Trospium

Identification

Summary

Trospium is an antimuscarinic agent used to treat the symptoms of overactive bladder (OAB).

Brand Names
Trosec
Generic Name
Trospium
DrugBank Accession Number
DB00209
Background

Trospium is an antispasmodic agent used to treat the symptoms of overactive bladder, a condition that causes the bladder muscles to contract uncontrollably.1 An overactive bladder leads to an increased urge to urinate, frequent urination, and sometimes, loss of control over urination.1 Trospium is manufactured by Indevus Pharmaceutical Inc. and was granted FDA approval in 2007.2

Type
Small Molecule
Groups
Approved
Structure
Weight
Average: 392.518
Monoisotopic: 392.22202025
Chemical Formula
C25H30NO3
Synonyms
Not Available

Pharmacology

Indication

For the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and urinary frequency, detrusor instability and frequency of micturition.

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Associated Conditions
Indication TypeIndicationCombined Product DetailsApproval LevelAge GroupPatient CharacteristicsDose Form
Management ofOveractive bladder syndrome (oabs)•••••••••••••••••
Contraindications & Blackbox Warnings
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Pharmacodynamics

Trospium is an antispasmodic, antimuscarinic agent indicated for the treatment of overactive bladder with symptoms of urge urinary incontinence, urgency, and urinary frequency. According to receptor assays, it displays higher affinity towards muscarininc receptors compared to nicotinic receptors at therapeutic concentrations.

Mechanism of action

Trospium antagonizes the effect of acetylcholine on muscarinic receptors in cholinergically innervated organs. Its parasympatholytic action reduces the tonus of smooth muscle in the bladder.

TargetActionsOrganism
UMuscarinic acetylcholine receptor M3Not AvailableHumans
UMuscarinic acetylcholine receptor M1
antagonist
Humans
Absorption

9.6%

Volume of distribution
  • 395 ± 140 L
Protein binding

50-85%

Metabolism

Not fully defined

Route of elimination

After administration of oral 14C-trospium chloride, the majority of the dose (85.2%) was recovered in feces and a smaller amount (5.8% of the dose) was recovered in urine; 60% of the radioactivity excreted in urine was unchanged trospium. Trospium mainly undergoes elimination via active tubular secretion, as indicated by the mean renal clearance of 29.07 L/hour, which is about 4-fold higher than average glomerular filtration rate. Trospium is metabolized by ester hydrolysis and excreted by the kidneys by a combination of tubular secretion and glomerular filtration.

Half-life

20 hours

Clearance
  • Renal cl=29.07 L/hour
Adverse Effects
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Toxicity

Not Available

Pathways
Not Available
Pharmacogenomic Effects/ADRs
Not Available

Interactions

Drug Interactions
This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
DrugInteraction
AcebutololThe metabolism of Acebutolol can be decreased when combined with Trospium.
AcetaminophenThe metabolism of Acetaminophen can be decreased when combined with Trospium.
AclidiniumThe risk or severity of adverse effects can be increased when Trospium is combined with Aclidinium.
AdenosineThe risk or severity of Tachycardia can be increased when Trospium is combined with Adenosine.
AlfentanilThe risk or severity of adverse effects can be increased when Trospium is combined with Alfentanil.
Food Interactions
  • Take on an empty stomach. Take at least 1 hour before food as the Cmax and AUC of trospium are reduced by 70-80% when taken with a high fat meal.

Products

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Product Ingredients
IngredientUNIICASInChI Key
Trospium chloride1E6682427E10405-02-4RVCSYOQWLPPAOA-QKYUOBHYSA-M
Product Images
International/Other Brands
Flotros / Regurin / Spasmex / Spasmolyt / Spasmoplex / Tropez OD
Brand Name Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing EndRegionImage
SancturaTablet20 mg/1OralAllergan2007-12-012015-09-19US flag
Sanctura XRCapsule, extended release60 mg/1OralEsprit Pharmaceuticals2007-08-012008-05-01US flag
Sanctura XRCapsule, extended release60 mgOralAllergan2010-01-202016-04-13Canada flag
Sanctura XRCapsule, extended release60 mg/1OralPhysicians Total Care, Inc.2010-09-152013-06-30US flag
Sanctura XRCapsule, extended release60 mg/1OralAllergan2007-12-012015-03-04US flag
Generic Prescription Products
NameDosageStrengthRouteLabellerMarketing StartMarketing EndRegionImage
Accel-trospiumTablet20 mgOralAccel Pharma IncNot applicableNot applicableCanada flag
Jamp TrospiumTablet20 mgOralJamp Pharma Corporation2023-11-21Not applicableCanada flag
Mar-trospiumTablet20 mgOralMarcan Pharmaceuticals Inc2019-06-21Not applicableCanada flag
Trospium ChlorideCapsule, extended release60 mg/1OralGranules Pharmaceuticals Inc.2020-08-19Not applicableUS flag
Trospium ChlorideCapsule, extended release60 mg/1OralGolden State Medical Supply, Inc.2014-07-18Not applicableUS flag

