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COMPOUND SUMMARY

Desipramine
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CONTENTS

Title and Summary

1 Structures
PubChem CID: 2995
2 Names and Identifiers

3 Chemical and Physical Properties

4 Spectral Information

5 Related Records

6 Chemical Vendors
2D
7 Drug and Medication Information

Structure: 8 Pharmacology and Biochemistry

9 Use and Manufacturing

10 Identification

11 Safety and Hazards


3D
12 Toxicity
Find Similar 13 Literature
Structures
14 Patents

15 Biomolecular Interactions and Pathways

16 Biological Test Results

Irritant

Chemical Safety: Health Hazard

Environmental
Hazard

Laboratory Chemical
Safety Summary
(LCSS) Datasheet

Molecular Formula: C18H22N2

desipramine
Norimipramine
Desmethylimipramine
Desipramin
Chemical Names:
Demethylimipramine

More...

Molecular Weight: 266.4 g/mol

Dates:

https://pubchem.ncbi.nlm.nih.gov/compound/2995 1/57
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Modify:
2019-09-21
Create:
2005-03-25

Desipramine is an active metabolite of imipramine, a


tertiary amine and a synthetic tricyclic derivative of the
antidepressant. Desipramine enhances monoamine
neurotransmission in certain areas of the brain by
inhibiting the re-uptake of noradrenaline and
serotonin at the noradrenergic and serotoninergic
nerve endings, respectively. It also induces sedation
through histamine 1 receptor blockage and
hypotension through beta-adrenergic blockage.
from NCIt

Desipramine is a Tricyclic Antidepressant.


from FDA Pharm Classes

Desipramine is an oral tricyclic antidepressant that


widely used in the therapy of depression. Desipramine
can cause mild and transient serum enzyme elevations
and is rare cause of clinically apparent acute cholestatic
liver injury.
from LiverTox

1 Structures

1.1 2D Structure
Find Similar Structures Get Image Download

Chemical Structure
Depiction

from PubChem

1.2 3D Conformer
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Get Image Download

Interactive Chemical
Structure Model

Ball and Stick

Sticks

Wire-Frame

Space-Filling

Show Hydrogens

Animate

from PubChem

1.3 Crystal Structures

PDBe Ligand Code DSM

PDBe Structure Code 2QJU

Interactive Chemical
Structure Model

Ball and Stick

Sticks Wire-Frame

Space-Filling

Show Hydrogens

Animate

PDBe Conformer

from Protein Data Bank in Europe (PDBe)

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2 Names and Identifiers

2.1 Computed Descriptors

2.1.1 IUPAC Name

3-(5,6-dihydrobenzo[b][1]benzazepin-11-yl)-N-
methylpropan-1-amine

from PubChem

2.1.2 InChI

InChI=1S/C18H22N2/c1-19-13-6-14-20-17-9-4-2-7-
15(17)11-12-16-8-3-5-10-18(16)20/h2-5,7-10,19H,6,11-
14H2,1H3

from PubChem

2.1.3 InChI Key

HCYAFALTSJYZDH-UHFFFAOYSA-N

from PubChem

2.1.4 Canonical SMILES

CNCCCN1C2=CC=CC=C2CCC3=CC=CC=C31

from PubChem

2.2 Molecular Formula


C18H22N2

from PubChem

2.3 Other Identifiers

2.3.1 CAS

50-47-5

from ChemIDplus; DrugBank; EPA DSSTox; European Chemicals Agency (ECHA); HSDB; Human Metabolome Database (HMDB)

Related CAS

58-28-6 (hydrochloride)

from ChemIDplus

2.3.2 European Community (EC)


Number

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200-040-0

from European Chemicals Agency (ECHA)

2.3.3 UNII

TG537D343B

from FDA/SPL Indexing Data

2.3.4 Wikipedia

Desipramine

from Wikipedia

2.4 Synonyms

2.4.1 MeSH Entry Terms

Apo Desipramine Pertofrane


Apo-Desipramine Pertrofran
Demethylimipramine Petylyl
Desipramine PMS Desipramine
Desipramine Hydrochloride PMS-Desipramine
Desmethylimipramine Ratio Desipramine
Hydrochloride, Desipramine ratio-Desipramine
Norpramin
Novo Desipramine
Novo-Desipramine
Nu Desipramine
Nu-Desipramine
Pertofran

from MeSH

2.4.2 Depositor-Supplied Synonyms

desipramine
Norimipramine
Desmethylimipramine
Desipramin
Demethylimipramine
Monodemethylimipramine
50-47-5
Desimipramine
Dimethylimipramine
Dezipramine
Methylaminopropyliminodibenzyl
3-(10,11-DIHYDRO-5H-DIBENZO[B,F]AZEPIN-5-YL)-N-
METHYLPROPAN-1-AMINE

from PubChem

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3 Chemical and Physical


Properties

3.1 Computed Properties

Property Name Property Value

Molecular Weight 266.4 g/mol

XLogP3 4.9

Hydrogen Bond Donor Count 1

Hydrogen Bond Acceptor


2
Count

Rotatable Bond Count 4

Exact Mass 266.178299 g/mol

Monoisotopic Mass 266.178299 g/mol

Topological Polar Surface Area 15.3 A^2

Heavy Atom Count 20

Formal Charge 0

Complexity 267

Isotope Atom Count 0

Defined Atom Stereocenter


0
Count

Undefined Atom Stereocenter


0
Count

Defined Bond Stereocenter


0
Count

Undefined Bond Stereocenter


0
Count

Covalently-Bonded Unit Count 1

Compound Is Canonicalized Yes

from PubChem

3.2 Experimental Properties

3.2.1 Physical Description

Solid

from Human Metabolome Database (HMDB)

3.2.2 Boiling Point

172-174 DEG C @ 0.02 MM HG


Budavari, S. (ed.). The Merck Index - An Encyclopedia of
Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck
and Co., Inc., 1996., p. 494

from HSDB

3.2.3 Melting Point

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214-218 °C

from DrugBank

214-218°C

from Human Metabolome Database (HMDB)

3.2.4 Solubility

58.6 mg/L (at 24 °C)


YALKOWSKY,SH & DANNENFELSER,RM (1992)

from DrugBank

Water Solubility

2.20e-04 M
YALKOWSKY,SH & DANNENFELSER,RM (1992)

from EPA DSSTox

In water, 58.6 mg/l @ 24 deg C.


Yalkowsky SH, Dannenfelser RM; The AQUASOL dATAbASE of
Aqueous Solubility. Fifth ed, Tucson, AZ: Univ Az, College of
Pharmacy (1992)

from HSDB

3.96e-02 g/L

from Human Metabolome Database (HMDB)

3.2.5 Octanol/Water Partition


Coefficient

4.9
HANSCH,C ET AL. (1995)

from DrugBank

4.9 (LogP)
HANSCH,C ET AL. (1995)

from EPA DSSTox

log Kow = 4.90

Hansch, C., Leo, A., D. Hoekman. Exploring QSAR - Hydrophobic,


Electronic, and Steric Constants. Washington, DC: American
Chemical Society., 1995., p. 157

from HSDB

LogP

3.7

from Human Metabolome Database (HMDB)

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3.2.6 LogS

-3.66
ADME Research, USCD

from DrugBank

3.2.7 Stability/Shelf Life

UNSTABLE AFTER LONG EXPOSURE TO LIGHT, HEAT, & AIR


/HYDROGEN CHLORIDE/
Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical
Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co.,
1975., p. 1030

from HSDB

3.2.8 Decomposition

When heated to decomposition it emits toxic fumes of


nitroxides.
Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th
ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

3.2.9 Caco2 Permeability

-4.67
ADME Research, USCD

from DrugBank

3.2.10 pKa

10.4
SANGSTER (1994)

from DrugBank

3.2.11 Kovats Retention Index

2242, 2217, 2217, 2200, 2235,


2235, 2241, 2220, 2242, 2237.5,
Standard non-polar 2231.1, 2200, 2255, 2242,
2248.7, 2254.4, 2236, 2236,
2256.5

Semi-standard non-polar 2240, 2243.2, 2204, 2233.8

from NIST

3.2.12 Other Experimental Properties

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WHITE CRYSTALLINE POWDER; ODORLESS; BITTER TASTE;


MELTS WITHIN 5 DEG RANGE BETWEEN 208-218 DEG C; 1 G
IN CA 4 ML CHLOROFORM, 20 ML WATER, 20 ML ALC;
FREELY SOL IN METHANOL; INSOL IN ETHER /HCL/
Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical
Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co.,
1975., p. 1030

from HSDB

4 Spectral Information

4.1 Mass Spectrometry


Showing 2 of 12 View More

Intense mass spectral peaks: 44


Mass Spectrometry m/z, 71 m/z, 195 m/z, 235 m/z,
266 m/z

from HSDB

MoNA ID JP003855

MS Category Experimental

Chromatography identified as
MS Type
GC-MS

MS Level MS1

Instrument Unknown

Instrument Type EI-B

Ionization Mode positive

splash10-0544-7980000000-
Splash
e155fe1ae5cd0aa22da3

Thumbnail

Kimito Funatsu, Faculty of


Submitter
Engineering, University of Tokyo

from MassBank of North America (MoNA)

4.1.1 GC-MS
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Showing 2 of 6 View More

GC-MS Spectrum 12325 -


HMDB HMDB0015282
GC-MS Spectrum 27620 -
GC-MS
HMDB HMDB0015282
GC-MS Spectrum 100236 -
HMDB HMDB0015282

from Human Metabolome Database (HMDB)

