Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C23H25N5O5 |
| Molecular Weight | 451.4751 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
COC1=CC2=C(C=C1OC)C(N)=NC(=N2)N3CCN(CC3)C(=O)C4COC5=C(O4)C=CC=C5
InChI
InChIKey=RUZYUOTYCVRMRZ-UHFFFAOYSA-N
InChI=1S/C23H25N5O5/c1-30-18-11-14-15(12-19(18)31-2)25-23(26-21(14)24)28-9-7-27(8-10-28)22(29)20-13-32-16-5-3-4-6-17(16)33-20/h3-6,11-12,20H,7-10,13H2,1-2H3,(H2,24,25,26)
| Molecular Formula | C23H25N5O5 |
| Molecular Weight | 451.4751 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
Doxazosin mesylate is a quinazoline compound sold by Pfizer under the brand name CARDURA. CARDURA is indicated for the treatment of both the
urinary outflow obstruction and obstructive and irritative symptoms associated with BPH: obstructive symptoms (hesitation, intermittency, dribbling, weak urinary stream, incomplete emptying of the bladder) and irritative symptoms (nocturia, daytime frequency, urgency, burning). CARDURA may be used in all BPH patients whether hypertensive or normotensive. In
patients with hypertension and BPH, both conditions were effectively treated with CARDURA monotherapy. CARDURA provides rapid improvement in symptoms and urinary flow rate in 66–71% of patients. CARDURA is also indicated for the treatment of hypertension. CARDURA
may be used alone or in combination with diuretics, beta-adrenergic blocking agents, calcium channel blockers, or angiotensin-converting enzyme inhibitors. Doxazosin acts by inhibiting the postsynaptic alpha(1)-adrenoceptors on vascular smooth muscle. This inhibits the vasoconstrictor effect of circulating and locally released catecholamines (epinephrine and norepinephrine), resulting in peripheral vasodilation.
Originator
Sources: http://adisinsight.springer.com/drugs/800010345
Curator's Comment: # Pfizer
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
| 9.27 null [pKi] | |||
| 9.09 null [pKi] | |||
| 9.09 null [pKi] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | CARDURA Approved UseINDICATIONS AND USAGE
A. Benign Prostatic Hyperplasia (BPH). CARDURA is indicated for the treatment of both the
urinary outflow obstruction and obstructive and irritative symptoms associated with BPH:
obstructive symptoms (hesitation, intermittency, dribbling, weak urinary stream, incomplete
emptying of the bladder) and irritative symptoms (nocturia, daytime frequency, urgency,
burning). CARDURA may be used in all BPH patients whether hypertensive or normotensive. In
patients with hypertension and BPH, both conditions were effectively treated with CARDURA
monotherapy. CARDURA provides rapid improvement in symptoms and urinary flow rate in
66–71% of patients. Sustained improvements with CARDURA were seen in patients treated for
up to 14 weeks in double-blind studies and up to 2 years in open-label studies.
B. Hypertension. CARDURA is also indicated for the treatment of hypertension. CARDURA
may be used alone or in combination with diuretics, beta-adrenergic blocking agents, calcium
channel blockers, or angiotensin-converting enzyme inhibitors. Launch Date1990 |
|||
| Primary | CARDURA Approved UseINDICATIONS AND USAGE
A. Benign Prostatic Hyperplasia (BPH). CARDURA is indicated for the treatment of both the
urinary outflow obstruction and obstructive and irritative symptoms associated with BPH:
obstructive symptoms (hesitation, intermittency, dribbling, weak urinary stream, incomplete
emptying of the bladder) and irritative symptoms (nocturia, daytime frequency, urgency,
burning). CARDURA may be used in all BPH patients whether hypertensive or normotensive. In
patients with hypertension and BPH, both conditions were effectively treated with CARDURA
monotherapy. CARDURA provides rapid improvement in symptoms and urinary flow rate in
66–71% of patients. Sustained improvements with CARDURA were seen in patients treated for
up to 14 weeks in double-blind studies and up to 2 years in open-label studies.
