General Information of Drug (ID: DMUDJZM)

Drug Name
Dextromethorphan
Synonyms
Albutussin; Canfodion; Cosylan; Demorphine; Destrometerfano; Dextromethorfan; Dextromethorphane; Dextromethorphanum; Dextrometorfano; Dextrometorphan; Dextromorphan; Dexyromethorphan; Dormetan; Levomethorphan; Levomethorphane; Levomethorphanum; Levometorfano; Methorphan; RACEMETHORPHAN; Trocal; Balminil DM; Balminil DM Children; Benylin Adult Formula Cough Suppressant; Benylin DM for Children; Benylin Pediatric Cough Suppressant; Delsym Cough Formula; Demorphan hydrobromide; Destrometerfano [DCIT]; Dextromethorfan [Czech]; Dextromethorphan Bromhydrate; Hold DM; Koffex DM; Novahistex DM; Novahistine DM; Pertussin DM Extra Strength; Robitussin Maximum Strength Cough Suppressant; Robitussin Pediatric; Robitussin Pediatric Cough Suppressant; Triaminic DM Long Lasting for Children; BA 2666; Benylin DM 12 Hour; Benylin DM for Children 12 Hour; Sucrets 4 Hour Cough Suppressant; Vicks 44 Cough Relief; Calmylin #1; Cough-X; Creo-Terpin; D-Methorphan; Delta-Methorphan; Dextromethorphan (USP); Dextromethorphane [INN-French]; Dextromethorphanum [INN-Latin]; Dextrometorfano [INN-Spanish]; Diabe-Tuss DM Syrup; Hihustan M.; L-Methorphan; Levomethorphane [INN-French]; Levomethorphanum [INN-Latin]; Levometorfano [INN-Spanish]; Neurodex (TN); Pertussin CS Children's Strength; Romilar (TN); Dextromethorphan [USP:INN:BAN]; Levomethorphan [BAN:DCF:INN]; Levomethorphan [INN:BAN:DCF]; Morphinan, 3-methoxy-17-methyl-, (9-alpha,13-alpha,14-alpha)-(9CI); Cis-1,3,4,9,10,10a-Hexahydro-6-methoxy-11-methyl-2H-10,4alpha-iminoethanophenanthren; (+)-3-Methoxy-17-methylmorphinan; (-)-3-Methoxy-N-methylmorphinan; (9alpha,13alpha,14alpha)-17-methyl-3-(methyloxy)morphinan; 3-Methoxy-17-methyl-9alpha,13alpha,14alpha-morphinan; 3-Methoxy-17-methylmorphinan; 3-Methoxy-N-methylmorphinon; 9alpha,13alpha,14alpha-Morphinan, 3-methoxy-17-methyl-(8CI)
Indication
Disease Entry ICD 11 Status REF
Allergic rhinitis CA08.0 Approved [1]
Common cold CA00 Approved [1]
Cough MD12 Approved [2]
Fever MG26 Approved [1]
Headache 8A80-8A84 Approved [1]
Rhinitis FA20 Approved [1]
Vasomotor/allergic rhinitis CA08 Approved [1]
⏷ Show the Full List of Indication(s)
Therapeutic Class
Analgesics
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 271.4
Logarithm of the Partition Coefficient (xlogp) 3.4
Rotatable Bond Count (rotbonds) 1
Hydrogen Bond Donor Count (hbonddonor) 0
Hydrogen Bond Acceptor Count (hbondacc) 2
ADMET Property
Absorption AUC
The area under the plot of plasma concentration (AUC) of drug is 17.8 mcgh/L [3]
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 2.9 mcg/L [3]
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 2.86 h [3]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 1: high solubility and high permeability [4]
Elimination
0.19% of drug is excreted from urine in the unchanged form [4]
Half-life
The concentration or amount of drug in body reduced by one-half in 3 - 30 hours [5]
Metabolism
The drug is metabolized via the N-demethylated to 3-methoxymorphinan by CYP3A4, CYP2D6, and CYP2C9 or O-demethylated to dextrorphan by CYP2D6 and CYP2C9 [6]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 4.878 micromolar/kg/day [7]
Vd
The volume of distribution (Vd) of drug is 5-6.7 L/kg [5]
