Mepyramine

Identification

Summary

Mepyramineis an antihistamine agent used for the symptomatic treatment of allergy, hypersensitivity reactions, and pruritic skin disorders.

Brand Names
Midol Complete, Midol Cramps & Bodyaches, Ninjacof, Pamprin Multi-symptom, Premsyn Pms, Vanacof-8
Generic Name
Mepyramine
DrugBank Accession Number
DB06691
Background

Mepyramine, or pyrilamine, targets the H1 receptor. It is a first generation antihistamine. However, it rapidly permeates the brain and so often causes drowsiness as a side effect. It has been found in over-the-counter combination products for colds and menstrual symptoms, but is considered to be an unapproved prescription medication used for cough, cold, or allergic conditions.

Type
Small Molecule
Groups
Approved, Vet approved
Structure
Weight
Average: 285.384
Monoisotopic: 285.184112373
Chemical Formula
C17H23N3O
Synonyms
  • Mepiramina
  • Mepyramine
  • N-(p-methoxybenzyl)-N',N'-dimethyl-N-(α-pyridyl)ethylenediamine
  • N-[(4-methoxyphenyl)methyl]-N',N'-dimethyl-N-2-pyridinyl-1,2-ethanediamine
  • N',N'-dimethyl-N-(p-methoxybenzyl)-N-(2-pyridyl)ethylenediamine
  • Pyranisamine
  • Pyrilamine

Pharmacology

Indication

Indicated for the treatment of allergic conditions, symptomatic relief of hypersensitivity reaction, and treatment of pruritic skin disorders.

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Associated Conditions
Contraindications & Blackbox Warnings
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Pharmacodynamics

Not Available

Mechanism of action

Mepyramine is a histamine H1 receptor inverse agonist. It binds to a G protein-coupled form of the receptor and promotes a G protein-coupled inactive state of the H1 receptor that interferes with the Gq/11-mediated signaling. Mepyramine competes with histamine for binding at H1-receptor sites on the effector cell surface, resulting in suppression of histaminic edema, flare, and pruritus. The sedative properties of Mepyramine occur at the subcortical level of the CNS.

Target Actions Organism
AHistamine H1 receptor
antagonist
Humans
Absorption

Not Available

Volume of distribution

Not Available

Protein binding

Not Available

Metabolism
Not Available
Route of elimination

Not Available

Half-life

Not Available

Clearance

Not Available

Adverse Effects
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Toxicity

The signs and symptoms that are produced after the acute overdosage of Mepyramine include Convulsions, Coma, Ataxia, Hyperpyrexia, Tremor, Extrapyramidal effects, Excitement.

Pathways
Pathway Category
Mepyramine H1-Antihistamine Action Drug action
Pharmacogenomic Effects/ADRsBrowse all" title="" id="snp-actions-info" class="drug-info-popup" href="javascript:void(0);">
Not Available

Interactions

Drug InteractionsLearn More" title="" id="structured-interactions-info" class="drug-info-popup" href="javascript:void(0);">
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction
1,2-Benzodiazepine The risk or severity of adverse effects can be increased when Mepyramine is combined with 1,2-Benzodiazepine.
Acebutolol The metabolism of Acebutolol can be decreased when combined with Mepyramine.
Acetazolamide The risk or severity of adverse effects can be increased when Acetazolamide is combined with Mepyramine.
Acetophenazine The risk or severity of adverse effects can be increased when Acetophenazine is combined with Mepyramine.
Acrivastine The risk or severity of QTc prolongation can be increased when Mepyramine is combined with Acrivastine.
Adenosine The risk or severity of QTc prolongation can be increased when Mepyramine is combined with Adenosine.
Agomelatine The risk or severity of adverse effects can be increased when Agomelatine is combined with Mepyramine.
Ajmaline The risk or severity of QTc prolongation can be increased when Ajmaline is combined with Mepyramine.
Alfentanil The risk or severity of adverse effects can be increased when Alfentanil is combined with Mepyramine.
Alfuzosin The risk or severity of QTc prolongation can be increased when Alfuzosin is combined with Mepyramine.
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Food Interactions
  • Avoid alcohol.
  • Take with food.

