Details
Stereochemistry | ACHIRAL |
Molecular Formula | C17H19N3O |
Molecular Weight | 281.3523 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=CC=C(C=C1)N(CC2=NCCN2)C3=CC(O)=CC=C3
InChI
InChIKey=MRBDMNSDAVCSSF-UHFFFAOYSA-N
InChI=1S/C17H19N3O/c1-13-5-7-14(8-6-13)20(12-17-18-9-10-19-17)15-3-2-4-16(21)11-15/h2-8,11,21H,9-10,12H2,1H3,(H,18,19)
Molecular Formula | C17H19N3O |
Molecular Weight | 281.3523 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.drugbank.ca/drugs/DB00692 | https://www.drugs.com/pro/phentolamine.html | http://reference.medscape.com/drug/regitine-oraverse-phentolamine-342392 | https://www.ncbi.nlm.nih.gov/pubmed/26180030
Curator's Comment: description was created based on several sources, including
https://www.drugbank.ca/drugs/DB00692 | https://www.drugs.com/pro/phentolamine.html | http://reference.medscape.com/drug/regitine-oraverse-phentolamine-342392 | https://www.ncbi.nlm.nih.gov/pubmed/26180030
Phentolamine (trade name Regitine) is a reversible nonselective α-adrenergic antagonist used for the control of hypertensive emergencies, most notably due to pheochromocytoma. Phentolamine produces its therapeutic actions by competitively blocking alpha-adrenergic receptors (primarily excitatory responses of smooth muscle and exocrine glands), leading to a muscle relaxation and a widening of the blood vessels. This widening of the blood vessels results in a lowering of blood pressure. The action of phentolamine on the alpha-adrenergic receptors is relatively transient and the blocking effect is incomplete. The drug is more effective in antagonizing responses to circulating epinephrine and/or norepinephrine than in antagonizing responses to mediator released at the adrenergic nerve ending. Phentolamine also stimulates β-adrenergic receptors and produces a positive inotropic and chronotropic effect on the heart and increases cardiac output. Phentolamine is indicated for the prevention or control of hypertensive episodes that may occur in a patient with pheochromocytoma as a result of stress or manipulation during preoperative preparation and surgical excision. Phentolamine is indicated for the prevention or treatment of dermal necrosis and sloughing following intravenous administration or extravasation of norepinephrine. Phentolamine is also indicated for the diagnosis of pheochromocytoma by the Phentolamine blocking test. Acute and prolonged hypotensive episodes, tachycardia, and cardiac arrhythmias have been reported. In addition, weakness, dizziness, flushing, orthostatic hypotension, nasal stuffiness, nausea, vomiting, and diarrhea may occur.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2095203 Sources: https://www.ncbi.nlm.nih.gov/pubmed/6124636 |
3.7 nM [Kd] | ||
Target ID: CHEMBL2094251 Sources: https://www.ncbi.nlm.nih.gov/pubmed/2886664 |
16.6 nM [Kd] | ||
Target ID: CHEMBL2095158 Sources: https://www.ncbi.nlm.nih.gov/pubmed/6330361 |
5.0 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | REGITINE Approved UsePhentolamine Mesylate for Injection is indicated for the prevention or control of hypertensive episodes that may occur in a patient with pheochromocytoma as a result of stress or manipulation during preoperative preparation and surgical excision. Phentolamine Mesylate for Injection is indicated for the prevention or treatment of dermal necrosis and sloughing following intravenous administration or extravasation of norepinephrine. Phentolamine Mesylate for Injection is also indicated for the diagnosis of pheochromocytoma by the phentolamine blocking test. Launch Date1952 |
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Primary | REGITINE Approved UsePhentolamine Mesylate for Injection is indicated for the prevention or control of hypertensive episodes that may occur in a patient with pheochromocytoma as a result of stress or manipulation during preoperative preparation and surgical excision. Phentolamine Mesylate for Injection is indicated for the prevention or treatment of dermal necrosis and sloughing following intravenous administration or extravasation of norepinephrine. Phentolamine Mesylate for Injection is also indicated for the diagnosis of pheochromocytoma by the phentolamine blocking test. Launch Date1952 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
67.05 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24452521 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
PHENTOLAMINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
197.59 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24452521 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
PHENTOLAMINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3.32 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24452521 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
PHENTOLAMINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Disc. AE: Rhinitis, Vomiting... AEs leading to discontinuation/dose reduction: Rhinitis Sources: Page: p.268Vomiting Nausea Diarrhea Headache Dizziness Tachycardia |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Disc. AE: Dyspnea, Tachycardia... AEs leading to discontinuation/dose reduction: Dyspnea (0.84%) Sources: Page: S51Tachycardia (0.84%) Epistaxis (0.84%) Cephalgia (0.84%) Flushing (serious, 0.84%) Chest pain (serious, 0.84%) Shortness of breath (serious, 0.84%) Tachycardia (serious, 0.84%) |
