Details
Stereochemistry | ACHIRAL |
Molecular Formula | C11H14N2O4 |
Molecular Weight | 238.2399 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
NC(=O)OCC(COC(N)=O)C1=CC=CC=C1
InChI
InChIKey=WKGXYQFOCVYPAC-UHFFFAOYSA-N
InChI=1S/C11H14N2O4/c12-10(14)16-6-9(7-17-11(13)15)8-4-2-1-3-5-8/h1-5,9H,6-7H2,(H2,12,14)(H2,13,15)
Molecular Formula | C11H14N2O4 |
Molecular Weight | 238.2399 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionSources: http://www.drugbank.ca/drugs/DB00949Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/felbamate.html and https://www.ncbi.nlm.nih.gov/pubmed/8383742
Sources: http://www.drugbank.ca/drugs/DB00949
Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/felbamate.html and https://www.ncbi.nlm.nih.gov/pubmed/8383742
Felbamate is an antiepileptic indicated as monotherapy or as an adjunct to other anticonvulsants for the treatment of partial seizures resulting from epilepsy. Receptor-binding studies in vitro indicate that felbamate has weak inhibitory effects on GABA-receptor binding, benzodiazepine receptor binding, and is devoid of activity at the MK-801 receptor binding site of the NMDA receptor-ionophore complex. However, felbamate does interact as an antagonist at the strychnine-insensitive glycine recognition site of the NMDA receptor-ionophore complex. The mechanism by which felbamate exerts its anticonvulsant activity is unknown, but in animal test systems designed to detect anticonvulsant activity, felbamate has properties in common with other marketed anticonvulsants. In vitro receptor binding studies suggest that felbamate may be an antagonist at the strychnine-insensitive glycine-recognition site of the N-methyl-D-aspartate (NMDA) receptor-ionophore complex. Antagonism of the NMDA receptor glycine binding site may block the effects of the excitatory amino acids and suppress seizure activity. Animal studies indicate that felbamate may increase the seizure threshold and may decrease seizure spread. It is also indicated that felbamate has weak inhibitory effects on GABA-receptor binding, benzodiazepine receptor binding. Felbamate should be used only in those patients who respond inadequately to alternative treatments and whose epilepsy is so severe that a substantial risk of aplastic anemia and/or liver failure is deemed acceptable in light of the benefits conferred by its use. Felbatol is the brand name used in the United States for felbamate.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2094124 Sources: https://www.ncbi.nlm.nih.gov/pubmed/18311896 |
|||
Target ID: CHEMBL1904 Sources: http://www.drugbank.ca/drugs/DB00949 |
0.52 mM [IC50] | ||
Target ID: CHEMBL3038504 Sources: https://www.ncbi.nlm.nih.gov/pubmed/10215667 |
2.02 mM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | FELBATOL Approved UseNot indicated as a first line antiepileptic treatment (see WARNINGS). Recommended for use only in those patients who respond inadequately to alternative treatments and whose epilepsy is so severe that a substantial risk of aplastic anemia and/or liver failure is deemed acceptable in light of the benefits conferred by its use.
If these criteria are met and the patient has been fully advised of the risk, and has provided written acknowledgment, Felbamate tablets can be considered for either monotherapy or adjunctive therapy in the treatment of partial seizures, with and without generalization, in adults with epilepsy and as adjunctive therapy in the treatment of partial and generalized seizures associated with Lennox-Gastaut syndrome in children. Launch Date1993 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
14.2 μg/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/9241102 |
1200 mg single, oral dose: 1200 mg route of administration: Oral experiment type: SINGLE co-administered: |
FELBAMATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
49 μg/mL |
45 mg/kg 1 times / day steady-state, oral dose: 45 mg/kg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELBAMATE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
526 μg × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/9241102 |
1200 mg single, oral dose: 1200 mg route of administration: Oral experiment type: SINGLE co-administered: |
FELBAMATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
19.2 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/9241102 |
1200 mg single, oral dose: 1200 mg route of administration: Oral experiment type: SINGLE co-administered: |
FELBAMATE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
20 h |
45 mg/kg 1 times / day steady-state, oral dose: 45 mg/kg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FELBAMATE plasma | Homo sapiens population: UNKNOWN age: CHILD sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
1200 mg 3 times / day steady, oral Highest studied dose Dose: 1200 mg, 3 times / day Route: oral Route: steady Dose: 1200 mg, 3 times / day Sources: |
unhealthy, 30 years (range: 18-45 years) n = 5 Health Status: unhealthy Condition: epilepsy Age Group: 30 years (range: 18-45 years) Sex: F Population Size: 5 Sources: |
Other AEs: Headache, Nausea... Other AEs: Headache (1 patient) Sources: Nausea (5 patients) Anorexia (3 patients) Dyspepsia (1 patient) Insomnia (1 patient) |
1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Other AEs: Fatigue, Weight decrease... Other AEs: Fatigue (6.9%) Sources: Weight decrease (3.4%) Face edema (3.4%) Insomnia (8.6%) Headache (6.9%) Anxiety (5.2%) Acne (3.4%) Rash (3.4%) Dyspepsia (8.6%) Vomiting (8.6%) Constipation (6.9%) Diarrhea (5.2%) SGPT increased (5.2%) Hypophosphatemia (3.4%) Upper respiratory tract infection (8.6%) Rhinitis (6.9%) Diplopia (3.4%) Otitis media (3.4%) Bleeding intermenstrual (3.4%) Urinary tract infection (3.4%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dyspepsia | 1 patient | 1200 mg 3 times / day steady, oral Highest studied dose Dose: 1200 mg, 3 times / day Route: oral Route: steady Dose: 1200 mg, 3 times / day Sources: |
