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

Details

Stereochemistry ABSOLUTE
Molecular Formula C17H21NO4.BrH
Molecular Weight 384.265
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of COCAINE HYDROBROMIDE

SMILES

Br.COC(=O)[C@@H]1[C@H]2CC[C@@H](C[C@@H]1OC(=O)C3=CC=CC=C3)N2C

InChI

InChIKey=OKUGRFMKKWENBD-VZXSFKIWSA-N
InChI=1S/C17H21NO4.BrH/c1-18-12-8-9-13(18)15(17(20)21-2)14(10-12)22-16(19)11-6-4-3-5-7-11;/h3-7,12-15H,8-10H2,1-2H3;1H/t12-,13+,14-,15+;/m0./s1

HIDE SMILES / InChI

Molecular Formula BrH
Molecular Weight 80.912
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C17H21NO4
Molecular Weight 303.3529
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 4 / 4
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/11895133 | https://www.ncbi.nlm.nih.gov/pubmed/12067559 | https://www.ncbi.nlm.nih.gov/pubmed/17255098 | https://www.ncbi.nlm.nih.gov/pubmed/19897082

Cocaine is an alkaloid ester extracted from the leaves of plants including coca. Cocaine is a local anesthetic and vasoconstrictor and is clinically used for that purpose, particularly in the eye, ear, nose, and throat. It also has powerful central nervous system effects similar to the amphetamines and is a drug of abuse. Cocaine, like amphetamines, acts by multiple mechanisms on brain catecholaminergic neurons; the mechanism of its reinforcing effects is thought to involve inhibition of dopamine uptake. Cocaine is addictive due to its effect on the reward pathway in the brain. After a short period of use, there is a high risk that dependence will occur. Its use also increases the risk of stroke, myocardial infarction, lung problems in those who smoke it, blood infections, and sudden cardiac death. Cocaine sold on the street is commonly mixed with local anesthetics, cornstarch, quinine, or sugar which can result in additional toxicity. Following repeated doses, a person may have decreased the ability to feel pleasure and be very physically tired. Cocaine acts by inhibiting the reuptake of serotonin, norepinephrine, and dopamine. This results in greater concentrations of these three neurotransmitters in the brain. It can easily cross the blood-brain barrier and may lead to the breakdown of the barrier.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
155.0 nM [Ki]
108.0 nM [Ki]
274.0 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Cocaine

Approved Use

INDICATIONS AND USAGE. Cocaine hydrochloride topical solution is indicated for the introduction of local (topical) anesthesia of accessible mucous membranes of the oral, laryngeal and nasal cavities.
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
550 ng/mL
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
COCAINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
840 ng × h/mL
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
COCAINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
78.9 min
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
COCAINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
25 mg single, intravenous
Dose: 25 mg
Route: intravenous
Route: single
Dose: 25 mg
Sources:
healthy, 30-43 years
n = 6
Health Status: healthy
Age Group: 30-43 years
Sex: M
Population Size: 6
Sources:
32 mg single, intranasal
Dose: 32 mg
Route: intranasal
Route: single
Dose: 32 mg
Sources:
healthy, 30-43 years
n = 6
Health Status: healthy
Age Group: 30-43 years
Sex: M
Population Size: 6
Sources:
42 mg single, respiratory
Dose: 42 mg
Route: respiratory
Route: single
Dose: 42 mg
Sources:
healthy, 30-43 years
n = 6
Health Status: healthy
Age Group: 30-43 years
Sex: M
Population Size: 6
Sources:
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Other AEs: Headache, Epistaxis...
Other AEs:
Headache (1.5%)
Epistaxis (0.7%)
Anxiety (0.7%)
Foreign body sensation in eyes (0.4%)
Facial pain (0.4%)
Neck pain (0.4%)
Dizziness (0.4%)
Nasal congestion (0.4%)
Sources: Page: p. 56, 74
2 g single, oral
Overdose
Dose: 2 g
Route: oral
Route: single
Dose: 2 g
Sources:
unhealthy, adult
n = 1
Health Status: unhealthy
Age Group: adult
Sex: M
Population Size: 1
Sources:
Other AEs: Adverse event...
Other AEs:
Adverse event (grade 5)
Sources:
160 mg single, intranasal
Recommended
Dose: 160 mg
Route: intranasal
Route: single
Dose: 160 mg
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sources:
Other AEs: Drug abuse...
AEs

