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Prestwick3_000529
Also known as: Serentil, 5588-33-0, Lidanar, Calodal, Lidanil, Thioridazine-2-sulfoxide
Molecular Formula
C21H26N2OS2
Molecular Weight
386.6  g/mol
InChI Key
SLVMESMUVMCQIY-UHFFFAOYSA-N
FDA UNII
5XE4NWM740

A phenothiazine antipsychotic with effects similar to CHLORPROMAZINE.
Mesoridazine is a Phenothiazine.
1 2D Structure

Prestwick3_000529

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
10-[2-(1-methylpiperidin-2-yl)ethyl]-2-methylsulfinylphenothiazine
2.1.2 InChI
InChI=1S/C21H26N2OS2/c1-22-13-6-5-7-16(22)12-14-23-18-8-3-4-9-20(18)25-21-11-10-17(26(2)24)15-19(21)23/h3-4,8-11,15-16H,5-7,12-14H2,1-2H3
2.1.3 InChI Key
SLVMESMUVMCQIY-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CN1CCCCC1CCN2C3=CC=CC=C3SC4=C2C=C(C=C4)S(=O)C
2.2 Other Identifiers
2.2.1 UNII
5XE4NWM740
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Serentil

2.3.2 Depositor-Supplied Synonyms

1. Serentil

2. 5588-33-0

3. Lidanar

4. Calodal

5. Lidanil

6. Thioridazine-2-sulfoxide

7. Tps23

8. Tps-23

9. Thioridazine Thiomethyl Sulfoxide

10. Nc-123

11. Mesoridazina

12. Mesoridazinum

13. Thd-2-so

14. T-2-so

15. Tps 23

16. Mesoridazine Free Base

17. Nsc186066

18. Thioridazien Thiomethyl Sulfoxide

19. Nsc 186066

20. Nsc-186066

21. 10-(2-(1-methyl-2-piperidyl)ethyl)-2-methylsulfinyl Phenothiazine

22. Chembl1088

23. 10-[2-(1-methylpiperidin-2-yl)ethyl]-2-(methylsulfinyl)-10h-phenothiazine

24. 10h-phenothiazine, 10-(2-(1-methyl-2-piperidinyl)ethyl)-2-(methylsulfinyl)-

25. 5xe4nwm740

26. Chebi:6780

27. 10-(2(1-methyl-2-piperidyl)ethyl)-2-(methylsulfinyl)-phenothiazine

28. 10-[2-(1-methylpiperidin-2-yl)ethyl]-2-methylsulfinylphenothiazine

29. 10-(2-(1-methyl-2-piperidinyl)ethyl)-2-(methylsulfinyl)-10h-phenothiazine

30. 10h-phenothiazine, 10-[2-(1-methyl-2-piperidinyl)ethyl]-2-(methylsulfinyl)-

31. Nsc 186066; Serentil; Tps 23

32. Ncgc00163157-01

33. 5588-33-0 (free Base)