Products

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Product Ingredients
Ingredient UNII CAS InChI Key
Mepyramine maleate R35D29L3ZA 59-33-6 JXYWFNAQESKDNC-BTJKTKAUSA-N
Mepyramine tannate A9310LW34B 183969-60-0 FPPPOGQYQQBHQR-HBNMXAOGSA-N
Product Images
Over the Counter Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image
Childrens PediaClear 8 Liquid 12.5 mg/15mL Oral GM Pharmaceuticals, INC 2019-08-19 Not applicable US flag
Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image
Acetaminophen 500mg Caffeine 60mg Pyrilamine maleate 15mg Mepyramine maleate(15 mg/1)+Acetaminophen(500 mg/1)+Caffeine(60 mg/1) Tablet Oral Opmx Llc 2020-04-01 Not applicable US flag
Acetaminophen 500mg Caffeine 60mg Pyrilamine maleate 15mg Mepyramine maleate(15 mg/1)+Acetaminophen(500 mg/1)+Caffeine(60 mg/1) Tablet Oral Opmx Llc 2020-04-01 Not applicable US flag
Acetaminophen 500mg Caffeine 60mg Pyrilamine maleate 15mg Mepyramine maleate(15 mg/1)+Acetaminophen(500 mg/1)+Caffeine(60 mg/1) Tablet Oral Walgreens Co. 2019-07-05 Not applicable US flag
Acetaminophen 500mg Caffeine 60mg Pyrilamine maleate 15mg Mepyramine maleate(15 mg/1)+Acetaminophen(500 mg/1)+Caffeine(60 mg/1) Tablet Oral Opmx Llc 2020-04-01 Not applicable US flag
Acetaminophen,Caffeine and Pyrilamine Maleate Mepyramine maleate(15 mg/1)+Acetaminophen(500 mg/1)+Caffeine(60 mg/1) Tablet Oral Apnar Pharma Lp 2022-07-05 Not applicable US flag
Aldex D Mepyramine maleate(16 mg/5mL)+Phenylephrine hydrochloride(5 mg/5mL) Suspension Oral Pernix Therapeutics 2010-06-01 2014-12-31 US flag
Antitussive Decong Antihistamine Syr Mepyramine maleate(6.5 mg / 5 mL)+Dextromethorphan hydrobromide(15 mg / 5 mL)+Pheniramine maleate(6.5 mg / 5 mL)+Phenylpropanolamine hydrochloride(13 mg / 5 mL) Syrup Oral Prodemdis Enr. 1992-12-31 2001-04-26 Canada flag
Ara Menstrual Complete Mepyramine maleate(15 mg)+Acetaminophen(500 mg)+Caffeine(60 mg) Tablet Oral Ara Avanti Rx Analytics Inc 2018-04-06 2021-06-25 Canada flag
Babys Own Cough Syr Mepyramine maleate(160 mg / 100 mL)+Ammonium chloride(910 mg / 100 mL)+Guaifenesin(1 g / 100 mL) Liquid Oral G.T. Fulford Pharmaceuticals 1977-12-31 1998-06-25 Canada flag
Bronchodex Fort-DM Syr Mepyramine maleate(10 mg / 5 mL)+Ammonium chloride(129.6 mg / 5 mL)+Dextromethorphan hydrobromide(15 mg / 5 mL)+Levomenthol(.405 mg / 5 mL)+Sodium citrate(64.8 mg / 5 mL) Syrup Oral Therapex Division De E Z Em Canada Inc 1980-12-31 1997-07-22 Canada flag
Unapproved/Other Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image
A-Tan 12X Suspension Mepyramine tannate(30 mg/5mL)+Guaifenesin(100 mg/5mL)+Phenylephrine tannate(5 mg/5mL) Suspension Oral Amneal Pharmaceuticals 2006-01-06 2008-12-05 US flag
Atrohist Pediatric Mepyramine tannate(12.5 mg/5mL)+Chlorpheniramine tannate(2 mg/5mL)+Phenylephrine tannate(5 mg/5mL) Suspension Oral Physicians Total Care, Inc. 1994-09-23 2008-12-05 US flag
C-Tanna 12D Suspension Mepyramine tannate(30 mg/5mL)+Pentoxyverine tannate(30 mg/5mL)+Phenylephrine tannate(5 mg/5mL) Suspension Oral Prasco, Laboratories 2006-01-01 2008-10-31 US flag
Chlor-Tan A 12 Suspension Mepyramine tannate(12.5 mg/5mL)+Chlorpheniramine tannate(2 mg/5mL)+Phenylephrine tannate(5 mg/5mL) Suspension Oral Amneal Pharmaceuticals 2006-01-06 2008-12-05 US flag
Corzall Plus Mepyramine maleate(7.5 mg/5mL)+Pentoxyverine citrate(20 mg/5mL)+Pseudoephedrine hydrochloride(30 mg/5mL) Liquid Oral Hawthorn Pharmaceuticals, Inc. 2009-08-28 2011-08-26 US flag
Deconsal CT Mepyramine maleate(16 mg/1)+Phenylephrine hydrochloride(10 mg/1) Tablet, chewable Oral Cornerstone Therapeutics Inc. 2006-10-01 2009-07-01 US flag
Deconsal DM Mepyramine maleate(16 mg/1)+Dextromethorphan hydrobromide monohydrate(15 mg/1)+Phenylephrine hydrochloride(10 mg/1) Tablet, chewable Oral Cornerstone Therapeutics Inc. 2006-10-01 2009-08-01 US flag
Dextro Phenyl Pyril Mepyramine(15.5 mg/5mL)+Dextromethorphan(25 mg/5mL)+Phenylephrine(15.5 mg/5mL) Liquid Oral River's Edge Pharmaceuticals, LLC 2008-08-01 2010-07-31 US flag
Poly Hist Dhc Mepyramine maleate(7.5 mg/5mL)+Dihydrocodeine bitartrate(7.5 mg/5mL)+Phenylephrine hydrochloride(5 mg/5mL) Liquid Oral Poly Pharmaceuticals 2009-11-12 2012-01-31 US flag
Poly Hist Pd Mepyramine maleate(12.5 mg/5mL)+Chlorpheniramine maleate(2 mg/5mL)+Phenylephrine hydrochloride(7.5 mg/5mL) Liquid Oral Poly Pharmaceuticals 2004-08-05 2011-08-31 US flag

