General Information of Drug (ID: DMWIX23)

Drug Name
Metaraminol
Synonyms
Araminol; Hydroxynorephedrine; Isophenylephrine; Metaradrin; Metaradrine; Metaraminolum; Pressonex; Pressorol; Icoral B; Metaraminolum [Latin]; Aramine (TN); L-Metaraminol; M-Hydroxy norephedrine; M-Hydroxynorephedrine; M-Hydroxyphenylpropanolamine; M-Hydroxypropadrine; Meta-Hydroxynorephedrine; Metaraminol (INN); Metaraminol [INN:BAN]; Metaraminolum [INN-Latin]; Alpha-(1-Aminoethyl)-3-hydroxybenzenemethanol; Alpha-(1-Aminoethyl)-m-hydroxybenzyl alcohol; Alpha-(m-Hydroxyphenyl)-beta-aminopropanol; M-Hydroxy-alpha-(1-aminoethyl)-benzyl alcohol; Benzenemethanol, alpha-(1-aminoethyl)-3-hydroxy-, (R-(R*,S*))-(9CI); (-)-Erythro-metaraminol; 1-(m-Hydroxyphenyl)-2-amino-1-propanol; 1-Metaraminol; 1-alpha-(1-Aminoethyl)-m-hydroxybenzyl alcohol; 2-Amino-1-(m-hydroxyphenyl)-1-propanol; 3-Hydroxyphenylisopropanolamine; 3-[(1R,2S)-2-amino-1-hydroxypropyl]phenol
Indication
Disease Entry ICD 11 Status REF
Hypotension BA20-BA21 Approved [1], [2]
Therapeutic Class
Antihypertensive Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 167.2
Topological Polar Surface Area (xlogp) -0.4
Rotatable Bond Count (rotbonds) 2
Hydrogen Bond Donor Count (hbonddonor) 3
Hydrogen Bond Acceptor Count (hbondacc) 3
ADMET Property
Metabolism
The drug is metabolized via the hepatic [3]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 49.81776 micromolar/kg/day [4]
Chemical Identifiers
Formula
C9H13NO2
IUPAC Name
3-[(1R,2S)-2-amino-1-hydroxypropyl]phenol
Canonical SMILES
C[C@@H]([C@@H](C1=CC(=CC=C1)O)O)N
InChI
InChI=1S/C9H13NO2/c1-6(10)9(12)7-3-2-4-8(11)5-7/h2-6,9,11-12H,10H2,1H3/t6-,9-/m0/s1
InChIKey
WXFIGDLSSYIKKV-RCOVLWMOSA-N
Cross-matching ID
PubChem CID
5906
ChEBI ID
CHEBI:6794
CAS Number
54-49-9
DrugBank ID
DB00610
TTD ID
D04EYC
VARIDT ID
DR01169

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Dopamine D2 receptor (D2R) TTEX248 DRD2_HUMAN Agonist [5]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Hypotension
ICD Disease Classification BA20-BA21
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Dopamine D2 receptor (D2R) DTT DRD2 2.50E-02 -0.08 -0.49
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 Metaraminol (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Methylene blue DMJAPE7 Major Additive hypertensive effects by the combination of Metaraminol and Methylene blue. Acquired methaemoglobinaemia [3A93] [16]
Droxidopa DM5YF4M Moderate Additive hypertensive effects by the combination of Metaraminol and Droxidopa. Autonomic nervous system disorder [8D87] [17]
Levomilnacipran DMV26S8 Moderate Increased risk of rapid heart rate by the combination of Metaraminol and Levomilnacipran. Chronic pain [MG30] [18]
Selegiline DM6034S Major Increased risk of hyperpyrexia by the combination of Metaraminol and Selegiline. Depression [6A70-6A7Z] [16]
Isocarboxazid DMAF1NB Major Increased risk of hyperpyrexia by the combination of Metaraminol and Isocarboxazid. Depression [6A70-6A7Z] [16]
Milnacipran DMBFE74 Moderate Increased risk of rapid heart rate by the combination of Metaraminol and Milnacipran. Depression [6A70-6A7Z] [18]
Tranylcypromine DMGB5RE Major Increased risk of hyperpyrexia by the combination of Metaraminol and Tranylcypromine. Depression [6A70-6A7Z] [19]
Desvenlafaxine DMHD4PE Moderate Increased risk of rapid heart rate by the combination of Metaraminol and Desvenlafaxine. Depression [6A70-6A7Z] [18]
Phenelzine DMHIDUE Major Additive hypertensive effects by the combination of Metaraminol and Phenelzine. Depression [6A70-6A7Z] [16]
Ergotamine DMKR3C5 Major Additive hypertensive effects by the combination of Metaraminol and Ergotamine. Headache [8A80-8A84] [20]
Procarbazine DMIK367 Major Increased risk of hyperpyrexia by the combination of Metaraminol and Procarbazine. Hodgkin lymphoma [2B30] [16]
Ozanimod DMT6AM2 Moderate Increased risk of hyperpyrexia by the combination of Metaraminol and Ozanimod. Multiple sclerosis [8A40] [16]
Sibutramine DMFJTDI Moderate Additive hypertensive effects by the combination of Metaraminol and Sibutramine. Obesity [5B80-5B81] [21]
Safinamide DM0YWJC Moderate Decreased metabolism of Metaraminol caused by Safinamide mediated inhibition of non-CYP450 enzyme. Parkinsonism [8A00] [22]
Rasagiline DM3WKQ4 Moderate Additive hypertensive effects by the combination of Metaraminol and Rasagiline. Parkinsonism [8A00] [16]
⏷ Show the Full List of 15 DDI Information of This Drug

