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Details

Stereochemistry UNKNOWN
Molecular Formula C11H12ClNO3S
Molecular Weight 273.736
Optical Activity ( - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CHLORMEZANONE, (-)-

SMILES

CN1C(C2=CC=C(Cl)C=C2)S(=O)(=O)CCC1=O

InChI

InChIKey=WEQAYVWKMWHEJO-UHFFFAOYSA-N
InChI=1S/C11H12ClNO3S/c1-13-10(14)6-7-17(15,16)11(13)8-2-4-9(12)5-3-8/h2-5,11H,6-7H2,1H3

HIDE SMILES / InChI

Molecular Formula C11H12ClNO3S
Molecular Weight 273.736
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

Description
Sources: www.ncbi.nlm.nih.gov/mesh/68002720
Curator's Comment: description was created based on several sources, including http://www.who.int/medicines/publications/drugalerts/drug_alert53chlormezanone_serious_cutaneous_reactions.pdf | https://www.drugbank.ca/drugs/DB01178

Chlormezanone (TRANCOPAL®) is a non-benzodiazepine that is used in the management of anxiety. It has been suggested for use in the treatment of muscle spasm. It binds to central benzodiazepine receptors which interact allosterically with GABA receptors. This potentiates the effects of the inhibitory neurotransmitter GABA, increasing the inhibition of the ascending reticular activating system and blocking the cortical and limbic arousal that occurs following stimulation of the reticular pathways. Chlormezanone (TRANCOPAL®) was discontinued worldwide in 1996 by Sanofi due to confirmed serious and rare cutaneous reactions (toxic epidermal necrolysis also known as Stevens-Johnson syndrome).

Approval Year

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
4.62 mg/L
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CHLORMEZANONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
164.19 mg × h/L
400 mg 1 times / day steady-state, oral
dose: 400 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
CHLORMEZANONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
224.93 mg × h/L
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CHLORMEZANONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
37.14 h
400 mg 1 times / day steady-state, oral
dose: 400 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
CHLORMEZANONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
40.5 h
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CHLORMEZANONE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
4 g single, oral
Overdose
Dose: 4 g
Route: oral
Route: single
Dose: 4 g
Co-administed with::
acetaminophen, p.o(18 g)
Sources: Page: p.45
healthy, 46
n = 1
Health Status: healthy
Age Group: 46
Sex: M
Population Size: 1
Sources: Page: p.45
Disc. AE: Coma...
AEs leading to
discontinuation/dose reduction:
Coma (grade 5)
Sources: Page: p.45
400 mg 3 times / day multiple, oral
Recommended
Dose: 400 mg, 3 times / day
Route: oral
Route: multiple
Dose: 400 mg, 3 times / day
Sources: Page: p.44, p.45
unhealthy
n = 10
Health Status: unhealthy
Condition: Painful muscular spasms
Population Size: 10
Sources: Page: p.44, p.45
Disc. AE: Muscular weakness, Ataxia...
AEs leading to
discontinuation/dose reduction:
Muscular weakness
Ataxia
Stumbling
Tachycardia
Sources: Page: p.44, p.45
800 mg single, oral
Studied dose
Dose: 800 mg
Route: oral
Route: single
Dose: 800 mg
Sources: Page: p.44
unhealthy
n = 5
Health Status: unhealthy
Condition: Painful muscular spasms
Population Size: 5
Sources: Page: p.44
AEs

AEs

AESignificanceDosePopulation
Coma grade 5
Disc. AE
4 g single, oral
Overdose
Dose: 4 g
Route: oral
Route: single
Dose: 4 g
Co-administed with::
acetaminophen, p.o(18 g)
Sources: Page: p.45
healthy, 46
n = 1
Health Status: healthy
Age Group: 46
Sex: M
Population Size: 1
Sources: Page: p.45
Ataxia Disc. AE
400 mg 3 times / day multiple, oral
Recommended
Dose: 400 mg, 3 times / day
Route: oral
Route: multiple
Dose: 400 mg, 3 times / day
Sources: Page: p.44, p.45
unhealthy
n = 10
Health Status: unhealthy
Condition: Painful muscular spasms
Population Size: 10
Sources: Page: p.44, p.45
Muscular weakness Disc. AE
400 mg 3 times / day multiple, oral
Recommended
Dose: 400 mg, 3 times / day
Route: oral
Route: multiple
Dose: 400 mg, 3 times / day
Sources: Page: p.44, p.45
unhealthy
n = 10
Health Status: unhealthy
Condition: Painful muscular spasms
Population Size: 10
Sources: Page: p.44, p.45
Stumbling Disc. AE
400 mg 3 times / day multiple, oral
Recommended
Dose: 400 mg, 3 times / day
Route: oral
Route: multiple
Dose: 400 mg, 3 times / day
Sources: Page: p.44, p.45
unhealthy
n = 10
Health Status: unhealthy
Condition: Painful muscular spasms
Population Size: 10
Sources: Page: p.44, p.45
Tachycardia Disc. AE
400 mg 3 times / day multiple, oral
Recommended
Dose: 400 mg, 3 times / day
Route: oral
Route: multiple
Dose: 400 mg, 3 times / day
Sources: Page: p.44, p.45
unhealthy
n = 10
Health Status: unhealthy
Condition: Painful muscular spasms
Population Size: 10
Sources: Page: p.44, p.45
PubMed