Water Solubility
The ability of drug to dissolve in water is measured as 15 mg/mL [4]
Chemical Identifiers
Formula
C18H25NO
IUPAC Name
(1S,9S,10S)-4-methoxy-17-methyl-17-azatetracyclo[7.5.3.01,10.02,7]heptadeca-2(7),3,5-triene
Canonical SMILES
CN1CC[C@@]23CCCC[C@@H]2[C@@H]1CC4=C3C=C(C=C4)OC
InChI
InChI=1S/C18H25NO/c1-19-10-9-18-8-4-3-5-15(18)17(19)11-13-6-7-14(20-2)12-16(13)18/h6-7,12,15,17H,3-5,8-11H2,1-2H3/t15-,17+,18+/m1/s1
InChIKey
MKXZASYAUGDDCJ-NJAFHUGGSA-N
Cross-matching ID
PubChem CID
5360696
ChEBI ID
CHEBI:4470
CAS Number
125-71-3
DrugBank ID
DB00514
TTD ID
D09OBB
VARIDT ID
DR00891
INTEDE ID
DR0476
ACDINA ID
D00177
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
Opioid receptor sigma 1 (OPRS1) TT5TPI6 SGMR1_HUMAN Agonist [8]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [9]
Cytochrome P450 2D6 (CYP2D6)
Main DME
DECB0K3 CP2D6_HUMAN Substrate [10]
Cytochrome P450 2C9 (CYP2C9)
Main DME
DE5IED8 CP2C9_HUMAN Substrate [11]
Mephenytoin 4-hydroxylase (CYP2C19) DEGTFWK CP2CJ_HUMAN Substrate [11]
Cytochrome P450 3A5 (CYP3A5) DEIBDNY CP3A5_HUMAN Substrate [12]
Cytochrome P450 2B6 (CYP2B6) DEPKLMQ CP2B6_HUMAN Substrate [13]
Cytochrome P450 3A7 (CYP3A7) DERD86B CP3A7_HUMAN Substrate [14]
Cholesterol 24-hydroxylase (CYP46A1) DEKP5HX CP46A_HUMAN Substrate [15]
Cytochrome P450 102A1 (cyp102) DE4OGUF CPXB_BACMB Substrate [16]
Cytochrome P450 130A1 (cyp130) DE6CQ0I CP130_MYCTU Substrate [17]

Drug Off-Target (DOT)
DOT Name DOT ID UniProt ID Interaction REF
Arylamine N-acetyltransferase 2 (NAT2) OTBPDQOY ARY2_HUMAN Regulation of Drug Effects [18]
Beta-hexosaminidase subunit beta (HEXB) OTROYLCR HEXB_HUMAN Protein Interaction/Cellular Processes [19]
C-C motif chemokine 2 (CCL2) OTAD2HEL CCL2_HUMAN Protein Interaction/Cellular Processes [19]
Cholesterol 24-hydroxylase (CYP46A1) OTJ27FOX CP46A_HUMAN Biotransformations [15]
Cytochrome P450 1A2 (CYP1A2) OTLLBX48 CP1A2_HUMAN Regulation of Drug Effects [18]
Cytochrome P450 2D6 (CYP2D6) OTZJC802 CP2D6_HUMAN Drug Response [20]
Cytochrome P450 3A4 (CYP3A4) OTQGYY83 CP3A4_HUMAN Biotransformations [21]
Cytochrome P450 3A5 (CYP3A5) OTSXFBXB CP3A5_HUMAN Biotransformations [21]
Interleukin-8 (CXCL8) OTS7T5VH IL8_HUMAN Protein Interaction/Cellular Processes [19]
Mas-related G-protein coupled receptor member X2 (MRGPRX2) OT2XA799 MRGX2_HUMAN Protein Interaction/Cellular Processes [19]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Allergic rhinitis
ICD Disease Classification CA08.0
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Opioid receptor sigma 1 (OPRS1) DTT SIGMAR1 2.77E-06 -0.12 -0.62
Cytochrome P450 2B6 (CYP2B6) DME CYP2B6 4.88E-01 -1.69E-05 -1.28E-04
Cholesterol 24-hydroxylase (CYP46A1) DME CYP46A1 1.79E-06 -3.32E-01 -6.53E-01
Cytochrome P450 3A5 (CYP3A5) DME CYP3A5 9.96E-01 -3.17E-03 -1.84E-02
Mephenytoin 4-hydroxylase (CYP2C19) DME CYP2C19 2.40E-01 -3.31E-02 -1.97E-01
Cytochrome P450 2D6 (CYP2D6) DME CYP2D6 7.30E-01 -1.91E-02 -1.41E-01
Cytochrome P450 2C9 (CYP2C9) DME CYP2C9 1.90E-01 -9.81E-03 -5.96E-02
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 1.04E-02 6.29E-02 3.54E-01
