Structure via PubChem · Public domain (PubChem)
reserpine
Sign in to saveAlso known as Serpalan®, (3beta,16beta,17alpha,18beta,20alpha)-11,17-dimethoxy-18-[(3,4,5-trimethoxybenzoyl)oxy]yohimban-16-carboxylic acid methyl ester, Apoplon, Serpalan, Reserpin, 3,4,5-trimethoxybenzoyl methyl reserpate, (-)-reserpine
Reserpine is a drug that is used for the treatment of high blood pressure, usually in combination with a thiazide diuretic or vasodilator. Large clinical trials have shown that combined treatment with reserpine plus a thiazide diuretic reduces mortality of people with hypertension. Although the use of reserpine as a solo drug has declined since it was first approved by the FDA in 1955, the combined use of reserpine and a thiazide diuretic or vasodilator is still recommended in patients who do not achieve adequate lowering of blood pressure with first-line drug treatment alone. The reserpine-hy
Key facts
- Drug.width
- 250px
- Drug.Watchedfields
- changed
- Drug.verifiedrevid
- 460779417
- Drug.IUPAC_name
- methyl (3β,16β,17α,18β,20α)-11,17-dimethoxy-18-[(3,4,5-trimethoxybenzoyl)oxy]yohimban-16-carboxylate
- Drug.image
- Reserpine.svg
- Drug.image_class
- skin-invert-image
- Drug.image2
- Reserpine structure.png
- Drug.image_class2
- bg-transparent
- Drug.width2
- 250px
- Drug.tradename
- Serpasil, others
- Drug.MedlinePlus
- a601107
- Drug.licence_US
- Reserpine
- Drug.pregnancy_category
- C
- Drug.legal_status
- Rx-only (banned/discontinued in some countries)
- Drug.routes_of_administration
- Oral
- Drug.bioavailability
- 50%
- Drug.metabolism
- gut/liver
- Drug.elimination_half life
- phase 1 = 4.5h, phase 2 = 271h, average = 33h
via Wikipedia infobox
Chemical data
- Formula
- C33H40N2O9
- Molecular weight
- 608.7 g/mol
- IUPAC name
- methyl (1R,15S,17R,18R,19S,20S)-6,18-dimethoxy-17-(3,4,5-trimethoxybenzoyl)oxy-1,3,11,12,14,15,16,17,18,19,20,21-dodecahydroyohimban-19-carboxylate
- SMILES
- CO[C@H]1[C@@H](C[C@@H]2CN3CCC4=C([C@H]3C[C@@H]2[C@@H]1C(=O)OC)NC5=C4C=CC(=C5)OC)OC(=O)C6=CC(=C(C(=C6)OC)OC)OC
- InChIKey
- QEVHRUUCFGRFIF-MDEJGZGSSA-N
- XLogP
- 4
- Polar surface area
- 118 Ų
- H-bond donors
- 1
- H-bond acceptors
- 10
- Formal charge
- 0
via PubChem
Research
19,071 papers- The effects of reserpine on depression: A systematic review.Journal of psychopharmacology (Oxford, England) · 2023
- [Reserpine-diuretic combinations in therapy of arterial hypertension. Current considerations].Medizinische Klinik (Munich, Germany : 1983) · 1998
- Tetrahydrocannabinol potentiates reserpine-induced hypokinesia.Pharmacology, biochemistry, and behavior · 1981
- Pelargonidin ameliorates reserpine-induced neuronal mitochondrial dysfunction and apoptotic cascade: a comparative in vivo study.Drug and chemical toxicology · 2023
- Reserpine-induced reduction in norepinephrine transporter function requires catecholamine storage vesicles.Neurochemistry international · 2010
via PubMed
Wikidata facts
- Mass
- 608.273381
Show 8 more facts
- chemical formula
- C₃₃H₄₀N₂O₉
- Commons gallery
- Reserpine
- World Health Organisation international non-proprietary name
- reserpine
- melting point
- 265
- isomeric SMILES
- CO[C@H]1[C@@H](C[C@@H]2CN3CCC4=C([C@H]3C[C@@H]2[C@@H]1C(=O)OC)NC5=C4C=CC(=C5)OC)OC(=O)C6=CC(=C(C(=C6)OC)OC)OC
- canonical SMILES
- COC1C(CC2CN3CCC4=C(C3CC2C1C(=O)OC)NC5=C4C=CC(=C5)OC)OC(=O)C6=CC(=C(C(=C6)OC)OC)OC
- Commons category
- Reserpine
- defined daily dose
- 0.5
Sources (9)
via Wikidata · CC0
~9 min read
Article
11 sectionsContents
- Medical uses
- Adverse effects
- Mechanism of action
- Biosynthetic pathway
- History
- Veterinary use
- Research
- Animal model of depression and amotivation
- Antibacterial effects
- References
- External links
Reserpine is a drug that is used for the treatment of high blood pressure, usually in combination with a thiazide diuretic or vasodilator. Large clinical trials have shown that combined treatment with reserpine plus a thiazide diuretic reduces mortality of people with hypertension. Although the use of reserpine as a solo drug has declined since it was first approved by the FDA in 1955, the combined use of reserpine and a thiazide diuretic or vasodilator is still recommended in patients who do not achieve adequate lowering of blood pressure with first-line drug treatment alone. The reserpine-hydrochlorothiazide combo pill was the 17th most commonly prescribed of the 43 combination antihypertensive pills available in 2012.
The antihypertensive actions of reserpine are largely due to its antinoradrenergic effects, which are a result of its ability to deplete catecholamines (among other monoamine neurotransmitters) from peripheral sympathetic nerve endings. These substances are normally involved in controlling heart rate, force of cardiac contraction and peripheral vascular resistance.