unhealthy, 30 years (range: 18-45 years) n = 5 Health Status: unhealthy Condition: epilepsy Age Group: 30 years (range: 18-45 years) Sex: F Population Size: 5 Sources: |
Headache | 1 patient | 1200 mg 3 times / day steady, oral Highest studied dose Dose: 1200 mg, 3 times / day Route: oral Route: steady Dose: 1200 mg, 3 times / day Sources: |
unhealthy, 30 years (range: 18-45 years) n = 5 Health Status: unhealthy Condition: epilepsy Age Group: 30 years (range: 18-45 years) Sex: F Population Size: 5 Sources: |
Insomnia | 1 patient | 1200 mg 3 times / day steady, oral Highest studied dose Dose: 1200 mg, 3 times / day Route: oral Route: steady Dose: 1200 mg, 3 times / day Sources: |
unhealthy, 30 years (range: 18-45 years) n = 5 Health Status: unhealthy Condition: epilepsy Age Group: 30 years (range: 18-45 years) Sex: F Population Size: 5 Sources: |
Anorexia | 3 patients | 1200 mg 3 times / day steady, oral Highest studied dose Dose: 1200 mg, 3 times / day Route: oral Route: steady Dose: 1200 mg, 3 times / day Sources: |
unhealthy, 30 years (range: 18-45 years) n = 5 Health Status: unhealthy Condition: epilepsy Age Group: 30 years (range: 18-45 years) Sex: F Population Size: 5 Sources: |
Nausea | 5 patients | 1200 mg 3 times / day steady, oral Highest studied dose Dose: 1200 mg, 3 times / day Route: oral Route: steady Dose: 1200 mg, 3 times / day Sources: |
unhealthy, 30 years (range: 18-45 years) n = 5 Health Status: unhealthy Condition: epilepsy Age Group: 30 years (range: 18-45 years) Sex: F Population Size: 5 Sources: |
Acne | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Bleeding intermenstrual | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Diplopia | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Face edema | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Hypophosphatemia | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Otitis media | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Rash | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Urinary tract infection | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Weight decrease | 3.4% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Anxiety | 5.2% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Diarrhea | 5.2% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
SGPT increased | 5.2% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Constipation | 6.9% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Fatigue | 6.9% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Headache | 6.9% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Rhinitis | 6.9% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Dyspepsia | 8.6% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Insomnia | 8.6% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Upper respiratory tract infection | 8.6% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
Vomiting | 8.6% | 1200 mg 3 times / day multiple, oral Recommended Dose: 1200 mg, 3 times / day Route: oral Route: multiple Dose: 1200 mg, 3 times / day Sources: |
unhealthy, adult n = 58 Health Status: unhealthy Condition: epilepsy Age Group: adult Population Size: 58 Sources: |
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/9314612/ Page: 7.0 |
likely | yes (co-administration study) Comment: Felbamate reduced mean gestodene AUCO-24h by -42% compared with baseline, while a minor decrease (-13%), which was not assessed to be clinically relevant, was observed in ethinyl estradiol AUCO-24h Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 7.0 |
||
Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 3.0 |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 3,6 |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 4.0 |
no | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 4.0 |
slight | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 2.0 |
yes [Inhibition 1 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 6.0 |
yes [Ki 225 uM] | weak (co-administration study) Comment: AUCtao of phenytoin (substrate) increased by 30% when given Felbamate (1200 mg/day) Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ Page: 6.0 |
||
Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ |
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/12113905/ Page: 4.0 |
likely | |||
yes | ||||
yes | weak (co-administration study) Comment: Carbamazepine and phenytoin increased felbamate apparent clearance by 32 to 38% relative to monotherapy Sources: https://pubmed.ncbi.nlm.nih.gov/9314612/ |
PubMed
Title | Date | PubMed |
---|---|---|
Preclinical evaluation of newly approved and potential antiepileptic drugs against cocaine-induced seizures. | 1999 Sep |
|
Newer antiepileptic drugs: advantages and disadvantages. | 2001 Aug |
|
Advances in the treatment of epilepsy. | 2001 Jul 1 |
|
Monotherapy trials: presurgical studies. | 2001 May |
|
Role of glutathione S-transferases A1-1, M1-1, and P1-1 in the detoxification of 2-phenylpropenal, a reactive felbamate metabolite. | 2001 May |
|
[West syndrome--new therapeutic approach]. | 2001 May-Jun |
|
The long-term use of felbamate in children with severe refractory epilepsy. | 2001 Nov |
|
Antiepileptic drugs and agents that inhibit voltage-gated sodium channels prevent NMDA antagonist neurotoxicity. | 2002 |
|
Interactions between antiepileptic drugs and hormonal contraception. | 2002 |
|
New antiepileptic drugs: review on drug interactions. | 2002 Feb |
|