B. Hypertension. CARDURA is also indicated for the treatment of hypertension. CARDURA
may be used alone or in combination with diuretics, beta-adrenergic blocking agents, calcium
channel blockers, or angiotensin-converting enzyme inhibitors. Launch Date1990 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
9.7 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2139337/ |
1 mg single, oral dose: 1 mg route of administration: Oral experiment type: SINGLE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
13.6 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2139337/ |
1 mg 1 times / day steady-state, oral dose: 1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
14.3 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
1 mg 1 times / day steady-state, oral dose: 1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
42.3 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
4 mg 1 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
65.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
8 mg 1 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
151.7 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
16 mg 1 times / day steady-state, oral dose: 16 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
162 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2139337/ |
1 mg single, oral dose: 1 mg route of administration: Oral experiment type: SINGLE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
268 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2139337/ |
1 mg 1 times / day steady-state, oral dose: 1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
12.9 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2139337/ |
1 mg single, oral dose: 1 mg route of administration: Oral experiment type: SINGLE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
15 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2139337/ |
1 mg 1 times / day steady-state, oral dose: 1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
11.9 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
1 mg 1 times / day steady-state, oral dose: 1 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
12.8 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
4 mg 1 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
8.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
8 mg 1 times / day steady-state, oral dose: 8 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
11.6 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2951261/ |
16 mg 1 times / day steady-state, oral dose: 16 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DOXAZOSIN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
60 mg single, oral Overdose |
healthy, 19 years |
Disc. AE: Sinus tachycardia... AEs leading to discontinuation/dose reduction: Sinus tachycardia (1 patient) Sources: |
16 mg single, oral Highest studied dose Dose: 16 mg Route: oral Route: single Dose: 16 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
DLT: Postural edema... Dose limiting toxicities: Postural edema (2.7%) Sources: |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: unknown Sources: |
Disc. AE: Orthostatic dizziness... AEs leading to discontinuation/dose reduction: Orthostatic dizziness (1 patient) Sources: |
16 mg 1 times / day steady, oral Highest studied dose Dose: 16 mg, 1 times / day Route: oral Route: steady Dose: 16 mg, 1 times / day Sources: |
unhealthy, mean 59 years Health Status: unhealthy Age Group: mean 59 years Sex: M+F Sources: |
Disc. AE: Fatigue, Urinary incontinence... Other AEs: Rhinitis... AEs leading to discontinuation/dose reduction: Fatigue (3 patients) Other AEs:Urinary incontinence (2 patients) Rhinitis (1 patient) Sources: |
8 mg 1 times / day steady, oral Dose: 8 mg, 1 times / day Route: oral Route: steady Dose: 8 mg, 1 times / day Sources: |
unhealthy |
Other AEs: Nausea, Constipation... Other AEs: Nausea (below serious, 2 patients) Sources: Constipation (below serious, 1 patient) Allergy (below serious, 1 patient) Dizziness (below serious, 1 patient) Numbness (below serious, 1 patient) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Sinus tachycardia | 1 patient Disc. AE |
60 mg single, oral Overdose |
healthy, 19 years |
| Postural edema | 2.7% DLT |
16 mg single, oral Highest studied dose Dose: 16 mg Route: oral Route: single Dose: 16 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
| Orthostatic dizziness | 1 patient Disc. AE |
4 mg 1 times / day steady, oral Recommended Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
healthy, adult Health Status: healthy Age Group: adult Sex: unknown Sources: |
| Rhinitis | 1 patient | 16 mg 1 times / day steady, oral Highest studied dose Dose: 16 mg, 1 times / day Route: oral Route: steady Dose: 16 mg, 1 times / day Sources: |
unhealthy, mean 59 years Health Status: unhealthy Age Group: mean 59 years Sex: M+F Sources: |
| Urinary incontinence | 2 patients Disc. AE |
16 mg 1 times / day steady, oral Highest studied dose Dose: 16 mg, 1 times / day Route: oral Route: steady Dose: 16 mg, 1 times / day Sources: |
unhealthy, mean 59 years Health Status: unhealthy Age Group: mean 59 years Sex: M+F Sources: |
| Fatigue | 3 patients Disc. AE |
