Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C23H27FN4O3 |
| Molecular Weight | 426.4839 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=C(CCN2CCC(CC2)C3=NOC4=C3C=CC(F)=C4)C(=O)N5CCCC(O)C5=N1
InChI
InChIKey=PMXMIIMHBWHSKN-UHFFFAOYSA-N
InChI=1S/C23H27FN4O3/c1-14-17(23(30)28-9-2-3-19(29)22(28)25-14)8-12-27-10-6-15(7-11-27)21-18-5-4-16(24)13-20(18)31-26-21/h4-5,13,15,19,29H,2-3,6-12H2,1H3
| Molecular Formula | C23H27FN4O3 |
| Molecular Weight | 426.4839 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
DescriptionCurator's Comment: description was created based on several sources, including
http://dx.doi.org/10.4172/2161-1459.1000117
Curator's Comment: description was created based on several sources, including
http://dx.doi.org/10.4172/2161-1459.1000117
Paliperidone (9-OH-risperidone) is the primary active metabolite of the older antipsychotic risperidone. While its specific mechanism of action is unknown, it is believed that paliperidone and risperidone act via similar if not the same pathways. It has been proposed that the drug's therapeutic activity in schizophrenia is mediated through a combination of central dopamine Type 2 (D2) and serotonin Type 2 (5HT2A) receptor antagonism. Paliperidone is also active as an antagonist at alpha 1 and alpha 2 adrenergic receptors and H1 histaminergic receptors, which may explain some of the other effects of the drug. Paliperidone was approved by the FDA for treatment of schizophrenia on December 20, 2006. Very common adverse effects are: headache, tachycardia, somnolence and insomnia.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23861636
Curator's Comment: Due to a hydroxyl group in position 9, paliperidone is less lipophilic than risperidone and crosses the blood-brain barrier less easily the parent drug. Experiments in knock-out mice have suggested that the brain entry of both risperidone and paliperidone may be limited by the presence in the blood-brain barrier of the P-glycoprotein, a multidrug efflux transporter, which has a slightly greater affinity for paliperidone than risperidone.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL217 Sources: https://www.ncbi.nlm.nih.gov/pubmed/7520908 |
|||
Target ID: CHEMBL224 Sources: https://www.ncbi.nlm.nih.gov/pubmed/7542676 |
|||
Target ID: CHEMBL240 Sources: https://www.ncbi.nlm.nih.gov/pubmed/28265686 |
0.57 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | INVEGA Approved UseINVEGA SUSTENNA® (paliperidone palmitate) is indicated for the treatment of: Schizophrenia [see Clinical Studies 14.1 Launch Date2006 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20589922/ |
3 mg single, oral dose: 3 mg route of administration: Oral experiment type: SINGLE co-administered: |
PALIPERIDONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
10.1 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26189570/ |
75 mg × eq single, intramuscular dose: 75 mg × eq route of administration: Intramuscular experiment type: SINGLE co-administered: |
PALIPERIDONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
257.3 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20589922/ |
3 mg single, oral dose: 3 mg route of administration: Oral experiment type: SINGLE co-administered: |
PALIPERIDONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
22.214 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26189570/ |
75 mg × eq single, intramuscular dose: 75 mg × eq route of administration: Intramuscular experiment type: SINGLE co-administered: |
PALIPERIDONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
410 ng × h/mL |
6 mg 1 times / day steady-state, oral dose: 6 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
PALIPERIDONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
22.8 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/20589922/ |
3 mg single, oral dose: 3 mg route of administration: Oral experiment type: SINGLE co-administered: |
PALIPERIDONE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
44.9 day EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/26189570/ |
75 mg × eq single, intramuscular dose: 75 mg × eq route of administration: Intramuscular experiment type: SINGLE co-administered: |
PALIPERIDONE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
23 h |
single, oral |
PALIPERIDONE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
26% |
single, oral |
PALIPERIDONE plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
180 mg single, oral Overdose |
unhealthy, 12 |
Disc. AE: Lethargy, Tachycardia... AEs leading to discontinuation/dose reduction: Lethargy Sources: Tachycardia Hypokalemia Dyskinesia Dystonia |
252 mg single, oral Overdose |
unhealthy, 16 |
Disc. AE: Loss of consciousness... AEs leading to discontinuation/dose reduction: Loss of consciousness Sources: |
15 mg 1 times / day multiple, oral Studied dose Dose: 15 mg, 1 times / day Route: oral Route: multiple Dose: 15 mg, 1 times / day Sources: |
unhealthy, 30 |
DLT: Motor tic... |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
