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QuickView for Diphenoxylate (compound)


PubChem
Name: Diphenoxylate
PubChem Compound ID: 13505
Description: A MEPERIDINE congener used as an antidiarrheal, usually in combination with ATROPINE. At high doses, it acts like morphine. Its unesterified metabolite difenoxin has similar properties and is used similarly. It has little or no analgesic activity.
Molecular formula: C30H32N2O2
Molecular weight: 452.587 g/mol
Synonyms:
5-22-02-00487 (Beilstein Handbook Reference); R-1132; 4-Piperidinecarboxylic acid, 1-(3-cyano-3,3-diphenylpropyl)-4-phenyl-, ethyl ester (9CI); 1-(3-Cyano-3,3-diphenylpropyl)-4-phenyl-isonipecotic acid ethyl ester; Difenoxilato [Spanish]; 1-(3-Cyano-3,3-diphenylpropyl)-4-phenyl-4-piperidinecarboxylic acid ethyl ester; 915-30-0; Diphenoxylatum [Latin]; Isonipecotic acid, 1-(3-cyano-3,3-diphenylpropyl)-4-phenyl-, ethyl ester; 2,2-Diphenyl-4-(4-carbethoxy-4-phenylpiperidino)butyronitrile.
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DrugBank
Identification
Name: Diphenoxylate
Name (isomeric): DB01081
Drug Type: small molecule
Description: A MEPERIDINE congener used as an antidiarrheal, usually in combination with ATROPINE. At high doses, it acts like morphine. Its unesterified metabolite difenoxin has similar properties and is used similarly. It has little or no analgesic activity.
Synonyms:
Diphenoxylatum [INN-Latin]; Diphenoxylate Hydrochloride; Diphenoxalate; Difenossilato [Dcit]; Dea No. 9170; Difenoxilato [INN-Spanish]
Brand: Lomotil
Brand name mixture: Lomotil(Atropine Sulfate + Diphenoxylate Hcl)
Category: Antiperistaltic, Narcotics, Analgesics, Opioid, Antidiarrheals
CAS number: 915-30-0
Pharmacology
Indication: For as adjunctive therapy in the management of diarrhea
Pharmacology: Diphenoxylate, an antidiarrheal, is effective as adjunctive therapy in the management of diarrhea. Diphenoxylate is rapidly and extensively metabolized in man by ester hydrolysis to diphenoxylic acid (difenoxine), which is biologically active and the major metabolite in the blood.
Mechanism of Action:
Diphenoxylate is an opiate receptor agonists that stimulate mu receptors in GI to decrease the peristalsis and constrict the sphincters. Diphenoxylate has a direct effect on circular smooth muscle of the bowel, that conceivably results in segmentation and prolongation of gastrointestinal transit time. The clinical antidiarrheal action of diphenoxyl...
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Absorption: 90%
Protein binding: 74-95%
Biotransformation: Hepatic
Half Life: 12-14 hours
Toxicity: Coma, dry skin and mucous membranes, enlarged pupils of the eyes, extremely high body temperature, flushing, involuntary eyeball movement, lower than normal muscle tone, pinpoint pupils, rapid heartbeat, restlessness, sluggishness, suppressed breathing
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Avoid alcohol.
Take with food.
Drug interaction:
DonepezilPossible antagonism of action
GalantaminePossible antagonism of action

Targets