16 mg 1 times / day steady, oral Highest studied dose Dose: 16 mg, 1 times / day Route: oral Route: steady Dose: 16 mg, 1 times / day Sources: |
unhealthy, mean 59 years Health Status: unhealthy Age Group: mean 59 years Sex: M+F Sources: |
| Allergy | below serious, 1 patient | 8 mg 1 times / day steady, oral Dose: 8 mg, 1 times / day Route: oral Route: steady Dose: 8 mg, 1 times / day Sources: |
unhealthy |
| Constipation | below serious, 1 patient | 8 mg 1 times / day steady, oral Dose: 8 mg, 1 times / day Route: oral Route: steady Dose: 8 mg, 1 times / day Sources: |
unhealthy |
| Dizziness | below serious, 1 patient | 8 mg 1 times / day steady, oral Dose: 8 mg, 1 times / day Route: oral Route: steady Dose: 8 mg, 1 times / day Sources: |
unhealthy |
| Numbness | below serious, 1 patient | 8 mg 1 times / day steady, oral Dose: 8 mg, 1 times / day Route: oral Route: steady Dose: 8 mg, 1 times / day Sources: |
unhealthy |
| Nausea | below serious, 2 patients | 8 mg 1 times / day steady, oral Dose: 8 mg, 1 times / day Route: oral Route: steady Dose: 8 mg, 1 times / day Sources: |
unhealthy |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no | ||||
| no | ||||
| no | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| major | likely (co-administration study) Comment: Boceprevir may increase doxazosin concentrations through CYP3A inhibition |
|||
| minor | ||||
| minor | ||||
| minor |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
PubMed
| Title | Date | PubMed |
|---|---|---|
| Relationship of antihypertensive treatment regimens and change in blood pressure to risk for heart failure in hypertensive patients randomly assigned to doxazosin or chlorthalidone: further analyses from the Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial. | 2002-09-03 |
|
| Differential actions of naftopidil, doxazosin and nifedipine on platelet thromboxane generation and platelet-derived growth factor efflux in vitro. | 2002-08-22 |
|
| Alpha1-adrenoceptor antagonists radiosensitize prostate cancer cells via apoptosis induction. | 2002-08-10 |
|
| Microalbuminuria reduction with valsartan in patients with type 2 diabetes mellitus: a blood pressure-independent effect. | 2002-08-06 |
|
| Efficacy and safety of doxazosin for perioperative management of patients with pheochromocytoma. | 2002-08 |
|
| Two-drug therapy is best for symptomatic prostate enlargement: combination should change clinical practice. | 2002-08 |
|
| Medical therapy for benign prostatic hyperplasia progression. | 2002-08 |
|
| Effect of doxazosin on stretch-activated adenosine triphosphate release in bladder urothelial cells from patients with benign prostatic hyperplasia. | 2002-08 |
|
| Critical evaluation of the problem of chronic urinary retention after orthotopic bladder substitution in women. | 2002-08 |
|
| alpha1-Adrenergic blockers in young men with primary bladder neck obstruction. | 2002-08 |
|
| Successful blood pressure control in the African American Study of Kidney Disease and Hypertension. | 2002-07-22 |
|
| Managing benign prostatic hyperplasia. | 2002-07-01 |
|
| alpha-Adrenoceptor antagonists in the treatment of benign prostate hyperplasia. | 2002-07 |
|
| Doxazosin and congestive heart failure. | 2002-06-05 |
|
| Premature termination of clinical trials--lessons learned. | 2002-06-05 |
|
| Doxazosin, an inferior antihypertensive agent? | 2002-06 |
|
| A postmarketing, open-label study to evaluate the tolerability and effectiveness of replacing standard-formulation doxazosin with doxazosin in the gastrointestinal therapeutic system formulation in adult patients with hypertension. | 2002-05 |
|
| [Doxazosin, of modified liberation, in hemodialyzed patients]. | 2002-04 |
|
| Double-blind, placebo-controlled crossover comparison of five classes of antihypertensive drugs. | 2002-04 |
|
| Reduction of the soluble cyclic GMP vasorelaxing system in the vascular wall of stroke-prone spontaneously hypertensive rats: effect of the alpha1 -receptor blocker doxazosin. | 2002-03 |
|
| Psychological characteristics and responses to antihypertensive drug therapy. | 2002-02-01 |
|
| Flow injection analysis of doxazosin mesylate using UV-detection. | 2002-02-01 |
|
| Stability-indicating methods for the determination of doxazosin mezylate and celecoxib. | 2002-02-01 |
|
| Double-blind, crossover, comparative study of doxazosin and enalapril in the treatment of hypertension in renal transplant patients under cyclosporine immunosuppression. | 2002-02 |
|
| Combined oral therapy with sildenafil and doxazosin for the treatment of non-organic erectile dysfunction refractory to sildenafil monotherapy. | 2002-02 |
|
| The use of alpha-adrenoceptor antagonists in lower urinary tract disease. | 2002-02 |
|
| Modeling of relationships between pharmacokinetics and blockade of agonist-induced elevation of intraurethral pressure and mean arterial pressure in conscious dogs treated with alpha(1)-adrenoceptor antagonists. | 2002-02 |
|
| Quinazoline-derived alpha1-adrenoceptor antagonists induce prostate cancer cell apoptosis via an alpha1-adrenoceptor-independent action. | 2002-01-15 |
|
| Treatment of hypertension in the elderly. | 2002-01-05 |
|
| Low-dose doxazosin improved aortic stiffness and endothelial dysfunction as measured by noninvasive evaluation. | 2002-01 |