NIST Number 250707

Library Main library

Total Peaks 179

m/z Top Peak 234

m/z 2nd Highest 195

m/z 3rd Highest 193

Thumbnail

from NIST

4.1.2 MS-MS

Showing 2 of 3 View More

MS-MS Spectrum 47835 -


HMDB HMDB0015282
MS-MS Spectrum 47836 -
HMDB HMDB0015282
MS-MS Spectrum 47837 -
HMDB HMDB0015282
MS-MS
MS-MS Spectrum 121527 -
HMDB HMDB0015282
MS-MS Spectrum 121528 -
HMDB HMDB0015282
MS-MS Spectrum 121529 -
HMDB HMDB0015282

from Human Metabolome Database (HMDB)

NIST Number 1006547

Instrument Type IT/ion trap

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Collision Energy 0

Spectrum Type MS2

Precursor Type [M+H]+

Precursor m/z 267.1856

Total Peaks 5

m/z Top Peak 236

m/z 2nd Highest 208

m/z 3rd Highest 196

Thumbnail

from NIST

4.1.3 EI-MS

EI-MS Spectrum 275 - HMDB


EI-MS
HMDB0015282

from Human Metabolome Database (HMDB)

4.2 UV Spectra
MAX ABSORPTION: 213 NM (LOG E= 4.39); 252 NM (LOG E=
3.93)
Budavari, S. (ed.). The Merck Index - An Encyclopedia of
Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck
and Co., Inc., 1996., p. 394

from HSDB

4.3 IR Spectra

4.3.1 ATR-IR Spectra

Instrument Name Bio-Rad FTS

ATR-Film (MeCl2) (DuraSamplIR


Technique
II)

Source of Spectrum Forensic Spectral Research

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Source of Sample Alltech Associates, Inc., Grace
Davison Discovery Sciences

Catalog Number 1361

Lot Number 332

Copyright © 2012-2018 Bio-Rad


Copyright Laboratories, Inc. All Rights
Reserved.

Thumbnail

from SpectraBase

5 Related Records
5.1 Related Compounds with
Annotation

from PubChem

5.2 Related Compounds

Same Connectivity 6 Records

Same Parent, Connectivity 22 Records

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Same Parent, Exact 14 Records

Mixtures, Components, and


50 Records
Neutralized Forms

Similar Compounds 777 Records

Similar Conformers 1,332 Records

from PubChem

5.3 Substances

5.3.1 Related Substances

All 344 Records

Same 142 Records

Mixture 202 Records

from PubChem

5.3.2 Substances by Category

from PubChem

5.4 Entrez Crosslinks

PubMed 234 Records

Protein Structures 1 Record

Taxonomy 4 Records

OMIM 19 Records

Gene 54 Records

from PubChem

5.5 Associated Chemicals


Desipramine hydrochloride;58-28-6

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from HSDB

5.6 NCBI LinkOut

from NCBI

6 Chemical Vendors

from PubChem

7 Drug and Medication


Information

7.1 Drug Indication


For relief of symptoms in various depressive syndromes,
especially endogenous depression. It has also been used to
manage chronic peripheral neuropathic pain, as a second
line agent for the management of anxiety disorders (e.g.

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panic disorder, generalized anxiety disorder), and as a


second or third line agent in the ADHD management.

from DrugBank

FDA Label

from DrugBank

7.2 LiverTox Summary


Desipramine is an oral tricyclic antidepressant that widely
used in the therapy of depression. Desipramine can cause
mild and transient serum enzyme elevations and is rare
cause of clinically apparent acute cholestatic liver injury.

from LiverTox

7.3 Drug Classes


Antidepressants

from LiverTox

7.4 Clinical Trials

7.4.1 ClinicalTrials.gov

from ClinicalTrials.gov

7.4.2 EU Clinical Trials Register

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from EU Clinical Trials Register

7.5 Therapeutic Uses


Adrenergic Uptake Inhibitors; Antidepressive Agents,
Tricyclic
National Library of Medicine's Medical Subject Headings online
file (MeSH, 1999)

from HSDB

...USED IN MANAGEMENT OF DEPRESSIVE STATES.


DESIPRAMINE IS REPORTED TO BE OF BENEFIT IN
ENDOGENOUS DEPRESSIONS SUCH AS MANIC DEPRESSIVE
REACTIONS, & REACTIVE DEPRESSIONS.
Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical
Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co.,
1975., p. 1030

from HSDB

...IF...GIVEN OVER PERIOD OF TIME TO DEPRESSED


PATIENTS, ELEVATION OF MOOD OCCURS. ... 2-3
WK...BEFORE THERAPEUTIC EFFECTS...EVIDENT.
/IMIPRAMINE/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 175

from HSDB

ANTIDEPRESSANT
The Merck Index. 9th ed. Rahway, New Jersey: Merck & Co., Inc.,
1976., p. 383

from HSDB

... May effectively treat tic disorder, either in association with


the use of stimulants, or arising in patients with both
attention disorder and Tourette's syndrome.
Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G.
Goodman (eds.). Goodman and Gilman's The Pharmacological
Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996.,
p. 445

from HSDB

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Tricyclic antidepressants are used in the prophylaxis of


vascular headache (including migraine) and mixed headache
syndrome. /NOT included in US product labeling; Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

Desipramine /is/ used to reduce craving and/or prevent


depression upon withdrawal of cocaine. /NOT included in
US product labeling/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

Desipramine /has/ been shown to be effective in controlling


the binge eating and subsequent purging of bulimia
nervosa. /NOT included in US product labeling/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

Tricyclic antidepressants, especially desipramine /is/ used in


patients with normal or depressed mood for the
management of chronic, severe pain as in cancer; migraine
and chronic, daily muscle-contraction headaches; rheumatic
disorders; atypical facial pain; post-herpetic neuralgia; post-
traumatic neuropathy; and diabetic or other peripheral
neuropathy. /NOT included in US product labeling/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

Tricyclic antidepressants, expecially desipramine /is/ used to


treat cataplexy associated with narcolepsy, with little or no
effect on narcoleptic sleep attacks. /NOT included in US
product labeling/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

Desipramine /is/ used to relieve the symptoms of attention


deficit hyperactivity disorder in some children over 6 years
of age and in young adults. Tricyclic antidepressants may be
more useful than stimulants when the patient has become
withdrawn and depressed. /NOT included in US product
labeling/

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USP Convention. USPDI - Drug Information for the Health Care


Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

Tricyclic antidepressants, especially desipramine /is/ used in


conjunction with psychotherapy and behavior therapy to
block the recurrence of panic attacks, with or without
phobias. /NOT included in US product labeling/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

Desipramine /is/ indicated for the relief of symptoms of


major depressive episodes; bipolar disorder, depressed type;
dysthymia; and atypical depressions. Some conditions
associated with or accompanied by depression that are
treated with tricyclic antidepressants include alcoholism,
organic disease such as stroke or Parkinson's disease, and
agitation or anxiety. /Included in US product labeling/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 265

from HSDB

7.6 Drug Warnings


Showing 20 of 24 View More

SINCE TRICYCLIC ANTIDEPRESSANTS CAN CAUSE


ORTHOSTATIC HYPOTENSION, PRODUCE ARRHYTHMIAS, &
INTERACT IN DELETERIOUS WAYS WITH OTHER
DRUGS...GREAT CAUTION MUST BE OBSERVED IN THEIR USE
IN PT WITH SIGNIFICANT CARDIAC DISEASE. /TRICYCLIC
ANTIDEPRESSANTS/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 177

from HSDB

SPECIAL PRECAUTIONS SHOULD BE TAKEN IN PT WITH


BENIGN PROSTATIC HYPERTROPHY. /IMIPRAMINE/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 178

from HSDB

DESIPRAMINE HYDROCHLORIDE IS CONTRAINDICATED IN


PATIENTS ON MONOAMINE OXIDASE-INHIBITOR THERAPY.
.../IT/ SHOULD NOT BE GIVEN TO PT WITH GLAUCOMA,
URETHRAL OR URETERAL SPASM, OR THOSE WHO HAVE
HAD MYOCARDIAL INFARCTION WITHIN 3 WK. IT IS ALSO

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CONTRAINDICATED IN PT WITH SEVERE CORONARY HEART


DISEASES OR WITH ACTIVE EPILEPSY. /HYDROGEN
CHLORIDE/
Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical
Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co.,
1975., p. 1030

from HSDB

The most common adverse effects of tricyclic


antidepressants are those which result from anticholinergic
activity. These include dry mucous membranes (occasionally
associated with sublingual adenitis), blurred vision resulting
from mydriasis and cycloplegia, increased intraocular
pressure, hyperthermia, constipation, adynamic ileus, urinary
retention, delayed micturition, and dilation of the urinary
tract. The drugs have been reported to reduce the tone of
the esophagogastric sphincter and to induce hiatal hernia in
susceptible individuals or to exacerbate the condition in
patients with preexisting hiatal hernias. Tricyclic
antidepressants should be withdrawn if symptoms of
esophageal reflux develop; if antidepressant therapy is
essential, a cautious trial of a cholinergic agent such as
bethanechol used concomitantly with the antidepressant
may be warranted. Anticholinergic effects appear to occur
most frequently in geriatric patients, but constipation is
frequent in children receiving tricyclic antidepressants for
functional enuresis. /Tricyclic antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Adverse CNS and neuromuscular effects occur frequently.