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 Disease Different from Dextromethorphan (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Methylene blue DMJAPE7 Major Additive serotonergic effects by the combination of Dextromethorphan and Methylene blue. Acquired methaemoglobinaemia [3A93] [22]
Oliceridine DM6MDCF Moderate Additive serotonergic effects by the combination of Dextromethorphan and Oliceridine. Acute pain [MG31] [23]
Dronedarone DMA8FS5 Moderate Decreased metabolism of Dextromethorphan caused by Dronedarone mediated inhibition of CYP450 enzyme. Angina pectoris [BA40] [24]
Linezolid DMGFPU2 Major Additive serotonergic effects by the combination of Dextromethorphan and Linezolid. Bacterial infection [1A00-1C4Z] [25]
Dihydrocodeine DMB0FWL Moderate Additive serotonergic effects by the combination of Dextromethorphan and Dihydrocodeine. Chronic pain [MG30] [23]
Levomilnacipran DMV26S8 Major Additive serotonergic effects by the combination of Dextromethorphan and Levomilnacipran. Chronic pain [MG30] [25]
Ethanol DMDRQZU Moderate Additive CNS depression effects by the combination of Dextromethorphan and Ethanol. Cystitis [GC00] [26]
Sertraline DM0FB1J Major Additive serotonergic effects by the combination of Dextromethorphan and Sertraline. Depression [6A70-6A7Z] [25]
Vilazodone DM4LECQ Major Additive serotonergic effects by the combination of Dextromethorphan and Vilazodone. Depression [6A70-6A7Z] [25]
Nefazodone DM4ZS8M Major Additive serotonergic effects by the combination of Dextromethorphan and Nefazodone. Depression [6A70-6A7Z] [25]
Paroxetine DM5PVQE Major Decreased metabolism of Dextromethorphan caused by Paroxetine mediated inhibition of CYP450 enzyme. Depression [6A70-6A7Z] [27]
Selegiline DM6034S Major Additive serotonergic effects by the combination of Dextromethorphan and Selegiline. Depression [6A70-6A7Z] [22]
Vortioxetine DM6F1PU Major Additive serotonergic effects by the combination of Dextromethorphan and Vortioxetine. Depression [6A70-6A7Z] [25]
Isocarboxazid DMAF1NB Major Additive serotonergic effects by the combination of Dextromethorphan and Isocarboxazid. Depression [6A70-6A7Z] [22]
Milnacipran DMBFE74 Major Additive serotonergic effects by the combination of Dextromethorphan and Milnacipran. Depression [6A70-6A7Z] [25]
Tranylcypromine DMGB5RE Major Additive serotonergic effects by the combination of Dextromethorphan and Tranylcypromine. Depression [6A70-6A7Z] [22]
Desvenlafaxine DMHD4PE Major Additive serotonergic effects by the combination of Dextromethorphan and Desvenlafaxine. Depression [6A70-6A7Z] [25]
Phenelzine DMHIDUE Major Additive serotonergic effects by the combination of Dextromethorphan and Phenelzine. Depression [6A70-6A7Z] [22]
Trazodone DMK1GBJ Major Additive serotonergic effects by the combination of Dextromethorphan and Trazodone. Depression [6A70-6A7Z] [25]
Esketamine DMVU687 Moderate Additive CNS depression effects by the combination of Dextromethorphan and Esketamine. Depression [6A70-6A7Z] [24]
Fenfluramine DM0762O Major Additive serotonergic effects by the combination of Dextromethorphan and Fenfluramine. Epilepsy/seizure [8A61-8A6Z] [25]
Stiripentol DMMSDOY Moderate Decreased metabolism of Dextromethorphan caused by Stiripentol mediated inhibition of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [24]
Mirabegron DMS1GYT Moderate Decreased metabolism of Dextromethorphan caused by Mirabegron mediated inhibition of CYP450 enzyme. Functional bladder disorder [GC50] [24]
