Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C7H16NO3.Cl |
Molecular Weight | 197.66 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 1 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[Cl-].C[N+](C)(C)C[C@H](O)CC(O)=O
InChI
InChIKey=JXXCENBLGFBQJM-FYZOBXCZSA-N
InChI=1S/C7H15NO3.ClH/c1-8(2,3)5-6(9)4-7(10)11;/h6,9H,4-5H2,1-3H3;1H/t6-;/m1./s1
Molecular Formula | ClH |
Molecular Weight | 36.461 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C7H15NO3 |
Molecular Weight | 161.1989 |
Charge | 0 |
Count |
|
Stereochemistry | EPIMERIC |
Additional Stereochemistry | No |
Defined Stereocenters | 1 / 2 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Levocarnitine propionate or Propionyl L-carnitine (PLC) is the propionyl ester of L-carnitine. Propionyl-L-carnitine stimulates energy production in ischaemic muscles by increasing citric acid cycle flux and stimulating pyruvate dehydrogenase activity. The free radical scavenging activity of the drug may also be beneficial. Propionyl-L-carnitine improves coagulative fibrinolytic homeostasis in vasal endothelium and positively affects blood viscosity. It exhibits a high affinity for the muscle enzyme, carnitine acyl transferase, and as such readily converts into propionyl-CoA and free carnitine. Most studies of the therapeutic use of PLC are focused on the prevention and treatment of ischemic heart disease, congestive heart failure, hypertrophic heart disease, and peripheral arterial disease. PLC is marketed under the trade name Dromos®. It is indicated for patients with peripheral arterial occlusive disorders and for exercise intolerance enhancement in patients with chronic congestive heart failure. Dromos is marketed in Italy.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/11739607
Curator's Comment: Known to be CNS penetrant in model animals. Human data not available.
Originator
Sources: www.ncbi.nlm.nih.gov/pubmed/16857830http://adisinsight.springer.com/drugs/800003253
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: P50416 Gene ID: 1374.0 Gene Symbol: CPT1A Target Organism: Homo sapiens (Human) |
|||
Target ID: P23786 Gene ID: 1376.0 Gene Symbol: CPT2 Target Organism: Homo sapiens (Human) |
|||
Target ID: P43155 Gene ID: 1384.0 Gene Symbol: CRAT Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/21537157 |
|||
Target ID: O43772 Gene ID: 788.0 Gene Symbol: SLC25A20 Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/21537157 |
|||
Target ID: WP408 Sources: DOI: 10.1201/b17092-12 |
|||
Target ID: CHEMBL2216739 |
|||
Target ID: WP623 Sources: DOI: 10.1201/b17092-12 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | CARNITOR Approved UseCARNITOR (levocarnitine) is indicated in the treatment of primary systemic carnitine
deficiency. Launch Date1985 |
|||
Primary | Dromos Approved UseIt is indicated for patients with peripheral arterial occlusive disorders and for exercise intolerance enchancement in patients with chronic congestive heart failure. |
|||
Primary | Unknown Approved UseUnknown |
|||
Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
79.2 nmol/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7658356 |
1980 mg 2 times / day multiple, oral dose: 1980 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LEVOCARNITINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
80.3 nmol/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7658356 |
2 g 2 times / day multiple, oral dose: 2 g route of administration: Oral experiment type: MULTIPLE co-administered: |
LEVOCARNITINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
771.4 nmol × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7658356 |
1980 mg 2 times / day multiple, oral dose: 1980 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
LEVOCARNITINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
779.9 nmol × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7658356 |
2 g 2 times / day multiple, oral dose: 2 g route of administration: Oral experiment type: MULTIPLE co-administered: |
LEVOCARNITINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/8130774/ |
yes |
PubMed
Title | Date | PubMed |
---|---|---|
Antagonism of doxorubicin cardiotoxicity by carnitine is specific of the L-diasteroisomer. | 1981 May |
|
Effect of administration of carnitine on the severity of myocardial infarction induced by isoproterenol in rats. | 1986 Feb |
|
Echocardiographic assessment of anthracycline cardiotoxicity during different therapeutic regimens. | 1987 |
|
Modulation of ethanol-mediated CYP2E1 induction by clofibrate and L-carnitine in rat liver. | 1993 Dec |
|
Zidovudine-induced mitochondrial myopathy is associated with muscle carnitine deficiency and lipid storage. | 1994 Apr |
|
Effect of L-carnitine supplementation on acute valproate intoxication. | 1996 Jul |
|