Drowsiness is the most frequent adverse reaction to tricyclic
antidepressants; weakness, lethargy, and fatigue are also
common. Conversely, agitation, excitement, nightmares,
restlessness, and insomnia have occurred. Confusion,
disturbed concentration, disorientation, delusions, and
hallucinations may occur, most commonly in geriatric
patients. Children receiving tricyclic antidepressants for
functional enuresis may experience drowsiness, anxiety,
emotional instability, nervousness, and sleep disorder.
Although effects differ among individual patients, sedative
effects are usually greatest with amitriptyline or doxepin
and least with protriptyline. /Tricyclic antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Exacerbation of depression, hypomania, panic, troublesome


hostility, anxiety, or euphoria may occur in patients receiving
tricyclic antidepressants. Exacerbation of psychosis has
occurred in patients with schizophrenia or paranoid
symptoms treated with the drugs; patients with bipolar

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depression may shift to the manic phase. Such psychotic


manifestations should be treated by decreasing the dose of
tricyclic antidepressant or by administering an antipsychotic
drug such as a phenothiazine with the antidepressant.
Alteration in EEG patterns and occasionally seizures have
occurred. Seizures are more common in children than in
adults. Coma also has occurred. /Tricyclic antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Rarely, agranulocytosis, thrombocytopenia, eosinophilia,


leukopenia, and purpura have been reported and may be
hypersensitivity reaction. Leukocyte and differential counts
should be performed in all patients who develop symptoms
of blood dyscrasias, such as sore throat and fever, and
tricyclic antidepressants should be discontinued if evidence
of pathologic neutrophil depression is found. /Tricyclic
antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Asymptomatic increases in serum aminotransferase


(transaminase) concentration, changes in serum alkaline
phosphatase concentrations, obstructive-type jaundice, and
hepatitis which appear to be allergic in nature have also
occurred during therapy with tricyclic antidepressants.
Elevated values on liver function tests indicate the need for
repeat tests; if progressive elevations occur, the drugs
should discontinued. Jaundice and hepatitis are reversible
following discontinuance of the drugs; however, deaths
resulting from hepatitis have occurred when tricyclic
antidepressants were continued. Hepatic failure has been
reported in patients receiving amitriptyline; however, a
causal relationship to the drug could not be established.
/Tricyclic antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Allergic manifestations have included rash and erythema,


petechiae, urticaria, pruritus, eosinophilia, edema (general or
of face and tongue), drug fever, and photosensitivity.
Patients who demonstrate photosensitivity should avoid
exposure to sunlight. A lupus-like syndrome (migratory
arthritis,positive ANA and rheumatoid factor) has been
reported in patients receiving amitriptyline; however, a
causal relationship to the drug could not be established.
/Tricyclic antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-

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System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Adverse GI effects such as anorexia, nausea and vomiting,


diarrhea, abdominal cramps, increases in pancreatic
enzymes, epigastric distress, stomatitis, peculiar taste, and
black tongue have been reported in patients receiving
tricyclic antidepressants. Ageusia has been reported in
patients receiving amitriptyline; however, a causal
relationship to the drug could not be established. ...
Endocrine effects which have occurred in patients receiving
tricyclic antidepressants include increased or decreased
libido, impotence, testicular swelling, painful ejaculation,
breast engorgement and galactorrhea in females,
gynecomastia in males, syndrome of inappropriate
antidiuretic hormone secretion (SIADH), and elevation or
lowering of blood glucose concentrations. /Tricyclic
antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Tricyclic antidepressants should be used with caution in


patients whom excess anticholinergic activity could be
harmful, such as those with benign prostatic hypertrophy, a
history of urinary retention, increased intraocular pressure,
or angle-closure glaucoma. /Tricyclic antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Tricyclic antidepressants may lower the seizure threshold


and should be used with caution in patients with a history of
seizure disorders, organic brain disease, or who may be
predisposed to seizures (eg, in the acute withdrawal phase
of alcoholism). Depressed patients are especially prone to
suicidal tendencies and large quantities of tricyclic
antidepressants should not be prescribed at one time.
/Tricyclic antidepressants/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

from HSDB

Tricyclic antidepressants are contraindicated in the acute


recovery phase following myocardial infarction. The drugs
should be used with extreme caution in patients with
preexisting cardiovascular disease because tricyclic
antidepressants may cause adverse cardiovascular effects.
/Tricyclic antidepressants/

McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug


Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1791

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from HSDB

Children are more sensitive than adults to acute overdosage,


which should be considered serious and potentially fatal.
Increasing the dose in children increases the risk of adverse
effects, such as alterations in electrocardiogram (ECG)
patterns, nervousness, sleep disorders, tiredness,
hypertension in some children, or mild gastrointestinal
problems, without necessarily enhancing the therapeutic
effect. Adolescent patients may require reduced dosage
because they are also prone to exhibit increased dose
sensitivity. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 266

from HSDB

Elderly patients often require lower dosage and more


gradual dose increases to avoid toxicity, because of slower
metabolic rates and/or excretion and an increased ratio of
fat to lean tissue. The elderly also exhibit increased
sensitivity to anticholinergic effects, such as urinary
retention (especially in older men with prostatic
hypertrophy), anticholinergic delirium, and increased
sedative and hypotensive effects. Increased anxiety may
result from these adverse effects, possibly leading to
unnecessary dose increases. If cardiovascular disease is
present, the risk of conduction defects, arrhythmias,
tachycardia, stroke, congestive heart failure, or myocardial
infarction is increased. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 266

from HSDB

The peripheral anticholinergic effects of tricyclic


antidepressants may decrease or inhibit salivary flow,
especially in middle-aged or elderly patients, thus
contributing to the development of caries, periodontal
disease, oral candidiasis, and discomfort. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 266

from HSDB

The blood dyscrasia-causing effects of tricyclic


antidepressants, although rare, may be life-threatening. The
result may be an increased incidence of microbial infection,
delayed healing, and gingival bleeding. If agranulocytosis,
leukopenia, or thrombocytopenia occurs, dental work
should be deferred until blood counts have returned to
normal. Patient instruction in proper oral hygiene should
include caution in use of regular toothbrushes, dental floss,
and toothpicks. /Tricyclic antidepressants/
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USP Convention. USPDI - Drug Information for the Health Care


Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

There have been reports of cardiac problems, irritability,


respiratory distress, muscle spasms, seizures, and urinary
retention in infants whose mothers received tricyclic
antidepressants immediately prior to delivery. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 266

from HSDB

... IMIPRAMINE ... PRODUCES SLEEPINESS,


LIGHTHEADEDNES, A SLIGHT FALL IN BLOOD PRESSURE,
AND CERTAIN ANTICHOLINERGIC EFFECTS (E.G., DRY
MOUTH, BLURRED VISION)./IMIPRAMINE/
Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G.
Goodman (eds.). Goodman and Gilman's The Pharmacological
Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996.,
p. 436

from HSDB

/UNTOWARD REACTIONS INCL/ WEAKNESS &


FATIGUE...HEADACHE...& EPIGASTRIC DISTRESS. ... ANOTHER
UNDESIRABLE EFFECT... IS TRANSITION FROM DEPRESSION
TO HYPOMANIC OR MANIC EXCITEMENT IN CERTAIN
PATIENTS. ...HALLUCINATIONS & DELUSIONS MAY OCCUR.
... PERSISTENT FINE TREMOR OCCURS IN ABOUT 10% OF
THOSE RECEIVING DRUG. /IMIPRAMINE/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of


Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 178

from HSDB

7.7 Drug Tolerance


TOLERANCE TO ANTICHOLINERGIC EFFECTS, SUCH AS DRY
MOUTH, CONSTIPATION, BLURRED VISION, &
TACHYCARDIA, TENDS TO DEVELOP WITH CONTINUED USE
OF IMIPRAMINE. /IMIPRAMINE/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of


Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 178

from HSDB

8 Pharmacology and
Biochemistry

8.1 Pharmacology
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Desipramine, a secondary amine tricyclic antidepressant, is


structurally related to both the skeletal muscle relaxant
cyclobenzaprine and the thioxanthene antipsychotics such
as thiothixene. It is the active metabolite of imipramine, a
tertiary amine TCA. The acute effects of desipramine include
inhibition of noradrenaline re-uptake at noradrenergic
nerve endings and inhibition of serotonin (5-hydroxy
tryptamine, 5HT) re-uptake at the serotoninergic nerve
endings in the central nervous system. Desipramine exhibits
greater noradrenergic re-uptake inhibition compared to the
tertiary amine TCA imipramine. In addition to inhibiting
neurotransmitter re-uptake, desipramine down-regulates
beta-adrenergic receptors in the cerebral cortex and
sensitizes serotonergic receptors with chronic use. The
overall effect is increased serotonergic transmission.
Antidepressant effects are typically observed 2 - 4 weeks
following the onset of therapy though some patients may
require up to 8 weeks of therapy prior to symptom
improvement. Patients experiencing more severe depressive
episodes may respond quicker than those with mild
depressive symptoms.

from DrugBank

Desipramine is an active metabolite of imipramine, a tertiary


amine and a synthetic tricyclic derivative of the
antidepressant. Desipramine enhances monoamine
neurotransmission in certain areas of the brain by inhibiting
the re-uptake of noradrenaline and serotonin at the
noradrenergic and serotoninergic nerve endings,
respectively. It also induces sedation through histamine 1
receptor blockage and hypotension through beta-
adrenergic blockage.

from NCIt

8.2 MeSH Pharmacological


Classification
Adrenergic Uptake Inhibitors

Drugs that block the transport of adrenergic transmitters


into axon terminals or into storage vesicles within terminals.
The tricyclic antidepressants (ANTIDEPRESSIVE AGENTS,
TRICYCLIC) and amphetamines are among the
therapeutically important drugs that may act via inhibition
of adrenergic transport. Many of these drugs also block
transport of serotonin. (See all compounds classified as
Adrenergic Uptake Inhibitors.)

from MeSH

Antidepressive Agents, Tricyclic

Substances that contain a fused three-ring moiety and are


used in the treatment of depression. These drugs block the
uptake of norepinephrine and serotonin into axon terminals
and may block some subtypes of serotonin, adrenergic, and

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histamine receptors. However the mechanism of their


antidepressant effects is not clear because the therapeutic
effects usually take weeks to develop and may reflect
compensatory changes in the central nervous system. (See
all compounds classified as Antidepressive Agents,
Tricyclic.)