5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Disc. AE: Myocardial infarction, Cerebrovascular spasm... AEs leading to discontinuation/dose reduction: Myocardial infarction Sources: Cerebrovascular spasm Cerebral vascular occlusion Hypotension |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Diarrhea | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Dizziness | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Headache | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Nausea | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Rhinitis | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Tachycardia | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Vomiting | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Cephalgia | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Dyspnea | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Epistaxis | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Tachycardia | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Chest pain | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Flushing | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Shortness of breath | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Tachycardia | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Cerebral vascular occlusion | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Cerebrovascular spasm | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Hypotension | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Myocardial infarction | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Effects of phentolamine, dihydroergocristine and isoxsuprine on the blood pressure and heart rate in normotensive, hypotensive and hypertensive rats. | 1975 |
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A study of the sympathomimetic action of guanethidine on the isolated anococcygeus muscle of the rat. | 1978 Feb |
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Chronic treatment with antidepressant drugs: potentiation of apomorphine-induced aggressive behaviour in rats. | 1979 Aug |
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Effects of pretreatment with 6-hydroxydopamine or noradrenergic receptor blockers on the clonidine-induced distruption of conditioned avoidance responding. | 1979 Sep 1 |
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Noradrenergic influences on sound-induced seizures. | 1980 Aug |
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Electrophysiologic properties of hydralazine in man. | 1980 Sep |
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Mediation of renin release in essential hypertension by alpha-adrenoreceptors. | 1981 Nov-Dec |
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Pharmacological characterisation of the alpha-adrenoceptors responsible for a decrease of blood pressure in the nucleus tractus solitarii of the rat. | 1981 Sep |
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Alpha-adrenoceptor blockade by phentolamine causes beta-adrenergic vasodilation by increased catecholamine release due to presynaptic alpha-blockade. | 1982 Jan-Feb |
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Some functional changes in experimentally induced cardiac overload. | 1983 |
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Contribution of alpha-adrenoceptor activation to the pathogenesis of norepinephrine cardiomyopathy. | 1983 Apr |
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Involvement of adenosine receptor activities in aggressive responses produced by clonidine in mice. | 1984 |
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A lethal complication of papaverine-induced priapism. | 1991 Jan |
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Pharmacological characteristics of alpha 2-adrenergic receptors: comparison of pharmacologically defined subtypes with subtypes identified by molecular cloning. | 1992 Jul |
|
Effects of adrenergic blockers on central nervous system-mediated hyperglycemia in fed rats. | 1992 May |
|
Presynaptic alpha 2-autoreceptors in brain cortex: alpha 2D in the rat and alpha 2A in the rabbit. | 1993 Jul |
|
Further characterization of human alpha 2-adrenoceptor subtypes: [3H]RX821002 binding and definition of additional selective drugs. | 1994 Jan 24 |
|
Reasons for high drop-out rate with self-injection therapy for impotence. | 1994 Sep |
|
Involvement of the sympathetic postganglionic neuron in capsaicin-induced secondary hyperalgesia in the rat. | 1995 Mar |
|
Contribution of peripheral alpha 1A-adrenoceptors to pain induced by formalin or by alpha-methyl-5-hydroxytryptamine plus noradrenaline. | 1996 Apr 22 |
|
Cocaine-associated myocardial infarction. | 1996 Aug |
|
Neural mechanism of pressor action of nitric oxide synthase inhibitor in anesthetized monkeys. | 1996 Sep |
|
Cocaine-induced hypertension: role of the peripheral sympathetic system. | 1999 Aug |
|
