U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C22H27N3O3S2.CH4O3S
Molecular Weight 541.704
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of METOPIMAZINE MESYLATE

SMILES

CS(O)(=O)=O.CS(=O)(=O)C1=CC2=C(SC3=CC=CC=C3N2CCCN4CCC(CC4)C(N)=O)C=C1

InChI

InChIKey=QJTAWVPBCFAKBU-UHFFFAOYSA-N
InChI=1S/C22H27N3O3S2.CH4O3S/c1-30(27,28)17-7-8-21-19(15-17)25(18-5-2-3-6-20(18)29-21)12-4-11-24-13-9-16(10-14-24)22(23)26;1-5(2,3)4/h2-3,5-8,15-16H,4,9-14H2,1H3,(H2,23,26);1H3,(H,2,3,4)

HIDE SMILES / InChI

Molecular Formula CH4O3S
Molecular Weight 96.106
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C22H27N3O3S2
Molecular Weight 445.598
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Metopimazine, a phenothiazine derivative, is a dopamine D2 receptor antagonist. It exerts its antiemetic effects via the chemoreceptor trigger zone. Metopimazine showed potent alpha-adrenergic blocking activity, showed histamine H1 antagonism, and induced palpebral ptosis. Metopimazine can occasionally be associated with orthostatic hypotension, which probably relates to its affinity for the α1-adrenoceptor. Therapeutic doses of metopimazine are likely to produce sedation and side-effects related to autonomic blockade. Metopimazine (Vogalene®) is indicated for the prevention and treatment of nausea and vomiting.

Approval Year

PubMed

PubMed

TitleDatePubMed
Fragmentation pathways of metopimazine and its metabolite using ESI-MS(n), HR-MS and H/D exchange.
2010-10
Development and validation of stability indicating HPLC and HPTLC methods for determination of sulpiride and mebeverine hydrochloride in combination.
2010-09
Investigational use of metomidate hydrochloride as a shipping additive for two ornamental fishes.
2009-09
Effect of iontophoresis and penetration enhancers on transdermal absorption of metopimazine.
2008-12
Percutaneous absorption of metopimazine and effect of cyclodextrins.
2008-05
Optimizing antiemetic therapy in multiple-day and multiple cycles of chemotherapy.
2008-03
[Tolerance and efficacy of mefloquine as the first line treatment of uncomplicated P. falciparum malaria in children].
2008-02
Efficacy and safety of artesunate plus amodiaquine in routine use for the treatment of uncomplicated malaria in Casamance, southern Sénégal.
2007-11-15
Evidence of lowest brain penetration of an antiemetic drug, metopimazine, compared to domperidone, metoclopramide and chlorpromazine, using an in vitro model of the blood-brain barrier.
2007-07
Randomized, double-blind trial comparing the antiemetic effect of tropisetron plus metopimazine with tropisetron plus placebo in patients receiving multiple cycles of multiple-day cisplatin-based chemotherapy.
2007-04
Aprepitant: the evidence for its place in the prevention of chemotherapy-induced nausea and vomiting.
2007-03-31
Differential pulse cathodic voltammetric determination of floctafenine and metopimazine.
2007-03-12
A pilot study of ondansetron plus metopimazine vs. ondansetron monotherapy in children receiving highly emetogenic chemotherapy: a Bayesian randomized serial N-of-1 trials design.
2006-03
A randomized, double-blind trial assessing the efficacy and safety of sublingual metopimazine and ondansetron in the prophylaxis of chemotherapy-induced delayed emesis.
2006-02
Comparison of the efficacy and safety of combinations of metopimazine or ondansetron with methylprednisolone in the prevention of delayed emesis in patients receiving chemotherapy.
2005-11
Impact of nausea and vomiting on quality of life in cancer patients during chemotherapy.
2003-09-17
Options for the prevention and management of acute chemotherapy-induced nausea and vomiting in children.
2003
Ondansetron plus metopimazine compared with ondansetron plus metopimazine plus prednisolone as antiemetic prophylaxis in patients receiving multiple cycles of moderately emetogenic chemotherapy.
2001-04-01

Sample Use Guides

Adults:Take 1 orodispersible tablet at the onset of symptoms. If symptoms persist or return, treatment may be continued to a maximum of 4 tablets (= 30 mg of metopimazine) per day. Children over 6 years:Take 1 orodispersible tablet at the onset of symptoms. If symptoms persist or return, treatment may be continued to a maximum of 2 tablets (= 15 mg of metopimazine) per day.
Route of Administration: Oral
Substance Class Chemical
Created
by admin
on Wed Apr 02 04:55:11 GMT 2025
Edited
by admin
on Wed Apr 02 04:55:11 GMT 2025
Record UNII
JH694X5YFY
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
METOPIMAZINE METHANESULFONATE
Preferred Name English
METOPIMAZINE MESYLATE
Common Name English
4-Piperidinecarboxamide, 1-[3-[2-(methylsulfonyl)-10H-phenothiazin-10-yl]propyl]-, compd. with methanesulfonate (1:1)
Systematic Name English
1-[3-[2-(methylsulfonyl)-10H-phenothiazin-10-yl]propyl]-4-Piperidinecarboxamide methanesulfonate
Systematic Name English
Code System Code Type Description
CAS
2555328-34-0
Created by admin on Wed Apr 02 04:55:11 GMT 2025 , Edited by admin on Wed Apr 02 04:55:11 GMT 2025
PRIMARY
PUBCHEM
155277864
Created by admin on Wed Apr 02 04:55:11 GMT 2025 , Edited by admin on Wed Apr 02 04:55:11 GMT 2025
PRIMARY
FDA UNII
JH694X5YFY
Created by admin on Wed Apr 02 04:55:11 GMT 2025 , Edited by admin on Wed Apr 02 04:55:11 GMT 2025
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY