General Information of Drug (ID: DMGN1PW)

Drug Name
Indapamide
Synonyms
Arifon; Bajaten; Cormil; Damide; Fludex; Idapamide; Indaflex; Indamol; Indapamida; Indapamidum; Ipamix; Lozide; Lozol; Metindamide; Natrilix; Natrix; Noranat; Pressurai; Tandix; Tertensif; Veroxil; RHC 2555; SE 1520; USV 2555; Apo-Indapamide; Indapamida [INN-Spanish]; Indapamide (USP); Indapamidum [INN-Latin]; Lozol (TN); Natrilix (TN); Natrix (TN); Novo-Indapamide; Nu-Indapamide; S-1520; SE-1520; Indapamide (JAN/USP); Indapamide [USAN:INN:BAN:JAN]; N-[4-Chloro-3-sulfamoylbenzamido]-2-methylindoline; NLozol, Arifon, Fludex, Noranat, Veroxil, Tertensif, Indapamide; N-(4-Chloro-3-sulfamoylbenzamido)-2-methylindoline; Benzamide, 3-(aminosulfonyl)-4-chloro-N-(2,3-dihydro-2-methyl-1H-indol-1-yl)-(9CI); 1-(4-Chloro-3-sulfamoylbenzamido)-2-methylindoline; 3-(Aminosulfonyl)-4-chloro-N-(2,3-dihydro-2-methyl-1H-indol-1-yl)benzamide; 4-Chloro-N-(2-methyl-1-indolinyl)-3-sulfamoylbenzamide; 4-chloro-N-(2-methyl-2,3-dihydroindol-1-yl)-3-sulfamoylbenzamide
Indication
Disease Entry ICD 11 Status REF
Edema MG29 Approved [1]
Hypertension BA00-BA04 Approved [2]
Malignant essential hypertension BA00 Approved [1]
Therapeutic Class
Antihypertensive Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 365.8
Logarithm of the Partition Coefficient (xlogp) 2.9
Rotatable Bond Count (rotbonds) 3
Hydrogen Bond Donor Count (hbonddonor) 2
Hydrogen Bond Acceptor Count (hbondacc) 5
ADMET Property
Absorption AUC
The area under the plot of plasma concentration (AUC) of drug is 6,680 mcgh/L [3]
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 350 mcg/L [3]
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 1 h [3]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 1: high solubility and high permeability [4]
Bioavailability
The bioavailability of drug is 93% [3]
Clearance
The clearance of drug is 1.71 mL/min [5]
Elimination
About 60-70% of indapamide is eliminated in the urine, while 16-23% is eliminated in the feces [5]
Half-life
The concentration or amount of drug in body reduced by one-half in 13.9 - 18 hours [6]
Metabolism
The drug is metabolized via the liver [6]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 0.1952 micromolar/kg/day [7]
Vd
The volume of distribution (Vd) of drug is 60 L [6]
Water Solubility
The ability of drug to dissolve in water is measured as 0.59 mg/mL [4]
Chemical Identifiers
Formula
C16H16ClN3O3S
IUPAC Name
4-chloro-N-(2-methyl-2,3-dihydroindol-1-yl)-3-sulfamoylbenzamide
Canonical SMILES
CC1CC2=CC=CC=C2N1NC(=O)C3=CC(=C(C=C3)Cl)S(=O)(=O)N
InChI
InChI=1S/C16H16ClN3O3S/c1-10-8-11-4-2-3-5-14(11)20(10)19-16(21)12-6-7-13(17)15(9-12)24(18,22)23/h2-7,9-10H,8H2,1H3,(H,19,21)(H2,18,22,23)
InChIKey
NDDAHWYSQHTHNT-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
3702
ChEBI ID
CHEBI:5893
CAS Number
26807-65-8
DrugBank ID
DB00808
TTD ID
D0H8FH
VARIDT ID
DR00626
INTEDE ID
DR0868
ACDINA ID
D00327
Combinatorial Drugs (CBD) Click to Jump to the Detailed CBD Information of This Drug
Repurposed Drugs (RPD) Click to Jump to the Detailed RPD Information of This Drug

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Voltage-gated potassium channel Kv7.1 (KCNQ1) TT846HF KCNQ1_HUMAN Blocker [8]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [9]

Drug Off-Target (DOT)
DOT Name DOT ID UniProt ID Interaction REF
Alpha-2A adrenergic receptor (ADRA2A) OTZFGOTP ADA2A_HUMAN Gene/Protein Processing [10]
HLA class II histocompatibility antigen, DO alpha chain (HLA-DOA) OTZE5Q7R DOA_HUMAN Gene/Protein Processing [11]
Renin (REN) OT52GZR2 RENI_HUMAN Gene/Protein Processing [12]
Rho GTPase-activating protein 45 (ARHGAP45) OTL86FEQ HMHA1_HUMAN Gene/Protein Processing [11]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Edema