34. 10-(2(1-methyl-2-piperidyl)ethyl)-2-(methylsulfinyl)phenothiazine

35. Dsstox_cid_3265

36. 10-(2-(1-methylpiperidin-2-yl)ethyl)-2-(methylsulfinyl)-10h-phenothiazine

37. 2-methanesulfinyl-10-[2-(1-methyl-piperidin-2-yl)-ethyl]-10h-phenothiazine

38. Dsstox_rid_76948

39. Dsstox_gsid_23265

40. Mesoridazinum [inn-latin]

41. Mesoridazina [inn-spanish]

42. 10-[2(1-methyl-2-piperidyl)ethyl]-2-(methylsulfinyl)phenothiazine

43. 10-[2-(1-methyl-2-piperidyl)ethyl]-2-methylsulfinyl Phenothiazine

44. Lidanar (tn)

45. Cas-5588-33-0

46. Thioridazine Monosulfoxide Analog

47. Hsdb 3357

48. Thioridazine 2-sulfoxide

49. Mesoridazine (usan/inn)

50. Unii-5xe4nwm740

51. Sr-01000759425

52. Mesoridazine [usan:inn:ban]

53. Prestwick1_000529

54. Prestwick2_000529

55. Prestwick3_000529

56. Mesoridazine [mi]

57. Mesoridazine [inn]

58. Biomol-nt_000013

59. Mesoridazine [hsdb]

60. Mesoridazine [usan]

61. Mesoridazine [vandf]

62. Schembl19735

63. Bspbio_000517

64. Mesoridazine [mart.]

65. Mesoridazine [who-dd]

66. Spbio_002438

67. Bpbio1_000569

68. Bpbio1_001167

69. Gtpl7227

70. Dtxsid3023265

71. Hy-b1482a

72. Hms2090h22

73. Tox21 112018

74. Tox21_110052

75. Tox21_112018

76. Bdbm50131440

77. Ns-531

78. Phenothiazine, 10-[2-(1-methyl-2-piperidyl)ethyl]-2-(methylsulfinyl)-

79. Tox21_110052_1

80. Db00933

81. Ncgc00014529-01

82. Ncgc00163157-02

83. Ncgc00163157-03

84. Ncgc00163157-04

85. Ncgc00163157-05

86. Nci60_001547

87. Ab00513854

88. Cs-0013666

89. Ft-0671034

90. Thioridazine Impurity B [ep Impurity]

91. C07143

92. D02671

93. Ab00513854-11

94. Ab00513854_12

95. Ab00513854_13

96. L000852

97. Q6821618

98. Sr-01000759425-4

99. Wln: T C666 Bn Isj Eso&1 B2- Bt6ntj A

100. Brd-a14395271-001-01-5

101. Brd-a14395271-074-03-8

102. Thioridazine Hydrochloride Impurity B [ep Impurity]

103. 10-[2-(1-methyl-2-piperidyl)ethyl]-2-methylsulfinyl-phenothiazine

104. 2-methanesulfinyl-10-[2-(1-methylpiperidin-2-yl)ethyl]-10h-phenothiazine

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 386.6 g/mol
Molecular Formula C21H26N2OS2
XLogP34.5
Hydrogen Bond Donor Count0
Hydrogen Bond Acceptor Count5
Rotatable Bond Count4
Exact Mass386.14865580 g/mol
Monoisotopic Mass386.14865580 g/mol
Topological Polar Surface Area68.1 Ų
Heavy Atom Count26
Formal Charge0
Complexity502
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count2
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Therapeutic Uses

Antipsychotic Agents, Phenothiazine; Dopamine Antagonists

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


THE ANTIPSYCHOTIC DRUGS HAVE A HIGH THERAPEUTIC INDEX & ARE REMARKABLY SAFE AGENTS. FURTHERMORE, MOST PHENOTHIAZINES HAVE RELATIVELY FLAT DOSE-RESPONSE CURVE AND CAN BE USED OVER WIDE RANGE OF DOSAGES. ...SIDE EFFECTS ARE OFTEN EXTENSIONS OF MANY PHARMACOLOGICAL ACTIONS OF DRUGS... /PHENOTHIAZINES/

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 414


...INDICATED FOR MGMNT OF SCHIZOPHRENIA, ORG BRAIN DISORDERS, SYMPTOMS OF ALC WITHDRAWAL, & PSYCHONEUROSES. CLINICAL STUDIES TO DATE INDICATE THAT MESORIDAZINE BESYLATE HAS LOW INCIDENCE OF ADVERSE REACTIONS COMPARED WITH OTHER PHENOTHIAZINES. /BESYLATE/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1026


8 WK THERAPY WITH THIORIDAZINE & MESORIDAZINE BESYLATE. THIORIDAZINE TREATED PT WERE SUPERIOR TO LATTER TREATED PT. IMPLICATIONS FOR CHEMOTHERAPY OF SCHIZOPHRENICS CONSIDERED.

GILLIS, DAVIS; EFFECTS OF THIORIDAZINE AND MESORIDAZINE ON THE INTERPERSONAL LEARNING OF ACUTE SCHIZOPHRENICS; CURR THER RES CLIN EXP 21 507 (1977)


For more Therapeutic Uses (Complete) data for MESORIDAZINE (6 total), please visit the HSDB record page.


