Details of the Drug

General Information of Drug (ID: DMI40NL)

• Drug Name: Tolazoline
• Synonyms: Artonil; Benzalolin; Benzazoline; Benzidazol; Benzolin; Benzylimidazoline; Divascol; Imidalin; Imidaline; Kasimid;Lambril; Olitensol; Peripherine; Phenylmethylimidazoline; Prefaxil; Pridazole; Priscol; Priscoline; Tolazolin; Tolazolina; Tolazolinum; Vasimid; Vasodil; Vasodilatan; Dilatol ASI; Tolazine [veterinary]; Tolazoline Monohydrochloride; Ciba 3259; Benzolin (VAN); Benzolin (vasodilator); Tolazine [veterinary] (TN); Tolazolina [INN-Spanish]; Tolazoline (INN); Tolazoline [INN:BAN]; Tolazolinum [INN-Latin]; Benzolin (vasodilator) (VAN); 1H-Imidazole, 4,5-dihydro-2-(phenylmethyl)-(9CI); 2-(phenylmethyl)-4,5-dihydro-1H-imidazole; 2-BENZYL-4,5-IMIDAZOLINE HCl; 2-Benzyl-2-imidazoline; 2-Benzyl-4,5-dihydro-1H-imidazole; 2-Benzyl-4,5-imidazoline; 2-Benzylimidazoline; 4,5-Dihydro-2-(phenylmethyl)-1H-imidazole

Indication

Disease Entry	ICD 11	Status	REF
Cerebrovascular disease	8B2Z	Approved	[1]
Pulmonary hypertension	BB01	Approved	[2]
Vascular disease	BE2Z	Investigative	[1]

• Therapeutic Class: Vasodilator Agents
• Affected Organisms: Humans and other mammals
• ATC Code:
  C04AB02: Tolazoline
  C04AB: Imidazoline derivatives
  C04A: PERIPHERAL VASODILATORS
  C04: PERIPHERAL VASODILATORS
  C: CARDIOVASCULAR SYSTEM
  : Tolazoline
  M02AC: Preparations with salicylic acid derivatives
  M02A: TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN
  M02: TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN
  M: MUSCULO-SKELETAL SYSTEM
  M02AX02: Tolazoline
  M02AX: Other topical products for joint and muscular pain
  M02A: TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN
  M02: TOPICAL PRODUCTS FOR JOINT AND MUSCULAR PAIN
  M: MUSCULO-SKELETAL SYSTEM
• Drug Type: Small molecular drug
• #Ro5 Violations (Lipinski): 0:
  Molecular Weight (mw); 160.22
  Logarithm of the Partition Coefficient (xlogp); 2.6
  Rotatable Bond Count (rotbonds); 2
  Hydrogen Bond Donor Count (hbonddonor); 1
  Hydrogen Bond Acceptor Count (hbondacc); 1
• ADMET Property: MRTD: The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 12.483 micromolar/kg/day [3]
• Chemical Identifiers:
  Formula: C10H12N2
  IUPAC Name: 2-benzyl-4,5-dihydro-1H-imidazole
  Canonical SMILES: C1CN=C(N1)CC2=CC=CC=C2
  InChI: InChI=1S/C10H12N2/c1-2-4-9(5-3-1)8-10-11-6-7-12-10/h1-5H,6-8H2,(H,11,12)
  InChIKey: JIVZKJJQOZQXQB-UHFFFAOYSA-N
• Cross-matching ID:
  PubChem CID: 5504
  ChEBI ID: CHEBI:28502
  CAS Number: 59-98-3
  UNII: CHH9H12AQ3
  DrugBank ID: DB00797
  TTD ID: D03RZV
• 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
Dopamine D2 receptor (D2R)	TTEX248	DRD2_HUMAN	Antagonist	[4]

Molecular Expression Atlas of This Drug

• The Studied Disease: Cerebrovascular disease
• ICD Disease Classification: 8B2Z

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

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from Tolazoline (Comorbidity)