ICD Disease Classification MG29
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 9.85E-01 2.24E-02 7.33E-02
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Indapamide
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Acebutolol DM0TI4U Moderate Increased risk of hyperglycemia by the combination of Indapamide and Acebutolol. Hypertension [BA00-BA04] [13]
Captopril DM458UM Moderate Additive hypotensive effects by the combination of Indapamide and Captopril. Hypertension [BA00-BA04] [14]
Penbutolol DM4ES8F Moderate Increased risk of hypertriglyceridemia by the combination of Indapamide and Penbutolol. Hypertension [BA00-BA04] [13]
Nebivolol DM7F1PA Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Nebivolol. Hypertension [BA00-BA04] [13]
Pindolol DMD2NV7 Moderate Increased risk of hyperglycemia by the combination of Indapamide and Pindolol. Hypertension [BA00-BA04] [13]
Quinapril DMR8H31 Moderate Additive hypotensive effects by the combination of Indapamide and Quinapril. Hypertension [BA00-BA04] [14]
⏷ Show the Full List of 6 DDI Information of This Drug
Coadministration of a Drug Treating the Disease Different from Indapamide (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Dronedarone DMA8FS5 Major Increased risk of ventricular arrhythmias by the combination of Indapamide and Dronedarone. Angina pectoris [BA40] [15]
Rabeprazole DMMZXIW Moderate Increased risk of hypomagnesemia by the combination of Indapamide and Rabeprazole. Bacterial infection [1A00-1C4Z] [16]
Cariprazine DMJYDVK Moderate Additive hypotensive effects by the combination of Indapamide and Cariprazine. Bipolar disorder [6A60] [17]
Phenylbutazone DMAYL0T Moderate Antagonize the effect of Indapamide when combined with Phenylbutazone. Chronic pain [MG30] [18]
Ketoprofen DMRKXPT Moderate Antagonize the effect of Indapamide when combined with Ketoprofen. Chronic pain [MG30] [18]
Levomilnacipran DMV26S8 Moderate Increased risk of hyponatremia by the combination of Indapamide and Levomilnacipran. Chronic pain [MG30] [19]
Sertraline DM0FB1J Moderate Increased risk of hyponatremia by the combination of Indapamide and Sertraline. Depression [6A70-6A7Z] [19]
Vilazodone DM4LECQ Moderate Increased risk of hyponatremia by the combination of Indapamide and Vilazodone. Depression [6A70-6A7Z] [19]
Selegiline DM6034S Moderate Additive hypotensive effects by the combination of Indapamide and Selegiline. Depression [6A70-6A7Z] [20]
Vortioxetine DM6F1PU Moderate Increased risk of hyponatremia by the combination of Indapamide and Vortioxetine. Depression [6A70-6A7Z] [19]
Isocarboxazid DMAF1NB Moderate Additive hypotensive effects by the combination of Indapamide and Isocarboxazid. Depression [6A70-6A7Z] [20]
Milnacipran DMBFE74 Moderate Increased risk of hyponatremia by the combination of Indapamide and Milnacipran. Depression [6A70-6A7Z] [19]
Escitalopram DMFK9HG Moderate Increased risk of hyponatremia by the combination of Indapamide and Escitalopram. Depression [6A70-6A7Z] [19]
Desvenlafaxine DMHD4PE Moderate Increased risk of hyponatremia by the combination of Indapamide and Desvenlafaxine. Depression [6A70-6A7Z] [19]
OPC-34712 DMHG57U Moderate Additive hypotensive effects by the combination of Indapamide and OPC-34712. Depression [6A70-6A7Z] [17]
Mepenzolate DM8YU2F Minor Altered absorption of Indapamide due to GI dynamics variation caused by Mepenzolate. Digestive system disease [DE2Z] [21]
Oxybutynine DMJPBAX Minor Altered absorption of Indapamide due to GI dynamics variation caused by Oxybutynine. Discovery agent [N.A.] [21]
Eslicarbazepine DMZREFQ Moderate Increased risk of hyponatremia by the combination of Indapamide and Eslicarbazepine. Epilepsy/seizure [8A61-8A6Z] [22]