PubMed

TitleDatePubMed
Drug-related gustatory disorders.
1978 Jan-Feb
[Drug-induced hepatitis with cholestasis following therapy with chlormezanone].
1985 Dec
[Pharmacokinetics of chlormezanone in healthy volunteers].
1990 Jul-Aug
Chlormezanone-induced fulminant hepatitis in a pregnant woman: successful delivery and liver transplantation.
1992 May-Jun
[Cleavage and biotransformation of the central muscle relaxant chlormezanone].
1998 Sep
[Important pharmaceutical-chemical characteristics of the central muscle relaxant chlormezanone].
2000 Apr
[Lyell syndrome in Senegal: responsibility of thiacetazone].
2001 Dec
[Acute confusional syndrome associated to Chlormezanone use].
2002 Jun
[Retrospective of national pharmacovigilance surveys on drug-induced bullous, vesicular eruptions: methods and results ].
2002 May-Jun
[Acute confusional syndrome associated to chlormezanone].
2002 Nov
Risk of serious skin disorders among users of oral antifungals: a population-based study.
2002 Nov 28
[New findings on the synthesis of the centrally acting muscle relaxant chlormezanone and its resolution of a gram scale using a Chiralcel OD column].
2003 Feb
Stimulatory effects of chlorzoxazone, a centrally acting muscle relaxant, on large conductance calcium-activated potassium channels in pituitary GH3 cells.
2003 Jan 3
Investigations of interactions of chlormezanone racemate and its enantiomers on human keratinocytes and human leucoytes in vitro.
2005 May-Jun
Biology and therapy of fibromyalgia. New therapies in fibromyalgia.
2006
Adjuvant laser acupuncture in the treatment of whiplash injuries: a prospective, randomized placebo-controlled trial.
2006 Mar
[Retrospective analysis of the combined therapy of terazosin with chlormezanone for chronic prostatitis/chronic pelvic pain syndrome].
2009 Aug
Fixed drug eruption resulting from fluconazole use: a case report.
2009 Jul 6
Anesthetic management for emergent Cesarean section in a patient with toxic epidermal necrolysis -A case report-.
2010 Dec
Toxic epidermal necrolysis and Stevens-Johnson syndrome.
2010 Dec 16
Flupirtine in pain management: pharmacological properties and clinical use.
2010 Oct
Patents

Patents

Sample Use Guides

In Vivo Use Guide
Unknown
Route of Administration: Oral
The investigation was performed in order to investigate whether the racemic chlormezanone and both enantiomers differ in their potential cytotoxicty for human HaCaT keratinocytes. In the dosage range of 0.001 to 0.1 mg/ml chlormezanone, no antiproliferative effects were measured with the racemate and both enantiomers. At 1.0 mg/ml, a decrease of proliferative activity was seen after 48 h incubation time of about 50% for the enantiomers and of about 80% for the racemate (PicoGreen assay) and 50% (enantiomers) or 21% (racemate) in the ATP assay, respectively. Oxygen radicals production by human interleukin-3-stimulated leukocytes was significantly inhibited at concentrations < or =0.01 mg/ml by the racemate and the (+)-enantiomer, whereas the (-)-enantiomer was less effective.
Substance Class Chemical
Created
by admin
on Sat Dec 16 10:19:46 GMT 2023
Edited
by admin
on Sat Dec 16 10:19:46 GMT 2023
Record UNII
C14WB33Y0S
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CHLORMEZANONE, (-)-
Common Name English
(-)-CHLORMEZANONE
Common Name English
(-)-FENAROL
Common Name English
4H-1,3-THIAZIN-4-ONE, 2-(4-CHLOROPHENYL)TETRAHYDRO-3-METHYL-, 1,1-DIOXIDE, (-)-
Systematic Name English
Code System Code Type Description
FDA UNII
C14WB33Y0S
Created by admin on Sat Dec 16 10:19:46 GMT 2023 , Edited by admin on Sat Dec 16 10:19:46 GMT 2023
PRIMARY
CAS
102818-67-7
Created by admin on Sat Dec 16 10:19:46 GMT 2023 , Edited by admin on Sat Dec 16 10:19:46 GMT 2023
PRIMARY
Related Record Type Details
RACEMATE -> ENANTIOMER