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

Details

Stereochemistry ACHIRAL
Molecular Formula C8H12N2
Molecular Weight 136.1943
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of PHENELZINE

SMILES

NNCCC1=CC=CC=C1

InChI

InChIKey=RMUCZJUITONUFY-UHFFFAOYSA-N
InChI=1S/C8H12N2/c9-10-7-6-8-4-2-1-3-5-8/h1-5,10H,6-7,9H2

HIDE SMILES / InChI

Molecular Formula C8H12N2
Molecular Weight 136.1943
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: Description was created based on several sources, including https://www.accessdata.fda.gov/drugsatfda_docs/label/2007/011909s038lbl.pdf

Phenelzine is an irreversible non-selective inhibitor of monoamine oxidase. Although the exact mechanism of action has not been determined, it appears that the irreversible, nonselective inhibition of MAO by phenelzine relieves depressive symptoms by causing an increase in the levels of serotonin, norepinephrine, and dopamine in the neuron. Phenelzine is used for the treatment of major depressive disorder. Has also been used with some success in the management of bulimia nervosa.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Nardil

Approved Use

Nardil is used for: Treating depression in patients who do not respond well to other medicines.

Launch Date

1961
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
19.8 ng/mL
30 mg single, oral
dose: 30 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PHENELZINE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
10.14 ng/mL
15 mg single, oral
dose: 15 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PHENELZINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
384.2 ng × h/mL
15 mg single, oral
dose: 15 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PHENELZINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
11.6 h
30 mg single, oral
dose: 30 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PHENELZINE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
9.75 h
15 mg single, oral
dose: 15 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
PHENELZINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Disc. AE: Weakness, Lethargy...
AEs leading to
discontinuation/dose reduction:
Weakness
Lethargy
Dizziness
Gait abnormal NOS
Restlessness
Grand mal seizure
Hyperreflexia
Coma
Depression central nervous system
Sources:
2760 mg single, oral
Overdose
Dose: 2760 mg
Route: oral
Route: single
Dose: 2760 mg
Sources:
unhealthy, 23
Health Status: unhealthy
Age Group: 23
Sex: F
Sources:
Disc. AE: Depressed level of consciousness, Seizures...
AEs leading to
discontinuation/dose reduction:
Depressed level of consciousness
Seizures
Tachycardia
Acute myocarditis (grade 5)
Sources:
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Disc. AE: Muscular tone excessive, Hyperthermia...
AEs leading to
discontinuation/dose reduction:
Muscular tone excessive
Hyperthermia (severe)
Coma
Cardiovascular collapse
Acute renal failure
Hemolysis
Rhabdomyolysis
Disseminated intravascular coagulation
Sources:
90 mg 1 times / day multiple, oral
Recommended
Dose: 90 mg, 1 times / day
Route: oral
Route: multiple
Dose: 90 mg, 1 times / day
Sources:
unhealthy
Disc. AE: Suicidal ideation...
AEs leading to
discontinuation/dose reduction:
Suicidal ideation
Sources:
90 mg 1 times / day multiple, oral
Recommended
Dose: 90 mg, 1 times / day
Route: oral
Route: multiple
Dose: 90 mg, 1 times / day
Sources:
unhealthy
Disc. AE: Crisis hypertensive...
AEs leading to
discontinuation/dose reduction:
Crisis hypertensive
Sources:
AEs