Terbinafine DMI6HUW Major Decreased metabolism of Dextromethorphan caused by Terbinafine mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [27]
Procarbazine DMIK367 Major Additive serotonergic effects by the combination of Dextromethorphan and Procarbazine. Hodgkin lymphoma [2B30] [22]
Delavirdine DM3NF5G Moderate Decreased metabolism of Dextromethorphan caused by Delavirdine mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [24]
Cobicistat DM6L4H2 Moderate Decreased metabolism of Dextromethorphan caused by Cobicistat mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [24]
Cinacalcet DMCX0K3 Moderate Decreased metabolism of Dextromethorphan caused by Cinacalcet mediated inhibition of CYP450 enzyme. Hyper-parathyroidism [5A51] [24]
Givosiran DM5PFIJ Moderate Decreased metabolism of Dextromethorphan caused by Givosiran mediated inhibition of CYP450 enzyme. Inborn porphyrin/heme metabolism error [5C58] [24]
Berotralstat DMWA2DZ Moderate Decreased metabolism of Dextromethorphan caused by Berotralstat mediated inhibition of CYP450 enzyme. Innate/adaptive immunodeficiency [4A00] [28]
Glycerol phenylbutyrate DMDGRQO Moderate Decreased metabolism of Dextromethorphan caused by Glycerol phenylbutyrate mediated inhibition of CYP450 enzyme. Liver disease [DB90-DB9Z] [24]
Dacomitinib DMOH8VY Moderate Decreased metabolism of Dextromethorphan caused by Dacomitinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [24]
Lumefantrine DM29GAD Moderate Decreased metabolism of Dextromethorphan caused by Lumefantrine mediated inhibition of CYP450 enzyme. Malaria [1F40-1F45] [24]
Halofantrine DMOMK1V Moderate Decreased metabolism of Dextromethorphan caused by Halofantrine mediated inhibition of CYP450 enzyme. Malaria [1F40-1F45] [24]
Vemurafenib DM62UG5 Moderate Decreased metabolism of Dextromethorphan caused by Vemurafenib mediated inhibition of CYP450 enzyme. Melanoma [2C30] [29]
Flibanserin DM70DTN Moderate Additive CNS depression effects by the combination of Dextromethorphan and Flibanserin. Mood disorder [6A60-6E23] [30]
Panobinostat DM58WKG Moderate Decreased metabolism of Dextromethorphan caused by Panobinostat mediated inhibition of CYP450 enzyme. Multiple myeloma [2A83] [24]
Thalidomide DM70BU5 Moderate Additive CNS depression effects by the combination of Dextromethorphan and Thalidomide. Multiple myeloma [2A83] [31]
Ozanimod DMT6AM2 Major Additive serotonergic effects by the combination of Dextromethorphan and Ozanimod. Multiple sclerosis [8A40] [22]
Fedratinib DM4ZBK6 Moderate Decreased metabolism of Dextromethorphan caused by Fedratinib mediated inhibition of CYP450 enzyme. Myeloproliferative neoplasm [2A20] [24]
Nilotinib DM7HXWT Moderate Decreased metabolism of Dextromethorphan caused by Nilotinib mediated inhibition of CYP450 enzyme. Myeloproliferative neoplasm [2A20] [24]
Imatinib DM7RJXL Moderate Decreased metabolism of Dextromethorphan caused by Imatinib mediated inhibition of CYP450 enzyme. Myeloproliferative neoplasm [2A20] [24]
Rolapitant DM8XP26 Moderate Decreased metabolism of Dextromethorphan caused by Rolapitant mediated inhibition of CYP450 enzyme. Nausea/vomiting [MD90] [32]