from MeSH

Enzyme Inhibitors

Compounds or agents that combine with an enzyme in such


a manner as to prevent the normal substrate-enzyme
combination and the catalytic reaction. (See all compounds
classified as Enzyme Inhibitors.)

from MeSH

8.3 FDA Pharmacological


Classification

8.3.1 FDA Pharmacology Summary

Desipramine is a Tricyclic Antidepressant.

from FDA Pharm Classes

8.3.2 Active Moiety

DESIPRAMINE

from FDA Pharm Classes

8.3.3 FDA UNII

TG537D343B

from FDA Pharm Classes

8.3.4 Pharmacological Classes

Established Pharmacologic
Tricyclic Antidepressant
Class [EPC]

from FDA Pharm Classes

8.4 ATC Code


N - Nervous system

N06 - Psychoanaleptics
N06A - Antidepressants

N06AA - Non-selective monoamine reuptake inhibitors

N06AA01 - Desipramine

from WHO ATC

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8.5 Absorption, Distribution and


Excretion
Absorption

Desipramine hydrochloride is rapidly and almost


completely absorbed from the gastrointestinal tract. It
undergoes extensive first-pass metabolism. Peak plasma
concentrations are attained 4 - 6 hours following oral
administration.

from DrugBank

Route of Elimination

Desipramine is metabolized in the liver, and approximately


70% is excreted in the urine.

from DrugBank

...DESIPRAMINE /WAS GIVEN/ IN DOSE OF 25 MG EVERY 8


HR TO 15 PT. .../IT/ ACCUM IN BODY FOR PERIODS VARYING
FROM 1 TO 16 DAYS, PEAK PLASMA LEVELS RANGING
FROM 10 TO 275 UG/L...
LaDu, B.N., H.G. Mandel, and E.L. Way. Fundamentals of Drug
Metabolism and Disposition. Baltimore: Williams and Wilkins,
1971., p. 336

from HSDB

IN ANIMALS, TRANSPLACENTAL PASSAGE HAS BEEN


DEMONSTRATED RECENTLY OF...DESIPRAMINE...
The Chemical Society. Foreign Compound Metabolism in
Mammals Volume 3. London: The Chemical Society, 1975., p. 637

from HSDB

AFTER IV ADMIN OF SINGLE DOSE OF


DESMETHYLIMIPRAMINE...TO DOGS, RATE OF RENAL
EXCRETION OF UNCHANGED DRUG DECR DRAMATICALLY
IN INCREASING URINARY PH, WITH LITTLE CHANGE IN
CREATININE CLEARANCE. ... URINARY EXCRETION...IN MAN
WAS ALSO SHOWN TO BE PH-DEPENDENT...
The Chemical Society. Foreign Compound Metabolism in
Mammals. Volume 1: A Review of the Literature Published
Between 1960 and 1969. London: The Chemical Society, 1970., p.
108

from HSDB

THERE IS WIDE INTERPATIENT VARIATION IN STEADY-STATE


PLASMA CONCN OF TRICYCLIC ANTIDEPRESSANTS.
...VARIATION SEEMS TO BE GENETICALLY DETERMINED...
/TRICYCLIC ANTIDEPRESSANTS/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 178

from HSDB

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IMIPRAMINE IS WELL ABSORBED FROM GI TRACT. ...


DEMETHYLATION CONVERTS DRUG TO ACTIVE
METABOLITE, DESIPRAMINE. ... PHARMACOLOGICALLY
ACTIVE METABOLITES OF IMIPRAMINE ARE HIGHLY BUT
VARIABLY BOUND TO PLASMA PROTEIN... /IMIPRAMINE/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 178

from HSDB

Desipramine hydrochloride appears to be well absorbed


from the GI tract. Peak plasma concentrations occur within
4-6 hours after oral adminstration. /Desipramine
hydrochloride/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements).

from HSDB

8.6 Metabolism/Metabolites
Desipramine is extensively metabolized in the liver by
CYP2D6 (major) and CYP1A2 (minor) to 2-
hydroxydesipramine, an active metabolite. 2-
hydroxydesipramine is thought to retain some amine
reuptake inhibition and may possess cardiac depressant
activity. The 2-hydroxylation metabolic pathway of
desipramine is under genetic control.

from DrugBank

DEMETHYLIMIPRAMINE YIELDS BISDEMETHYLIMIPRAMINE,


DEMETHYL-2-HYDROXYIMIPRAMINE, DEMETHYL-10-
HYDROXYIMIPRAMINE, & IMINODIBENZYL IN MAN.
/FROM TABLE/

Goodwin, B.L. Handbook of Intermediary Metabolism of Aromatic


Compounds. New York: Wiley, 1976., p. D-7

from HSDB

DEMETHYLIMIPRAMINE YIELDS IMIPRAMINE IN RABBITS


AND IN RATS. /FROM TABLE/
Goodwin, B.L. Handbook of Intermediary Metabolism of Aromatic
Compounds. New York: Wiley, 1976., p. D-7

from HSDB

8.7 Biological Half-Life


7-60+ hours; 70% eliminated renally

from DrugBank

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...DESIPRAMINE /WAS GIVEN/ IN DOSE OF 25 MG EVERY 8


HR TO 15 PT. ...BIOLOGICAL HALF-LIFE...FROM A FEW HR TO
MORE THAN 2 DAYS...
LaDu, B.N., H.G. Mandel, and E.L. Way. Fundamentals of Drug
Metabolism and Disposition. Baltimore: Williams and Wilkins,
1971., p. 336

from HSDB

8.8 Mechanism of Action


Desipramine is a tricyclic antidepressant (TCA) that
selectively blocks reuptake of norepinephrine
(noradrenaline) from the neuronal synapse. It also inhibits
serotonin reuptake, but to a lesser extent compared to
tertiary amine TCAs such as imipramine. Inhibition of
neurotransmitter reuptake increases stimulation of the post-
synaptic neuron. Chronic use of desipramine also leads to
down-regulation of beta-adrenergic receptors in the
cerebral cortex and sensitization of serotonergic receptors.
An overall increase in serotonergic transmission likely
confers desipramine its antidepressant effects. Desipramine
also possesses minor anticholinergic activity, through its
affinity for muscarinic receptors. TCAs are believed to act by
restoring normal levels of neurotransmitters via synaptic
reuptake inhibition and by increasing serotonergic
neurotransmission via serotonergic receptor sensitization in
the central nervous system.

from DrugBank

MANNER IN WHICH IMIPRAMINE


RELIEVES...DEPRESSION...IS NOT CLEAR. .../EFFECT/
DESCRIBED AS DULLING OF DEPRESSIVE IDEATION RATHER
THAN AS EUPHORIC STIMULATION PRODUCED BY MAO
INHIBITORS...DEFINITIVELY DISCRIMINATIVE EXPT... YET TO
BE PERFORMED. ...DOES HAVE STIMULANT ACTION UNDER
CERTAIN CIRCUMSTANCES. /IMIPRAMINE/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 175

from HSDB

ACTION OF TRICYCLIC ANTIDEPRESSANTS ON METABOLISM


OF CATECHOLAMINES & INDOLEAMINES IN BRAIN HAS
CONTRIBUTED SIGNIFICANTLY TO "BIOGENIC AMINE
HYPOTHESIS" OF DEPRESSION. ... ALL TRICYCLIC
ANTIDEPRESSANTS BLOCK RE-UPTAKE OF
NOREPINEPHRINE BY ADRENERGIC NERVE TERMINALS.
/TRICYCLIC ANTIDEPRESSANTS/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 176

from HSDB

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IMIPRAMINE SLOWS TURNOVER RATE OF 5-HT, EFFECT


NOT SHARED BY DESIPRAMINE, WHILE TURNOVER RATE OF
NOREPINEPHRINE IS INCR BY DEMETHYLATED DRUGS
NORTRIPTYLINE & DESIPRAMINE. EXACT RELATIONSHIP OF
THESE EFFECTS TO ACTIONS OF TRICYCLIC
ANTIDEPRESSANTS IN HUMAN DEPRESSION IS NOT
KNOWN.
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 176

from HSDB

8.9 Human Metabolite


Information

8.9.1 Metabolite Description

Description

Desipramine hydrochloride is a dibenzazepine-derivative


tricyclic antidepressant (TCA). TCAs are structurally similar to
phenothiazines. They contain a tricyclic ring system with an
alkyl amine substituent on the central ring. In non-
depressed individuals, desipramine does not affect mood or
arousal, but may cause sedation. In depressed individuals,
desipramine exerts a positive effect on mood. TCAs are
potent inhibitors of serotonin and norepinephrine reuptake.
Secondary amine TCAs, such as desipramine and
nortriptyline, are more potent inhibitors of norepinephrine
reuptake than tertiary amine TCAs, such as amitriptyline and
doxepine. TCAs also down-regulate cerebral cortical β-
adrenergic receptors and sensitize post-synaptic
serotonergic receptors with chronic use. The antidepressant
effects of TCAs are thought to be due to an overall increase
in serotonergic neurotransmission. TCAs also block
histamine-H1 receptors, α1-adrenergic receptors and
muscarinic receptors, which accounts for their sedative,
hypotensive and anticholinergic effects (e. g. blurred vision,
dry mouth, constipation, urinary retention), respectively. See
toxicity section below for a complete listing of side effects.
Desipramine exerts less anticholinergic and sedative side
effects compared to tertiary amine TCAs, such as
amitriptyline and clomipramine. Desipramine may be used
to treat depression, neuropathic pain (unlabeled use),
agitation and insomnia (unlabeled use) and attention-deficit
hyperactivity disorder (unlabeled use).

from Human Metabolome Database (HMDB)

8.9.2 Cellular Locations

Cytoplasm
Extracellular
Membrane

from Human Metabolome Database (HMDB)

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8.9.3 Metabolite Pathways

Desipramine Action Pathway


Desipramine Metabolism Pathway
Imipramine Action Pathway
Imipramine Metabolism Pathway

from Human Metabolome Database (HMDB)

