difenoxin   Click here for help

GtoPdb Ligand ID: 7592

Synonyms: difenoxin hydrochloride | MCN-JR-15,403-11 | Motofen® | R-15403
Approved drug
difenoxin is an approved drug (FDA (1978))
Compound class: Synthetic organic
Comment: Difenoxin is an active metabolite of diphenoxylate.
2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 4
Hydrogen bond donors 1
Rotatable bonds 7
Topological polar surface area 64.33
Molecular weight 424.22
XLogP 5.55
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES N#CC(c1ccccc1)(c1ccccc1)CCN1CCC(CC1)(C(=O)O)c1ccccc1
Isomeric SMILES N#CC(c1ccccc1)(c1ccccc1)CCN1CCC(CC1)(C(=O)O)c1ccccc1
InChI InChI=1S/C28H28N2O2/c29-22-28(24-12-6-2-7-13-24,25-14-8-3-9-15-25)18-21-30-19-16-27(17-20-30,26(31)32)23-10-4-1-5-11-23/h1-15H,16-21H2,(H,31,32)
InChI Key UFIVBRCCIRTJTN-UHFFFAOYSA-N
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Summary of Clinical Use Click here for help
Approved for the treatment of acute and chronic diarrhea. The 1978 FDA approval was for a a brand mixture containing difenoxin hydrochloride and atropine sulphate (Motofen). The atropine is added to decrease deliberate opioid misuse.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Although difenoxin is capable of crossing the blood brain barrier and produces weak sedative and analgesic effects, its most significant and clinically useful effects are via activation of peripheral opioid receptors in the intestine. Activation of intestinal opioid receptors inhibits peristalsis, therby increasing intestinal transit time.