|
| Stroke associated with alpha blocker therapy for benign prostatic hypertrophy. | 2002-01 |
|
| Relationship between arterial distensibility and low-frequency power spectrum of blood pressure in spontaneously hypertensive rats. | 2002-01 |
|
| The choice of antihypertensive drugs in patients with erectile dysfunction. | 2002 |
|
| Effect of doxazosin on rat urinary bladder function after partial outlet obstruction. | 2002 |
|
| Observational multicentric trial performed with doxazosin: evaluation of sexual effects on patients with diagnosed benign prostatic hyperplasia. | 2002 |
|
| Influence of the alpha-1-adrenergic receptor blocker doxazosin on exercise-induced hyperkalemia in hemodialysis patients. | 2002 |
|
| Acute effects of serotonin on rat bladder contractility. | 2002 |
|
| Clinical Implications of Recent Findings from the Antihypertensive and Lipid-Lowering Treatment To Prevent Heart Attack Trial (ALLHAT) and Other Studies of Hypertension. | 2001-12-18 |
|
| Meta-analysis of studies using selective alpha1-blockers in patients with hypertension and type 2 diabetes. | 2001-12 |
|
| 5alpha-reductase inhibitors: what role should they play? | 2001-12 |
|
| Terazosin, doxazosin, and prazosin: current clinical experience. | 2001-12 |
|
| Tamsulosin: current clinical experience. | 2001-12 |
|
| Participant recruitment in the Antihypertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT). | 2001-12 |
|
| Doxazosin and congestive heart failure. | 2001-11-01 |
|
| Effects of antihypertensive agents on blood pressure during exercise. | 2001-11 |
|
| Doxazosin for the management of hypertension: implications of the findings of the ALLHAT trial. | 2001-11 |
|
| Effects of blood pressure lowering with amlodipine or lisinopril on vascular structure of the common carotid artery. | 2001-11 |
|
| Cardiovascular protection and blood pressure reduction: a meta-analysis. | 2001-10-20 |
|
| [Effect of doxazosin on postural changes in blood pressure using a multibiomedical recorder]. | 2001-10 |
|
| Quality-of-life assessment in patients with benign prostatic hyperplasia: effects of various interventions. | 2001 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/doxazosin.html
Usual Adult Dose for Hypertension
Initial dose: 1 mg orally once a day.
Maintenance dose: 1 to 16 mg orally once a day.
Usual Adult Dose for Benign Prostatic Hyperplasia
Initial dose:
Immediate-release: 1 mg orally once a day.
Extended-release: 4 mg orally once a day with breakfast
Maintenance dose:
Immediate-release: 1 to 8 mg orally once a day.
Extended-release: 4 to 8 mg orally once a day with breakfast. Depending on the patient's symptomatic response and tolerability, the dose may be increased to 8 mg (the maximum recommended dose). The recommended titration interval is 3 to 4 weeks.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2977161
Ring segments of splanchnic, peripheral, coronary, pulmonary and uterine conduit arteries obtained during surgery were studied in tissue baths. Resistance arteries dissected from various sites were studied in a myograph. Both conduit and resistance vessels contracted in response to the alpha 1-agonist phenylephrine (10(-7) to 10(-4) mol/l), an effect that was antagonized by the alpha 1-antagonist doxazosin (10(-8) to 10(-6) mol/l).
| Substance Class |
Chemical
Created
by
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NW1291F1W8
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Validated (UNII)
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N0000175553
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N0000000099
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C29713
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C29707
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DOXAZOSIN
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Doxazosin
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ENANTIOMER -> RACEMATE | |||
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ENANTIOMER -> RACEMATE | |||
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TARGET -> INHIBITOR | |||
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SALT/SOLVATE -> PARENT | |||
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BINDER->LIGAND |
BINDING
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SALT/SOLVATE -> PARENT |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE -> PARENT |
FECAL; URINE
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METABOLITE -> PARENT |
known active and inactive metabolites of doxazosin were detected
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METABOLITE -> PARENT |
known active and inactive metabolites of doxazosin were detected
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METABOLITE -> PARENT |
FECAL; URINE
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METABOLITE -> PARENT |
MINOR
FECAL; URINE
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METABOLITE -> PARENT | |||
|
METABOLITE -> PARENT |
FECAL; URINE
|
| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Volume of Distribution | PHARMACOKINETIC |
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|||
| Biological Half-life | PHARMACOKINETIC |
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