9 Use and Manufacturing

9.1 Uses
EPA CPDat Chemical and Product Categories

from EPA Chemical and Products Database (CPDat)

Antidepressant
Budavari, S. (ed.). The Merck Index - An Encyclopedia of
Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck
and Co., Inc., 1996., p. 494

from HSDB

9.2 Methods of Manufacturing


FREE BASE & HYDROCHLORIDE: BRITISH PATENT 908,788
(1962 TO GEIGY)
Budavari, S. (ed.). The Merck Index - An Encyclopedia of
Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck
and Co., Inc., 1996., p. 494

from HSDB

9.3 Formulations/Preparations
DESIPRAMINE HYDROCHLORIDE, NF: NORPRAMIN,
CAPSULES: 25, 50 MG; PERTOFRANE, TABLETS: 25, 50 MG
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/HYDROGEN CHLORIDE, FROM TABLE/


Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 177

from HSDB

9.4 Manufacturers
Merrell Pharmaceuticals Inc., subdidiary of Hoechst Roussel,
Inc., Kansas City, MO 64137
PDR; Physicians' Desk Reference 52nd ed 1998. Montvale,NJ:
Medical Economics Co. p. 1227 (1998)

from HSDB

9.5 General Manufacturing


Information
PREPN OF HYDROCHLORIDE: BELGIAN PATENT 614,616, CA
58 11338C (1963), (1962 TO GEIGY)
Budavari, S. (ed.). The Merck Index - An Encyclopedia of
Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck
and Co., Inc., 1996., p. 494

from HSDB

10 Identification

10.1 Clinical Laboratory Methods


DETERMINATION OF IMIPRAMINE & DESIPRAMINE IN
BLOOD BY FLUORIMETRY @ EXCITATION WAVELENGTH OF
290 NM & EMISSION WAVELENGTH OF 415 NM; CURRY, A,
POISON DETECTION IN HUMAN ORGANS, 2ND ED,
CHARLES C THOMAS, SPRINGFIELD, 1969, 135.
Sunshine, Irving (ed.) Methodology for Analytical Toxicology.
Cleveland: CRC Press, Inc., 1975., p. 194

from HSDB

COLORIMETRIC DETERMINATION OF IMIPRAMINIC DRUGS


IN BLOOD & URINE.
SANTOS SRC, SZNELWAR RB; STUDY OF IMIPRAMINIC DRUGS IN
BLOOD & URINE FOR THERAPEUTIC CONTROL &
INTOXICATION DIAGNOSIS; REV FARM BIOQUIM UNIV SAO
PAULO 15 (1-2): 173-94 (1977)

from HSDB

DETERMINATION OF TRICYCLIC ANTIDEPRESSANTS &


SOME OF THEIR METABOLITES IN SERUM BY STRAIGHT
PHASE HPLC.

UGES DRA, BOUMA P; DETERMINATION OF TRICYCLIC


ANTIDEPRESSANTS & SOME OF THEIR METABOLITES IN SERUM
BY STRAIGHT PHASE HPLC; PHARM WEEKBL, SCI ED 1 (2): 417-24
(1979)
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from HSDB

DETERMINATION OF DRUGS IN PLASMA BY HIGH-


PERFORMANCE TLC & QUANTITATIVE ANALYSIS OF
SEPARATED COMPONENTS BY UV REFLECTANCE
SPECTROMETRY.
FENIMORE DC ET AL; DETERMINATION OF DRUGS IN PLASMA BY
HIGH-PERFORMANCE TLC; CLIN CHEM (WINSTON-SALEM, NC)
24 (8): 1386-92 (1978)

from HSDB

QUANTITATIVE GC DETERMINATION OF DESIPRAMINE IN


SERUM.
ERVIK M ET AL; QUANTITATIVE GC DETERMINATION OF
NANOGRAM LEVELS OF DESIPRAMINE IN SERUM; ACTA PHARM
SUEC 7: 625-34 (1970)

from HSDB

MONITORING OF PSYCHOTROPIC DRUGS IN PLASMA BY


RADIOIMMUNOASSAY.
MIDHA PK ET AL; MONITORING OF THERAPEUTIC CONCN OF
PSYCHOTROPIC DRUGS IN PLASMA BY RADIOIMMUNOASSAYS; J
ANAL TOXICOL 2 (5): 185-92 (1978)

from HSDB

11 Safety and Hazards

11.1 Hazards Identification

11.1.1 GHS Classification

Irritant Health Hazard


Pictogram(s)

Environmental
Hazard

Signal Danger

GHS Hazard Statements Aggregated GHS information


provided by 3 companies from
2 notifications to the ECHA
C&L Inventory. Each
notification may be associated
with multiple companies.
H302 (66.67%): Harmful if
swallowed [Warning Acute
toxicity, oral]
H336 (66.67%): May cause
drowsiness or dizziness
[Warning Specific target organ
toxicity, single exposure;
Narcotic effects]
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H370 (66.67%): Causes damage


to organs [Danger Specific
target organ toxicity, single
exposure]
H400 (33.33%): Very toxic to
aquatic life [Warning
Hazardous to the aquatic
environment, acute hazard]
Information may vary between
notifications depending on
impurities, additives, and other
factors. The percentage value
in parenthesis indicates the
notified classification ratio
from companies that provide
hazard codes. Only hazard
codes with percentage values
above 10% are shown.

P260, P261, P264, P270, P271,


P273, P301+P312, P304+P340,
P307+P311, P312, P321, P330,
P391, P403+P233, P405, and
Precautionary Statement P501
Codes
(The corresponding statement
to each P-code can be found
at the GHS Classification
page.)

from European Chemicals Agency (ECHA)

11.2 Accidental Release


Measures

11.2.1 Disposal Methods

SRP: At the time of review, criteria for land treatment or


burial (sanitary landfill) disposal practices are subject to
significant revision. Prior to implementing land disposal of
waste residue (including waste sludge), consult with
environmental regulatory agencies for guidance on
acceptable disposal practices.

from HSDB

11.3 Handling and Storage

11.3.1 Storage Conditions

Desipramine hydrochloride capsules and tablets should be


stored in tight containers at a temperature less than 40 deg
C, preferably at 15-30 deg C. /Desipramine hydrochloride/
McEvoy, G.K. (ed.). American Hospital Formulary Service-Drug
Information 19 98. Bethesda, MD: American Society of Health-
System Pharmacists, Inc. 1998 (Plus Supplements)., p. 1806

from HSDB

11.4 Regulatory Information


https://pubchem.ncbi.nlm.nih.gov/compound/2995 33/57
1/10/2019
g y Desipramine | C18H22N2 - PubChem

11.4.1 FDA Requirements

Manufacturers, packers, and distributors of drug and drug


products for human use are responsible for complying with
the labeling, certification, and usage requirements as
prescribed by the Federal Food, Drug, and Cosmetic Act, as
amended (secs 201-902, 52 Stat. 1040 et seq., as amended;
21 U.S.C. 321-392).
21 CFR 200-299, 300-499, 820, and 860 (4/1/97)

from HSDB

12 Toxicity

12.1 Toxicological Information

12.1.1 Hepatotoxicity

Liver test abnormalities have been reported to occur in up


to 16% of patients being treated with tricyclic
antidepressants, but elevations are uncommonly above 3
times the upper limit of normal. The aminotransferase
abnormalities are usually mild, asymptomatic and transient,
reversing even with continuation of medication and without
dose adjustment. Rare instances of clinically apparent acute
liver injury have been reported due to desipramine, but far
fewer than have been reported with amitriptyline or
imipramine. The onset of jaundice is usually within 1 to 8
weeks of starting the antidepressant, and the pattern of
serum enzyme elevations can be either hepatocellular or
cholestatic. Features suggestive of hypersensitivity (fever,
rash, eosinophilia) are common, but rarely severe.
Autoantibody formation is unusual. These features are
typical of tricyclic antidepressant hepatotoxicity.

from LiverTox

12.1.2 Acute Effects

https://pubchem.ncbi.nlm.nih.gov/compound/2995 34/57
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from ChemIDplus

12.1.3 Interactions

ADMIN OF TRICYCLIC ANTIDEPRESSANTS...WITH OR


SHORTLY AFTER...MAO INHIBITORS HAS RESULTED IN
SEVERE REACTIONS. ... OTHER INTERACTIONS INCL
POTENTIATION OF CENTRAL DEPRESSANT DRUGS,
BLOCKADE OF ANTIHYPERTENSIVE EFFECTS OF
GUANETHIDINE, & AUGMENTATION OF PRESSOR EFFECTS
OF SYMPATHOMIMETIC AMINES. /TRICYCLIC
ANTIDEPRESSANTS/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 179

from HSDB

Concurrent use /of thyroid hormones/ with tricyclic


antidepressants may increase the therapeutic and toxic
effects of both medications, possibly due to increased
receptor sensitivity to catecholamines; toxic effects include
cardiac arrhythmias and CNS stimulation. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 268

from HSDB

Concurrent use /of sympathomimetics/ with tricyclic


antidepressants may potentiate cardiovascular effects
possibly resulting in arrhythmias, tachycardia, or severe
hypertension or hyperpyrexia; phentolamine can control the
adverse reaction. Significant systemic absorption of
ophthalmic epinephrine may also potentiate cardiovascular
effects; also, local anesthetics with vasoconstrictors should
be avoided or a minimal amount of the vasoconstrictor
should be used with the local anesthetic. Concurrent use
with tricyclic antidepressants may decrease the pressor
effect of ephedrine and mephentermine. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 268

from HSDB

If significant systemic absorption occurs, concurrent use /of


ophthalmic naphazoline, nasal or ophthalmic
oxymetazoline, nasal or ophthalmic phenylephrine, or nasal
xylometazoline/ with tricyclic antidepressants may
potentiate pressor effects of these medications. /Tricyclic
antidepressants/