References

1 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: 7229).
2 FDA Approved Drug Products from FDA Official Website. 2009. Application Number: (ANDA) 080722.
3 FDA approval: ado-trastuzumab emtansine for the treatment of patients with HER2-positive metastatic breast cancer. Clin Cancer Res. 2014 Sep 1;20(17):4436-41.
4 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
5 Alpha1-adrenoceptor stimulation enhances experimental gastric carcinogenesis induced by N-methyl-N'-nitro-N-nitrosoguanidine in Wistar rats. Int J Cancer. 1998 Jul 29;77(3):467-9.
6 The Detection of Dopamine Gene Receptors (DRD1-DRD5) Expression on Human Peripheral Blood Lymphocytes by Real Time PCR. Iran J Allergy Asthma Immunol. 2004 Dec;3(4):169-74.
7 Dopaminergic synapses in the matrix of the ventrolateral striatum after chronic haloperidol treatment. Synapse. 2002 Aug;45(2):78-85.
8 CYP2D6 and DRD2 genes differentially impact pharmacodynamic sensitivity and time course of prolactin response to perphenazine. Pharmacogenet Genomics. 2007 Nov;17(11):989-93.
9 Synthesis and in vitro binding of N-phenyl piperazine analogs as potential dopamine D3 receptor ligands. Bioorg Med Chem. 2005 Jan 3;13(1):77-87.
10 Screening of domperidone in wastewater by high performance liquid chromatography and solid phase extraction methods. Talanta. 2006 Jan 15;68(3):928-31.
11 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: 3639).
12 Receptor reserve-dependent properties of antipsychotics at human dopamine D2 receptors. Eur J Pharmacol. 2009 Apr 1;607(1-3):35-40.
13 [The benzamides tiapride, sulpiride, and amisulpride in treatment for Tourette's syndrome]. Nervenarzt. 2007 Mar;78(3):264, 266-8, 270-1.
14 Modulatory role of dopamine D2 receptors and fundamental role of L-type Ca2+ channels in the induction of long-term potentiation in the basolateral... Eur J Pharmacol. 2009 Mar 15;606(1-3):90-3.
15 Hughes B: 2009 FDA drug approvals. Nat Rev Drug Discov. 2010 Feb;9(2):89-92.
16 Ban TA "Drug interactions with psychoactive drugs." Dis Nerv Syst 36 (1975): 164-6. [PMID: 1116424]
17 Product Information. Northera (droxidopa). Chelsea Therapeutics Inc, Charlotte, NC.
18 Product Information. Cymbalta (duloxetine). Lilly, Eli and Company, Indianapolis, IN.
19 Davies B, Bannister R, Sever P "Pressor amines and monoamine-oxidase inhibitors for treatment of postural hypotension in autonomic failure: limitations and hazards." Lancet 1 (1978): 172-5. [PMID: 74603]
20 Barthel W, Glusa E, Koth W "Interactions of dihydroergotamine with etilefrine in human leg veins in vitro and in situ." Int J Clin Pharmacol Ther Toxicol 25 (1987): 63-9. [PMID: 2881898]
21 Mendelson J, Jones RT, Upton R, Jacob P 3rd "Methamphetamine and ethanol interactions in humans." Clin Pharmacol Ther 57 (1995): 559-68. [PMID: 7768079]
22 Agencia Espaola de Medicamentos y Productos Sanitarios Healthcare "Centro de informacion online de medicamentos de la AEMPS - CIMA.".