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Details

Stereochemistry ABSOLUTE
Molecular Formula C17H21NO4.ClH
Molecular Weight 339.814
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of COCAINE HYDROCHLORIDE

SMILES

Cl.COC(=O)[C@@H]1[C@H]2CC[C@@H](C[C@@H]1OC(=O)C3=CC=CC=C3)N2C

InChI

InChIKey=PIQVDUKEQYOJNR-VZXSFKIWSA-N
InChI=1S/C17H21NO4.ClH/c1-18-12-8-9-13(18)15(17(20)21-2)14(10-12)22-16(19)11-6-4-3-5-7-11;/h3-7,12-15H,8-10H2,1-2H3;1H/t12-,13+,14-,15+;/m0./s1

HIDE SMILES / InChI

Molecular Formula C17H21NO4
Molecular Weight 303.3529
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 4 / 4
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/11895133 | https://www.ncbi.nlm.nih.gov/pubmed/12067559 | https://www.ncbi.nlm.nih.gov/pubmed/17255098 | https://www.ncbi.nlm.nih.gov/pubmed/19897082

Cocaine is an alkaloid ester extracted from the leaves of plants including coca. Cocaine is a local anesthetic and vasoconstrictor and is clinically used for that purpose, particularly in the eye, ear, nose, and throat. It also has powerful central nervous system effects similar to the amphetamines and is a drug of abuse. Cocaine, like amphetamines, acts by multiple mechanisms on brain catecholaminergic neurons; the mechanism of its reinforcing effects is thought to involve inhibition of dopamine uptake. Cocaine is addictive due to its effect on the reward pathway in the brain. After a short period of use, there is a high risk that dependence will occur. Its use also increases the risk of stroke, myocardial infarction, lung problems in those who smoke it, blood infections, and sudden cardiac death. Cocaine sold on the street is commonly mixed with local anesthetics, cornstarch, quinine, or sugar which can result in additional toxicity. Following repeated doses, a person may have decreased the ability to feel pleasure and be very physically tired. Cocaine acts by inhibiting the reuptake of serotonin, norepinephrine, and dopamine. This results in greater concentrations of these three neurotransmitters in the brain. It can easily cross the blood-brain barrier and may lead to the breakdown of the barrier.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
155.0 nM [Ki]
108.0 nM [Ki]
274.0 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Cocaine

Approved Use

INDICATIONS AND USAGE. Cocaine hydrochloride topical solution is indicated for the introduction of local (topical) anesthesia of accessible mucous membranes of the oral, laryngeal and nasal cavities.
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
550 ng/mL
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
COCAINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
840 ng × h/mL
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
COCAINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
78.9 min
100 mg single, intravenous
dose: 100 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
COCAINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
25 mg single, intravenous
Dose: 25 mg
Route: intravenous
Route: single
Dose: 25 mg
Sources:
healthy, 30-43 years
Health Status: healthy
Age Group: 30-43 years
Sex: M
Sources:
32 mg single, intranasal
Dose: 32 mg
Route: intranasal
Route: single
Dose: 32 mg
Sources:
healthy, 30-43 years
Health Status: healthy
Age Group: 30-43 years
Sex: M
Sources:
42 mg single, respiratory
Dose: 42 mg
Route: respiratory
Route: single
Dose: 42 mg
Sources:
healthy, 30-43 years
Health Status: healthy
Age Group: 30-43 years
Sex: M
Sources:
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Other AEs: Headache, Epistaxis...
Other AEs:
Headache (1.5%)
Epistaxis (0.7%)
Anxiety (0.7%)
Foreign body sensation in eyes (0.4%)
Facial pain (0.4%)
Neck pain (0.4%)
Dizziness (0.4%)
Nasal congestion (0.4%)
Sources:
2 g single, oral
Overdose
Dose: 2 g
Route: oral
Route: single
Dose: 2 g
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M
Sources:
Other AEs: Adverse event...
Other AEs:
Adverse event (grade 5)
Sources:
160 mg single, intranasal
Recommended
Dose: 160 mg
Route: intranasal
Route: single
Dose: 160 mg
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sources:
Other AEs: Drug abuse...
AEs

AEs

AESignificanceDosePopulation
Dizziness 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Facial pain 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Foreign body sensation in eyes 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Nasal congestion 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Neck pain 0.4%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Anxiety 0.7%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Epistaxis 0.7%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Headache 1.5%
8 % single, intranasal
Highest studied dose
Dose: 8 %
Route: intranasal
Route: single
Dose: 8 %
Sources:
unhealthy, 45 years (range: 17- 83 years)
Health Status: unhealthy
Age Group: 45 years (range: 17- 83 years)
Sex: M+F
Sources:
Adverse event grade 5
2 g single, oral
Overdose
Dose: 2 g
Route: oral
Route: single
Dose: 2 g
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M
Sources:
Drug abuse
160 mg single, intranasal
Recommended
Dose: 160 mg
Route: intranasal
Route: single
Dose: 160 mg
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sources:
Overview