USP Convention. USPDI - Drug Information for the Health Care


Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 268

https://pubchem.ncbi.nlm.nih.gov/compound/2995 35/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from HSDB

Concurrent use /of pimozide/ with tricyclic antidepressants


may potentiate cardiac arrhythmias, which are seen on ECG
as prolongation of QT interval. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 268

from HSDB

Concurrent use /of monamine oxidase (MAO) inhibitors,


including furazolidone, procarbazine, and selegiline/ with
tricyclic antidepressants has resulted in an increased
incidence of hyperpyretic episodes, severe convulsions,
hypertensive crises, and death; however, recent studies have
shown that concurrent use of some tricyclic antidepressants
with MAO inhibitors can be used for refractory depression
with no adverse effects if both medications are initiated
simultaneously at lower than usual doses, with dose being
raised gradually thereafter, or if the MAO inhibitor is
gradually added to the tricyclic, also at low doses; a tricyclic
should not be added to an existing MAO inhibitor regimen;
the tricyclic antidepressants most commonly used in this
combined therapy are amitriptyline, doxepin, and
trimipramine; imipramine, desipramine, nortriptyline,
protriptyline, and clomipramine are not recommended for
use in such a regimen because of potential excessive
stimulation. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 268

from HSDB

Administration of intrathecal metrizamide may lower the


seizure threshold and increase the risk of seizures in patients
taking tricyclic antidepressants; it is recommended that
tricyclic antidepressants be discontinued for at least 48
hours before and at least 24 hours after myelography.
/Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use /of fluoxetine/ with tricyclic antidepressants


has produced increased plasma concentrations of the
tricyclic antidepressant, possibly due to inhibition of tricyclic
antidepressant metabolism; some clinicians recommend
dosage reductions for tricyclic antidepressants of about 50%
if used concurrently with fluoxetine. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

https://pubchem.ncbi.nlm.nih.gov/compound/2995 36/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from HSDB

Concurrent use /of disulfiram or ethchlorvynol/ with


tricyclics, especially amitriptyline, may result in transient
delirium. Also, CNS depressant effects may be increased
when ethchlorvynol is used concurrently with tricyclic
antidepressants. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Tricyclic antidepressants do not relieve, and may exacerbate,


corticosteroid-induced mental depression. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use /of cocaine/ with tricyclic antidepressants


may increase the risk of cardiac arrhythmias; if use of
cocaine is necessary in patients receiving tricyclics, it is
recommended that the cocaine be administered with
caution, in reduced dosage, and in conjunction with
electrocardiographic monitoring. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use of clonidine with tricyclic antidepressants


may result in potentiation of CNS depressant effects.
/Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use /of clonidine or guanadrel or guanethidine


with tricyclic antidepressants/ may decrease the hypotensive
effects of these medications. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Cimetidine may inhibit tricyclic metabolism and increase


plasma concentrations, leading to toxicity; lowering the dose
of the tricyclic antidepressant by 20 to 30% may be
necessary when cimetidine is given concurrently; patient
should be closely observed for sedation, anticholinergic

https://pubchem.ncbi.nlm.nih.gov/compound/2995 37/57
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effects, and orthostatic hypotension. /Tricyclic


antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Plasma concentrations and therapeutic effects of tricyclic


antidepressants may be decreased during concurrent use
with barbiturates, especially phenobarbital, or
carbamazepine because of increased metabolism resulting
from induction of hepatic microsomal enzymes. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use /of antithyroid agents/ with tricyclic


antidepressants may increase the risk of agranulocytosis.
/Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Tricyclic antidepressants may enhance CNS depression,


lower the seizure threshold when taken in high doses, and
decrease the effects of the anticonvulsant medication;
dosage adjust of the anticonvulsant may be necessary to
control seizures; monitoring of serum concentrations of
both medications may be necessary to detect possible
interaction; ... . /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use may potentiate the CNS depressant effects


of either antihistamines or tricyclic antidepressants. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use /alcohol or other CNS depression-producing


medications/ with tricyclic antidepressants may result in
serious potentiation of CNS depression, respiratory
depression, and hypotensive effects; caution is
recommended, and dosage of one or both agents should be
reduced. In addition, tricyclics may increase the effects of
alcohol, especially during the first few days of tricyclic
antidepressant treatment; in patients who use alcohol
https://pubchem.ncbi.nlm.nih.gov/compound/2995 38/57
1/10/2019 Desipramine | C18H22N2 - PubChem

excessively, tricyclics may increase the danger inherent in


any suicide attempt. /Tricyclic antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

Concurrent use /of amantadine or anticholinergics or other


medications with anticholinergic activity or antidyskinetics or
antihistamines/ with tricyclic antidepressants may intensify
anticholinergic effects, especially mental confusion,
hallucinations, and nightmares, because of secondary
anticholinergic activities of tricyclic antidepressants. /Tricyclic
antidepressants/
USP Convention. USPDI - Drug Information for the Health Care
Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc.,
1997. (Plus Updates)., p. 267

from HSDB

12.1.4 Toxicity Summary

Male mice: LD50 = 290 mg/kg, female rats: LD50 = 320


mg/kg. Antagonism of the histamine H1 and α1 receptors
can lead to sedation and hypotension. Antimuscarinic
activity confers anticholinergic side effects such as blurred
vision, dry mouth, constipation and urine retention may
occur. Cardiotoxicity may occur with high doses of
desipramine. Cardiovascular side effects in postural
hypotension, tachycardia, hypertension, ECG changes and
congestive heart failure. Psychotoxic effects include
impaired memory and delirium. Induction of hypomanic or
manic episodes may occur in patients with a history of
bipolar disorder. Withdrawal symptoms include GI
disturbances (e.g. nausea, vomiting, abdominal pain,
diarrhea), anxiety, insomnia, nervousness, headache and
malaise.

from DrugBank

12.1.5 Human Toxicity Excerpts

MILD PARKINSONIAN SYNDROME...MAY BE SEEN IN SOME


PT, PARTICULARLY OLDER PERSONS TAKING LARGE DOSES.
...HIGH DOSES...MAY PRODUCE GRAND MAL SEIZURES EVEN
IN PT WITHOUT HISTORY OF CONVULSIONS. .../IT/ MAY
PRODUCE ALLERGIC TYPE OF OBSTRUCTIVE
JAUNDICE.../WHICH/ CLEARS WHEN DRUG IS
DISCONTINUED. /IMIPRAMINE/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 178

from HSDB

https://pubchem.ncbi.nlm.nih.gov/compound/2995 39/57
1/10/2019 Desipramine | C18H22N2 - PubChem

Effects of overdosage include agitation, hallucinations,


hyperreflexia, hyperpyrexia, and convulsions. Both
hypotension and hypertension also occur.
Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G.
Goodman (eds.). Goodman and Gilman's The Pharmacological
Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996.,
p. 443

from HSDB

12.1.6 Non-Human Toxicity Excerpts

IN CATS UNDER ANESTHESIA IV INJECTION OF 4 TO 25 MG


OF DESIPRAMINE HAS BEEN FOUND TO REDUCE
SPONTANEOUS ACTIVITY OF RETINAL NEURONES. DOSES
OF 5 TO 20 MG/KG INCR C-WAVE IN ELECTRORETINOGRAM,
& DOSES OF 20 TO 35 MG/KG REDUCED B-WAVE...
Grant, W.M. Toxicology of the Eye. 3rd ed. Springfield, IL: Charles
C. Thomas Publisher, 1986., p. 309

from HSDB

DESPITE ITS CLINICAL ANTIDEPRESSANT EFFECTS,


IMIPRAMINE PRODUCES DEPRESSION OF SPONTANEOUS
MOTOR ACTIVITY IN LAB ANIMALS. ...IT ALSO...DECR BODY
TEMP, & CAUSES ATAXIA. IT IMPAIRS BOTH ACQUISITION &
PERFORMANCE OF CONDITIONED AVOIDANCE RESPONSES.
/IMIPRAMINE/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 176

from HSDB

IMIPRAMINE LOWERS BLOOD PRESSURE IN ANESTHETIZED


DOGS & OBTUNDS VARIOUS CARDIOVASCULAR REFLEXES,
INCL CAROTID OCCLUSION REFLEX, BEZOLD-JARISCH
REFLEX, & POSTURAL RESPONSES. /IMIPRAMINE/
Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of
Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc.,
1975., p. 177

from HSDB

12.1.7 Non-Human Toxicity Values

LD50 Rat oral 375 mg/kg


Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th
ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

LD50 Rat ip 48 mg/kg

Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th


ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

https://pubchem.ncbi.nlm.nih.gov/compound/2995 40/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from HSDB

LD50 Rat sc 183 mg/kg


Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th
ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

LD50 Rat iv 29 mg/kg


Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th
ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

LD50 Mouse oral 448 mg/kg


Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th
ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

LD50 Mouse ip 85 mg/kg


Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th
ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

LD50 Mouse sc 214 mg/kg


Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th
ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

LD50 Mouse iv 22 mg/kg

Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th


ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996., p.
1334

from HSDB

12.1.8 Protein Binding

73-92% bound to plasma proteins

from DrugBank

13 Literature
13.1 Depositor Provided PubMed
Citations

https://pubchem.ncbi.nlm.nih.gov/compound/2995 41/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from PubChem

13.2 NLM Curated PubMed


Citations

from PubChem

13.3 Synthesis References


Biel, J.H.and Judd, C.I.; US. Patent 3,454,554; July 8,1969;
assigned to Colgate Palmolive Co.

from DrugBank

13.4 Springer Nature References

https://pubchem.ncbi.nlm.nih.gov/compound/2995 42/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from Springer Nature

13.5 Thieme References


1 item View More Details Download

Title Publication Name Publication DOI


Date

Pharmaceutical
Desipramine 2003
Substances

from Thieme Chemistry

13.6 Chemical Co-Occurrences in


Literature
Showing 3 of 25
Download
View More Co-Occurrence and Evidence Data

Chemical Evidence from All Time

2,175 articles
mention
norepinephrine Download CSV Vi
alongside
desipramine.