Granisetron DMIUW25 Major Additive serotonergic effects by the combination of Dextromethorphan and Granisetron. Nausea/vomiting [MD90] [33]
Dolasetron DMMG26Z Major Additive serotonergic effects by the combination of Dextromethorphan and Dolasetron. Nausea/vomiting [MD90] [33]
Ondansetron DMOTQ1I Major Additive serotonergic effects by the combination of Dextromethorphan and Ondansetron. Nausea/vomiting [MD90] [33]
Bupropion DM5PCS7 Moderate Decreased metabolism of Dextromethorphan caused by Bupropion mediated inhibition of CYP450 enzyme. Nicotine use disorder [6C4A] [34]
Sibutramine DMFJTDI Major Additive serotonergic effects by the combination of Dextromethorphan and Sibutramine. Obesity [5B80-5B81] [35]
Lorcaserin DMG6OYJ Major Additive serotonergic effects by the combination of Dextromethorphan and Lorcaserin. Obesity [5B80-5B81] [36]
Dexfenfluramine DMJ7YDS Major Additive serotonergic effects by the combination of Dextromethorphan and Dexfenfluramine. Obesity [5B80-5B81] [25]
Levomethadyl Acetate DM06HG5 Major Additive CNS depression effects by the combination of Dextromethorphan and Levomethadyl Acetate. Opioid use disorder [6C43] [30]
Apraclonidine DMO4PVE Moderate Additive CNS depression effects by the combination of Dextromethorphan and Apraclonidine. Optic nerve disorder [9C40] [37]
Valdecoxib DMAY7H4 Minor Decreased metabolism of Dextromethorphan caused by Valdecoxib mediated inhibition of CYP450 enzyme. Osteoarthritis [FA00-FA05] [38]
Dextropropoxyphene DM23HCX Moderate Decreased metabolism of Dextromethorphan caused by Dextropropoxyphene mediated inhibition of CYP450 enzyme. Pain [MG30-MG3Z] [24]
Butorphanol DM5KYPJ Moderate Additive serotonergic effects by the combination of Dextromethorphan and Butorphanol. Pain [MG30-MG3Z] [23]
Oxymorphone DM65AGJ Moderate Additive serotonergic effects by the combination of Dextromethorphan and Oxymorphone. Pain [MG30-MG3Z] [23]
Levorphanol DMGS80V Moderate Additive CNS depression effects by the combination of Dextromethorphan and Levorphanol. Pain [MG30-MG3Z] [23]
Dezocine DMJDB0Y Moderate Additive serotonergic effects by the combination of Dextromethorphan and Dezocine. Pain [MG30-MG3Z] [23]
Nalbuphine DMOSQGU Moderate Additive serotonergic effects by the combination of Dextromethorphan and Nalbuphine. Pain [MG30-MG3Z] [23]
Buprenorphine DMPRI8G Moderate Additive serotonergic effects by the combination of Dextromethorphan and Buprenorphine. Pain [MG30-MG3Z] [23]
Hydrocodone DMQ2JO5 Moderate Additive serotonergic effects by the combination of Dextromethorphan and Hydrocodone. Pain [MG30-MG3Z] [23]
Safinamide DM0YWJC Major Additive serotonergic effects by the combination of Dextromethorphan and Safinamide. Parkinsonism [8A00] [22]
Rasagiline DM3WKQ4 Major Additive serotonergic effects by the combination of Dextromethorphan and Rasagiline. Parkinsonism [8A00] [22]
Abametapir DM2RX0I Moderate Decreased metabolism of Dextromethorphan caused by Abametapir mediated inhibition of CYP450 enzyme. Pediculosis [1G00] [39]
Lefamulin DME6G97 Moderate Decreased metabolism of Dextromethorphan caused by Lefamulin mediated inhibition of CYP450 enzyme. Pneumonia [CA40] [40]
ABIRATERONE DM8V75C Moderate Decreased metabolism of Dextromethorphan caused by ABIRATERONE mediated inhibition of CYP450 enzyme. Prostate cancer [2C82] [24]
