User:Mr. Ibrahem/Viloxazine

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Mr. Ibrahem/Viloxazine
Clinical data
Trade namesQelbree, Vivalan,[1] Emovit, others
Other namesICI-58834; SPN-812; SPN-809
AHFS/Drugs.comMonograph
License data
Routes of
administration
By mouth
Drug classAntidepressant; norepinephrine reuptake inhibitor
Legal status
Legal status
Pharmacokinetic data
Protein binding76–82%[2]
MetabolismHydroxylation (CYP2D6), glucuronidation (UGT1A9, UGT2B15)[2]
Metabolites5-Hydroxyviloxazine glucuronide[2]
Elimination half-lifeIR: 2–5 hours[3]
ER: 7.02 ± 4.74 hours[2]
ExcretionUrine (~90%), feces (<1%)[2][4]
Identifiers
  • (RS)-2-[(2-ethoxyphenoxy)methyl]morpholine[5]
Chemical and physical data
FormulaC13H19NO3
Molar mass237.299 g·mol−1
3D model (JSmol)
ChiralityRacemic mixture
  • CCOC1=CC=CC=C1OCC1CNCCO1

  • HCl: Cl.CCOC1=CC=CC=C1OCC1CNCCO1
  • InChI=1S/C13H19NO3/c1-2-15-12-5-3-4-6-13(12)17-10-11-9-14-7-8-16-11/h3-6,11,14H,2,7-10H2,1H3 checkY
  • Key:YWPHCCPCQOJSGZ-UHFFFAOYSA-N checkY

  • HCl: InChI=1S/C13H19NO3.ClH/c1-2-15-12-5-3-4-6-13(12)17-10-11-9-14-7-8-16-11;/h3-6,11,14H,2,7-10H2,1H3;1H
  • Key:HJOCKFVCMLCPTP-UHFFFAOYSA-N
 ☒NcheckY (what is this?)  (verify)

Viloxazine, sold under the brand name Qelbree among others, is a medication which is used to treat attention deficit hyperactivity disorder (ADHD).[2] It is taken by mouth.[2] It was used for almost 30 years for depression before being discontinued due to commercial reasons.[6] The original formulation was immediate-release while that used for ADHD in extended-release.[6]

Side effects include trouble sleeping, headache, sleepiness, tiredness, nausea, dry mouth, constipation, irritability, increased heart rate, and increased blood pressure.[2] Rarely, it may cause suicidal thoughts or behaviors or result in mania in people with bipolar.[2] There is a low risk of misuse.[6] It is a selective norepinephrine reuptake inhibitor (NRI).[2]

Viloxazine was patented in 1969 and approved for medical use in the United Kingdom in 1974.[6][7] It was not approved in the United States at this time.[8] It was repurposed and approved in the United States in 2021.[6][2] It is not a controlled substance.[9] In the United States it costs about 325 USD per month for a dose of 200 mg per day.[10]

References[edit]

  1. ^ Swiss Pharmaceutical Society (2000). Swiss Pharmaceutical Society (ed.). Index Nominum 2000: International Drug Directory. Taylor & Francis. pp. 1093–. ISBN 978-3-88763-075-1. Archived from the original on 2022-05-03. Retrieved 2022-10-02.
  2. ^ a b c d e f g h i j k l m n o "Qelbree- viloxazine hydrochloride capsule, extended release". DailyMed. Archived from the original on 28 October 2022. Retrieved 3 May 2022.
  3. ^ Pinder RM, Brogden RN, Speight TM, Avery GS (June 1977). "Viloxazine: a review of its pharmacological properties and therapeutic efficacy in depressive illness". Drugs. 13 (6): 401–21. doi:10.2165/00003495-197713060-00001. PMID 324751. S2CID 44804763.
  4. ^ Case DE, Reeves PR (February 1975). "The disposition and metabolism of I.C.I. 58,834 (viloxazine) in humans". Xenobiotica. 5 (2): 113–29. doi:10.3109/00498257509056097. PMID 1154799.
  5. ^ "SID 180462-- PubChem Substance Summary". Archived from the original on 14 June 2013. Retrieved 5 November 2005.
  6. ^ a b c d e Findling RL, Candler SA, Nasser AF, Schwabe S, Yu C, Garcia-Olivares J, O'Neal W, Newcorn JH (June 2021). "Viloxazine in the Management of CNS Disorders: A Historical Overview and Current Status". CNS Drugs. 35 (6): 643–653. doi:10.1007/s40263-021-00825-w. PMC 8219567. PMID 34003459.
  7. ^ Sneader, Walter (31 October 2005). Drug Discovery: A History. John Wiley & Sons. p. 195. ISBN 978-0-470-01552-0. Archived from the original on 30 October 2022. Retrieved 30 October 2022.
  8. ^ Stolerman, Ian (31 July 2010). Encyclopedia of Psychopharmacology. Springer Science & Business Media. p. 817. ISBN 978-3-540-68698-9. Archived from the original on 30 October 2022. Retrieved 30 October 2022.
  9. ^ "Viloxazine Monograph for Professionals". Drugs.com. Retrieved 30 October 2022.
  10. ^ "Qelbree". Archived from the original on 30 October 2022. Retrieved 30 October 2022.