Enduring attenuation of norepinephrine sy


and augmentation of the pharmacological
effects of desipramine by repeated immob
Norepinephrine
PMID 28232061; Neuropharmacology 2017 May;1
CID 439260 Name matches: norepinephrine desipramine
Chronic desipramine treatment alters tyro
not norepinephrine transporter immunore
norepinephrine axons in the rat prefrontal
PMID 21208501; The international journal of neur
2011 Oct;14(9):1219-32
Name matches: norepinephrine desipramine

Desipramine selectively potentiates norep


ERK1/2 activation through the α2A adrene
PMID 22405824; Biochemical and biophysical rese
2012 Mar;420(1):161-5
Name matches: norepinephrine desipramine

https://pubchem.ncbi.nlm.nih.gov/compound/2995 43/57
1/10/2019 Desipramine | C18H22N2 - PubChem

Chemical Evidence from All Time

1,415 articles
mention
imipramine Download CSV Vi
alongside
desipramine.

Super paramagnetic core-shells anchored


with C(8)/NH(2) nano-particles for ultraso
magnetic solid phase extraction of imipram
Imipramine desipramine from plasma.
CID 3696 PMID 29413577; Journal of chromatography. B, A
the biomedical and life sciences 2018 Mar;?(?):52-
Name matches: imipramine desipramine
A Simple, Rapid and Reliable Method to D
Imipramine and Desipramine in Mouse Se
High-Performance Liquid Chromatography
of-Flight Mass Spectrometry.
PMID 26688563; Journal of chromatographic scien
8
Name matches: imipramine desipramine

The Use of In Vitro Data and Physiological


Pharmacokinetic Modeling to Predict Drug
Exposure: Desipramine Exposure in Cytoch
Extensive and Poor Metabolizers Following
Imipramine.
PMID 27440861; Drug metabolism and dispositio
chemicals 2016 Oct;44(10):1569-78
Name matches: imipramine desipramine

1,251 articles
mention
serotonin Download CSV Vi
alongside
desipramine.

'Compulsive' lever-pressing in rats is atten


serotonin re-uptake inhibitors paroxetine
not by the tricyclic antidepressant desipra
Serotonin anxiolytic diazepam.
CID 5202 PMID 15187582; Behavioural pharmacology 2004
Name matches: serotonin desipramine
Quantitative in vitro phosphor imaging us
radioligands: the effects of chronic desipra
serotonin 5-HT2 receptors.
PMID 15585298; Journal of neuroscience method
Name matches: serotonin desipramine

Enhancement of the serotonin-mediated a


by repeated desmethylimipramine treatme
hippocampus of freely moving rats.
PMID 10496330; Japanese journal of pharmacolog
Name matches: serotonin desmethylimipramine

from PubChem

13.7 Chemical-Disease Co-


Occurrences in Literature

https://pubchem.ncbi.nlm.nih.gov/compound/2995 44/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from PubChem

13.8 Chemical-Gene Co-


Occurrences in Literature

from PubChem

14 Patents
14.1 Depositor-Supplied Patent
Identifiers

from PubChem

Link to all deposited patent identifiers

https://pubchem.ncbi.nlm.nih.gov/compound/2995 45/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from PubChem

15 Biomolecular
Interactions and Pathways
15.1 Protein Bound 3-D
Structures

from PDB

View 1 protein in NCBI Structure

from PubChem

15.2 Pathways

from PubChem

15.3 DrugBank Interactions

https://pubchem.ncbi.nlm.nih.gov/compound/2995 46/57
1/10/2019 Desipramine | C18H22N2 - PubChem

Showing 1 of 32 View More

Sodium-dependent
Target
noradrenaline transporter

Action inhibitor

PubChem Protein Target P23975

PubChem Gene Target SLC6A2

Norepinephrine:sodium
General Function
symporter activity

Amine transporter. Terminates


the action of noradrenaline by
Specific Function its high affinity sodium-
dependent reuptake into
presynaptic terminals.

Interaction References 1. Zavosh A, Schaefer J,


Ferrel A, Figlewicz DP:
Desipramine treatment
decreases 3H-nisoxetine
binding and
norepinephrine
transporter mRNA in SK-
N-SHSY5Y cells. Brain Res
Bull. 1999 Jul 1;49(4):291-
5. [PMID:10424850]
2. Weinshenker D, White SS,
Javors MA, Palmiter RD,
Szot P: Regulation of
norepinephrine
transporter abundance
by catecholamines and
desipramine in vivo. Brain
Res. 2002 Aug
16;946(2):239-46.
[PMID:12137927]
3. Bryan-Lluka LJ, Bonisch
H, Lewis RJ: chi-
Conopeptide MrIA
partially overlaps
desipramine and cocaine
binding sites on the
human norepinephrine
transporter. J Biol Chem.
2003 Oct
10;278(41):40324-9. Epub
2003 Jul 1.
[PMID:12837768]
4. Zhu MY, Kyle PB, Hume
AS, Ordway GA: The
persistent membrane
retention of desipramine
causes lasting inhibition
of norepinephrine
transporter function.
Neurochem Res. 2004
Feb;29(2):419-27.
[PMID:15002740]
5. Ordway GA, Jia W, Li J,
Zhu MY, Mandela P, Pan
J: Norepinephrine
transporter function and
desipramine: residual
drug effects versus short-
term regulation. J
Neurosci Methods. 2005
Apr 30;143(2):217-25.
Epub 2004 Dec 30.
[PMID:15814154]
6. Chen X, Ji ZL, Chen YZ:
TTD: Therapeutic Target
Database. Nucleic Acids
Res. 2002 Jan
1;30(1):412-5.
[PMID:11752352]
7. Tatsumi M, Groshan K,
Blakely RD, Richelson E:
Pharmacological profile
of antidepressants and

https://pubchem.ncbi.nlm.nih.gov/compound/2995 47/57
1/10/2019 Desipramine | C18H22N2 - PubChem
related compounds at
human monoamine
transporters. Eur J
Pharmacol. 1997 Dec
11;340(2-3):249-58.
[PMID:9537821]

from DrugBank

16 Biological Test Results

16.1 BioAssay Results

from PubChem

17 Classification

17.1 Ontologies

17.1.1 MeSH Tree

Showing 1 of View in Classification Browser

1 Download

Desipramine

A tricyclic dibenzazepine compound that potentiates


neurotransmission. Desipramine selectively blocks reuptake
of norepinephrine from the neural synapse, and also
appears to impair serotonin transport. This compound also
possesses minor anticholinergic activity, through its affinity
to muscarinic receptors.
LINKED RECORDS
Compounds: 2 Substances: 106
PubMed Abstracts: 5,534
CLASSIFICATION (PARENT NODES)
MeSH Tree Chemicals And Drugs Category

Heterocyclic Compounds

Heterocyclic Compounds, Fused-Ring

Heterocyclic Compounds, 3-Ring

Dibenzazepines
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from MeSH

17.1.2 ChEBI Ontology

Showing 1 of View in Classification Browser

1 Download

desipramine
A dibenzoazepine consisting of 10,11-dihydro-5H-
dibenzo[b,f]azepine substituted on nitrogen with a 3-
(methylamino)propyl group.
LINKED RECORDS
Compounds: 1 Substances: 1
CLASSIFICATION (PARENT NODES)
ChEBI Ontology Chemical Entity

Molecular Entity

Main Group Molecular Entity

P-Block Molecular Entity

Carbon Group Molecular Entity

Organic Molecular Entity

Organic Amino Compound

Secondary Amino Compound

from ChEBI

17.1.3 KEGG: ATC

from KEGG

17.1.4 KEGG: Target-based


Classification of Drugs

https://pubchem.ncbi.nlm.nih.gov/compound/2995 49/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from KEGG

17.1.5 KEGG: Drug Classes

Showing 1 of View in Classification Browser

1 Download

Desipramine

CLASSIFICATION (PARENT NODES)


Drug Classes Neuropsychiatric Agent

DG01730 Non-Selective Monoamine Reuptake Inhibitor

DG00927 Desipramine

from KEGG

17.1.6 WHO ATC Classification System

Showing 1 of View in Classification Browser

1 Download

N06AA01 - Desipramine

LINKED RECORDS
Compounds: 4 Substances: 44
CLASSIFICATION (PARENT NODES)
ATC Code N - Nervous System

N06 - Psychoanaleptics

N06A - Antidepressants

N06AA - Non-Selective Monoamine Reuptake Inhibitors

from WHO ATC

17.1.7 FDA Pharm Classes

https://pubchem.ncbi.nlm.nih.gov/compound/2995 50/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from FDA Pharm Classes

17.1.8 WIPO IPC


Showing 5 of 4,098 View in Classification Browser

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A61P11/06 - Antiasthmatics

LINKED RECORDS
Compounds: 576,708 Substances: 1,184,641
Patents: 5,544
CLASSIFICATION (PARENT NODES)
International Patent Classification

HUMAN NECESSITIES

HEALTH; LIFE-SAVING; AMUSEMENT Category

A61 - MEDICAL OR VETERINARY SCIENCE; HYGIENE

A61P - SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

A61P11/00 - Drugs For Disorders Of The Respiratory System

A61P11/08 - Bronchodilators

LINKED RECORDS
Compounds: 133,865 Substances: 242,940
Patents: 1,950
CLASSIFICATION (PARENT NODES)