Disc. AE: Depressive symptom, Psychotic disorder... AEs leading to discontinuation/dose reduction: Depressive symptom (0.9%) Sources: Psychotic disorder (0.9%) Anxiety (0.4%) Insomnia (0.4%) Agitation (0.4%) Abnormal dreams (0.4%) Libido decreased (0.4%) Substance abuse (0.4%) Suicidal ideation (0.4%) Paranoid schizophrenia (0.4%) Akathisia (0.9%) Headache (0.9%) Dystonia (0.4%) Dizziness (0.4%) Tardive dyskinesia (0.4%) Dyskinesia (0.4%) Oromandibular dystonia (0.4%) Extrapyramidal disorder (0.4%) Erectile dysfunction (0.9%) Amenorrhea (0.4%) Ejaculation failure (0.4%) Galactorrhea (0.4%) Gynecomastia (0.4%) Injection site pain (0.9%) Chest discomfort (0.4%) Weight increased (0.9%) Semen volume decreased (0.4%) |
9 mg 1 times / day multiple, oral Recommended Dose: 9 mg, 1 times / day Route: oral Route: multiple Dose: 9 mg, 1 times / day Sources: |
unhealthy, 38 |
Disc. AE: Dyskinesia, Dystonia... AEs leading to discontinuation/dose reduction: Dyskinesia Sources: Dystonia Tremor Diaphoresis Tachycardia |
12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Cerebrovascular disorder (NOS), Stroke... AEs leading to discontinuation/dose reduction: Cerebrovascular disorder (NOS) Sources: Stroke Transient ischemic attack (grade 3-5) Neuroleptic malignant syndrome QT interval prolonged Tardive dyskinesia Hyperglycemia Dyslipidemia Weight gain Hyperprolactinemia Intestinal stricture NOS Orthostatic hypotension Syncope Leukopenia Neutropenia Agranulocytosis Cognitive impairment Motor dysfunction NOS Seizures |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Cerebrovascular disorder (NOS), Stroke... AEs leading to discontinuation/dose reduction: Cerebrovascular disorder (NOS) Sources: Stroke Transient ischemic attack Neuroleptic malignant syndrome QT interval prolonged Tardive dyskinesia Hyperglycemia Dyslipidemia Weight gain Hyperprolactinemia Seizures Orthostatic hypotension Syncope Leukopenia Neutropenia Agranulocytosis Cognitive impairment Motor dysfunction NOS |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Dyskinesia | Disc. AE | 180 mg single, oral Overdose |
unhealthy, 12 |
| Dystonia | Disc. AE | 180 mg single, oral Overdose |
unhealthy, 12 |
| Hypokalemia | Disc. AE | 180 mg single, oral Overdose |
unhealthy, 12 |
| Lethargy | Disc. AE | 180 mg single, oral Overdose |
unhealthy, 12 |
| Tachycardia | Disc. AE | 180 mg single, oral Overdose |
unhealthy, 12 |
| Loss of consciousness | Disc. AE | 252 mg single, oral Overdose |
unhealthy, 16 |
| Motor tic | DLT | 15 mg 1 times / day multiple, oral Studied dose Dose: 15 mg, 1 times / day Route: oral Route: multiple Dose: 15 mg, 1 times / day Sources: |
unhealthy, 30 |
| Abnormal dreams | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Agitation | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Amenorrhea | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Anxiety | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Chest discomfort | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Dizziness | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Dyskinesia | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Dystonia | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Ejaculation failure | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Extrapyramidal disorder | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Galactorrhea | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Gynecomastia | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Insomnia | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Libido decreased | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Oromandibular dystonia | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Paranoid schizophrenia | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Semen volume decreased | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Substance abuse | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Suicidal ideation | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Tardive dyskinesia | 0.4% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Akathisia | 0.9% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Depressive symptom | 0.9% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Erectile dysfunction | 0.9% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Headache | 0.9% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Injection site pain | 0.9% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Psychotic disorder | 0.9% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Weight increased | 0.9% Disc. AE |
234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy, 37.7 |
| Diaphoresis | Disc. AE | 9 mg 1 times / day multiple, oral Recommended Dose: 9 mg, 1 times / day Route: oral Route: multiple Dose: 9 mg, 1 times / day Sources: |
unhealthy, 38 |
| Dyskinesia | Disc. AE | 9 mg 1 times / day multiple, oral Recommended Dose: 9 mg, 1 times / day Route: oral Route: multiple Dose: 9 mg, 1 times / day Sources: |
unhealthy, 38 |
| Dystonia | Disc. AE | 9 mg 1 times / day multiple, oral Recommended Dose: 9 mg, 1 times / day Route: oral Route: multiple Dose: 9 mg, 1 times / day Sources: |
unhealthy, 38 |
| Tachycardia | Disc. AE | 9 mg 1 times / day multiple, oral Recommended Dose: 9 mg, 1 times / day Route: oral Route: multiple Dose: 9 mg, 1 times / day Sources: |
unhealthy, 38 |
| Tremor | Disc. AE | 9 mg 1 times / day multiple, oral Recommended Dose: 9 mg, 1 times / day Route: oral Route: multiple Dose: 9 mg, 1 times / day Sources: |
unhealthy, 38 |
