Repositioning Candidate Details

Candidate ID: R0943
Source ID: DB06204
Source Type: approved
Compound Type: small molecule
Compound Name: Tapentadol
Synonyms: Tapentadol
Molecular Formula: C14H23NO
SMILES: CC[C@H]([C@@H](C)CN(C)C)C1=CC(O)=CC=C1
Structure:
DrugBank Description: Opioid analgesic for treatment of moderate to severe pain. FDA approved on Nov 20, 2008.
CAS Number: 175591-23-8
Molecular Weight: 221.3385
DrugBank Indication: The immediate-release formulation of tapentadol is indicated for the relief of moderate to severe acute pain. The long-acting formulation serves as a continuous, around-the-clock analgesic that is indicated for the relief of moderate to severe chronic pain or neuropathic pain associated with diabetic peripheral neuropathy.
DrugBank Pharmacology: Tapentadol is a centrally-acting synthetic analgesic that is 18 times less potent than morphine in binding mu-opioid receptors. It also increases norepinephrine concentrations in the brains of rats via inhibition of norepinephrine reuptake. Selective mu-opioid antagonists like naloxone can block analgesia from tapentadol. It also has not effect on the QT interval.
DrugBank MoA: Tapendadol causes large increases in levels of extracellular norepinephrine (NE) due to a dual mechanism of action involving mu opioid receptor (MOR) agonism as well as noradrenaline reuptake inhibition.
Targets: Mu-type opioid receptor agonist; Sodium-dependent noradrenaline transporter inhibitor; Kappa-type opioid receptor; Delta-type opioid receptor; 5-hydroxytryptamine receptor 3A; Sodium-dependent serotonin transporter inhibitor
Inclusion Criteria: Indication associated