International Patent Classification

HUMAN NECESSITIES

HEALTH; LIFE-SAVING; AMUSEMENT Category

A61 - MEDICAL OR VETERINARY SCIENCE; HYGIENE

A61P - SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

A61P11/00 - Drugs For Disorders Of The Respiratory System

A61P11/10 - Expectorants

LINKED RECORDS
Compounds: 13,578 Substances: 21,687 Patents: 243
CLASSIFICATION (PARENT NODES)
International Patent Classification

HUMAN NECESSITIES
https://pubchem.ncbi.nlm.nih.gov/compound/2995 51/57
1/10/2019 Desipramine | C18H22N2 - PubChem
HUMAN NECESSITIES

HEALTH; LIFE-SAVING; AMUSEMENT Category

A61 - MEDICAL OR VETERINARY SCIENCE; HYGIENE

A61P - SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

A61P11/00 - Drugs For Disorders Of The Respiratory System

A61P11/14 - Antitussive agents

LINKED RECORDS
Compounds: 35,908 Substances: 67,159 Patents: 510
CLASSIFICATION (PARENT NODES)
International Patent Classification

HUMAN NECESSITIES

HEALTH; LIFE-SAVING; AMUSEMENT Category

A61 - MEDICAL OR VETERINARY SCIENCE; HYGIENE

A61P - SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

A61P11/00 - Drugs For Disorders Of The Respiratory System

A61P11/16 - Central respiratory analeptics

LINKED RECORDS
Compounds: 19,782 Substances: 32,392 Patents: 255
CLASSIFICATION (PARENT NODES)
International Patent Classification

HUMAN NECESSITIES

HEALTH; LIFE-SAVING; AMUSEMENT Category

A61 - MEDICAL OR VETERINARY SCIENCE; HYGIENE

A61P - SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS

A61P11/00 - Drugs For Disorders Of The Respiratory System

from WIPO

17.1.9 ChemIDplus

from ChemIDplus

https://pubchem.ncbi.nlm.nih.gov/compound/2995 52/57
1/10/2019 Desipramine | C18H22N2 - PubChem

17.1.10 Guide to PHARMACOLOGY


Target Classification

from IUPHAR/BPS Guide to PHARMACOLOGY

17.1.11 ChEMBL Target Tree

from ChEMBL

17.1.12 UN GHS Classification

https://pubchem.ncbi.nlm.nih.gov/compound/2995 53/57
1/10/2019 Desipramine | C18H22N2 - PubChem

from UN Globally Harmonized System of Classification and Labelling of Chemicals (GHS)

17.1.13 EPA CPDat Classification

from EPA Chemical and Products Database (CPDat)

18 Information Sources
FILTER BY SOURCE ALL SOURCES

1. ChEBI
Desipramine
http://www.ebi.ac.uk/chebi/searchId.do?chebiId=CHEBI:47781

ChEBI Ontology
http://www.ebi.ac.uk/chebi/userManualForward.do#ChEBI%20Ontolo
gy

2. DrugBank
Desipramine
http://www.drugbank.ca/drugs/DB01151
http://www.drugbank.ca/drugs/DB01151#targets
http://www.drugbank.ca/drugs/DB01151#enzymes
http://www.drugbank.ca/drugs/DB01151#transporters
http://www.drugbank.ca/drugs/DB01151#carriers

3. FDA Pharm Classes


DESIPRAMINE
https://www.accessdata.fda.gov/spl/data/9609850a-1cf0-4044-8c2b-
47dc8c3e86e1/9609850a-1cf0-4044-8c2b-47dc8c3e86e1.xml
FDA Pharmacological Classification
https://www.fda.gov/ForIndustry/DataStandards/StructuredProductLa
beling/ucm162549.htm

4. Human Metabolome Database (HMDB)


Desipramine

https://pubchem.ncbi.nlm.nih.gov/compound/2995 54/57
1/10/2019 Desipramine | C18H22N2 - PubChem
http://www.hmdb.ca/metabolites/HMDB0015282

5. LiverTox
Desipramine
https://livertox.nlm.nih.gov/Desipramine.htm

6. NCIt
Desipramine
https://ncit.nci.nih.gov/ncitbrowser/ConceptReport.jsp?
dictionary=NCI_Thesaurus&ns=NCI_Thesaurus&code=C61700

7. ChemIDplus
Desipramine [INN:BAN]
https://chem.nlm.nih.gov/chemidplus/sid/0000050475
ChemIDplus Chemical Information Classification
https://chem.sis.nlm.nih.gov/chemidplus/

8. EPA DSSTox
Desipramine
https://comptox.epa.gov/dashboard/DTXSID6022896

9. European Chemicals Agency (ECHA)


LICENSE
Use of the information, documents and data from the ECHA
website is subject to the terms and conditions of this Legal
Notice, and subject to other binding limitations provided for
under applicable law, the information, documents and data
made available on the ECHA website may be reproduced,
distributed and/or used, totally or in part, for non-commercial
purposes provided that ECHA is acknowledged as the source:
"Source: European Chemicals Agency, http://echa.europa.eu/".
Such acknowledgement must be included in each copy of the
material. ECHA permits and encourages organisations and
individuals to create links to the ECHA website under the
following cumulative conditions: Links can only be made to
webpages that provide a link to the Legal Notice page.
https://echa.europa.eu/web/guest/legal-notice

Desipramine
https://echa.europa.eu/substance-
information/-/substanceinfo/100.000.037

Desipramine
https://echa.europa.eu/information-on-chemicals/cl-inventory-
database/-/discli/details/11421

10. HSDB
DESIPRAMINE
https://toxnet.nlm.nih.gov/cgi-bin/sis/search/r?
dbs+hsdb:@term+@rn+@rel+50-47-5

11. ClinicalTrials.gov
LICENSE
The ClinicalTrials.gov data carry an international copyright
outside the United States and its Territories or Possessions.
Some ClinicalTrials.gov data may be subject to the copyright of
third parties; you should consult these entities for any
additional terms of use.
https://clinicaltrials.gov/ct2/about-site/terms-conditions#Use

Desipramine
https://clinicaltrials.gov/

12. EPA Chemical and Products Database


(CPDat)
LICENSE
https://www.epa.gov/privacy/privacy-act-laws-policies-and-
resources

desipramine
https://comptox.epa.gov/dashboard/DTXSID6022896#exposure
EPA CPDat Classification
https://www.epa.gov/chemical-research/chemical-and-products-
database-cpdat

13. EU Clinical Trials Register


https://www.clinicaltrialsregister.eu/

https://pubchem.ncbi.nlm.nih.gov/compound/2995 55/57
1/10/2019 Desipramine | C18H22N2 - PubChem

14. FDA/SPL Indexing Data


TG537D343B
https://www.fda.gov/ForIndustry/DataStandards/SubstanceRegistrati
onSystem-UniqueIngredientIdentifierUNII/

15. MassBank of North America (MoNA)


DESIPRAMINE
http://mona.fiehnlab.ucdavis.edu/spectra/browse?
inchikey=HCYAFALTSJYZDH-UHFFFAOYSA-N

16. SpectraBase
https://spectrabase.com/spectrum/9nzKfppeScn
https://spectrabase.com/spectrum/E8yknsr9AQA
https://spectrabase.com/spectrum/6MjZabfxWfY
https://spectrabase.com/spectrum/IZ2HXLGCQti
https://spectrabase.com/spectrum/HLblkac5aoP
https://spectrabase.com/spectrum/EtIGs54ouqU
https://spectrabase.com/spectrum/GDe8TyQ1Meb

17. NIST
Desipramine
http://www.nist.gov/srd/nist1a.cfm

18. PDB
http://www.rcsb.org/ligand/DSM

19. Protein Data Bank in Europe (PDBe)


http://www.ebi.ac.uk/pdbe-
srv/pdbechem/chemicalCompound/show/DSM

20. Springer Nature

21. Thieme Chemistry


LICENSE
The Thieme Chemistry contribution within PubChem is provided
under a CC-BY-NC-ND 4.0 license, unless otherwise stated.
https://creativecommons.org/licenses/by-nc-nd/4.0/

22. WHO ATC


https://www.whocc.no/atc/
ATC Code
https://www.whocc.no/atc_ddd_index/

23. Wikipedia
desipramine
https://en.wikipedia.org/wiki/Desipramine

24. MeSH
Desipramine
https://www.ncbi.nlm.nih.gov/mesh/68003891
MeSH Tree
http://www.nlm.nih.gov/mesh/meshhome.html
Adrenergic Uptake Inhibitors
https://www.ncbi.nlm.nih.gov/mesh/68018759

Antidepressive Agents, Tricyclic


https://www.ncbi.nlm.nih.gov/mesh/68000929

Enzyme Inhibitors
https://www.ncbi.nlm.nih.gov/mesh/68004791

25. PubChem
https://pubchem.ncbi.nlm.nih.gov

26. KEGG
Anatomical Therapeutic Chemical (ATC) classification
http://www.genome.jp/kegg-bin/get_htext?br08303.keg

Target-based classification of drugs


http://www.genome.jp/kegg-bin/get_htext?br08310.keg
Drug Classes
https://pubchem.ncbi.nlm.nih.gov/compound/2995 56/57
1/10/2019 Desipramine | C18H22N2 - PubChem
http://www.genome.jp/kegg-bin/get_htext?br08330.keg

27. WIPO
International Patent Classification
http://www.wipo.int/classifications/ipc/

28. UN Globally Harmonized System of


Classification and Labelling of
Chemicals (GHS)
GHS Classification Tree
http://www.unece.org/trans/danger/publi/ghs/ghs_welcome_e.html

29. ChEMBL
Target Tree
https://www.ebi.ac.uk/chembl/target/browser

30. IUPHAR/BPS Guide to PHARMACOLOGY


Target Classification
http://www.guidetopharmacology.org/

31. NCBI
https://www.ncbi.nlm.nih.gov/projects/linkout

https://pubchem.ncbi.nlm.nih.gov/compound/2995 57/57

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