| Agranulocytosis | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Cerebrovascular disorder (NOS) | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Cognitive impairment | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Dyslipidemia | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hyperglycemia | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hyperprolactinemia | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Intestinal stricture NOS | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Leukopenia | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Motor dysfunction NOS | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Neuroleptic malignant syndrome | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Neutropenia | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Orthostatic hypotension | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| QT interval prolonged | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Seizures | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Stroke | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Syncope | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Tardive dyskinesia | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Weight gain | Disc. AE | 12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Transient ischemic attack | grade 3-5 Disc. AE |
12 mg 1 times / day multiple, oral Recommended Dose: 12 mg, 1 times / day Route: oral Route: multiple Dose: 12 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Agranulocytosis | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Cerebrovascular disorder (NOS) | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Cognitive impairment | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Dyslipidemia | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hyperglycemia | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hyperprolactinemia | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Leukopenia | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Motor dysfunction NOS | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Neuroleptic malignant syndrome | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Neutropenia | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Orthostatic hypotension | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| QT interval prolonged | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Seizures | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Stroke | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Syncope | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Tardive dyskinesia | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Transient ischemic attack | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
| Weight gain | Disc. AE | 234 mg 2 times / month multiple, intramuscular Recommended Dose: 234 mg, 2 times / month Route: intramuscular Route: multiple Dose: 234 mg, 2 times / month Sources: |
unhealthy Health Status: unhealthy Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [IC50 61.9 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe detromethorphan Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [Inhibition >30 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe coumarin Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [Inhibition >30 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe chlorzoxazone Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [Inhibition >30 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe lauric acid Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [Inhibition >60 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe Caffeine Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [Inhibition >60 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe phenytoin Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [Inhibition >60 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe phenytoin Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
no [Inhibition >60 uM] | no (co-administration study) Comment: examination of inhibition by paliperidone using CYP isozyme probe testosterone Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 41, 81 |
||
| weak [IC50 63.26 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| yes | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 40.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part1.pdf Page: 40.0 |
yes | |||
Page: 41, 67 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part3.pdf Page: 19.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2006/021999s000_ClinPharmR_Part3.pdf Page: 19.0 |
yes |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 8, 17, 24 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Inhibition of cloned hERG potassium channels by risperidone and paliperidone. | 2017-06 |
|
| Effects of quetiapine, risperidone, 9-hydroxyrisperidone and ziprasidone on the survival of human neuronal and immune cells in vitro. | 2010-03 |
|
| Paliperidone suppresses the development of the aggressive phenotype in a developmentally sensitive animal model of escalated aggression. | 2009-05 |
|
| Secondary delusional parasitosis treated with paliperidone. | 2009-04 |
|