Categories

ATC Codes
A03DA06 — Trospium and analgesicsG04BD09 — Trospium
Drug Categories
Chemical TaxonomyProvided by Classyfire
Description
This compound belongs to the class of organic compounds known as diphenylmethanes. These are compounds containing a diphenylmethane moiety, which consists of a methane wherein two hydrogen atoms are replaced by two phenyl groups.
Kingdom
Organic compounds
Super Class
Benzenoids
Class
Benzene and substituted derivatives
Sub Class
Diphenylmethanes
Direct Parent
Diphenylmethanes
Alternative Parents
Piperidines / N-alkylpyrrolidines / Tetraalkylammonium salts / Tertiary alcohols / Carboxylic acid esters / Monocarboxylic acids and derivatives / Azacyclic compounds / Organopnictogen compounds / Organic salts / Organic oxides
show 5 more
Substituents
Alcohol / Amine / Aromatic alcohol / Aromatic heteropolycyclic compound / Azacycle / Carbonyl group / Carboxylic acid derivative / Carboxylic acid ester / Diphenylmethane / Hydrocarbon derivative
show 16 more
Molecular Framework
Aromatic heteropolycyclic compounds
External Descriptors
Not Available
Affected organisms
  • Humans and other mammals

Chemical Identifiers

UNII
T4Y8ORK057
CAS number
47608-32-2
InChI Key
OYYDSUSKLWTMMQ-JKHIJQBDSA-N
InChI
InChI=1S/C25H30NO3/c27-24(25(28,19-9-3-1-4-10-19)20-11-5-2-6-12-20)29-23-17-21-13-14-22(18-23)26(21)15-7-8-16-26/h1-6,9-12,21-23,28H,7-8,13-18H2/q+1/t21-,22+,23+
IUPAC Name
(1S,3R,5R)-3-[(2-hydroxy-2,2-diphenylacetyl)oxy]-8λ⁵-azaspiro[bicyclo[3.2.1]octane-8,1'-pyrrolidin]-8-ylium
SMILES
[H][C@]12CC[C@]([H])(C[C@@H](C1)OC(=O)C(O)(C1=CC=CC=C1)C1=CC=CC=C1)[N+]21CCCC1

References

General References
  1. Trospium [Link]
  2. FDA drug approval: Trospium [Link]
KEGG Drug
D01103
PubChem Compound
5284632
PubChem Substance
46506398
ChemSpider
10482307
RxNav
236778
ChEBI
145791
ChEMBL
CHEMBL1888176
ZINC
ZINC000100016084
Therapeutic Targets Database
DAP000342
PharmGKB
PA164748976
RxList
RxList Drug Page
Drugs.com
Drugs.com Drug Page
Wikipedia
Trospium_chloride
FDA label
Download (249 KB)

Clinical Trials

Clinical Trials

Pharmacoeconomics

Manufacturers
  • Allergan inc
Packagers
  • Allergan Inc.
  • Catalent Pharma Solutions
  • Endo Pharmaceuticals Inc.
  • Esprit Pharma Inc.
  • Madaus GmbH
  • Murfreesboro Pharmaceutical Nursing Supply
  • Odyssey Pharmaceuticals Inc.
  • Redpharm Drug
Dosage Forms
FormRouteStrength
TabletOral20 mg/1
Capsule, extended releaseOral60 mg/1
Tablet, film coatedOral15 MG
Tablet, film coatedOral30 MG
Tablet, coatedOral15 mg
Tablet, film coatedOral20 MG
Tablet, coatedOral30 mg
Tablet, film coatedOral45 MG
Tablet, sugar coatedOral20 mg
Tablet, coatedOral10 MG
Tablet, film coatedOral5 MG
Tablet, coatedOral
TabletOral20 mg
TabletOral30 MG
TabletOral5 MG
Tablet, film coatedOral20 mg/1
CapsuleOral60 mg/1
Tablet, film coatedOral
Capsule, extended releaseOral60 mg
Tablet, coatedOral20 mg
Prices
Unit descriptionCostUnit
Sanctura XR 60 mg 24 Hour Capsule5.17USD capsule
Sanctura xr 60 mg capsule5.02USD capsule
Sanctura 20 mg tablet3.12USD tablet
DrugBank does not sell nor buy drugs. Pricing information is supplied for informational purposes only.
Patents
Patent NumberPediatric ExtensionApprovedExpires (estimated)Region
CA2537103No2010-01-192024-11-04Canada flag
US7759359No2010-07-202024-11-04US flag
US7763635No2010-07-272024-11-04US flag
US7781448No2010-08-242024-11-04US flag
US7781449No2010-08-242024-11-04US flag
US7410978No2008-08-122025-02-01US flag