Ethacrynic acid DM60QMR Moderate Increased risk of fluid/electrolyte loss by the combination of Indapamide and Ethacrynic acid. Essential hypertension [BA00] [23]
Nadolol DMW6GVL Moderate Increased risk of hyperglycemia by the combination of Indapamide and Nadolol. Essential hypertension [BA00] [13]
Solifenacin DMG592Q Minor Altered absorption of Indapamide due to GI dynamics variation caused by Solifenacin. Functional bladder disorder [GC50] [21]
Tolterodine DMSHPW8 Minor Altered absorption of Indapamide due to GI dynamics variation caused by Tolterodine. Functional bladder disorder [GC50] [21]
Dexlansoprazole DM1DBV5 Moderate Increased risk of hypomagnesemia by the combination of Indapamide and Dexlansoprazole. Gastro-oesophageal reflux disease [DA22] [16]
Metipranolol DMJMVKI Moderate Increased risk of hyperglycemia by the combination of Indapamide and Metipranolol. Glaucoma [9C61] [13]
Levobetaxolol DMSREPX Moderate Increased risk of hyperglycemia by the combination of Indapamide and Levobetaxolol. Glaucoma [9C61] [13]
Levobunolol DMTNFCQ Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Levobunolol. Glaucoma [9C61] [13]
Carvedilol DMHTEAO Moderate Increased risk of hyperglycemia by the combination of Indapamide and Carvedilol. Heart failure [BD10-BD1Z] [13]
Bumetanide DMRV7H0 Moderate Increased risk of fluid/electrolyte loss by the combination of Indapamide and Bumetanide. Heart failure [BD10-BD1Z] [23]
Digitoxin DMWVIGP Moderate Increased risk of hypokalemia by the combination of Indapamide and Digitoxin. Heart failure [BD10-BD1Z] [24]
Procarbazine DMIK367 Moderate Additive hypotensive effects by the combination of Indapamide and Procarbazine. Hodgkin lymphoma [2B30] [20]
Belladonna DM2RBWK Minor Altered absorption of Indapamide due to GI dynamics variation caused by Belladonna. Infectious gastroenteritis/colitis [1A40] [21]
Meclofenamic acid DM05FXR Moderate Antagonize the effect of Indapamide when combined with Meclofenamic acid. Inflammatory spondyloarthritis [FA92] [18]
ITI-007 DMUQ1DO Moderate Additive hypotensive effects by the combination of Indapamide and ITI-007. Insomnia [7A00-7A0Z] [17]
Arsenic trioxide DM61TA4 Major Increased risk of ventricular arrhythmias by the combination of Indapamide and Arsenic trioxide. Mature B-cell lymphoma [2A85] [25]
Ozanimod DMT6AM2 Moderate Additive hypotensive effects by the combination of Indapamide and Ozanimod. Multiple sclerosis [8A40] [20]
Promethazine DM6I5GR Moderate Additive hypotensive effects by the combination of Indapamide and Promethazine. Nausea/vomiting [MD90] [17]
Sibutramine DMFJTDI Moderate Increased risk of hyponatremia by the combination of Indapamide and Sibutramine. Obesity [5B80-5B81] [19]
Levomethadyl Acetate DM06HG5 Major Increased risk of ventricular arrhythmias by the combination of Indapamide and Levomethadyl Acetate. Opioid use disorder [6C43] [26]
Diflunisal DM7EN8I Moderate Antagonize the effect of Indapamide when combined with Diflunisal. Pain [MG30-MG3Z] [18]
Ibuprofen DM8VCBE Moderate Antagonize the effect of Indapamide when combined with Ibuprofen. Pain [MG30-MG3Z] [18]
Flavoxate DMKV4NL Minor Altered absorption of Indapamide due to GI dynamics variation caused by Flavoxate. Pain [MG30-MG3Z] [21]
Safinamide DM0YWJC Moderate Additive hypotensive effects by the combination of Indapamide and Safinamide. Parkinsonism [8A00] [20]
Biperiden DME78OA Minor Altered absorption of Indapamide due to GI dynamics variation caused by Biperiden. Parkinsonism [8A00] [21]
Methylscopolamine DM5VWOB Minor Altered absorption of Indapamide due to GI dynamics variation caused by Methylscopolamine. Peptic ulcer [DA61] [21]
Bromfenac DMKB79O Moderate Antagonize the effect of Indapamide when combined with Bromfenac. Postoperative inflammation [1A00-CA43] [18]