| Pharmacological analysis of the novel, rapid, and potent inactivation of the human 5-Hydroxytryptamine7 receptor by risperidone, 9-OH-Risperidone, and other inactivating antagonists. | 2009-02 |
|
| Apparent seizure and atrial fibrillation associated with paliperidone. | 2008-11-15 |
|
| Efficacy and safety of oral paliperidone extended-release tablets in the treatment of acute schizophrenia: pooled data from three 52-week open-label studies. | 2008-11 |
|
| Gateways to clinical trials. July-August 2008. | 2008-10-14 |
|
| Paliperidone as a mood stabilizer: a pre-frontal cortex synaptoneurosomal proteomics comparison with lithium and valproic acid after chronic treatment reveals similarities in protein expression. | 2008-10-03 |
|
| Gateways to clinical trials. | 2008-10 |
|
| Antipsychotic drugs inhibit the function of breast cancer resistance protein. | 2008-10 |
|
| Paliperidone extended-release for the treatment of schizophrenia. | 2008-10 |
|
| ABCB1 polymorphisms influence steady-state plasma levels of 9-hydroxyrisperidone and risperidone active moiety. | 2008-10 |
|
| Choreatic symptoms during and after treatment with paliperidone and escitalopram. | 2008-09 |
|
| Validated LC-MS/MS methods for the determination of risperidone and the enantiomers of 9-hydroxyrisperidone in human plasma and urine. | 2008-07-01 |
|
| Hospitalization rates before and after initiation of paliperidone ER in patients with schizophrenia: results from open-label extensions of the US double-blind trials. | 2008-06 |
|
| Metabolism of atypical antipsychotics: involvement of cytochrome p450 enzymes and relevance for drug-drug interactions. | 2008-06 |
|
| Efficacy and tolerability of oral paliperidone extended-release tablets in the treatment of acute schizophrenia: pooled data from three 6-week, placebo-controlled studies. | 2008-05 |
|
| Paliperidone for treatment of schizophrenia. | 2008-05 |
|
| New drug update: 2007. | 2008-04 |
|
| Absorption, metabolism, and excretion of paliperidone, a new monoaminergic antagonist, in humans. | 2008-04 |
|
| Dose-finding study of paliperidone ER based on striatal and extrastriatal dopamine D2 receptor occupancy in patients with schizophrenia. | 2008-04 |
|
| Paliperidone extended-release tablets for the acute and maintenance treatment of schizophrenia. | 2008-02 |
|
| Paliperidone-ER: first atypical antipsychotic with oral extended release formulation. | 2008-02 |
|
| Safety and tolerability of oral paliperidone extended-release tablets in elderly patients with schizophrenia: a double-blind, placebo-controlled study with six-month open-label extension. | 2008-01 |
|
| Effect of rifampin, an inducer of CYP3A and P-glycoprotein, on the pharmacokinetics of risperidone. | 2008-01 |
|
| Upcoming agents for the treatment of schizophrenia: mechanism of action, efficacy and tolerability. | 2008 |
|
| Long-term therapeutic drug monitoring of risperidone and olanzapine identifies altered steady-state pharmacokinetics: a clinical, two-group, naturalistic study. | 2008 |
|
| Efficacy and safety of paliperidone extended-release tablets: results of a 6-week, randomized, placebo-controlled study. | 2007-12-15 |
|
| The pharmacology and safety of paliperidone extended-release in the treatment of schizophrenia. | 2007-11 |
|
| Sensitive liquid chromatography/tandem mass spectrometry method for the simultaneous determination of olanzapine, risperidone, 9-hydroxyrisperidone, clozapine, haloperidol and ziprasidone in rat brain tissue. | 2007-10-15 |
|
| Paliperidone: a new extended-release oral atypical antipsychotic. | 2007-10 |
|
| Analytical and semipreparative enantioseparation of 9-hydroxyrisperidone, the main metabolite of risperidone, using high-performance liquid chromatography and capillary electrophoresis. Validation and determination of enantiomeric purity. | 2007-09-07 |
|
| A double-blind, placebo-controlled, randomized study evaluating the effect of paliperidone extended-release tablets on sleep architecture in patients with schizophrenia. | 2007-09 |
|
| Enantioselective analysis of the antipsychotic 9-hydroxyrisperidone, main metabolite of risperidone, by chiral capillary EKC using dual CDs. | 2007-08 |
|
| Efficacy, safety and early response of paliperidone extended-release tablets (paliperidone ER): results of a 6-week, randomized, placebo-controlled study. | 2007-07 |
|
| Treatment with risperidone for 4 weeks increased plasma 3-methoxy-4-hydroxypnenylglycol (MHPG) levels, but did not alter plasma brain-derived neurotrophic factor (BDNF) levels in schizophrenic patients. | 2007-06-30 |
|
| New drug for schizophrenia. | 2007-06-26 |
|
| Molecule of the month. Paliperidone. | 2007-06 |
|
| Pharmacokinetics study for hyperprolactinemia among schizophrenics switched from risperidone to risperidone long-acting injection. | 2007-06 |
|
| New drugs: paliperidone, dasatinib, and decitabine. | 2007-05-19 |
|
| A study of genetic (CYP2D6 and ABCB1) and environmental (drug inhibitors and inducers) variables that may influence plasma risperidone levels. | 2007-05 |
|
| Paliperidone extended-release tablets: a new atypical antipsychotic. | 2007-05 |
|
| Effect of topiramate on plasma concentrations of clozapine, olanzapine, risperidone, and quetiapine in patients with psychotic disorders. | 2007-04-07 |
|
