General Information of Drug (ID: DMJMVKI)

Drug Name
Metipranolol
Synonyms
Disorat; Methypranol; Metipranololum; Trimepranol; Turoptin; BM-01004; Betanol (TN); Disorat (TN); Metipranololum [INN-Latin]; OptiPranolol (TN); Trimepranol (TN); VUAB-6453; VUFB-6453; Metipranolol (USAN/INN); Metipranolol [USAN:BAN:INN]; [4-[2-hydroxy-3-(propan-2-ylamino)propoxy]-2,3,6-trimethylphenyl] acetate; Phenol, 4-(2-hydroxy-3-((1-methylethyl)amino)propoxy)-2,3,6-trimethyl-, 1-acetate; Phenol, 4-(2-hydroxy-3-((1-methylethyl)amino)propoxy)-2,3,6-trimethyl-, 1-acetate (9CI); Phenol,4-(2-hydroxy-3-((1-methylethyl)amino)propoxy)-2,3,6-trimethyl-, (+-)-, 1-acetate; (+-)-1-(4-Hydroxy-2,3,5-trimethylphenoxy)-3-(isopropylamino)-2-propanol 4-acetate; (RS)-4-(2-Hydroxy-3-isopropylaminopropoxy)-2,3,6-trimethylphenyl acetat; 1-(4-Acetoxy-2,3,5-Trimethylphenoxy)-3-Isopropylamino-2-Propanol; 1-(4-Hydroxy-2,3,5-trimethylphenoxy)-3-(isopropylamino)-2-propanol 4-acetate; 2-Propanol, 1-(4-hydroxy-2,3,5-trimethylphenoxy)-3-(isopropylamino)-, 4-acetate; 4-(2-Hydroxy-3-((1-methylethyl)-amino)propoxy)-2,3,6-trimethylphenol 1-acetate; 4-[2-hydroxy-3-(isopropylamino)propoxy]-2,3,6-trimethylphenyl acetate; 62164P
Indication
Disease Entry ICD 11 Status REF
Ocular hypertension 9C61.01 Approved [1]
Open-angle glaucoma 9C61 Approved [2]
Therapeutic Class
Antihypertensive Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 309.4
Logarithm of the Partition Coefficient (xlogp) 2.7
Rotatable Bond Count (rotbonds) 8
Hydrogen Bond Donor Count (hbonddonor) 2
Hydrogen Bond Acceptor Count (hbondacc) 5
Chemical Identifiers
Formula
C17H27NO4
IUPAC Name
[4-[2-hydroxy-3-(propan-2-ylamino)propoxy]-2,3,6-trimethylphenyl] acetate
Canonical SMILES
CC1=CC(=C(C(=C1OC(=O)C)C)C)OCC(CNC(C)C)O
InChI
InChI=1S/C17H27NO4/c1-10(2)18-8-15(20)9-21-16-7-11(3)17(22-14(6)19)13(5)12(16)4/h7,10,15,18,20H,8-9H2,1-6H3
InChIKey
BQIPXWYNLPYNHW-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
31477
ChEBI ID
CHEBI:6897
CAS Number
22664-55-7
DrugBank ID
DB01214
TTD ID
D0L5FY
INTEDE ID
DR1066

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Adrenergic receptor beta-1 (ADRB1) TTR6W5O ADRB1_HUMAN Antagonist [3]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 2D6 (CYP2D6)
Main DME
DECB0K3 CP2D6_HUMAN Substrate [4]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from Metipranolol (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Bepridil DM0RKS4 Moderate Increased risk of cardiac depression by the combination of Metipranolol and Bepridil. Angina pectoris [BA40] [5]
Dronedarone DMA8FS5 Moderate Increased risk of atrioventricular block by the combination of Metipranolol and Dronedarone. Angina pectoris [BA40] [6]
Atracurium DM42HXN Moderate Additive neuromuscular blocking effects by the combination of Metipranolol and Atracurium. Corneal disease [9A76-9A78] [7]
Mivacurium DM473VD Moderate Additive neuromuscular blocking effects by the combination of Metipranolol and Mivacurium. Corneal disease [9A76-9A78] [7]
Pancuronium DMB0VY8 Moderate Additive neuromuscular blocking effects by the combination of Metipranolol and Pancuronium. Corneal disease [9A76-9A78] [7]
Pasireotide DMHM7JS Moderate Increased risk of bradycardia by the combination of Metipranolol and Pasireotide. Cushing syndrome [5A70] [8]
Levamlodipine DM92S6N Moderate Increased risk of cardiac depression by the combination of Metipranolol and Levamlodipine. Hypertension [BA00-BA04] [5]
Clevidipine butyrate DMW4M97 Moderate Increased risk of cardiac depression by the combination of Metipranolol and Clevidipine butyrate. Hypertension [BA00-BA04] [5]
Siponimod DM2R86O Major Increased risk of atrioventricular block by the combination of Metipranolol and Siponimod. Multiple sclerosis [8A40] [9]
Fingolimod DM5JVAN Moderate Increased risk of bradycardia by the combination of Metipranolol and Fingolimod. Multiple sclerosis [8A40] [10]
Ozanimod DMT6AM2 Moderate Increased risk of bradycardia by the combination of Metipranolol and Ozanimod. Multiple sclerosis [8A40] [11]
Polythiazide DMCH80F Moderate Increased risk of hypertriglyceridemia by the combination of Metipranolol and Polythiazide. Oedema [MG29] [12]
Silodosin DMJSBT6 Moderate Additive hypotensive effects by the combination of Metipranolol and Silodosin. Prostate hyperplasia [GA90] [13]
Pipecuronium DM5F84A Moderate Additive neuromuscular blocking effects by the combination of Metipranolol and Pipecuronium. Tonus and reflex abnormality [MB47] [7]
Vecuronium DMP0UK2 Moderate Additive neuromuscular blocking effects by the combination of Metipranolol and Vecuronium. Tonus and reflex abnormality [MB47] [7]
⏷ Show the Full List of 15 DDI Information of This Drug

References

1 Metipranolol 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: 7239).
3 Invited review: Neuroprotective properties of certain beta-adrenoceptor antagonists used for the treatment of glaucoma. J Ocul Pharmacol Ther. 2005 Jun;21(3):175-81.
4 Application of substrate depletion assay to evaluation of CYP isoforms responsible for stereoselective metabolism of carvedilol. Drug Metab Pharmacokinet. 2016 Dec;31(6):425-432.
5 Henry M, Kay MM, Viccellio P "Cardiogenic shock associated with calcium-channel and beta blockers: reversal with intravenous calcium chloride." Am J Emerg Med 3 (1985): 334-6. [PMID: 2860911]
6 Product Information. Multaq (dronedarone). sanofi-aventis , Bridgewater, NJ.
7 Harrah MD, Way WL, Katzung BG "The interaction of d-tubocurarine with antiarrhythmic drugs." Anesthesiology 33 (1970): 406-10. [PMID: 5512329]
8 Canadian Pharmacists Association.
9 Cerner Multum, Inc. "Australian Product Information.".
10 Product Information. Gilenya (fingolimod). Novartis Pharmaceuticals, East Hanover, NJ.
11 Product Information. Zeposia (ozanimod). Celgene Corporation, Summit, NJ.
12 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]
13 Chrysant SG "Experience with terazosin administered in combination with other antihypertensive agents." Am J Med 80 (1986): 55-61. [PMID: 2872808]