Categories

ATC Codes
D04AA02 — Mepyramine R06AC01 — Mepyramine
Drug Categories
Chemical TaxonomyProvided byClassyfire
Description
This compound belongs to the class of organic compounds known as 2-benzylaminopyridines. These are aromatic compounds containing pyridine ring substituted at the 2-position by a benzylamine group.
Kingdom
Organic compounds
Super Class
Benzenoids
Class
Benzene and substituted derivatives
Sub Class
Benzylamines
Direct Parent
2-benzylaminopyridines
Alternative Parents
Phenoxy compounds/Methoxybenzenes/Dialkylarylamines/Anisoles/Aminopyridines and derivatives/Alkyl aryl ethers/Imidolactams/Heteroaromatic compounds/Trialkylamines/Azacyclic compounds
show 2 more
Substituents
2-benzylaminopyridine/Alkyl aryl ether/Amine/Aminopyridine/Anisole/Aromatic heteromonocyclic compound/Azacycle/Dialkylarylamine/Ether/Heteroaromatic compound
show 14 more
Molecular Framework
Aromatic heteromonocyclic compounds
External Descriptors
aromatic ether, ethylenediamine derivative (CHEBI:6762)
Affected organisms
Not Available

Chemical Identifiers

UNII
HPE317O9TL
CAS number
91-84-9
InChI Key
YECBIJXISLIIDS-UHFFFAOYSA-N
InChI
InChI=1S/C17H23N3O/c1-19(2)12-13-20(17-6-4-5-11-18-17)14-15-7-9-16(21-3)10-8-15/h4-11H,12-14H2,1-3H3
IUPAC Name
N-[2-(dimethylamino)ethyl]-N-[(4-methoxyphenyl)methyl]pyridin-2-amine
SMILES
COC1=CC=C(CN(CCN(C)C)C2=NC=CC=C2)C=C1

References

Synthesis Reference
US2502151
General References
Not Available
Human Metabolome Database
HMDB0015639
KEGG Drug
D08183
KEGG Compound
C11798
PubChem Compound
4992
PubChem Substance
175427084
ChemSpider
4818
BindingDB
22567
RxNav
9009
ChEBI
6762
ChEMBL
CHEMBL511
ZINC
ZINC000019144216
PharmGKB
PA165817939
Wikipedia
Mepyramine

Clinical Trials

Clinical TrialsLearn More" title="" id="clinical-trials-info" class="drug-info-popup" href="javascript:void(0);">
Phase Status Purpose Conditions Count
4 Suspended Not Available Labor, First Stage 1
3 完成 Treatment Nasal Congestion 1
2, 3 完成 Treatment Cervicobrachial Neuralgia 1

Pharmacoeconomics

Manufacturers
Not Available
Packagers
Not Available
Dosage Forms
Form Route Strength
Liquid Oral 12.5 mg/15mL
Tablet, chewable Oral
Liquid Oral
Gel Topical
Capsule Oral
Powder Oral
Capsule, liquid filled Oral
Tablet, film coated Oral
Tablet, coated Oral
Solution Oral
Liquid Ophthalmic
Suspension Oral
Powder Not applicable 25 kg/25kg
Tablet Oral
Tablet, extended release Oral
Syrup Oral
Cream
Prices
Not Available
Patents
Not Available

