ephedrine   Click here for help

GtoPdb Ligand ID: 556

Synonyms: Emerphed® (ephedrine sulfate injection)
Approved drug
ephedrine is an approved drug (FDA (2020))
Compound class: Synthetic organic
Comment: Ephedrine is a sympathomimetic amine, hypothesised to act principally as a β-adrenoceptor agonist. Natural ephedrine is used in Chinese traditional medicine as a treatment for asthma and bronchitis.
Chemically, ephedirine can exist as four stereoisomers: the (1R,2S) and (1S,2R) pair of enantiomers is known as ephedrine ( with the INN racephedrine aknowledging the racemic mixture), while (1R,2R) and (1S,2S) pair is known as pseudoephedrine. The (1R,2S) isomer is also named (-)-ephedrine or D-ephedrine. The (1S,2S) isomer being (+)-ephedrine or L-ephedrine. Pseudoephedrine is much less active than ephedrine.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 2
Hydrogen bond donors 2
Rotatable bonds 3
Topological polar surface area 32.26
Molecular weight 165.12
XLogP 1.39
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES CNC(C(c1ccccc1)O)C
Isomeric SMILES CN[C@H]([C@@H](c1ccccc1)O)C
InChI InChI=1S/C10H15NO/c1-8(11-2)10(12)9-6-4-3-5-7-9/h3-8,10-12H,1-2H3/t8-,10-/m0/s1
InChI Key KWGRBVOPPLSCSI-WPRPVWTQSA-N
No information available.
Summary of Clinical Use Click here for help
Ephedrine may be used for temporary relief of shortness of breath, chest tightness, and wheezing due to bronchial asthma. Stimulatory effects in the central nervous system have indicated used of ephedrine in the treatment of narcolepsy and depression and this drug is often used as an illicit stimulant and appetite suppressant. In April 2020, the FDA approved a pre-mixed, ready-to-use formulation of ephedrine sulphate that can be administered by Injection to treat hypotension encountered during anesthesia. Ephedrine has no Europe-wide marketing approval.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Ephedrine is a decongestant and bronchodilator which gives symptomatic relief by reducing swelling and causing constriction of blood vessels in the nasal passages, as well as relaxing the lung airways. The mechanism of action in central nervous system is complex, and best described in the DrugBank link on the Summary tab for this ligand.