Overview

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
no
no
no
no
no
no
no
no
no
yes [IC50 1.2 uM]
unlikely (co-administration study)
Comment: the relatively low plasma concentrations of cocaine resulting from therapeutic doses of GOPRELTO are not expected to raise significant drug-drug interaction concerns
Page: 27.0
yes [IC50 7.85 uM]
unlikely (co-administration study)
Comment: the relatively low plasma concentrations of cocaine resulting from therapeutic doses of GOPRELTO are not expected to raise significant drug-drug interaction concerns
Page: 27.0
yes [Ki 85 uM]
yes [Ki >1000 uM]
Drug as victimTox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Using eye movement desensitization and reprocessing to reduce cocaine cravings.
2000-01
Effects of prenatal cocaine/crack and other drug exposure on electroencephalographic sleep studies at birth and one year.
2000-01
Cocaine induces apoptosis in fetal myocardial cells through a mitochondria-dependent pathway.
2000-01
Effects of AMPA/kainate glutamate receptor antagonists on cocaine-induced convulsions and lethality in mice.
1999-12-15
Brief report: frequency of maternal cocaine use during pregnancy and infant neurobehavioral outcome.
1999-12
Nasolacrimal duct obstruction and orbital cellulitis associated with chronic intranasal cocaine abuse.
1999-12
Severe avascular necrosis of the nasal chambers secondary to cocaine abuse.
1999-12
Comparative effects of sodium bicarbonate and sodium chloride on reversing cocaine-induced changes in the electrocardiogram.
1999-12
Cocaine-induced acute renal failure without rhabdomyolysis.
1999-12
Alcohol plus cocaine prenatally is more deleterious than either drug alone.
1999-11-24
The effect of prenatal cocaine exposure on neurobehavioral outcome: a meta-analysis.
1999-11-24
Selective alpha 7 nicotinic receptor stimulation normalizes chronic cocaine-induced loss of hippocampal sensory inhibition in C3H mice.
1999-11-15
Dopamine transporter mRNA in autopsy studies of chronic cocaine users.
1999-11-10
Chronic inhaled cocaine abuse may predispose to the development of pancreatic adenocarcinoma.
1999-11
The effects of cocaine on mood and sleep in cocaine-dependent males.
1999-11
The effects of benzamide analogues on cocaine self-administration in rhesus monkeys.
1999-11
Pramipexole treatment for cocaine cravings.
1999-11
Level of in utero cocaine exposure and neonatal ultrasound findings.
1999-11
A role for the bed nucleus of the stria terminalis, but not the amygdala, in the effects of corticotropin-releasing factor on stress-induced reinstatement of cocaine seeking.
1999-10-15
Serotonin(2C) receptors appear to mediate genetic sensitivity to cocaine-induced convulsions.
1999-10
Prenatal cocaine and neuromotor outcome at four months: effect of duration of exposure.
1999-10
Antagonism of 5-hydroxytryptamine(4) receptors attenuates hyperactivity induced by cocaine: putative role for 5-hydroxytryptamine(4) receptors in the nucleus accumbens shell.
1999-10
Effects of the long-acting monoamine reuptake inhibitor indatraline on cocaine self-administration in rhesus monkeys.
1999-10
Postoperative anisocoria in a patient undergoing endoscopic sinus surgery.
1999-09-28
[Centrofacial necrosis secondary to cocaine use].
1999-09-24
Cocaine-induced erythrocytosis and increase in von Willebrand factor: evidence for drug-related blood doping and prothrombotic effects.
1999-09-13
Rapid induction of behavioral and neurochemical tolerance to cocaethylene, a model compound for agonist therapy of cocaine dependence.
1999-09-01
Urticarial vasculitis following cocaine use.
1999-09
Homozygosity at the dopamine DRD3 receptor gene in cocaine dependence.
1999-09
Effects of chronic 'Binge' cocaine administration on plasma ACTH and corticosterone levels in mice deficient in DARPP-32.
1999-09
Long-term changes in connexin32 gap junction protein and mRNA expression following cocaine self-administration in rats.
1999-09
Cocaine induced myocardial infarction.
1999-09
Association of depressive symptoms during abstinence with the subjective high produced by cocaine.
1999-09
Preclinical evaluation of newly approved and potential antiepileptic drugs against cocaine-induced seizures.
1999-09
Acute injection of drugs with low addictive potential (delta(9)-tetrahydrocannabinol, 3,4-methylenedioxymethamphetamine, lysergic acid diamide) causes a much higher c-fos expression in limbic brain areas than highly addicting drugs (cocaine and morphine).
1999-08-25
Amlodipine treatment of cocaine dependence.
1999-08-07
A case of mutism subsequent to cocaine abuse.
1999-08-06
Prolonged perioperative myocardial ischemia in a young male: due to topical intranasal cocaine?
1999-08
Comparison of dopamine receptor antagonists on hyperlocomotion induced by cocaine, amphetamine, MK-801 and the dopamine D1 agonist C-APB in mice.
1999-08
Role of cocaethylene in toxic symptoms due to repeated subcutaneous cocaine administration modified by oral doses of ethanol.
1999-08
Sex and menstrual cycle differences in the subjective effects from smoked cocaine in humans.
1999-08
Cocaine-induced hypertension: role of the peripheral sympathetic system.
1999-08
Distinct features of seizures induced by cocaine and amphetamine analogs.
1999-07-21
The effects of continuous cocaine dose on the induction of behavioral tolerance and dopamine autoreceptor function.
1999-07-09
pH-dependent cocaine-induced cardiotoxicity.
1999-07
Effects of dopamine receptor antagonists (D1 and D2) on the demand for smoked cocaine base in rhesus monkeys.
1999-06
U69593, a kappa-opioid agonist, decreases cocaine self-administration and decreases cocaine-produced drug-seeking.
1999-06
Microbial keratitis following cocaine abuse in a soft contact lens wearer.
1999-04
Gender differences in treatment-seeking cocaine abusers--implications for treatment and prognosis.
1999
Dose-related neurobehavioral effects of chronic cocaine use.
1999
Patents

