diphenoxylate   Click here for help

GtoPdb Ligand ID: 7164

Synonyms: Co-phenotrope | diphenoxylate HCl | Lomotil®
Approved drug
diphenoxylate is an approved drug
Compound class: Synthetic organic
Comment: Diphenoxylate is a phenylpiperidine series, centrally-active opioid antidiarrheal drug. Diphenoxylate is metabolised in vivo to form difenoxin. Both diphenoxylate and difenoxin can be prescribed in fixed-dose combination with atropine to act as an abuse deterrent. Atropine causes severe weakness and nausea if standard doses are exceeded.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 4
Hydrogen bond donors 0
Rotatable bonds 9
Topological polar surface area 53.33
Molecular weight 452.25
XLogP 6.29
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES CCOC(=O)C1(CCN(CC1)CCC(c1ccccc1)(c1ccccc1)C#N)c1ccccc1
Isomeric SMILES CCOC(=O)C1(CCN(CC1)CCC(c1ccccc1)(c1ccccc1)C#N)c1ccccc1
InChI InChI=1S/C30H32N2O2/c1-2-34-28(33)29(25-12-6-3-7-13-25)18-21-32(22-19-29)23-20-30(24-31,26-14-8-4-9-15-26)27-16-10-5-11-17-27/h3-17H,2,18-23H2,1H3
InChI Key HYPPXZBJBPSRLK-UHFFFAOYSA-N
No information available.
Summary of Clinical Use Click here for help
Used to treat diarrhea. The US FDA website only has records for this compound as an active component in formulations also containing atropine. Such formulations appear to have been approved since at least 1960. Neither the EMA or eMC list any drugs containing diphenoxylate.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Diphenoxylate is a chemical relative of pethidine, an opioid analgesic. CHEMBL list the drug target as the μ opioid receptor (OPRM1). This drug is believed to increase intestinal transit time by slowing peristalsis. This allows the gut to re-absorb more water, producing firmer stools. See the DrugBank link for further details.