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Fenoldopam (SKF-82526) is a synthetic benzazepine analog acting as a selective D1 receptor partial agonist. In September 1997, the Food and Drug Administration (FDA) authorized it as an antihypertensive medication. Given that fenoldopam is the only intravenous medication known to enhance renal perfusion, it is theoretically advantageous for hypertensive patients who also have renal insufficiency.
| Targets |
DA1 receptor ( EC50 = 55.5 nM )
|
|---|---|
| ADME/Pharmacokinetics |
Absorption, Distribution and Excretion
Radiolabeled studies indicate that approximately 90% of infused Fenoldopam is excreted in the urine and 10% in the feces. It is primarily excreted via conjugation reactions, not involving cytochrome P-450 enzymes. Only 4% of the administered dose is excreted unchanged. Metabolism/Metabolites It is primarily excreted via conjugation reactions, not involving cytochrome P-450 enzymes. Methylation, glucuronidation, and sulfation are the main conjugation pathways. Biological Half-Life In patients with mild to moderate hypertension, its elimination half-life is approximately 5 minutes, with little difference between the R (active) isomer and the S isomer. |
| Toxicity/Toxicokinetics |
Effects During Pregnancy and Lactation
◉ Overview of Use During Lactation There is currently no information regarding the use of Fenoldopam during lactation. The manufacturer recommends avoiding breastfeeding while taking Fenoldopam; however, due to its low oral bioavailability and short half-life, Fenoldopam in breast milk is unlikely to have adverse effects on breastfed infants. Furthermore, Fenoldopam can be administered intravenously to infants. Unlike dopamine, it does not lower serum prolactin levels and therefore may not interfere with breastfeeding. ◉ Effects on Breastfed Infants No published information was found as of the revision date. ◉ Effects on Lactation and Breast Milk No published information was found regarding lactating mothers as of the revision date. Unlike dopamine, Fenoldopam infusion does not affect serum prolactin levels in normal women. For mothers who have established lactation, prolactin levels may not affect their ability to breastfeed. |
| References | |
| Additional Infomation |
Fenoldopam is a benzodiazepine drug. It has dual effects as a dopaminergic antagonist, vasodilator, alpha-adrenergic agonist, dopamine agonist, and antihypertensive. Fenoldopam is a dopamine D1 receptor agonist used as an antihypertensive drug. It lowers blood pressure by dilating small arteries. Fenoldopam is a dopaminergic agonist. The mechanism of action of Fenoldopam is as a dopamine agonist. Fenoldopam is a benzodiazepine derivative with vasodilatory and antihypertensive properties. Fenoldopam is a dopamine (DA) receptor agonist that specifically binds to peripheral DA1 receptors and binds with moderate affinity to alpha2 adrenergic receptors. However, this drug has no significant affinity for DA2 receptors, other alpha-adrenergic receptors, beta-adrenergic receptors, muscarinic receptors, or serotonergic receptors. Receptor binding regulates ion transmembrane transport, thereby stimulating adenylate cyclase activity and prolactin release. This leads to vasodilation, increased renal blood flow, and consequently enhanced sodium excretion and diuresis, ultimately lowering diastolic blood pressure.
