
Determination of trimebutine in pharmaceuticals by differential pulse voltammetry at a glassy carbon electrode.
2005 Jul 15
Effect of nor-trimebutine on neuronal activation induced by a noxious stimulus or an acute colonic inflammation in the rat.
2005 Oct 21
Prokinetic agents in childen with poor appetite.
2005 Oct-Dec
The use of combination therapies in the acute management of migraine.
2006 Sep
Pharmacokinetic and bioequivalence evaluation of two formulations of 100 mg trimebutine maleate (Recutin and Polybutin) in healthy male volunteers using the LC-MS/MS method.
2007 Jan
[Drug treatment of irritable bowel syndrome: an unmet need].
2007 Mar
Inhibitory effects of ramosetron, a potent and selective 5-HT3-receptor antagonist, on conditioned fear stress-induced abnormal defecation and normal defecation in rats: comparative studies with antidiarrheal and spasmolytic agents.
2008 Feb
Effects of serotonin 5-HT3 receptor antagonists on stress-induced colonic hyperalgesia and diarrhoea in rats: a comparative study with opioid receptor agonists, a muscarinic receptor antagonist and a synthetic polymer.
2008 May
Effect of fibre, antispasmodics, and peppermint oil in the treatment of irritable bowel syndrome: systematic review and meta-analysis.
2008 Nov 13
Effectiveness of prokinetic agents against diseases external to the gastrointestinal tract.
2009 Apr
A nitro-arginine derivative of trimebutine (NO2-Arg-Trim) attenuates pain induced by colorectal distension in conscious rats.
2009 May
Development of a list of potentially inappropriate drugs for the korean elderly using the delphi method.
2010 Dec
[Prokinetics in childhood].
2010 Jun
Effectiveness of trimebutine maleate on modulating intestinal hypercontractility in a mouse model of postinfectious irritable bowel syndrome.
2010 Jun 25
Development of a novel combination tablet containing trimebutine maleate and mosapride citrate for the treatment of functional dyspepsia.
2010 Nov 15
Patents

Sample Use Guides

The adult recommended dose is up to 600 mg daily in divided doses. It may be administered as two 100 mg tablets three times daily before meals or one 200 mg tablet three times daily before meals.
Route of Administration: Oral
0.1 mM trimebutine inhibits proliferation of human LOVO colon cancer cells.
Substance Class Chemical
Created
by admin
on Sat Dec 16 11:50:20 GMT 2023
Edited
by admin
on Sat Dec 16 11:50:20 GMT 2023
Record UNII
9RKX7S7WFY
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
TRIMEBUTINE, (+)-
Common Name English
(+)-TRIMEBUTINE
Common Name English
BENZOIC ACID, 3,4,5-TRIMETHOXY-, 2-(DIMETHYLAMINO)-2-PHENYLBUTYL ESTER, (+)-
Systematic Name English
Code System Code Type Description
FDA UNII
9RKX7S7WFY
Created by admin on Sat Dec 16 11:50:20 GMT 2023 , Edited by admin on Sat Dec 16 11:50:20 GMT 2023
PRIMARY
ECHA (EC/EINECS)
261-547-0
Created by admin on Sat Dec 16 11:50:20 GMT 2023 , Edited by admin on Sat Dec 16 11:50:20 GMT 2023
PRIMARY
PUBCHEM
5573
Created by admin on Sat Dec 16 11:50:20 GMT 2023 , Edited by admin on Sat Dec 16 11:50:20 GMT 2023
PRIMARY
CAS
58997-89-0
Created by admin on Sat Dec 16 11:50:20 GMT 2023 , Edited by admin on Sat Dec 16 11:50:20 GMT 2023
PRIMARY