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Cidoxepin

From Wikipedia, the free encyclopedia
Pharmaceutical drug

Pharmaceutical compound
Cidoxepin
Clinical data
Other names(Z)-Doxepin;cis-Doxepin; P-4599
Identifiers
  • (3Z)-3-(6H-Benzo[c][1]benzoxepin-11-ylidene)-N,N-dimethylpropan-1-amine
CAS Number
PubChemCID
ChemSpider
UNII
ChEBI
CompTox Dashboard(EPA)
Chemical and physical data
FormulaC19H21NO
Molar mass279.383 g·mol−1
3D model (JSmol)
  • CN(C)CC/C=C\1/C2=CC=CC=C2COC3=CC=CC=C31
  • InChI=1S/C19H21NO/c1-20(2)13-7-11-17-16-9-4-3-8-15(16)14-21-19-12-6-5-10-18(17)19/h3-6,8-12H,7,13-14H2,1-2H3/b17-11-
  • Key:ODQWQRRAPPTVAG-BOPFTXTBSA-N

Cidoxepin (former developmental code nameP-4599), also known ascis-doxepin or(Z)-doxepin, is atricyclic antidepressant which was developed in the 1960s but was never marketed.[1][2] It is thecis or (Z)stereoisomer ofdoxepin, amixture of(E) and (Z) isomers that is used commercially in a ratio of approximately 85:15 with cidoxepin as a relatively minor constituent.[1][3] However, the drug has similaractivity to that of doxepin, acting as aserotonin–norepinephrine reuptake inhibitor,H1 receptorantagonist, andanticholinergic, and notably is thought to have moreantidepressant activity thantrans-doxepin.[3][4][5] Thecentral anticholinergic activity of cidoxepin has been reported to be 3-fold greater than that of thetrans isomer in mice.[5]

Cidoxepin has recently been reinvestigated and is now currently under development as anantihistamine by Elorac, Inc. for the treatment of chronicurticaria (hives).[4] As of 2017, it is inphase IIclinical trials for this indication.[4] The drug was also under investigation for the treatment ofallergic rhinitis (hay fever),atopic dermatitis (atopiceczema), andcontact dermatitis, but development for these indications was discontinued.[4]

See also

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References

[edit]
  1. ^abJ. Elks (14 November 2014).The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies. Springer. pp. 469–.ISBN 978-1-4757-2085-3.
  2. ^Gallant DM, Bishop MP, Guerrero-Figueroa R, Selby M, Phillips R (1969). "Doxepin versus diazepam: a controlled evaluation in 100 chronic alcoholic patients".J Clin Pharmacol J New Drugs.9 (1):57–65.doi:10.1177/009127006900900109.PMID 4885966.S2CID 40022213.
  3. ^abShufeng Zhou (6 April 2016).Cytochrome P450 2D6: Structure, Function, Regulation and Polymorphism. CRC Press. pp. 142–.ISBN 978-1-4665-9788-4.
  4. ^abcd"Cidoxepin - AdisInsight".
  5. ^abHagedorn HW, Meiser H, Zankl H, Schulz R (2001). "Elimination of doxepin isomers from the horse following intravenous application".J. Vet. Pharmacol. Ther.24 (4):283–9.doi:10.1046/j.1365-2885.2001.00345.x.PMID 11555184.

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