A dopamine D1 receptor agonist used as an antihypertensive drug. It lowers blood pressure by dilating arterioles. See also: Fenodorpan mesylate (salt form). Indications For short-term (up to 48 hours) treatment of severe hypertension during hospitalization, particularly in cases requiring rapid but reversible emergency blood pressure reduction, including malignant hypertension with end-organ deterioration. FDA Label Mechanism of Action Fenodorpan is a rapid-acting vasodilator. It is an agonist of the D1-like dopamine receptor and binds to the α2 adrenergic receptor with moderate affinity. It has no significant affinity for D2-like receptors, α1 and β-adrenergic receptors, 5HT1 and 5HT2 receptors, or muscarinic receptors. Fenoldopam is a racemic mixture in which the R-isomer is biologically active. The R-isomer has approximately 250 times higher affinity for D1-like receptors than the S-isomer. In non-clinical studies, Fenoldopam has no agonistic effect on presynaptic D2-like dopamine receptors, α or β-adrenergic receptors, or angiotensin-converting enzyme activity. Fenoldopam may increase plasma norepinephrine levels. |
| Molecular Formula |
C16H16CLNO3
|
|---|---|
| Molecular Weight |
305.75614
|
| Exact Mass |
305.081
|
| CAS # |
67227-56-9
|
| Related CAS # |
Fenoldopam mesylate; 67227-57-0; Fenoldopam hydrochloride; 181217-39-0
|
| PubChem CID |
3341
|
| Appearance |
Typically exists as solid at room temperature
|
| Density |
1.4±0.1 g/cm3
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| Boiling Point |
522.6±50.0 °C at 760 mmHg
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| Flash Point |
269.9±30.1 °C
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| Vapour Pressure |
0.0±1.4 mmHg at 25°C
|
| Index of Refraction |
1.656
|
| LogP |
1.72
|
| Hydrogen Bond Donor Count |
4
|
| Hydrogen Bond Acceptor Count |
4
|
| Rotatable Bond Count |
1
|
| Heavy Atom Count |
21
|
| Complexity |
348
|
| Defined Atom Stereocenter Count |
0
|
| SMILES |
OC1=C(O)C=C2C(C3=CC=C(O)C=C3)CNCCC2=C1Cl
|
| InChi Key |
TVURRHSHRRELCG-UHFFFAOYSA-N
|
| InChi Code |
InChI=1S/C16H16ClNO3/c17-15-11-5-6-18-8-13(9-1-3-10(19)4-2-9)12(11)7-14(20)16(15)21/h1-4,7,13,18-21H,5-6,8H2
|
| Chemical Name |
9-chloro-5-(4-hydroxyphenyl)-2,3,4,5-tetrahydro-1H-3-benzazepine-7,8-diol
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| Synonyms |
SKF 82526; Fenoldopam
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| HS Tariff Code |
2934.99.9001
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| Storage |
Powder -20°C 3 years 4°C 2 years In solvent -80°C 6 months -20°C 1 month |
| Shipping Condition |
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
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| Solubility (In Vitro) |
DMSO: ~77 mg/mL (~251.8 mM)
Water: ~10 mg/mL |
|---|---|
| Solubility (In Vivo) |
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.
Injection Formulations
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution → 50 μL Tween 80 → 850 μL Saline)(e.g. IP/IV/IM/SC) *Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution. Injection Formulation 2: DMSO : PEG300 :Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO → 400 μLPEG300 → 50 μL Tween 80 → 450 μL Saline) Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO → 900 μL Corn oil) Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals). View More
Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO → 900 μL (20% SBE-β-CD in saline)] Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium) Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals). View More
Oral Formulation 3: Dissolved in PEG400  (Please use freshly prepared in vivo formulations for optimal results.) |
| Preparing Stock Solutions | 1 mg | 5 mg | 10 mg | |
| 1 mM | 3.2705 mL | 16.3527 mL | 32.7054 mL | |
| 5 mM | 0.6541 mL | 3.2705 mL | 6.5411 mL | |
| 10 mM | 0.3271 mL | 1.6353 mL | 3.2705 mL |
*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.
Calculation results
Working concentration: mg/mL;
Method for preparing DMSO stock solution: mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.
Method for preparing in vivo formulation::Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.
(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
(2) Be sure to add the solvent(s) in order.
| NCT Number | Recruitment | interventions | Conditions | Sponsor/Collaborators | Start Date | Phases |
| NCT00621790 | Completed | Drug: fenoldopam Drug: placebo |
Acute Renal Failure | Università Vita-Salute San Raffaele |
February 2008 | Phase 3 |
| NCT00982527 | Completed | Drug: Placebo Drug: Fenoldopam |
Kidney Failure, Acute | Bambino Gesù Hospital and Research Institute |
September 2009 | Phase 3 |
| NCT00122018 | Completed | Drug: N-acetylcysteine Drug: fenoldopam |
Kidney Failure, Acute Kidney Failure, Chronic |
Linda F. Barr, M.D. | May 2002 | Phase 2 |
| NCT00747331 | Completed | Drug: Fenoldopam mesilate Drug: Placebo |
Cardiac Complications Cardiopulmonary Bypass |
IRCCS Policlinico S. Donato | September 2008 | Phase 4 |
| September 2008 | Completed | Drug: Fenoldopam | Salt-sensitive Hypertension | Georgetown University | November 2002 | Not Applicable |