Levomepromazine DMIKFEL Moderate Additive hypotensive effects by the combination of Indapamide and Levomepromazine. Psychotic disorder [6A20-6A25] [17]
Oxaprozin DM9UB0P Moderate Antagonize the effect of Indapamide when combined with Oxaprozin. Rheumatoid arthritis [FA20] [18]
Quetiapine DM1N62C Moderate Additive hypotensive effects by the combination of Indapamide and Quetiapine. Schizophrenia [6A20] [17]
Mesoridazine DM2ZGAN Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Mesoridazine. Schizophrenia [6A20] [27]
Aripiprazole DM3NUMH Moderate Additive hypotensive effects by the combination of Indapamide and Aripiprazole. Schizophrenia [6A20] [17]
Iloperidone DM6AUFY Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Iloperidone. Schizophrenia [6A20] [27]
Paliperidone DM7NPJS Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Paliperidone. Schizophrenia [6A20] [27]
Perphenazine DMA4MRX Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Perphenazine. Schizophrenia [6A20] [27]
Molindone DMAH70G Moderate Additive hypotensive effects by the combination of Indapamide and Molindone. Schizophrenia [6A20] [17]
Thiothixene DMDINC4 Moderate Additive hypotensive effects by the combination of Indapamide and Thiothixene. Schizophrenia [6A20] [17]
Trifluoperazine DMKBYWI Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Trifluoperazine. Schizophrenia [6A20] [27]
Amisulpride DMSJVAM Moderate Increased risk of ventricular arrhythmias by the combination of Indapamide and Amisulpride. Schizophrenia [6A20] [27]
Asenapine DMSQZE2 Moderate Additive hypotensive effects by the combination of Indapamide and Asenapine. Schizophrenia [6A20] [17]
Pimozide DMW83TP Major Increased risk of ventricular arrhythmias by the combination of Indapamide and Pimozide. Schizophrenia [6A20] [28]
Methdilazine DMAUHQX Moderate Additive hypotensive effects by the combination of Indapamide and Methdilazine. Vasomotor/allergic rhinitis [CA08] [17]
Trimeprazine DMEMV9D Moderate Additive hypotensive effects by the combination of Indapamide and Trimeprazine. Vasomotor/allergic rhinitis [CA08] [29]
Amiodarone DMUTEX3 Major Increased risk of ventricular arrhythmias by the combination of Indapamide and Amiodarone. Ventricular tachyarrhythmia [BC71] [30]
⏷ Show the Full List of 62 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
D&C red no. 30 E00456 3000709 Colorant
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Sunset yellow FCF E00255 17730 Colorant
Beta-D-lactose E00099 6134 Diluent; Dry powder inhaler carrier; Lyophilization aid
Dextrin E00359 62698 Binding agent; Diluent; Microencapsulating agent; Stiffening agent; Suspending agent; Viscosity-controlling agent
Hypromellose E00634 Not Available Coating agent
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Polysorbate 80 E00665 Not Available Dispersing agent; Emollient; Emulsifying agent; Plasticizing agent; Solubilizing agent; Surfactant; Suspending agent
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
Talc E00520 16211421 Anticaking agent; Diluent; Glidant; lubricant
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
Triacetin E00080 5541 Humectant; Plasticizing agent; Solvent
⏷ Show the Full List of 13 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Indapamide 1.25 mg tablet 1.25 mg Oral Tablet Oral
Indapamide 2.5 mg tablet 2.5 mg Oral Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 Indapamide FDA Label
2 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 7203).
3 FDA Approved Drug Products: Verquvo (vericiguat) oral tablets
4 BDDCS applied to over 900 drugs
5 Chaffman M, Heel RC, Brogden RN, Speight TM, Avery GS: Indapamide. A review of its pharmacodynamic properties and therapeutic efficacy in hypertension. Drugs. 1984 Sep;28(3):189-235. doi: 10.2165/00003495-198428030-00001.
