Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C10H13NO4 |
| Molecular Weight | 211.2145 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@](N)(CC1=CC=C(O)C(O)=C1)C(O)=O
InChI
InChIKey=CJCSPKMFHVPWAR-JTQLQIEISA-N
InChI=1S/C10H13NO4/c1-10(11,9(14)15)5-6-2-3-7(12)8(13)4-6/h2-4,12-13H,5,11H2,1H3,(H,14,15)/t10-/m0/s1
| Molecular Formula | C10H13NO4 |
| Molecular Weight | 211.2145 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionSources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2004/13400s086lbl.pdfhttps://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=f5f25053-a9f3-48b9-a412-078f5ee942fd&type=displayCurator's Comment: Description was created based on several sources, including
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2004/13400s086lbl.pdfhttps://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=f5f25053-a9f3-48b9-a412-078f5ee942fd&type=display
Curator's Comment: Description was created based on several sources, including
Methyldopate hydrochloride [levo-3-(3,4-dihydroxyphenyl)-2-methylalanine, ethyl ester hydrochloride] is the ethyl ester of methyldopa, supplied as the hydrochloride salt with a molecular weight of 275.73. Methyldopate hydrochloride is more soluble and stable in solution than methyldopa and is the preferred form for intravenous use. Methyldopate hydrochloride is an alpha adrenergic agonist that has both central and peripheral nervous system effects. Its primary clinical use is as an antihypertensive agent.
CNS Activity
Sources: https://www.drugs.com/monograph/methyldopa.htmlhttps://www.drugs.com/ppa/methyldopa-and-methyldopate-hcl.html
Curator's Comment: Methyldopa and methyldopate cross the blood-brain
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1843 Sources: https://www.ncbi.nlm.nih.gov/pubmed/7136732 |
60.0 µM [IC50] | ||
Target ID: CHEMBL2095203 |
|||
Target ID: CHEMBL2094111 Sources: https://www.drugs.com/pro/methyldopa.html |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | ALDOMET Approved UseINDICATION AND USAGE: Hypertension. Launch Date1962 |
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| Primary | ALDOMET Approved UseINDICATION AND USAGE: Hypertension. Launch Date1962 |
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| Primary | ALDOMET Approved UseINDICATION AND USAGE: Hypertension. Launch Date1962 |
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| Primary | Methyldopate hydrochloride Approved UseHypertension, when parenteral medication is indicated. The treatment of hypertensive crises may be initiated with Methyldopate HCl Injection. Launch Date1995 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
771.3 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21125810 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
METHYLDOPA plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
5352.9 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21125810 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
METHYLDOPA plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
4.54 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7047042 |
100 mg single, intravenous dose: 100 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
METHYLDOPA plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
12.6 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21125810 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
METHYLDOPA plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1.28 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7047042 |
100 mg single, intravenous dose: 100 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
METHYLDOPA plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
85% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/7047042 |
100 mg single, intravenous dose: 100 mg route of administration: Intravenous experiment type: SINGLE co-administered: |
METHYLDOPA plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
2.5 g single, oral |
unknown, 19 |
Other AEs: Coma... |
2326 mg multiple, oral Recommended Dose: 2326 mg Route: oral Route: multiple Dose: 2326 mg Sources: |
unhealthy, 36-68 |
Disc. AE: Depression, Tiredness... AEs leading to discontinuation/dose reduction: Depression (2 patients) Sources: Tiredness (2 patients) Diarrhoea (1 patient) Rash (1 patient) Blackout (1 patient) |
250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
Other AEs: Somnolence, Dry mouth... Other AEs: Somnolence (15 patients) Sources: Dry mouth (12 patients) Malaise (6 patients) Constipation (5 patients) Anorexia (5 patients) Diarrhoea (3 patients) Depression (2 patients) Weight gain (2 patients) Mental confusion (1 patient) Postural hypotension (1 patient) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Coma | grade 1 | 2.5 g single, oral |
unknown, 19 |
| Blackout | 1 patient Disc. AE |
2326 mg multiple, oral Recommended Dose: 2326 mg Route: oral Route: multiple Dose: 2326 mg Sources: |
unhealthy, 36-68 |
| Diarrhoea | 1 patient Disc. AE |
2326 mg multiple, oral Recommended Dose: 2326 mg Route: oral Route: multiple Dose: 2326 mg Sources: |
unhealthy, 36-68 |
| Rash | 1 patient Disc. AE |
2326 mg multiple, oral Recommended Dose: 2326 mg Route: oral Route: multiple Dose: 2326 mg Sources: |
unhealthy, 36-68 |
| Depression | 2 patients Disc. AE |
2326 mg multiple, oral Recommended Dose: 2326 mg Route: oral Route: multiple Dose: 2326 mg Sources: |