AEs

AESignificanceDosePopulation
Dizziness 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Facial pain 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Foreign body sensation in eyes 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Nasal congestion 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Neck pain 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Anxiety 0.7%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Epistaxis 0.7%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Headache 1.5%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources: Page: p. 56, 74
unhealthy, 45 years (range: 17- 83 years)
n = 275
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Population Size: 275
Sources: Page: p. 56, 74
Adverse event grade 5
2 g single, oral
Overdose
Dose: 2 g
Route: oral
Route: single
Dose: 2 g
Sources:
unhealthy, adult
n = 1
Health Status: unhealthy
Age Group: adult
Sex: M
Population Size: 1
Sources:
Drug abuse
160 mg single, intranasal
Recommended
Dose: 160 mg
Route: intranasal
Route: single
Dose: 160 mg
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sources:
Overview

Overview

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
no
no
no
no
no
no
no
no
no
yes [IC50 1.2 uM]
unlikely (co-administration study)
Comment: the relatively low plasma concentrations of cocaine resulting from therapeutic doses of GOPRELTO are not expected to raise significant drug-drug interaction concerns
Page: 27.0
yes [IC50 7.85 uM]
unlikely (co-administration study)
Comment: the relatively low plasma concentrations of cocaine resulting from therapeutic doses of GOPRELTO are not expected to raise significant drug-drug interaction concerns
Page: 27.0
yes [Ki 85 uM]
yes [Ki >1000 uM]
Drug as victimTox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Symptomatic overlap of cocaine intoxication and acute schizophrenia at emergency presentation.
1999
Endogenous opioids implicated in the dynamics of experimental drug addiction: an in vivo autoradiographic analysis.
1999
Microbial keratitis following cocaine abuse in a soft contact lens wearer.
1999 Apr
Amlodipine treatment of cocaine dependence.
1999 Apr-Jun
Prolonged perioperative myocardial ischemia in a young male: due to topical intranasal cocaine?
1999 Aug
Cocaine-induced hypertension: role of the peripheral sympathetic system.
1999 Aug
Cocaine pharmacokinetics in men and in women during the follicular and luteal phases of the menstrual cycle.
1999 Aug
Cocaine-induced severe angioedema and urticaria.
1999 Aug
Acute injection of drugs with low addictive potential (delta(9)-tetrahydrocannabinol, 3,4-methylenedioxymethamphetamine, lysergic acid diamide) causes a much higher c-fos expression in limbic brain areas than highly addicting drugs (cocaine and morphine).
1999 Aug 25
Brief report: frequency of maternal cocaine use during pregnancy and infant neurobehavioral outcome.
1999 Dec
Nasolacrimal duct obstruction and orbital cellulitis associated with chronic intranasal cocaine abuse.
1999 Dec
Severe avascular necrosis of the nasal chambers secondary to cocaine abuse.
1999 Dec
Comparative effects of sodium bicarbonate and sodium chloride on reversing cocaine-induced changes in the electrocardiogram.
1999 Dec
Cocaine-induced acute renal failure without rhabdomyolysis.
1999 Dec
Effects of AMPA/kainate glutamate receptor antagonists on cocaine-induced convulsions and lethality in mice.
1999 Dec 15
Distinct features of seizures induced by cocaine and amphetamine analogs.
1999 Jul 21
Selective inhibition of cocaine-seeking behaviour by a partial dopamine D3 receptor agonist.
1999 Jul 22
The effects of continuous cocaine dose on the induction of behavioral tolerance and dopamine autoreceptor function.
1999 Jul 9
Effects of dopamine receptor antagonists (D1 and D2) on the demand for smoked cocaine base in rhesus monkeys.
1999 Jun
U69593, a kappa-opioid agonist, decreases cocaine self-administration and decreases cocaine-produced drug-seeking.
1999 Jun
5-HT2 receptor antagonism reduces hyperactivity induced by amphetamine, cocaine, and MK-801 but not D1 agonist C-APB.
1999 Jun
Triggering of myocardial infarction by cocaine.
1999 Jun 1
Choreoathetoid movements in cocaine dependence.
1999 Jun 15
Phasic accumbal firing may contribute to the regulation of drug taking during intravenous cocaine self-administration sessions.
1999 Jun 29
[Centrofacial necrosis secondary to cocaine use].
1999 Jun-Jul
Acute ischaemic colitis following intravenous cocaine use.
1999 May
Neuropsychological deficits in withdrawn cocaine-dependent males.
1999 May
Aortic thrombosis associated with cocaine use: report of two cases.
1999 May
Chronic inhaled cocaine abuse may predispose to the development of pancreatic adenocarcinoma.
1999 Nov
The effects of cocaine on mood and sleep in cocaine-dependent males.
1999 Nov
The effects of benzamide analogues on cocaine self-administration in rhesus monkeys.
1999 Nov
Pramipexole treatment for cocaine cravings.
1999 Nov
Level of in utero cocaine exposure and neonatal ultrasound findings.
1999 Nov
Dopamine transporter mRNA in autopsy studies of chronic cocaine users.
1999 Nov 10
Selective alpha 7 nicotinic receptor stimulation normalizes chronic cocaine-induced loss of hippocampal sensory inhibition in C3H mice.
1999 Nov 15
Alcohol plus cocaine prenatally is more deleterious than either drug alone.
1999 Nov-Dec
The effect of prenatal cocaine exposure on neurobehavioral outcome: a meta-analysis.
1999 Nov-Dec
Serotonin(2C) receptors appear to mediate genetic sensitivity to cocaine-induced convulsions.
1999 Oct
Antagonism of 5-hydroxytryptamine(4) receptors attenuates hyperactivity induced by cocaine: putative role for 5-hydroxytryptamine(4) receptors in the nucleus accumbens shell.
1999 Oct
A role for the bed nucleus of the stria terminalis, but not the amygdala, in the effects of corticotropin-releasing factor on stress-induced reinstatement of cocaine seeking.
1999 Oct 15
Urticarial vasculitis following cocaine use.
1999 Sep
Homozygosity at the dopamine DRD3 receptor gene in cocaine dependence.
1999 Sep
Effects of chronic 'Binge' cocaine administration on plasma ACTH and corticosterone levels in mice deficient in DARPP-32.
1999 Sep
Association of depressive symptoms during abstinence with the subjective high produced by cocaine.
1999 Sep
Rapid induction of behavioral and neurochemical tolerance to cocaethylene, a model compound for agonist therapy of cocaine dependence.
1999 Sep 1
Cocaine-induced mood disorder: prevalence rates and psychiatric symptoms in an outpatient cocaine-dependent sample.
1999 Spring
Dose-related neurobehavioral effects of chronic cocaine use.
1999 Summer
Using eye movement desensitization and reprocessing to reduce cocaine cravings.
2000 Jan
Effects of prenatal cocaine/crack and other drug exposure on electroencephalographic sleep studies at birth and one year.
2000 Jan
Cocaine induces apoptosis in fetal myocardial cells through a mitochondria-dependent pathway.
2000 Jan
Patents