Levomepromazine DMIKFEL Major Decreased metabolism of Dextromethorphan caused by Levomepromazine mediated inhibition of CYP450 enzyme. Psychotic disorder [6A20-6A25] [27]
Fluphenazine DMIT8LX Moderate Decreased metabolism of Dextromethorphan caused by Fluphenazine mediated inhibition of CYP450 enzyme. Psychotic disorder [6A20-6A25] [24]
Oxamniquine DM2QDX1 Moderate Decreased metabolism of Dextromethorphan caused by Oxamniquine mediated inhibition of CYP450 enzyme. Schistosomiasis [1F86] [24]
Thioridazine DM35M8J Moderate Decreased metabolism of Dextromethorphan caused by Thioridazine mediated inhibition of CYP450 enzyme. Schizophrenia [6A20] [24]
Perphenazine DMA4MRX Moderate Decreased metabolism of Dextromethorphan caused by Perphenazine mediated inhibition of CYP450 enzyme. Schizophrenia [6A20] [24]
Fostamatinib DM6AUHV Moderate Decreased metabolism of Dextromethorphan caused by Fostamatinib mediated inhibition of CYP450 enzyme. Thrombocytopenia [3B64] [41]
Tizanidine DMR2IQ4 Moderate Additive CNS depression effects by the combination of Dextromethorphan and Tizanidine. Tonus and reflex abnormality [MB47] [42]
Propafenone DMPIBJK Moderate Decreased metabolism of Dextromethorphan caused by Propafenone mediated inhibition of CYP450 enzyme. Ventricular tachyarrhythmia [BC71] [24]
Amiodarone DMUTEX3 Moderate Decreased metabolism of Dextromethorphan caused by Amiodarone mediated inhibition of CYP450 enzyme. Ventricular tachyarrhythmia [BC71] [24]
⏷ Show the Full List of 75 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
Allura red AC dye E00338 33258 Colorant
D&C red no. 33 E00261 19116 Colorant
FD&C blue no. 1 E00263 19700 Colorant
FD&C blue no. 2 E00446 2723854 Colorant
Hydrazine yellow E00409 164825 Colorant
Kyselina citronova E00014 311 Acidulant; Antioxidant; Buffering agent; Complexing agent; Flavoring agent
Mannitol E00103 6251 Diluent; Flavoring agent; Lyophilization aid; Plasticizing agent; Tonicity agent
Propyl gallate E00075 4947 Antimicrobial preservative; Antioxidant
Quinoline yellow WS E00309 24671 Colorant
Saccharin sodium anhydrous E00443 656582 Flavoring agent
Sodium benzoate E00432 517055 Antimicrobial preservative; lubricant
Sodium citrate anhydrous E00102 6224 Alkalizing agent; Buffering agent; Complexing agent; Emulsifying agent
Sucralose E00370 71485 Flavoring agent
Sunset yellow FCF E00255 17730 Colorant
Carmellose sodium E00625 Not Available Disintegrant
Citric acid monohydrate E00271 22230 Acidulant; Antioxidant; Buffering agent; Complexing agent; Flavoring agent
Crospovidone E00626 Not Available Disintegrant
Dextrin E00359 62698 Binding agent; Diluent; Microencapsulating agent; Stiffening agent; Suspending agent; Viscosity-controlling agent
Glycerin E00026 753 Antimicrobial preservative; Emollient; Flavoring agent; Humectant; Lubricant; Plasticizing agent; Solvent; Suppository base; Tonicity agent; Viscosity-controlling agent
Hexahydric alcohol E00083 5780 Diluent; Flavoring agent; Humectant; Plasticizing agent
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Medium-chain triglyceride E00640 Not Available Emollient; Lubricant; Surfactant
Polyethylene glycol 400 E00653 Not Available Coating agent; Diluent; Ointment base; Plasticizing agent; Solvent; Suppository base; lubricant