DDI Drug Name	DDI Drug ID	Severity	Mechanism	Comorbidity	REF
Cariprazine	DMJYDVK	Moderate	Additive hypotensive effects by the combination of Tolazoline and Cariprazine.	Bipolar disorder [6A60]	[5]
Selegiline	DM6034S	Moderate	Additive hypotensive effects by the combination of Tolazoline and Selegiline.	Depression [6A70-6A7Z]	[6]
Isocarboxazid	DMAF1NB	Moderate	Additive hypotensive effects by the combination of Tolazoline and Isocarboxazid.	Depression [6A70-6A7Z]	[6]
OPC-34712	DMHG57U	Moderate	Additive hypotensive effects by the combination of Tolazoline and OPC-34712.	Depression [6A70-6A7Z]	[5]
Procarbazine	DMIK367	Moderate	Additive hypotensive effects by the combination of Tolazoline and Procarbazine.	Hodgkin lymphoma [2B30]	[6]
ITI-007	DMUQ1DO	Moderate	Additive hypotensive effects by the combination of Tolazoline and ITI-007.	Insomnia [7A00-7A0Z]	[5]
Ozanimod	DMT6AM2	Moderate	Additive hypotensive effects by the combination of Tolazoline and Ozanimod.	Multiple sclerosis [8A40]	[6]
Promethazine	DM6I5GR	Moderate	Additive hypotensive effects by the combination of Tolazoline and Promethazine.	Nausea/vomiting [MD90]	[5]
Safinamide	DM0YWJC	Moderate	Additive hypotensive effects by the combination of Tolazoline and Safinamide.	Parkinsonism [8A00]	[6]
Rasagiline	DM3WKQ4	Moderate	Additive hypotensive effects by the combination of Tolazoline and Rasagiline.	Parkinsonism [8A00]	[6]
Silodosin	DMJSBT6	Moderate	Additive hypotensive effects by the combination of Tolazoline and Silodosin.	Prostate hyperplasia [GA90]	[7]
Quetiapine	DM1N62C	Moderate	Additive hypotensive effects by the combination of Tolazoline and Quetiapine.	Schizophrenia [6A20]	[5]
Mesoridazine	DM2ZGAN	Moderate	Additive hypotensive effects by the combination of Tolazoline and Mesoridazine.	Schizophrenia [6A20]	[8]
Aripiprazole	DM3NUMH	Moderate	Additive hypotensive effects by the combination of Tolazoline and Aripiprazole.	Schizophrenia [6A20]	[5]
Iloperidone	DM6AUFY	Moderate	Additive hypotensive effects by the combination of Tolazoline and Iloperidone.	Schizophrenia [6A20]	[5]
Paliperidone	DM7NPJS	Moderate	Additive hypotensive effects by the combination of Tolazoline and Paliperidone.	Schizophrenia [6A20]	[5]
Perphenazine	DMA4MRX	Moderate	Additive hypotensive effects by the combination of Tolazoline and Perphenazine.	Schizophrenia [6A20]	[5]
Molindone	DMAH70G	Moderate	Additive hypotensive effects by the combination of Tolazoline and Molindone.	Schizophrenia [6A20]	[5]
Thiothixene	DMDINC4	Moderate	Additive hypotensive effects by the combination of Tolazoline and Thiothixene.	Schizophrenia [6A20]	[5]
Trifluoperazine	DMKBYWI	Moderate	Additive hypotensive effects by the combination of Tolazoline and Trifluoperazine.	Schizophrenia [6A20]	[5]
Amisulpride	DMSJVAM	Moderate	Additive hypotensive effects by the combination of Tolazoline and Amisulpride.	Schizophrenia [6A20]	[5]
Asenapine	DMSQZE2	Moderate	Additive hypotensive effects by the combination of Tolazoline and Asenapine.	Schizophrenia [6A20]	[5]

References

• [1] Tolazoline 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: 7310).
• [3] 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
• [4] Comparative effects of tolazoline and nitroprusside on human isolated radial artery. Ann Thorac Surg. 2006 Jan;81(1):125-31.
• [5] 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]
• [6] Ban TA "Drug interactions with psychoactive drugs." Dis Nerv Syst 36 (1975): 164-6. [PMID: 1116424]
• [7] Product Information. Flomax (tamsulosin). Boehringer-Ingelheim, Ridgefield, CT.
• [8] Product Information. Clozaril (clozapine). Novartis Pharmaceuticals, East Hanover, NJ.