Doxepin hydrochlorideProduct ingredient for Doxepin

Name
Doxepin hydrochloride
Drug Entry
Doxepin

Doxepin is a dibenzoxepin-derivative tricyclic antidepressant (TCA). Structurally similar to phenothiazines, TCAs contain a tricyclic ring system with an alkyl amine substituent on the central ring. In non-depressed individuals, doxepin does not affect mood or arousal, but may cause sedation. In depressed individuals, doxepin exerts a positive effect on mood. TCAs are potent inhibitors of serotonin and norepinephrine reuptake. Tertiary amine TCAs, such as doxepin and amitriptyline, are more potent inhibitors of serotonin reuptake than secondary amine TCAs, such as nortriptyline and desipramine. TCAs also down-regulate cerebral cortical β-adrenergic receptors and sensitize post-synaptic serotonergic receptors with chronic use. The antidepressant effects of TCAs are thought to be due to an overall increase in serotonergic neurotransmission. TCAs also block histamine H1 receptors, α1-adrenergic receptors and muscarinic receptors, which accounts for their sedative, hypotensive and anticholinergic effects (e.g. blurred vision, dry mouth, constipation, urinary retention), respectively. Doxepin has less sedative and anticholinergic effects than amitriptyline. See toxicity section below for a complete listing of side effects. When orally administered, doxepin may be used to treat depression and insomnia. Unlabeled indications of oral doxepin also include chronic and neuropathic pain, and anxiety. Doxepin may also be used as a second line agent to treat idiopathic urticaria. As a topical agent, doxepin may be used relieve itching in patients with certain types of eczema. It may be used for the management of moderate pruritus in adult patients with atopic dermatitis or lichen simplex chronicus.

Accession Number
DBSALT000059
Structure
Thumb
Synonyms
Doxepin HCl
UNII
3U9A0FE9N5
CAS Number
1229-29-4
Weight
Average: 315.837
Monoisotopic: 315.138992038
Chemical Formula
C19H22ClNO
InChI Key
MHNSPTUQQIYJOT-UHFFFAOYSA-N
InChI
InChI=1S/C19H21NO.ClH/c1-20(2)13-7-11-17-16-9-4-3-8-15(16)14-21-19-12-6-5-10-18(17)19;/h3-6,8-12H,7,13-14H2,1-2H3;1H
IUPAC Name
SMILES
Cl.[H]C(CCN(C)C)=C1C2=CC=CC=C2COC2=CC=CC=C12
External Links
PubChem Compound
14675
ChemSpider
14007
ChEBI
1151125
ChEMBL
CHEMBL1628234
Wikipedia
Doxepin
Predicted Properties
PropertyValueSource