Polysorbate 80 E00665 Not Available Dispersing agent; Emollient; Emulsifying agent; Plasticizing agent; Solubilizing agent; Surfactant; Suspending agent
Povidone E00667 Not Available Binding agent; Coating agent; Disintegrant; Film/membrane-forming agent; Solubilizing agent; Suspending agent
Propylene glycol E00040 1030 Antimicrobial preservative; Humectant; Plasticizing agent; Solvent
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
Sodium propionate E00445 2723816 Antimicrobial preservative
Talc E00520 16211421 Anticaking agent; Diluent; Glidant; lubricant
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
Vinylpyrrolidone E00668 Not Available Binding agent; Coating agent; Disintegrant; Film/membrane-forming agent; Solubilizing agent; Suspending agent
Water E00035 962 Solvent
Hydrophobic colloidal silica E00285 24261 Anticaking agent; Emulsion stabilizing agent; Glidant; Suspending agent; Viscosity-controlling agent
Cellulose microcrystalline E00698 Not Available Adsorbent; Suspending agent; Diluent
⏷ Show the Full List of 35 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Dextromethorphan 30 mg tablet 30 mg Disintegrating Oral Tablet Oral
Dextromethorphan 15 mg capsule 15 mg Oral Capsule Oral
Dextromethorphan 15mg/5ml Syrup 15mg/5ml Syrup Oral
Dextromethorphan 10mg capsule 10mg Capsule Oral
Dextromethorphan 20mg capsule 20mg Capsule Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 Dextromethorphan 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: 6953).
3 Pope LE, Khalil MH, Berg JE, Stiles M, Yakatan GJ, Sellers EM: Pharmacokinetics of dextromethorphan after single or multiple dosing in combination with quinidine in extensive and poor metabolizers. J Clin Pharmacol. 2004 Oct;44(10):1132-42. doi: 10.1177/0091270004269521.
4 BDDCS applied to over 900 drugs
5 Dextromethorphan Toxicity .
6 Rodriguez-Gascon A, Canut-Blasco A: Deciphering pharmacokinetics and pharmacodynamics of fosfomycin. Rev Esp Quimioter. 2019 May;32 Suppl 1:19-24.
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 Dextromethorphan/quinidine: AVP 923, dextromethorphan/cytochrome P450-2D6 inhibitor, quinidine/dextromethorphan. Drugs R D. 2005;6(3):174-7.
9 Comparative contribution to dextromethorphan metabolism by cytochrome P450 isoforms in vitro: can dextromethorphan be used as a dual probe for both CTP2D6 and CYP3A activities? Drug Metab Dispos. 2001 Nov;29(11):1514-20.
10 Polymorphism of human cytochrome P450 2D6 and its clinical significance: Part I. Clin Pharmacokinet. 2009;48(11):689-723.
11 Multiple human cytochromes contribute to biotransformation of dextromethorphan in-vitro: role of CYP2C9, CYP2C19, CYP2D6, and CYP3A. J Pharm Pharmacol. 1998 Sep;50(9):997-1004.
12 Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448.
13 Enzymes in addition to CYP3A4 and 3A5 mediate N-demethylation of dextromethorphan in human liver microsomes. Biopharm Drug Dispos. 1999 Oct;20(7):341-6.
14 Characterization of dextromethorphan N-demethylation by human liver microsomes. Contribution of the cytochrome P450 3A (CYP3A) subfamily. Biochem Pharmacol. 1994 Jul 5;48(1):173-82.
15 Broad substrate specificity of human cytochrome P450 46A1 which initiates cholesterol degradation in the brain. Biochemistry. 2003 Dec 9;42(48):14284-92.