Properties

State
Solid
Experimental Properties
Property Value Source
logP 3.27 HANSCH,C ET AL. (1995)
pKa 8.85 (at 20 °C) PERRIN,DD (1965)
Predicted Properties
Property Value Source
Water Solubility 0.781 mg/mL ALOGPS
logP 2.89 ALOGPS
logP 3.04 Chemaxon
logS -2.6 ALOGPS
pKa (Strongest Basic) 8.76 Chemaxon
Physiological Charge 1 Chemaxon
Hydrogen Acceptor Count 4 Chemaxon
Hydrogen Donor Count 0 Chemaxon
Polar Surface Area 28.6 Å2 Chemaxon
Rotatable Bond Count 7 Chemaxon
Refractivity 87.74 m3·mol-1 Chemaxon
Polarizability 32.89 Å3 Chemaxon
Number of Rings 2 Chemaxon
Bioavailability 1 Chemaxon
Rule of Five Yes Chemaxon
Ghose Filter Yes Chemaxon
Veber's Rule Yes Chemaxon
MDDR-like Rule No Chemaxon
Predicted ADMET Features
Property Value Probability
Human Intestinal Absorption + 0.9662
Blood Brain Barrier + 0.9382
Caco-2 permeable + 0.6226
P-glycoprotein substrate Substrate 0.822
P-glycoprotein inhibitor I Non-inhibitor 0.8781
P-glycoprotein inhibitor II Non-inhibitor 0.8079
Renal organic cation transporter Inhibitor 0.7157
CYP450 2C9 substrate Non-substrate 0.7894
CYP450 2D6 substrate Non-substrate 0.9116
CYP450 3A4 substrate Substrate 0.6168
CYP450 1A2 substrate Non-inhibitor 0.9045
CYP450 2C9 inhibitor Non-inhibitor 0.9071
CYP450 2D6 inhibitor Inhibitor 0.8932
CYP450 2C19 inhibitor Inhibitor 0.8722
CYP450 3A4 inhibitor Non-inhibitor 0.937
CYP450 inhibitory promiscuity Low CYP Inhibitory Promiscuity 0.6972
Ames test Non AMES toxic 0.928
Carcinogenicity Non-carcinogens 0.8897
Biodegradation Not ready biodegradable 1.0
Rat acute toxicity 2.4469 LD50, mol/kg Not applicable
hERG inhibition (predictor I) Strong inhibitor 0.5722
hERG inhibition (predictor II) Inhibitor 0.7313
ADMET data is predicted usingadmetSAR, a free tool for evaluating chemical ADMET properties. (23092397)

Spectra

Mass Spec (NIST)
Not Available
Spectra
Spectrum Spectrum Type Splash Key
Predicted GC-MS Spectrum - GC-MS Predicted GC-MS Not Available
Predicted MS/MS Spectrum - 10V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 20V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 40V, Positive (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 10V, Negative (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 20V, Negative (Annotated) Predicted LC-MS/MS Not Available
Predicted MS/MS Spectrum - 40V, Negative (Annotated) Predicted LC-MS/MS Not Available
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-0076-0290000000-f68a382a2e28b5f2b1fb
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-0930000000-a4aabde6bd23d5631e8d
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-0900000000-0461973c5b6a31124ad2
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-0900000000-5803a397af45d47e559f
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-1900000000-005c71fce551a8ce71a9
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-2900000000-fbd3ea6b25f6238e4903
LC-MS/MS Spectrum - LC-ESI-QTOF , positive LC-MS/MS splash10-000i-0090000000-7580edc933e367e03bd4
LC-MS/MS Spectrum - LC-ESI-QTOF , positive LC-MS/MS splash10-00di-0920000000-116fdb01e72f6eed832c
LC-MS/MS Spectrum - LC-ESI-QTOF , positive LC-MS/MS splash10-00di-0900000000-d384a4904e9cf89d30a8
LC-MS/MS Spectrum - LC-ESI-QTOF , positive LC-MS/MS splash10-00di-1900000000-760bc84c56f7512a6a55
LC-MS/MS Spectrum - LC-ESI-QTOF , positive LC-MS/MS splash10-00fr-7900000000-8873262b3e31b11b3ccc
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-1900000000-c9b1c86211e3b0d8e024
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-5900000000-30296f89ac06c75ba738
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-0076-0390000000-3af09900aa13a2ca6791
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-0930000000-b947fc17f6a8ca5aa2c2
LC-MS/MS Spectrum - LC-ESI-QFT , positive LC-MS/MS splash10-00di-0900000000-debdce4be33f8a51cd66