Sample Use Guides

Cocaine HCl 10% topical solution, up to 4 mL, is applied for 20 minutes via cotton pledget(s)
Route of Administration: Topical
Neuronal cultures were prepared from 18-day-old Sprague–Dawley rat fetuses. Cultures were used for neurotoxicity experiments after 12 days in culture. To assess any toxic effects of cocaine per se, 10 mL aliquots of three different dilutions of the cocaine stock solution (0.1–10 mM final concentration in the medium) were added to cell cultures. Appropriate vehicle controls (same volume of solvent added) were included for each group.
Substance Class Chemical
Created
by admin
on Sat Dec 16 08:50:01 GMT 2023
Edited
by admin
on Sat Dec 16 08:50:01 GMT 2023
Record UNII
QL5NZ3JM5F
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
COCAINE HYDROBROMIDE
Common Name English
1.ALPHA.H,5.ALPHA.H-TROPANE-2.BETA.-CARBOXYLIC ACID, 3.BETA.-HYDROXY-, METHYL ESTER, BENZOATE (ESTER), HYDROBROMIDE
Common Name English
8-AZABICYCLO(3.2.1)OCTANE-2-CARBOXYLIC ACID, 3-(BENZOYLOXY)-8-METHYL-, METHYL ESTER, HYDROBROMIDE, (1R-(EXO,EXO))-
Common Name English
8-AZABICYCLO(3.2.1)OCTANE-2-CARBOXYLIC ACID, 3-(BENZOYLOXY)-8-METHYL-, METHYL ESTER, HYDROBROMIDE (1:1), (1R,2R,3S,5S)-
Systematic Name English
Code System Code Type Description
PUBCHEM
167713236
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
FDA UNII
QL5NZ3JM5F
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
CAS
6202-03-5
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
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