unhealthy, 36-68 |
| Tiredness | 2 patients Disc. AE |
2326 mg multiple, oral Recommended Dose: 2326 mg Route: oral Route: multiple Dose: 2326 mg Sources: |
unhealthy, 36-68 |
| Mental confusion | 1 patient | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Postural hypotension | 1 patient | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Dry mouth | 12 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Somnolence | 15 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Depression | 2 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Weight gain | 2 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Diarrhoea | 3 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Anorexia | 5 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Constipation | 5 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
| Malaise | 6 patients | 250 mg 4 times / day multiple, oral Recommended Dose: 250 mg, 4 times / day Route: oral Route: multiple Dose: 250 mg, 4 times / day Sources: |
unhealthy |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://molpharm.aspetjournals.org/content/12/6/911 Page: abstract |
likely |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.scirp.org/pdf/JBiSE_2017112915210255.pdf Page: 10.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Differential modulation by estrogen of alpha2-adrenergic and I1-imidazoline receptor-mediated hypotension in female rats. | 2004-10 |
|
| Liquid chromatography-tandem mass spectrometry method for the determination of tranexamic acid in human plasma. | 2004-06-15 |
|
| Drug-induced liver injury. | 2004-03-01 |
|
| [Centrally-acting antihypertensive drugs]. | 2004-03 |
|
| [Hypertension in pregnancy]. | 2004-03 |
|
| Mediated exodus of L-dopa from human epidermal Langerhans cells. | 2004-03 |
|
| Chronic ethanol administration attenuates imidazoline I1 receptor- or alpha 2-adrenoceptor-mediated reductions in blood pressure and hemodynamic variability in hypertensive rats. | 2004-02-06 |
|
| [Methyldopa in therapy of hypertension in pregnant women]. | 2004-02 |
|
| Pheochromocytoma during pregnancy: laparoscopic and conventional surgical treatment of two cases. | 2004-02 |
|
| Treatment of menopause-associated vasomotor symptoms: position statement of The North American Menopause Society. | 2004-01-13 |
|
| [Dementia induced by cardiokinetic and anti-hypertensive drugs]. | 2004-01 |
|
| Oral enalapril-hydrochlorothiazide-methyldopa as first line treatment for severe hypertension in Nigerians. | 2004-01 |
|
| A survey of Canadian practitioners regarding the management of the hypertensive disorders of pregnancy. | 2004 |
|
| Preeclampsia with abnormal liver function tests is associated with cholestasis in a subgroup of cases. | 2004 |
|
| Treating high blood pressure in Africans with type 2 diabetes. | 2004 |
|
| Inadequate control of blood pressure in Nigerians with diabetes. | 2004 |
|
| Methyldopa supplement for resistant essential hypertension: a prospective randomized placebo control crossover study. | 2003-12 |
|
| Nocturnal sleep, daytime sleepiness, and quality of life in stable patients on hemodialysis. | 2003-11-21 |
|
| Physician gender and antihypertensive prescription pattern in primary care. | 2003-11 |
|
| [Clinical observation on the efficacy enhancing and toxicity attenuating effect of nuzhen yangyin granule to the anti-parkinsonism therapy mainly with Medopa]. | 2003-11 |
|
| [Circadian blood pressure rhythm in preeclampsia as a predictor of maternal and obstetrical outcome]. | 2003-10-07 |
|
| Antihypertensive efficacy of moxonidine in primary care: a 'real-life' study. | 2003-08-16 |
|
| Angiotensin II-receptor-antagonists: further evidence of fetotoxicity but not teratogenicity. | 2003-08 |
|
| Pharmacokinetic profile of methyldopa in the brain of sinaortic-denervated rats. | 2003-07 |
|
| Blood pressure response to out-patient drug treatment of hypertension in 1973-1993 at Korle-Bu Teaching Hospital, Accra, Ghana. | 2003-06 |
|
| Catechol-O-methyltransferase inhibition in erythrocytes and liver by BIA 3-202 (1-[3,4-dibydroxy-5-nitrophenyl]-2-phenyl-ethanone). | 2003-06 |
|
| Antihypertensive drug-associated sexual dysfunction: a prescription analysis-based study. | 2003-05-08 |
|
| The aggressive treatment of hypertension. | 2003-05-03 |
|
| Shifting trends in the pharmacologic treatment of hypertension in a Nigerian tertiary hospital: a real-world evaluation of the efficacy, safety, rationality and pharmaco-economics of old and newer antihypertensive drugs. | 2003-04 |
|
| Replacement of antipsychotic and antiepileptic medication by L-alpha-methyldopa in a woman with velocardiofacial syndrome. | 2003-03 |
|
| Binding site of salsolinol: its properties in different regions of the brain and the pituitary gland of the rat. | 2003-01 |
|
| Oral beta-blockers for mild to moderate hypertension during pregnancy. | 2003 |
|
| Determination of antioxidant activity of some drugs using high-pressure liquid chromatography. | 2003 |
|
| Comparative single- and multiple-dose pharmacokinetics of levodopa and 3-O-methyldopa following a new dual-release and a conventional slow-release formulation of levodopa and benserazide in healthy volunteers. | 2003 |
|