Targets

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Details
1.Histamine H1 receptor
Kind
Protein
Organism
Humans
Pharmacological action
Yes
Actions
Antagonist
General Function
Histamine receptor activity
Specific Function
In peripheral tissues, the H1 subclass of histamine receptors mediates the contraction of smooth muscles, increase in capillary permeability due to contraction of terminal venules, and catecholamin...
Gene Name
HRH1
Uniprot ID
P35367
Uniprot Name
Histamine H1 receptor
分子量
55783.61 Da
References
  1. Moriyama K, Liu J, Jang Y, Chae YJ, Wang Y, Mitchell J, Grond S, Han X, Xing Y, Xie GX, Pierce Palmer P: Receptor mediation and nociceptin inhibition of bradykinin-induced plasma extravasation in the knee joint of the rat. Inflamm Res. 2009 Dec;58(12):873-80. doi: 10.1007/s00011-009-0058-y. Epub 2009 Jun 21. [Article]
  2. Chhabria MT, Patel VT, Rajan KS, Brahmkshatriya PS: Design, synthesis and histamine H1-receptor antagonistic activity of some novel 4-amino-2-(substituted)-5-(substituted) aryl-6-[(substituted aryl) amino] pyrimidines. Arzneimittelforschung. 2009;59(5):243-7. [Article]
  3. Mojtahedin A, Tamaddonfard E, Zanboori A: Antinociception induced by central administration of histamine in the formalin test in rats. Indian J Physiol Pharmacol. 2008 Jul-Sep;52(3):249-54. [Article]
  4. Parsons ME, Ganellin CR: Histamine and its receptors. Br J Pharmacol. 2006 Jan;147 Suppl 1:S127-35. [Article]
  5. Snowman AM, Snyder SH: Cetirizine: actions on neurotransmitter receptors. J Allergy Clin Immunol. 1990 Dec;86(6 Pt 2):1025-8. [Article]

Enzymes

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Steroid hydroxylase activity
Specific Function
Responsible for the metabolism of many drugs and environmental chemicals that it oxidizes. It is involved in the metabolism of drugs such as antiarrhythmics, adrenoceptor antagonists, and tricyclic...
Gene Name
CYP2D6
Uniprot ID
P10635
Uniprot Name
Cytochrome P450 2D6
分子量
55768.94 Da
References
  1. Hiroi T, Ohishi N, Imaoka S, Yabusaki Y, Fukui H, Funae Y: Mepyramine, a histamine H1 receptor antagonist, inhibits the metabolic activity of rat and human P450 2D forms. J Pharmacol Exp Ther. 1995 Feb;272(2):939-44. [Article]
  2. Kortunay S, Bozkurt A, Basci NE, Brosen K, Kayaalp SO: Dose-dependent inhibition of the CYP2D6 catalyzed oxidation of sparteine by mepyramine in healthy volunteers. Pharmacol Toxicol. 2001 Dec;89(6):331-4. [Article]

Transporters

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
General Function
Symporter activity
Specific Function
Sodium-ion dependent, low affinity carnitine transporter. Probably transports one sodium ion with one molecule of carnitine. Also transports organic cations such as tetraethylammonium (TEA) without...
Gene Name
SLC22A4
Uniprot ID
Q9H015
Uniprot Name
Solute carrier family 22 member 4
分子量
62154.48 Da
References
  1. Yabuuchi H, Tamai我Nezu J, Sakamoto K,总裁,Shimane M, Sai Y, Tsuji A: Novel membrane transporter OCTN1 mediates multispecific, bidirectional, and pH-dependent transport of organic cations. J Pharmacol Exp Ther. 1999 May;289(2):768-73. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
General Function
Symporter activity
Specific Function
Sodium-ion dependent, high affinity carnitine transporter. Involved in the active cellular uptake of carnitine. Transports one sodium ion with one molecule of carnitine. Also transports organic cat...
Gene Name
SLC22A5
Uniprot ID
O76082
Uniprot Name
Solute carrier family 22 member 5
分子量
62751.08 Da
References
  1. Ohashi R, Tamai I, Yabuuchi H, Nezu JI, Oku A, Sai Y, Shimane M, Tsuji A: Na(+)-dependent carnitine transport by organic cation transporter (OCTN2): its pharmacological and toxicological relevance. J Pharmacol Exp Ther. 1999 Nov;291(2):778-84. [Article]

Drug created at January 13, 2009 17:35 / Updated at February 21, 2021 18:52