16 The bacterial P450 BM3: a prototype for a biocatalyst with human P450 activities. Trends Biotechnol. 2007 Jul;25(7):289-98.
17 Function, essentiality, and expression of cytochrome P450 enzymes and their cognate redox partners in Mycobacterium tuberculosis: are they drug targets? Appl Microbiol Biotechnol. 2019 May;103(9):3597-3614.
18 Comparison of various urine collection intervals for caffeine and dextromethorphan phenotyping in children. J Clin Pharmacol. 2004 Jul;44(7):708-14. doi: 10.1177/0091270004266624.
19 Dextromethorphan - A widely-used cough suppressant - Induces local anaphylaxis via MRGPRX2 on mast cells. Chem Biol Interact. 2020 Oct 1;330:109248. doi: 10.1016/j.cbi.2020.109248. Epub 2020 Aug 29.
20 Myoclonus after dextromethorphan administration in peritoneal dialysis. Ann Pharmacother. 2011 Jan;45(1):e1. doi: 10.1345/aph.1P301. Epub 2010 Dec 14.
21 Evidence of significant contribution from CYP3A5 to hepatic drug metabolism. Drug Metab Dispos. 2004 Dec;32(12):1434-45. doi: 10.1124/dmd.104.001313. Epub 2004 Sep 21.
22 Alvine G, Black DW, Tsuang D "Case of delirium secondary to phenelzine/L-tryptophan combination." J Clin Psychiatry 51 (1990): 311. [PMID: 2365671]
23 Vizcaychipi MP, Walker S, Palazzo M "Serotonin syndrome triggered by tramadol." Br J Anaesth 99 (2007): 919. [PMID: 18006535]
24 Cerner Multum, Inc. "Australian Product Information.".
25 Achamallah NS "Visual hallucinations after combining fluoxetine and dextromethorphan ." Am J Psychiatry 149 (1992): 1406. [PMID: 1530079]
26 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
27 Capon DA, Bochner F, Kerry N, Mikus G, Danz C, Somogyi AA "The influence of CYP2d6 polymorphism and quinidine on the disposition and antitussive effect of dextromethorphan in humans." Clin Pharmacol Ther 60 (1996): 295-307. [PMID: 8841152]
28 Product Information. Orladeyo (berotralstat). BioCryst Pharmaceuticals Inc, Durham, NC.
29 Product Information. Zelboraf (vemurafenib). Genentech, South San Francisco, CA.
30 Product Information. Addyi (flibanserin). Sprout Pharmaceuticals, Raleigh, NC.
31 Product Information. Thalomid (thalidomide). Celgene Corporation, Warren, NJ.
32 Product Information. Varubi (rolapitant). Tesaro Inc., Waltham, MA.
33 Canadian Pharmacists Association.
34 Bailey DG, Arnold JM, Munoz C, Spence JD "Grapefruit juice--felodipine interaction: mechanism, predictability, and effect of naringin." Clin Pharmacol Ther 53 (1993): 637-42. [PMID: 8513655]
35 Chan BSH, Graudins A, Whyte IM, Dawson AH, Braitberg G, Duggin GG "Serotonin syndrome resulting from drug interactions." Med J Aust 169 (1998): 523-5. [PMID: 9861909]
36 Product Information. Belviq (lorcaserin). Eisai Inc, Teaneck, NJ.
37 Product Information. Alphagan (brimonidine ophthalmic). Allergan Inc, Irvine, CA.
38 Product Information. Bextra (valdecoxib). Pharmacia Corporation, Peapack, NJ.
39 Product Information. Xeglyze (abametapir topical). Dr. Reddy's Laboratories Inc, Upper Saddle River, NJ.
40 Product Information. Fycompa (perampanel). Eisai Inc, Teaneck, NJ.
41 Product Information. Tavalisse (fostamatinib). Rigel Pharmaceuticals, South San Francisco, CA.
42 Product Information. Zanaflex (tizanidine). Acorda Therapeutics, Hawthorne, NY.