Felbamate-induced apoptosis of hematopoietic cells is mediated by redox-sensitive and redox-independent pathways. | 2002 Jan |
|
Interaction between human serum albumin and the felbamate metabolites 4-Hydroxy-5-phenyl-[1,3]oxazinan-2-one and 2-phenylpropenal. | 2002 Jun |
|
Some common issues in the use of antiepileptic drugs. | 2002 Mar |
|
Medical treatment of patients with infantile spasms. | 2002 Mar-Apr |
|
[New antiepileptic drugs: new therapeutic options]. | 2002 May |
|
Vagus nerve stimulation in a case of epilepsy with CSWSS: respiratory side effects during sleep. | 2002 Oct |
|
New antiepileptic drugs in childhood. | 2002 Sep |
|
Treatment of Lennox-Gastaut syndrome. | 2003 |
|
Pharmacogenetics--the horizon. | 2003 |
|
Drug treatment of epilepsy in elderly people: focus on valproic Acid. | 2003 |
|
Is the interaction between felbamate and valproate against seizures induced by 4-aminopyridine and pentylenetetrazole in mice beneficial? | 2003 Aug |
|
Epilepsy and adolescents. | 2003 Dec |
|
Relationship between extent of inhibition and inhibitor dose: literature evaluation based on the metabolism and transport drug interaction database. | 2003 Oct |
|
Rapid and simple high-performance liquid chromatographic determination of felbamate in serum. | 2003 Sep-Oct |
|
Preclinical profile of combinations of some second-generation antiepileptic drugs: an isobolographic analysis. | 2004 Aug |
|
Influence of carbenoxolone on the anticonvulsant efficacy of conventional antiepileptic drugs against audiogenic seizures in DBA/2 mice. | 2004 Jan 19 |
|
Isobolographic and subthreshold analysis of interactions among felbamate and four conventional antiepileptic drugs in pentylenetetrazole-induced seizures in mice. | 2004 Oct |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/cdi/felbamate.html
Adjunctive therapy: 1200 mg/day in 3-4 divided doses. The daily dose can be increased in 1200 mg increments each week as tolerated to response. Maximum daily dose: 3600 mg.
Monotherapy: 1200 mg/day in 3-4 divided doses. Increase the daily dose in 600 mg increments every two weeks as tolerated to response.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8613908
At concentrations of 30 to 100 nM, Felbamate produced a significant inhibition of high-voltage-activated Ca++ currents (-6/-15%). At saturating concentrations (1-3 uM), Felbamate-mediated inhibition averaged 44% in rat cortical and neostriatal neurons.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:16:48 GMT 2023
by
admin
on
Fri Dec 15 15:16:48 GMT 2023
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Record UNII |
X72RBB02N8
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Record Status |
Validated (UNII)
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Record Version |
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LIVERTOX |
NBK548256
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NCI_THESAURUS |
C264
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NDF-RT |
N0000008486
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NDF-RT |
N0000175753
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FDA ORPHAN DRUG |
33488
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WHO-ATC |
N03AX10
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WHO-VATC |
QN03AX10
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1269312
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100000081237
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24812
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C047360
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C47530
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DTXSID9023041
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SUB07526MIG
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25451-15-4
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7525
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FELBAMATE
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DB00949
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W-17
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4995
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m5254
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Felbamate
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3331
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5686
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1140
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247-001-4
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759866
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CHEMBL1094
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Related Record | Type | Details | ||
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BINDER->LIGAND |
BINDING
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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Related Record | Type | Details | ||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
Related Record | Type | Details | ||
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IMPURITY -> PARENT |
Relative Response Factor 0.89
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
Relative Response Factor 1.3
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
Relative Response Factor 1.7
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
Relative Response Factor 1.29
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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Related Record | Type | Details | ||
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Volume of Distribution | PHARMACOKINETIC |
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Biological Half-life | PHARMACOKINETIC |
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