| Extended-release paliperidone: efficacy, safety and tolerability profile of a new atypical antipsychotic. | 2007-04 |
|
| Paliperidone (Invega) for schizophrenia. | 2007-03-12 |
|
| Rapidly disintegrating risperidone in subjects with schizophrenia or schizoaffective disorder: a summary of ten phase I clinical trials assessing taste, tablet disintegration time, bioequivalence, and tolerability. | 2007-02 |
|
| Forty years of antipsychotic Drug research--from haloperidol to paliperidone--with Dr. Paul Janssen. | 2007 |
|
| Possible neuroleptic malignant syndrome associated with paliperidone. | 2007 |
|
| Paliperidone extended release. | 2007 |
Patents
Sample Use Guides
In adults is 6 mg administered once daily
In adolescents 12-17 years of age is 3 mg administered once daily
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25754735
Paliperidone has dual hyperprolactinemic actions in lactotrophs i) by preserving the coupling of spontaneous electrical activity and prolactin secretion in the presence of dopamine and ii) by inhibiting intrinsic dopamine receptor activity in the absence of dopamine, leading to enhanced calcium signaling and secretion.
| Substance Class |
Chemical
Created
by
admin
on
Edited
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by
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on
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| Record UNII |
838F01T721
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Validated (UNII)
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WHO-ATC |
N05AX13
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WHO-VATC |
QN05AX13
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LIVERTOX |
NBK548506
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NDF-RT |
N0000175430
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EMA ASSESSMENT REPORTS |
INVEGA (AUTHORIZED: PSYCHOTIC DISORDERS)
Created by
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EMA ASSESSMENT REPORTS |
INVEGA (AUTHORIZED: SCHIZOPHRENIA)
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NCI_THESAURUS |
C66883
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4137
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Paliperidone
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CHEMBL1621
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DTXSID7049059
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1491809
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PALIPERIDONE
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QQ-13
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7977
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838F01T721
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100000092109
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679314
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C66293
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838F01T721
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SUB23268
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m8357
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82978
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759623
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8148
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| Related Record | Type | Details | ||
|---|---|---|---|---|
|
OFF-TARGET->NON-INHIBITOR |
NON-INHIBITOR
Ki
|
||
|
METABOLIC ENZYME -> SUBSTRATE | |||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
OFF TARGET->NON-INHIBITOR |
NON-INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
EXCRETED UNCHANGED |
AMOUNT EXCRETED
URINE
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET->WEAK INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
OFF TARGET->NON-INHIBITOR |
NON-INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TRANSPORTER -> SUBSTRATE |
TRANSPORTER
IC50
|
||
|
OFF TARGET->NON-INHIBITOR |
NON-INHIBITOR
Ki
|
||
|
BINDER->LIGAND |
|
||
|
SALT/SOLVATE -> PARENT |
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
OFF TARGET->NON-INHIBITOR |
NON-INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
METABOLIC ENZYME -> SUBSTRATE | |||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
||
|
TARGET -> INHIBITOR |
INHIBITOR
Ki
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
|
METABOLITE -> PARENT |
Trace in feces
URINE
|
||
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METABOLITE -> PARENT |
FECAL
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METABOLITE -> PARENT |
URINE
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PARENT -> METABOLITE ACTIVE |
| Related Record | Type | Details | ||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
|
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|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
IMPURITY -> PARENT |
|
||
|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
|
||
|
PARENT -> IMPURITY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| ORAL BIOAVAILABILITY | PHARMACOKINETIC |
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|
|||
| Biological Half-life | PHARMACOKINETIC |
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|
|||
| Volume of Distribution | PHARMACOKINETIC |
|
|
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| Tmax | PHARMACOKINETIC |
|
|
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