Properties

State
Solid
Experimental Properties
Not Available
Predicted Properties
PropertyValueSource
Water Solubility6.68e-05 mg/mLALOGPS
logP2.86ALOGPS
logP-0.5Chemaxon
logS-6.8ALOGPS
pKa (Strongest Acidic)11.05Chemaxon
pKa (Strongest Basic)-4.5Chemaxon
Physiological Charge1Chemaxon
Hydrogen Acceptor Count2Chemaxon
Hydrogen Donor Count1Chemaxon
Polar Surface Area46.53 Å2Chemaxon
Rotatable Bond Count5Chemaxon
Refractivity124.04 m3·mol-1Chemaxon
Polarizability43.25 Å3Chemaxon
Number of Rings5Chemaxon
Bioavailability1Chemaxon
Rule of FiveYesChemaxon
Ghose FilterNoChemaxon
Veber's RuleNoChemaxon
MDDR-like RuleNoChemaxon
Predicted ADMET Features
PropertyValueProbability
Human Intestinal Absorption-0.9469
Blood Brain Barrier+0.9418
Caco-2 permeable+0.6042
P-glycoprotein substrateSubstrate0.6431
P-glycoprotein inhibitor INon-inhibitor0.7783
P-glycoprotein inhibitor IINon-inhibitor0.9759
Renal organic cation transporterInhibitor0.7234
CYP450 2C9 substrateNon-substrate0.818
CYP450 2D6 substrateNon-substrate0.774
CYP450 3A4 substrateSubstrate0.5716
CYP450 1A2 substrateNon-inhibitor0.9005
CYP450 2C9 inhibitorNon-inhibitor0.89
CYP450 2D6 inhibitorNon-inhibitor0.7317
CYP450 2C19 inhibitorNon-inhibitor0.9147
CYP450 3A4 inhibitorNon-inhibitor0.8121
CYP450 inhibitory promiscuityLow CYP Inhibitory Promiscuity0.9567
Ames testNon AMES toxic0.8238
CarcinogenicityNon-carcinogens0.9458
BiodegradationNot ready biodegradable0.8128
Rat acute toxicity2.8407 LD50, mol/kg Not applicable
hERG inhibition (predictor I)Weak inhibitor0.9135
hERG inhibition (predictor II)Non-inhibitor0.6933
ADMET data is predicted using admetSAR, a free tool for evaluating chemical ADMET properties. (23092397)

Spectra

Mass Spec (NIST)
Not Available
Spectra
SpectrumSpectrum TypeSplash Key
Predicted 1H NMR Spectrum1D NMRNot Applicable
Predicted 13C NMR Spectrum1D NMRNot Applicable
Chromatographic Properties
Collision Cross Sections (CCS)
AdductCCS Value (Å2)Source typeSource
[M-H]-185.02885
predicted
DeepCCS 1.0 (2019)
[M+H]+187.42442
predicted
DeepCCS 1.0 (2019)
[M+Na]+193.33694
predicted
DeepCCS 1.0 (2019)

Targets

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Kind
Protein
Organism
Humans
Pharmacological action
Unknown
General Function
Receptor activity
Specific Function
The muscarinic acetylcholine receptor mediates various cellular responses, including inhibition of adenylate cyclase, breakdown of phosphoinositides and modulation of potassium channels through the...
Gene Name
CHRM3
Uniprot ID
P20309
Uniprot Name
Muscarinic acetylcholine receptor M3
Molecular Weight
66127.445 Da
References
  1. Hesch K: Agents for treatment of overactive bladder: a therapeutic class review. Proc (Bayl Univ Med Cent). 2007 Jul;20(3):307-14. [Article]
Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Antagonist
General Function
Phosphatidylinositol phospholipase c activity
Specific Function
The muscarinic acetylcholine receptor mediates various cellular responses, including inhibition of adenylate cyclase, breakdown of phosphoinositides and modulation of potassium channels through the...
Gene Name
CHRM1
Uniprot ID
P11229
Uniprot Name
Muscarinic acetylcholine receptor M1
Molecular Weight
51420.375 Da
References
  1. Rovner ES: Trospium chloride in the management of overactive bladder. Drugs. 2004;64(21):2433-46. doi: 10.2165/00003495-200464210-00005. [Article]

Enzymes

Kind
Protein
Organism
Humans
Pharmacological action
Unknown
Actions
Inhibitor
General Function
Steroid hydroxylase activity
Specific Function
Responsible for the metabolism of many drugs and environmental chemicals that it oxidizes. It is involved in the metabolism of drugs such as antiarrhythmics, adrenoceptor antagonists, and tricyclic...
Gene Name
CYP2D6
Uniprot ID
P10635
Uniprot Name
Cytochrome P450 2D6
Molecular Weight
55768.94 Da
References
  1. Beckmann-Knopp S, Rietbrock S, Weyhenmeyer R, Bocker RH, Beckurts KT, Lang W, Fuhr U: Inhibitory effects of trospium chloride on cytochrome P450 enzymes in human liver microsomes. Pharmacol Toxicol. 1999 Dec;85(6):299-304. [Article]

Drug created at June 13, 2005 13:24 / Updated at March 18, 2024 16:48