6 Pharmacokinetics and clinical pharmacology of indapamide. Am Heart J. 1983 Jul;106(1 Pt 2):212-20. doi: 10.1016/0002-8703(83)90119-9.
7 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
8 Indapamide induces apoptosis of GH3 pituitary cells independently of its inhibition of voltage-dependent K+ currents. Eur J Pharmacol. 2006 Apr 24;536(1-2):78-84.
9 Dehydrogenation of the indoline-containing drug 4-chloro-N-(2-methyl-1-indolinyl)-3-sulfamoylbenzamide (indapamide) by CYP3A4: correlation with in silico predictions. Drug Metab Dispos. 2009 Mar;37(3):672-84.
10 Platelet alpha 2-adrenoceptor modifications induced by long-term treatment with indapamide in essential hypertension. Am J Med. 1988 Jan 29;84(1B):31-5.
11 Systems pharmacological analysis of drugs inducing stevens-johnson syndrome and toxic epidermal necrolysis. Chem Res Toxicol. 2015 May 18;28(5):927-34. doi: 10.1021/tx5005248. Epub 2015 Apr 3.
12 Antihypertensive effect of indapamide with special emphasis on renal prostaglandin production. Curr Med Res Opin. 1983;8 Suppl 3:81-6. doi: 10.1185/03007998309109841.
13 Dean S, Kendall MJ, Potter S, Thompson MH, Jackson DA "Nadolol in combination with indapamide and xipamide in resistant hypertensives." Eur J Clin Pharmacol 28 (1985): 29-33. [PMID: 3987783]
14 Burnakis TG, Mioduch HJ "Combined therapy with captopril and potassium supplementation: a potential for hyperkalemia." Arch Intern Med 144 (1984): 2371-2. [PMID: 6391404]
15 Product Information. Multaq (dronedarone). sanofi-aventis , Bridgewater, NJ.
16 FDA. U.S. Food and Drug Administration "FDA Drug Safety Communication: Low magnesium levels can be associated with long-term use of proton pump inhibitor drugs (PPIs).".
17 Aronowitz JS, Chakos MH, Safferman AZ, Lieberman JA "Syncope associated with the combination of clozapine and enalapril." J Clin Psychopharmacol 14 (1994): 429-30. [PMID: 7884028]
18 Muller FO, Schall R, Devaal AC, Groenewoud G, Hundt HKL, Middle MV "Influence of meloxicam on furosemide pharmacokinetics and pharmacodynamics in healthy volunteers." Eur J Clin Pharmacol 48 (1995): 247-51. [PMID: 7589049]
19 Product Information. Savella (milnacipran). Forest Pharmaceuticals, St. Louis, MO.
20 Ban TA "Drug interactions with psychoactive drugs." Dis Nerv Syst 36 (1975): 164-6. [PMID: 1116424]
21 Beermann B, Groschinsky-Grind M "Enhancement of the gastrointestinal absorption of hydrochlorothiazide by propantheline." Eur J Clin Pharmacol 13 (1978): 385-7. [PMID: 668798]
22 Product Information. Aptiom (eslicarbazepine). Sunovion Pharmaceuticals Inc, Marlborough, MA.
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24 Brown DD, Dormois JC, Abraham GN, et al "Effect of furosemide on the renal excretion of digoxin." Clin Pharmacol Ther 20 (1976): 395-400. [PMID: 975715]
25 Ohnishi K, Yoshida H, Shigeno K, et al. "Prolongation of the QT interval and ventricular tachycardia in patients treated with arsenic trioxide for acute promyelocytic leukemia." Ann Intern Med 133 (2000): 881-5. [PMID: 11103058]
26 Cohen J "Long-term efficacy and safety of terazosin alone and in combination with other antihypertensive agents." Am Heart J 122 (1991): 919-25. [PMID: 1678923]
27 Cerner Multum, Inc. "Australian Product Information.".
28 Product Information. Orap Tablets (pimozide). Gate Pharmaceuticals, Sellersville, PA.
29 Product Information. Clozaril (clozapine). Novartis Pharmaceuticals, East Hanover, NJ.
30 Antonelli D, Atar S, Freedberg NA, Rosenfeld T "Torsade de pointes in patients on chronic amiodarone treatment: contributing factors and drug interactions." Isr Med Assoc J 7 (2005): 163-5. [PMID: 15792261]