Treating men with predominantly nonpsychogenic erectile dysfunction with intracavernosal vasoactive intestinal polypeptide and phentolamine mesylate in a novel auto-injector system: a multicentre double-blind placebo-controlled study. | 1999 Feb |
|
Phentolamine reduces myocardial injury and mortality in a rat model of phenylpropanolamine poisoning. | 2001 |
|
Role of the alpha(1)- and alpha(2)-adrenoceptors of the paraventricular nucleus on the water and salt intake, renal excretion, and arterial pressure induced by angiotensin II injection into the medial septal area. | 2001 Apr |
|
Phe-308 and Phe-312 in transmembrane domain 7 are major sites of alpha 1-adrenergic receptor antagonist binding. Imidazoline agonists bind like antagonists. | 2001 Jul 6 |
|
Effect of sustained adrenergic receptors stimulation and blockade on lactate threshold in rats. | 2001 Sep |
|
Physiological antagonism between ventricular beta 1-adrenoceptors and alpha 1-adrenoceptors but no evidence for beta 2- and beta 3-adrenoceptor function in murine heart. | 2002 May |
|
Effects of intravenous dobutamine on coronary vasomotion in humans. | 2003 Nov 5 |
|
Chromatography studies on bio-affinity of nine ligands of alpha1-adrenoceptor to alpha1D subtypes overexpressed in cell membrane. | 2004 Aug |
|
[Lessons learned from anesthetic management of pheochromocytoma resection: a report of three cases]. | 2004 Dec |
|
A new homogeneous high-throughput screening assay for profiling compound activity on the human ether-a-go-go-related gene channel. | 2009 Nov 1 |
|
Local and systemic toxicity of intraoral submucosal injections of phentolamine mesylate (OraVerse). | 2009 Winter |
|
Characterization of a β-adrenergic-like octopamine receptor from the rice stem borer (Chilo suppressalis). | 2012 Aug 1 |
|
Insights into the mechanisms mediating hyperglycemic and stressogenic outcomes in rats treated with monocrotophos, an organophosphorus insecticide. | 2012 Mar 29 |
|
Acute effects of a sarin-like organophosphorus agent, bis(isopropyl methyl)phosphonate, on cardiovascular parameters in anaesthetized, artificially ventilated rats. | 2013 Oct 1 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/pro/phentolamine.html
Prevention or control of hypertensive episodes in the patient with pheochromo-cytoma. For preoperative reduction of elevated blood pressure, 5 mg of Phentolamine mesylate (1 mg for children) is injected intravenously or intramuscularly 1 or 2 hours before surgery, and repeated if necessary.
During surgery, Phentolamine mesylate (5 mg for adults, 1 mg for children) is administered intravenously as indicated, to help prevent or control paroxysms of hypertension, tachycardia, respiratory depression, convulsions, or other effects of epinephrine intoxication.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26180030
Cancer cell lines, PC-3, DU-145, NCI/ADR-RES, and SKOV3 were used for activity evaluation. Cells were seeded in 96-well plates. After 24 hr,
cells were fixed with 10% trichloroacetic acid (TCA) representing cell population at time zero (T0). After additional incubation of 0.1% DMSO or phentolamine for 48 hr, cells were fixed with 10% TCA and SRB at 0.4% (w/v) in 1% acetic acid was added to stain cells. Unbound SRB was washed out. SRB bound cells were solubilized with 10mM Trizma base.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 15:20:45 GMT 2023
by
admin
on
Fri Dec 15 15:20:45 GMT 2023
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Record UNII |
Z468598HBV
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Record Status |
Validated (UNII)
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Record Version |
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WHO-VATC |
QV03AB36
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NCI_THESAURUS |
C29713
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NDF-RT |
N0000175553
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WHO-ATC |
C04AB01
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V03AB36
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N0000000099
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QC04AB01
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C62066
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DTXSID4023462
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8153
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5775
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50-60-2
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D010646
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Z468598HBV
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DB00692
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3382
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m8646
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200-053-1
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SALT/SOLVATE -> PARENT | |||
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TARGET -> AGONIST |
SHORT-ACTING
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ACTIVE MOIETY |
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Biological Half-life | PHARMACOKINETIC |
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