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QuickView for Orphenadrine (compound)


PubChem
Name: Orphenadrine
PubChem Compound ID: 20846
Description: A muscarinic antagonist used to treat drug-induced parkinsonism and to relieve pain from muscle spasm.
Molecular formula: C24H31NO8
Molecular weight: 461.505 g/mol
Synonyms:
2-Dimethylaminoethyl-2-methyl-benzhydryl ether citrate; Ethanamine, N,N-dimethyl-2-((2-methylphenyl)phenylmethoxy)-, 2-hydroxy-1,2,3-propanetricarboxylate; N,N-Dimethyl-2-((o-methyl-alpha-phenyl-benzyl)oxy)-ethylamine citrate; ETHYLAMINE, N,N-DIMETHYL-2-((o-METHYL-alpha-PHENYLBENZYL)OXY)-, CITRATE; 4724-58-7; R-528; Benhexal
DrugBank
Identification
Name: Orphenadrine
Name (isomeric): DB01173
Drug Type: small molecule
Description: A muscarinic antagonist used to treat drug-induced parkinsonism and to relieve pain from muscle spasm.
Synonyms:
Orphenadrin; Orphenate; Orphenadrine Citrate; Mephenamine; O-Methyldiphenhydramine; Orphenadine; Orphenedrine
Brand: Myolin, Antiflex, Norflex, Myotrol, Biorphen, Brocadisipal, Flexoject, Disipal, Mio-Rel, Brocasipal, Banflex, Orfro
Category: Muscarinic Antagonists, Parasympatholytics, Antidyskinetics, Muscle Relaxants, Central, Antiparkinson Agents, Skeletal Muscle Relaxants
CAS number: 83-98-7
Pharmacology
Indication: Indicated for the treatment of Parkinson's disease.
Pharmacology:
Orphenadrine is indicated as an adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute painful musculoskeletal conditions. Orphenadrine is an anticholinergic with a predominantly central effect and only a weak peripheral effect. In addition, it has mild antihistaminic and local anaesthetic propertie...
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Mechanism of Action:
Orphenadrine binds and inhibits both histamine H1 receptors and NMDA receptors. It restores the motor disturbances induced by neuroleptics, in particular the hyperkinesia. The dopamine deficiency in the striatum increases the stimulating effects of the cholinergic system. This stimulation is counteracted by the anticholinergic effect of orphenadrin...
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Absorption: Orphenadrine is almost completely absorbed in the gastrointestinal tract.
Protein binding: 95%
Biotransformation: Biotransformation occurs mainly in the liver. Pharmacologically active metabolites are N-demethyl orphenadrine and N,N-didemethyl orphenadrine.
Half Life: 13-20 hours
Toxicity: Oral, mouse LD50 = 100 mg/kg; oral, rat LD50 = 255 mg/kg
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Take without regard to meals. Avoid alcohol.
Drug interaction:
TrimethobenzamideTrimethobenzamide and Orphenadrine, two anticholinergics, may cause additive anticholinergic effects and enhance their adverse/toxic effects. Monitor for enhanced anticholinergic effects.
DonepezilPossible antagonism of action
DocetaxelOrphenadrine may increase the serum levels and toxicity of docetaxel.
TacrineThe therapeutic effects of the central acetylcholinesterase inhibitor, Tacrine, and/or the anticholinergic, Orphenadrine, may be reduced due to antagonism. The interaction may be beneficial when the anticholinergic action is a side effect. Monitor for decreased efficacy of both agents.
RivastigminePossible antagonism of action
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