pralidoxime   Click here for help

GtoPdb Ligand ID: 7597

Synonyms: 2-PAM | Contrathion® | pralidoxime chloride
Approved drug
pralidoxime is an approved drug (FDA (1964))
Compound class: Synthetic organic
Comment: Usually available as the chloride or methiodide salts.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 0
Hydrogen bond donors 1
Rotatable bonds 1
Topological polar surface area 36.47
Molecular weight 137.07
XLogP 2.44
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES ON=Cc1cccc[n+]1C
Isomeric SMILES O/N=C/c1cccc[n+]1C
InChI InChI=1S/C7H8N2O/c1-9-5-3-2-4-7(9)6-8-10/h2-6H,1H3/p+1
InChI Key JBKPUQTUERUYQE-UHFFFAOYSA-O
No information available.
Summary of Clinical Use Click here for help
Pralidoxime is used to treat organophosphate poisoning, including poisoning with acetylcholinesterase inhibitor type nerve agents such as sarin, usually in conjunction with atropine and diazepam. Occasionally used to treat overdoses of clinically administered acetycholinesterase inhibitors such as neostigmine and pyridostigmine, or anticholinergic overdose.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
The drug binds to the anionic site of acetylcholinesterase when the enzyme's esteric site is occupied by organophosphate. This results in a conformational change that releases the pralidoxime-organophosphate complex, and restores acetylcholinesterase activity.
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