Sample Use Guides

Cocaine HCl 10% topical solution, up to 4 mL, is applied for 20 minutes via cotton pledget(s)
Route of Administration: Topical
Neuronal cultures were prepared from 18-day-old Sprague–Dawley rat fetuses. Cultures were used for neurotoxicity experiments after 12 days in culture. To assess any toxic effects of cocaine per se, 10 mL aliquots of three different dilutions of the cocaine stock solution (0.1–10 mM final concentration in the medium) were added to cell cultures. Appropriate vehicle controls (same volume of solvent added) were included for each group.
Substance Class Chemical
Created
by admin
on Mon Mar 31 17:47:17 GMT 2025
Edited
by admin
on Mon Mar 31 17:47:17 GMT 2025
Record UNII
XH8T8T6WZH
Record Status Validated (UNII)
Record Version
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Name Type Language
COCAINUM MURIATICUM
HPUS  
Preferred Name English
COCAINE HYDROCHLORIDE
EP   MART.   MI   USP   VANDF   WHO-DD  
Common Name English
8-AZABICYCLO(3.2.1)OCTANE-2-CARBOXYLIC ACID, 3-(BENZOYLOXY)-8-METHYL-, METHYL ESTER, HYDROCHLORIDE,(1R-(EXO,EXO))-
Common Name English
NUMBRINO
Brand Name English
COCAINE HYDROCHLORIDE [USP MONOGRAPH]
Common Name English
RX-0041-002
Code English
COCAINE HYDROCHLORIDE CII
USP-RS  
Common Name English
Methyl 3?-hydroxy-1?H,5?H-tropan-2?-carboxylate, benzoate (ester) hydrochloride
Common Name English
8-AZABICYCLO(3.2.1)OCTANE-2-CARBOXYLIC ACID, 3-(BENZOYLOXY)-8-METHYL-, METHYL ESTER, HYDROCHLORIDE (1:1), (1R,2R,3S,5S)-
Systematic Name English
8-AZABICYCLO(3.2.1)OCTANE-2-CARBOXYLIC ACID, 3-(BENZOYLOXY)-8-METHYL-, METHYL ESTER, HYDROCHLORIDE, (1R,2R,3S,5S)
Common Name English
COCAINE HYDROCHLORIDE [VANDF]
Common Name English
COCAINE MURIATE
Common Name English
COCAINE HYDROCHLORIDE CII [USP-RS]
Common Name English
Cocaine hydrochloride [WHO-DD]
Common Name English
COCAINUM MURIATICUM [HPUS]
Common Name English
COCAINE HYDROCHLORIDE [ORANGE BOOK]
Common Name English
COCAINE HCL
Common Name English
COCAINE HYDROCHLORIDE [JAN]
Common Name English
GOPRELTO
Brand Name English
NSC-25263
Code English
MCV 4526
Code English
COCAINE HYDROCHLORIDE [MART.]
Common Name English
COCAINE HYDROCHLORIDE [MI]
Common Name English
METHYL (1R,2R,3S,5S)-3-(BENZOYLOXY)-8-METHYL-8-AZABICYCLO(3.2.1) OCTANE-2-CARBOXYLATE HYDROCHLORIDE
Systematic Name English
NIH 8211
Code English
COCAINE HYDROCHLORIDE [EP MONOGRAPH]
Common Name English
Classification Tree Code System Code
DEA NO. 9041
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
NCI_THESAURUS C47795
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
Code System Code Type Description
CHEBI
613010
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
MERCK INDEX
m3710
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY Merck Index
SMS_ID
100000088571
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
DRUG BANK
DBSALT001521
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
RS_ITEM_NUM
1143008
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PRIMARY
EPA CompTox
DTXSID2048903
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
NCI_THESAURUS
C81016
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
EVMPD
SUB13417MIG
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
DAILYMED
XH8T8T6WZH
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
PUBCHEM
656832
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
CAS
53-21-4
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
RXCUI
81985
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY RxNorm
FDA UNII
XH8T8T6WZH
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
ECHA (EC/EINECS)
200-167-1
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
NSC
25263
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
ChEMBL
CHEMBL370805
Created by admin on Mon Mar 31 17:47:17 GMT 2025 , Edited by admin on Mon Mar 31 17:47:17 GMT 2025
PRIMARY
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