Analysis of carnitine biosynthesis metabolites in urine by HPLC-electrospray tandem mass spectrometry. | 2002 Jun |
|
Carnitine: a nutritional, biosynthetic, and functional perspective. | 2004 Oct-Dec |
|
Prediction of genotoxicity of chemical compounds by statistical learning methods. | 2005 Jun |
|
Pivotal role of Harakiri in the induction and prevention of gentamicin-induced hearing loss. | 2005 Nov 1 |
|
L-carnitine ameliorates doxorubicin-induced nephrotic syndrome in rats. | 2006 Aug |
|
Cardio-protective effects of carnitine in streptozotocin-induced diabetic rats. | 2006 Jan 19 |
|
Acute renal failure due to phenazopyridine (Pyridium) overdose: case report and review of the literature. | 2006 Nov |
|
High concentrations of stavudine impair fatty acid oxidation without depleting mitochondrial DNA in cultured rat hepatocytes. | 2008 Jun |
|
L-carnitine mediates protection against DNA damage in lymphocytes of aged rats. | 2009 Apr |
|
Interaction between pivaloylcarnitine and L-carnitine transport into L6 cells overexpressing hOCTN2. | 2009 Aug 14 |
|
Organic cation/carnitine transporter OCTN3 is present in astrocytes and is up-regulated by peroxisome proliferators-activator receptor agonist. | 2009 Dec |
|
Carnitine deficiency: a possible risk factor in paracetamol hepatotoxicity. | 2009 Feb |
|
Comparative effects of captopril and l-carnitine on blood pressure and antioxidant enzyme gene expression in the heart of spontaneously hypertensive rats. | 2010 Apr 25 |
|
Inhibition of gene expression of heart fatty acid binding protein and organic cation/carnitine transporter in doxorubicin cardiomyopathic rat model. | 2010 Aug 25 |
|
Inhibition of hepatic carnitine palmitoyl-transferase I (CPT IA) by valproyl-CoA as a possible mechanism of valproate-induced steatosis. | 2010 Mar 1 |
|
Selective regulation of cardiac organic cation transporter novel type 2 (OCTN2) in dilated cardiomyopathy. | 2011 Jun |
|
The disruption of L-carnitine metabolism by aluminum toxicity and oxidative stress promotes dyslipidemia in human astrocytic and hepatic cells. | 2011 Jun 24 |
|
L-carnitine protects against nickel-induced neurotoxicity by maintaining mitochondrial function in Neuro-2a cells. | 2011 May 15 |
|
Downregulation of oxidative and nitrosative apoptotic signaling by L-carnitine in Ifosfamide-induced Fanconi syndrome rat model. | 2012 |
Patents
Sample Use Guides
Adults: The recommended oral dosage for adults is 990 mg two or three times a day using the 330 mg tablets, depending on clinical response. Infants and children: The recommended oral dosage for infants and children is between 50 and 100 mg/kg/day in divided doses, with a maximum of 3 g/day. Dosage should begin at 50 mg/kg/day.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24005823
Human neuroblastoma or human astrocytoma cells were exposed to 100 nM (20 ug levocarnetine hydrochloride/L) to 100 uM (20 mg levocarnetine hydrochloride/L). At these concentrations levocarnetine produced significant increases in mitochondrial function.
Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:45:01 GMT 2025
by
admin
on
Mon Mar 31 18:45:01 GMT 2025
|
Record UNII |
J3Y5E6IKS3
|
Record Status |
Validated (UNII)
|
Record Version |
|
-
Download
Name | Type | Language | ||
---|---|---|---|---|
|
Common Name | English | ||
|
Preferred Name | English | ||
|
Brand Name | English | ||
|
Systematic Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Common Name | English | ||
|
Systematic Name | English | ||
|
Common Name | English | ||
|
Brand Name | English |
Code System | Code | Type | Description | ||
---|---|---|---|---|---|
|
100000086667
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
656657
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
1426681
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | RxNorm | ||
|
229-663-6
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
SUB01064MIG
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
DBSALT001037
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
m3119
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | Merck Index | ||
|
J3Y5E6IKS3
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
CHEMBL1149
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
J3Y5E6IKS3
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
6645-46-1
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
DTXSID701014449
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY | |||
|
SUB02906MIG
Created by
admin on Mon Mar 31 18:45:01 GMT 2025 , Edited by admin on Mon Mar 31 18:45:01 GMT 2025
|
PRIMARY |
Related Record | Type | Details | ||
---|---|---|---|---|
|
PARENT -> SALT/SOLVATE | |||
|
SALT/SOLVATE -> SALT/SOLVATE |
Related Record | Type | Details | ||
---|---|---|---|---|
|
IMPURITY -> PARENT |
Related Record | Type | Details | ||
---|---|---|---|---|
|
ACTIVE MOIETY |