| Spectrophotometric investigations of the assay of physiologically active catecholamines in pharmaceutical formulations. | 2002-12-13 |
|
| [Primary aldosteronism and pregnancy: report of 2 cases]. | 2002-12 |
|
| Calcium channel blocker, nimodipine, for the treatment of bipolar disorder during pregnancy. | 2002-12 |
|
| Detection of alpha-methyldopa on thin-layer plates using pi-acceptors in 1,4-dioxane. | 2002-11-13 |
|
| Nephropathic cystinosis associated with cardiomyopathy: a 27-year clinical follow-up. | 2002-11-09 |
|
| Analysis of L-dopa in human serum. | 2002-11 |
|
| Pathophysiology and treatment of hot flashes. | 2002-11 |
|
| Immune-mediated drug-induced liver disease. | 2002-08 |
|
| Methyldopa versus no drug treatment in the management of mild pre-eclampsia. | 2002-04 |
|
| Centrally acting imidazoline I1-receptor agonists: do they have a place in the management of hypertension? | 2001 |
|
| Development and trends in the drug treatment of essential hypertension. | 1992-12 |
|
| Autoantibodies associated with lupus induced by diverse drugs target a similar epitope in the (H2A-H2B)-DNA complex. | 1992-07 |
|
| Cardiac hypertrophy and antihypertensive therapy. | 1977-09 |
|
| Dementia induced by methyldopa with haloperidol. | 1976-05-27 |
|
| Dihydroergotamine: an effective treatment for postural hypotension due to antihypertensive drugs (ganglion-blocking agents excepted). | 1976 |
|
| [Use of alpha-methyldopa in the treatment of arterial hypertension]. | 1975-08-31 |
Sample Use Guides
In Vivo Use Guide
Curator's Comment: When control has been obtained, oral therapy with tablets may be substituted for intravenous therapy, starting with the same dosage schedule used for the parenteral route. The effectiveness and anticipated responses are described in the circular for tablets.
Initial: 250 mg PO q8-12hr for 2 days, increase q2Days PRN
Maintenance: 250-1000 mg/day divided q6-12hr PO, usually no more than 3 g/day
IV (methyldopate): 250-1000 mg infusion over 30-60 minutes q6-8hr PRN; no more than 4 g/day
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27998008
Human uterine microvascular endothelial cells (UtMVEC) (PromoCell, Heidelberg, Germany) were cultured in EGM-2- MV medium (Lonza, Basel, Switzerland) until about 80% confluent. Cells from passage 4-8 were used in this study. Tissue culture plates (24-wells) were coated with undiluted Matrigel (300 μL/well; In Vitro Technologies, Noble Park, Vic., Australia) and polymerized for 30 minutes at 37°C. UtMVECs (100 000 cells/well) were seeded into each well and endothelial cell tubular networks formed within 4 hours of further incubation at 37°C. HTR-8/ SVneo cells (100 000 cells/well) were then added to each well with or without a low dose of TNF-α (0.5 ng/mL) together with methyldopa (5 μg/ mL), labetalol (0.5 μg/mL), hydralazine (10 μg/mL) or clonidine (1.0 μg/ mL) and co-cultured with the endothelial cellular networks. The control co-cultured cells had neither TNF-α nor medications added. After 24 hours of culture, the cells were retrieved from the cellular networks in Matrigel with Cell Recovery Solution (CRS) (In Vitro Technologies) for RNA extraction
| Substance Class |
Chemical
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| Record UNII |
M4R0H12F6M
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WHO-ATC |
C02AB01
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NDF-RT |
N0000175554
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WHO-ATC |
C02LB01
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N0000009918
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WHO-ATC |
C02AB
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38853
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209-089-2
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1545996
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SUB08867MIG
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1110
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M4R0H12F6M
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DTXSID5023295
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C175729
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SUB26433
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m7397
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METHYLDOPA
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SOLVATE->ANHYDROUS | |||
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TARGET -> INHIBITOR |
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SUBSTANCE->BASIS OF STRENGTH |
| Related Record | Type | Details | ||
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METABOLITE -> PARENT |
ACTIVE IN RATS
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METABOLITE -> PARENT |
URINE
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METABOLITE -> PARENT |
URINE
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT |
URINE
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METABOLITE -> PARENT |
Approximately 70 percent of the drug which is absorbed is excreted in the urine as methyldopa and its mono-0-sulfate conjugate
MAJOR
PLASMA; URINE
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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PARENT -> IMPURITY |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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ACTIVE MOIETY |