4.2 Drug Warning

NEUROLEPTIC AGENTS ... SHOULD BE USED WITH EXTREME CAUTION, IF @ ALL, IN UNTREATED EPILEPTIC PT & IN PT UNDERGOING WITHDRAWAL FROM CENTRAL DEPRESSANT DRUGS SUCH AS ALCOHOL, BARBITURATES, OR BENZODIAZEPINES. MOST ANTIPSYCHOTIC DRUGS ... CAN BE USED SAFELY IN EPILEPTICS IF MODERATE DOSES ARE ATTAINED GRADUALLY AND IF CONCOMITANT ANTICONVULSANT DRUG THERAPY IS MAINTAINED. /PHENOTHIAZINES/

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 408


PHENOTHIAZINES INHIBIT EJACULATION WITHOUT INTERFERING WITH ERECTION. /PHENOTHIAZINES/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 161


WT GAIN & INCR IN APPETITE OCCUR WITH ALL PHENOTHIAZINES... PERIPHERAL EDEMA OCCURS IN 1-3% OF PT & MAY BE OF ENDOCRINE ORIGIN. /PHENOTHIAZINES/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 162


The antipsychotic drugs are not addicting ... However, some degree of physical dependence may occur, with malaise and difficulty in sleeping developing several days after abrupt discontinuation. Tolerance usually develops to the sedative effects ... over a period of days or weeks. Tolerance ... is demonstrable in behavioral and biochemical experiments in animals ... /Antipsychotic drugs/

Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996., p. 413


For more Drug Warnings (Complete) data for MESORIDAZINE (20 total), please visit the HSDB record page.


4.3 Drug Indication

Used in the treatment of schizophrenia, organic brain disorders, alcoholism and psychoneuroses.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Mesoridazine, the besylate salt of a metabolite of thioridazine, is a phenothiazine tranquilizer. Pharmacological studies in laboratory animals have established that mesoridazine has a spectrum of pharmacodynamic actions typical of a major tranquilizer. In common with other tranquilizers it inhibits spontaneous motor activity in mice, prolongs thiopental and hexobarbital sleeping time in mice and produces spindles and block of arousal reaction in the EEG of rabbits. It is effective in blocking spinal reflexes in the cut and antagonizes d-amphetamine excitation and toxicity in grouped mice. It shows a moderate adrenergic blocking activity in vitro and in vivo and antagonizes 5-hydroxytryptamine in vivo. Intravenously administered, it lowers the blood pressure of anesthetized dogs. It has a weak antiacetylcholine effect in vitro.


5.2 MeSH Pharmacological Classification

Antipsychotic Agents

Agents that control agitated psychotic behavior, alleviate acute psychotic states, reduce psychotic symptoms, and exert a quieting effect. They are used in SCHIZOPHRENIA; senile dementia; transient psychosis following surgery; or MYOCARDIAL INFARCTION; etc. These drugs are often referred to as neuroleptics alluding to the tendency to produce neurological side effects, but not all antipsychotics are likely to produce such effects. Many of these drugs may also be effective against nausea, emesis, and pruritus. (See all compounds classified as Antipsychotic Agents.)


Dopamine Antagonists

Drugs that bind to but do not activate DOPAMINE RECEPTORS, thereby blocking the actions of dopamine or exogenous agonists. Many drugs used in the treatment of psychotic disorders (ANTIPSYCHOTIC AGENTS) are dopamine antagonists, although their therapeutic effects may be due to long-term adjustments of the brain rather than to the acute effects of blocking dopamine receptors. Dopamine antagonists have been used for several other clinical purposes including as ANTIEMETICS, in the treatment of Tourette syndrome, and for hiccup. Dopamine receptor blockade is associated with NEUROLEPTIC MALIGNANT SYNDROME. (See all compounds classified as Dopamine Antagonists.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
MESORIDAZINE
5.3.2 FDA UNII
5XE4NWM740
5.3.3 Pharmacological Classes
Chemical Structure [CS] - Phenothiazines
5.4 ATC Code

N - Nervous system

N05 - Psycholeptics

N05A - Antipsychotics

N05AC - Phenothiazines with piperidine structure

N05AC03 - Mesoridazine


5.5 Absorption, Distribution and Excretion

Absorption

Well absorbed from the gastrointestinal tract.


