Repositioning Candidate Details

Candidate ID: R1285
Source ID: DB09288
Source Type: experimental
Compound Type: small molecule
Compound Name: Propacetamol
Synonyms: Propacetamol
Molecular Formula: C14H20N2O3
SMILES: CCN(CC)CC(=O)OC1=CC=C(NC(C)=O)C=C1
Structure:
DrugBank Description: Propacetamol is a non-opioid analgesic devoid of the major contraindications. It is a derivative of , or paracetamol, with the molecular formula glycine, N, N-diethyl-,4-(acetylamino)phenyl ester. Propacetamol is a parenteral formulation of paracetamol and thus, it is a prodrug that is completely hydrolyzed to paracetamol. It is not available in the United States but this prodrug has been widely used in other countries such as France since 1985.
CAS Number: 66532-85-2
Molecular Weight: 264.325
DrugBank Indication: Propacetamol is a paracetamol prodrug of intravenous administration used to control fever and pain of perioperative period in multimodal analgesia therapy.
DrugBank Pharmacology: Propacetamol is hydrolyzed to paracetamol and then it presents a weak inhibition of COX-1 and COX-2 which is translated into a low anti-inflammatory activity. Therefore, in high inflammatory conditions, such as rheumatoid arthritis, these agents show limited in vivo suppression of inflammation and platelet activity. The formation of N-arachidonoylphenolamine, donates paracetamol with analgesic and antipyretic properties.
DrugBank MoA: As propacetamol is a prodrug, its mechanism of action is directly linked to the activity of paracetamol. The mechanism of action of paracetamol is described by the inhibition of prostaglandin synthesis. This inhibition is attained by inhibition of COX-1 and COX-2 in an environment where arachidonic acid and peroxides are kept low. It is considered that paracetamol presents a very complex mechanism of action involving effects in the peripheral system, described by direct COX inhibition; the central system, characterized by inhibition of COX, serotonergic descending neuronal pathway, L-arginine/NO pathway and cannabinoid system; and a redox mechanism. In the brain and spinal cord, paracetamol can combine with arachidonic acid to form N-arachidonoylphenolamine. This metabolite is an activator of capsaicin receptor (TRPV1) and cannabinoid CB1.
Targets: Prostaglandin G/H synthase 1 antagonist; Prostaglandin G/H synthase 2 antagonist; Transient receptor potential cation channel subfamily V member 1 antagonist; Cannabinoid receptor 1 antagonist
Inclusion Criteria: Therapeutic strategy associated