AEs

AESignificanceDosePopulation
Coma Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Depression central nervous system Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Dizziness Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Gait abnormal NOS Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Grand mal seizure Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Hyperreflexia Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Lethargy Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Restlessness Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Weakness Disc. AE
750 mg single, oral
Overdose
Dose: 750 mg
Route: oral
Route: single
Dose: 750 mg
Sources:
unhealthy, 20
Health Status: unhealthy
Age Group: 20
Sex: F
Sources:
Depressed level of consciousness Disc. AE
2760 mg single, oral
Overdose
Dose: 2760 mg
Route: oral
Route: single
Dose: 2760 mg
Sources:
unhealthy, 23
Health Status: unhealthy
Age Group: 23
Sex: F
Sources:
Seizures Disc. AE
2760 mg single, oral
Overdose
Dose: 2760 mg
Route: oral
Route: single
Dose: 2760 mg
Sources:
unhealthy, 23
Health Status: unhealthy
Age Group: 23
Sex: F
Sources:
Tachycardia Disc. AE
2760 mg single, oral
Overdose
Dose: 2760 mg
Route: oral
Route: single
Dose: 2760 mg
Sources:
unhealthy, 23
Health Status: unhealthy
Age Group: 23
Sex: F
Sources:
Acute myocarditis grade 5
Disc. AE
2760 mg single, oral
Overdose
Dose: 2760 mg
Route: oral
Route: single
Dose: 2760 mg
Sources:
unhealthy, 23
Health Status: unhealthy
Age Group: 23
Sex: F
Sources:
Acute renal failure Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Cardiovascular collapse Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Coma Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Disseminated intravascular coagulation Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Hemolysis Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Muscular tone excessive Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Rhabdomyolysis Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Hyperthermia severe
Disc. AE
225 mg single, oral
Overdose
Dose: 225 mg
Route: oral
Route: single
Dose: 225 mg
Sources:
unhealthy, 26
Health Status: unhealthy
Age Group: 26
Sex: F
Sources:
Suicidal ideation Disc. AE
90 mg 1 times / day multiple, oral
Recommended
Dose: 90 mg, 1 times / day
Route: oral
Route: multiple
Dose: 90 mg, 1 times / day
Sources:
unhealthy
Crisis hypertensive Disc. AE
90 mg 1 times / day multiple, oral
Recommended
Dose: 90 mg, 1 times / day
Route: oral
Route: multiple
Dose: 90 mg, 1 times / day
Sources:
unhealthy
Overview

Overview

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [IC50 >10 uM]
no [IC50 >10 uM]
no
unlikely [IC50 >897.2 uM]
yes [Ki 1.2 uM]
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
Tox targets
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Antidepressant therapy in tinnitus.
2007-04
Successful use of phenelzine in treatment-resistant panic disorder.
2007-02
Serotonin syndrome from the interaction of cyclobenzaprine with other serotoninergic drugs.
2006-12
Rapid identification of P-glycoprotein substrates and inhibitors.
2006-12
Aldehyde load in ischemia-reperfusion brain injury: neuroprotection by neutralization of reactive aldehydes with phenelzine.
2006-11-29
Increased nicotine self-administration following prenatal exposure in female rats.
2006-11
Modeling anxiety-like states: pharmacological characterization of the chick separation stress paradigm.
2006-11
Sustained effects of phenelzine and tranylcypromine on orthostatic challenge in antidepressant-refractory depression.
2006-10
Antidepressants and inflammatory bowel disease: a systematic review.
2006-09-20
Monoamine oxidase inhibitors allow locomotor and rewarding responses to nicotine.
2006-08
13C magnetic resonance spectroscopy studies of alterations in glutamate neurotransmission.
2006-05-15
Tamoxifen protect against hydroxyl radical generation induced by phenelzine in rat striatum.
2006-05-01
An evaluation of potential mechanism-based inactivation of human drug metabolizing cytochromes P450 by monoamine oxidase inhibitors, including isoniazid.
2006-05
Transdermal selegiline: the new generation of monoamine oxidase inhibitors.
2006-05
Leading the way: advances in the diagnosis, treatment, and management of neuropsychiatric illnesses.
2006-05
Use of antidepressant medications in relation to the incidence of breast cancer.
2006-04-10
Effects of monoamine oxidase inhibitors on cocaine discrimination in rats.
2006-03
Quetiapine for insomnia associated with refractory depression exacerbated by phenelzine.
2006-03
Treatment of depression with atypical features: a meta-analytic approach.
2006-01-30
The effect of antidepressants on glucose homeostasis and insulin sensitivity: synthesis and mechanisms.
2006-01
Traumatic stress: effects on the brain.
2006
Pharmacotherapy of social anxiety disorder: what does the evidence tell us?
2006
Antidepressants reverse corticosterone-mediated decrease in brain-derived neurotrophic factor expression: differential regulation of specific exons by antidepressants and corticosterone.
2006
Cytochrome p450 enzymes mechanism based inhibitors: common sub-structures and reactivity.
2005-10
A selective test for antidepressant treatments using rats bred for stress-induced reduction of motor activity in the swim test.
2005-10
Screening antidepressants in the chick separation-stress paradigm.
2005-08
A microarray study of MPP+-treated PC12 Cells: Mechanisms of toxicity (MOT) analysis using bioinformatics tools.
2005-07-15
Inhibition of monoamine oxidase-A activity in rat brain by synthetic hydrazines: structure-activity relationship (SAR).
2005-06
Remission rates with 3 consecutive antidepressant trials: effectiveness for depressed outpatients.
2005-06
Shy-Drager syndrome: multisystem atrophy with comorbid depression.
2005-03-16
Chronic treatment with the monoamine oxidase inhibitor phenelzine increases hypothalamic-pituitary-adrenocortical activity in male C57BL/6 mice: relevance to atypical depression.
2005-03
Validity of sudden gains in acute phase treatment of depression.
2005-02
Brainstem levels of transcription factor AP-2 in rat are changed after treatment with phenelzine, but not with citalopram.
2005-01-21
Contribution of sleep research to the development of new antidepressants.
2005
Sleep and psychiatry.
2005
Neuroendocrine predictors of the evolution of depression.
2005
In vivo evidence for reduced cortical glutamate-glutamine cycling in rats treated with the antidepressant/antipanic drug phenelzine.
2005
Herb-drug interactions: a literature review.
2005
Social anxiety disorder : current treatment recommendations.
2005
Mechanism-based inactivation of human cytochrome P4502C8 by drugs in vitro.
2004-12
[Neurobiology and pharmacotherapy of social phobia].
2004-11-13
Efficacy and tolerability of tranylcypromine versus phenelzine: a double-blind study in antidepressant-refractory depressed inpatients.
2004-11
Effect of antidepressants on GABA(B) receptor function and subunit expression in rat hippocampus.
2004-10-15
Monoamine oxidase inhibitors, their structural analogues, and neuroprotection.
2004-09
Modafinil augmentation of phenelzine for residual fatigue in dysthymia.
2004-09
Efficacy of quality criteria to identify potentially harmful information: a cross-sectional survey of complementary and alternative medicine web sites.
2004-06-29
Hypericum perforatum L (St John's wort) preferentially increases extracellular dopamine levels in the rat prefrontal cortex.
2004-06
Phenylethylidenehydrazine, a novel GABA-transaminase inhibitor, reduces epileptiform activity in rat hippocampal slices.
2004
Depression after cyproheptadine: MAO treatment.
1992-06-01
Phenelzine associated peripheral neuropathy--clinical and electrophysiologic findings.
1991-06
Patents