TOTAL URINARY & FECAL EXCRETION BY MONKEYS (10 DAY PERIOD) OF THIORIDAZINE WAS 64-76% & 83-92% FOR MESORIDAZINE (FECAL EXCRETION 2-4 TIMES GREATER). GREATER EXCRETION OF LATTER MAY BE DUE TO LESSER OVERALL TISSUE ADSORPTION OR LESS EXTENSIVE ENTERO-HEPATIC CYCLING.

FORREST ET AL; COMMUN PSYCHOPHARMACOL 3(5) 325 (1979)


WELL ABSORBED FROM GI TRACT. ONSET & DURATION OF ACTION & METABOLIC FATE... NOT...PRECISELY DETERMINED /HUMAN, ORAL, IM/. IN ANIMAL STUDIES, APPROX 2/3 OF DOSE...EXCRETED IN FECES VIA BILE & 1/3 OF DOSE...EXCRETED IN URINE. /BESYLATE/

American Society of Hospital Pharmacists. Data supplied on contract from American Hospital Formulary Service and other current ASHP sources., p. 1970


PHENOTHIAZINES CROSS PLACENTAL BARRIER & MAY APPEAR IN MILK OF NURSING MOTHERS...PHENOTHIAZINES &...METABOLITES...EXCRETED IN URINE, BILE, & FECES. CERTAIN METABOLITES &...FREE DRUGS...DETECTED IN URINE UP TO 6 MO AFTER THERAPY...DISCONTINUED /HUMAN, ORAL, IM/

American Society of Hospital Pharmacists. Data supplied on contract from American Hospital Formulary Service and other current ASHP sources., p. 1970


PHENOTHIAZINES...ABSORBED WELL FROM GI TRACT & FROM PARENTERAL SITES. GENERALLY...CLEARED FROM PLASMA WITHIN APPROX 3 HR...DISTRIBUTED TO MOST BODY TISSUES...HIGH CONCN OF UNCHANGED DRUG...IN BRAIN...METABOLITES PREDOMINATE IN LUNG, LIVER, KIDNEYS...SPLEEN /HUMAN, ORAL, IM/

American Society of Hospital Pharmacists. Data supplied on contract from American Hospital Formulary Service and other current ASHP sources., p. 1970


5.6 Metabolism/Metabolites

THIORIDAZINE-2-SULFOXIDE PROBABLY YIELDS THIORIDAZINE-2,5-DISULFOXIDE IN RAT: ZEHNDER, K ET AL, BIOCHEM PHARMAC, 11, 535 (1962). /FROM TABLE/

Goodwin, B.L. Handbook of Intermediary Metabolism of Aromatic Compounds. New York: Wiley, 1976., p. T-13


Thioridazine 2-sulfoxide is a known human metabolite of Thioridazine.

S73 | METXBIODB | Metabolite Reaction Database from BioTransformer | DOI:10.5281/zenodo.4056560


5.7 Biological Half-Life

24 to 48 hours


5.8 Mechanism of Action

Based upon animal studies, mesoridazine, as with other phenothiazines, acts indirectly on reticular formation, whereby neuronal activity into reticular formation is reduced without affecting its intrinsic ability to activate the cerebral cortex. In addition, the phenothiazines exhibit at least part of their activities through depression of hypothalamic centers. Neurochemically, the phenothiazines are thought to exert their effects by a central adrenergic blocking action.


...MECHANISM OF ACTION OF ANTIPSYCHOTIC DRUGS WITH RESPECT TO THERAPEUTIC EFFICACY & SIDE EFFECTS MAY RELATE TO INHIBITION OF DOPAMINE ACTIVATION OF ADENYLATE CYCLASE. /PHENOTHIAZINES/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 160


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