Sample Use Guides

Initial dose: The usual starting dose of NARDIL is one tablet (15 mg) three times a day. Early phase treatment: Dosage should be increased to at least 60 mg per day at a fairly rapid pace consistent with patient tolerance. It may be necessary to increase dosage up to 90 mg per day to obtain sufficient MAO inhibition. Many patients do not show a clinical response until treatment at 60 mg has been continued for at least 4 weeks.
Route of Administration: Oral
20 uM of Phenelzine inactivated all human liver microsomal CYP (CYP1A2, CYP2C9, CYP2C19, CYP2D6 and CYP3A) but were most potent toward CYP3A and CYP2C19
Substance Class Chemical
Created
by admin
on Wed Apr 02 07:05:54 GMT 2025
Edited
by admin
on Wed Apr 02 07:05:54 GMT 2025
Record UNII
O408N561GF
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
PHENELZINE
INN   MI   VANDF   WHO-DD  
INN  
Official Name English
PHENELZINE [MI]
Preferred Name English
PHENETHYLHYDRAZINE
Systematic Name English
HYDRAZINE, (2-PHENYLETHYL)-
Systematic Name English
PHENELZINE [VANDF]
Common Name English
Phenelzine [WHO-DD]
Common Name English
phenelzine [INN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C667
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
NDF-RT N0000000184
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
WHO-VATC QN06AF03
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
NCI_THESAURUS C265
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
WHO-ATC N06AF03
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
LIVERTOX NBK548402
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
NDF-RT N0000175744
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
Code System Code Type Description
HSDB
8127
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
EPA CompTox
DTXSID2041094
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
RXCUI
8123
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY RxNorm
NCI_THESAURUS
C61888
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
MESH
D010624
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
DRUG BANK
DB00780
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
SMS_ID
100000082231
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
DRUG CENTRAL
2123
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
CAS
51-71-8
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
INN
919
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
IUPHAR
7266
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
LACTMED
Phenelzine
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
ECHA (EC/EINECS)
200-117-9
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
ChEMBL
CHEMBL1089
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
FDA UNII
O408N561GF
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
WIKIPEDIA
PHENELZINE
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
DAILYMED
O408N561GF
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
MERCK INDEX
m8605
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY Merck Index
EVMPD
SUB09757MIG
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
PUBCHEM
3675
Created by admin on Wed Apr 02 07:05:54 GMT 2025 , Edited by admin on Wed Apr 02 07:05:54 GMT 2025
PRIMARY
Related Record Type Details
SALT/SOLVATE -> PARENT
Related Record Type Details
METABOLITE -> PARENT
Related Record Type Details
ACTIVE MOIETY
Name Property Type Amount Referenced Substance Defining Parameters References
Biological Half-life PHARMACOKINETIC