Biperiden
Anticholinergic — NERVOUS SYSTEM
Also known as: akineton, biperiden HCl, biperiden hydrochloride, biperiden lactate
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Biperiden is an ofm drug in the Anticholinergic class catalogued in DrugCentral. It was first approved by the FDA in 1959. Its mechanism of action is classified as Cholinergic Antagonists. DrugCentral lists 6 molecular targets, including CHRM1, CHRM4 and CHRM3. Recorded indications include Arteriosclerotic Parkinsonism, Extrapyramidal disease, Parkinson's disease and Parkinsonism.
- Approval status: ofm (first approved 1959 by the FDA).
- Drug class: Anticholinergic.
- Mechanism of action: Cholinergic Antagonists.
- Molecular targets: CHRM1, CHRM4, CHRM3 and CHRM5 (6 listed in DrugCentral).
- Indications: Arteriosclerotic Parkinsonism, Extrapyramidal disease, Parkinson's disease, Parkinsonism and Postencephalitic parkinsonism.
- ATC code: N04AA02 (Tertiary amines).
- Molecular formula: C21H29NO; molecular weight 311.47 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (5)
- Arteriosclerotic Parkinsonism
- Extrapyramidal disease
- Parkinson's disease
- Parkinsonism
- Postencephalitic parkinsonism
Contraindications (33)
- Achalasia of esophagus
- Angle-closure glaucoma
- Atony of colon
- Benign prostatic hyperplasia
- Bleeding
- Chronic heart failure
- Chronic obstructive lung disease
- Conduction disorder of the heart
- Disease of liver
- Disorder of autonomic nervous system
- Disorder of coronary artery
- Dysentery
- Dysuria
- Fever
- Gastric ulcer
- Gastroesophageal reflux disease
- Gastrointestinal obstruction
- Hiatal hernia
- Hypertensive disorder
- Kidney disease
- Low blood pressure
- Myasthenia gravis
- Open-angle glaucoma
- Paralytic ileus
- Pseudomembranous enterocolitis
- Retention of urine
- Severe chronic ulcerative colitis
- Shigellosis
- Tardive dyskinesia
- Thyrotoxicosis
- + 3 more
Mechanism & targets
| Mechanism of action (MoA) | Cholinergic Antagonists |
|---|---|
| Established pharmacologic class | Anticholinergic |
Molecular targets (6)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Muscarinic acetylcholine receptor M1 | CHRM1 | antagonist | Kd 9.32 |
| Muscarinic acetylcholine receptor M4 | CHRM4 | antagonist | Kd 8.62 |
| Muscarinic acetylcholine receptor M3 | CHRM3 | antagonist | Kd 8.41 |
| Muscarinic acetylcholine receptor M5 | CHRM5 | unknown | Ki 8.20 |
| Muscarinic acetylcholine receptor M2 | CHRM2 | antagonist | Kd 8.20 |
| Neuronal acetylcholine receptor subunit alpha-2 | CHRNA2 | unknown | — |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1959-09-08 | FDA | — | ABBVIE |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
N04AA02 | NERVOUS SYSTEM › ANTI-PARKINSON DRUGS › ANTICHOLINERGIC AGENTS › Tertiary amines |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Neuroleptic malignant syndrome | 786.6 |
| Extrapyramidal disorder | 380.1 |
| Suicide attempt | 339.6 |
| Schizophrenia | 302.3 |
| Intentional self-injury | 275.7 |
| Drug interaction | 271.3 |
| Intentional overdose | 267.5 |
| Salivary hypersecretion | 256.5 |
| Sopor | 251.1 |
| Akathisia | 246.1 |
| Delusion | 224.4 |
| Dyskinesia | 205.5 |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Biperiden is on its molecule page.
| Molecular formula | C21H29NO |
|---|---|
| Molecular weight | 311.47 g/mol |
| CAS number | 514-65-8 |
| InChIKey | YSXKPIUOCJLQIE-UHFFFAOYSA-N |
| PubChem CID | 2381 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Biperiden used for?
DrugCentral lists the following indications for Biperiden: Arteriosclerotic Parkinsonism, Extrapyramidal disease, Parkinson's disease, Parkinsonism and Postencephalitic parkinsonism.
How does Biperiden work?
Biperiden is classified as Cholinergic Antagonists; its molecular targets in DrugCentral include CHRM1 (antagonist), CHRM4 (antagonist), CHRM3 (antagonist) and CHRM5.
When was Biperiden first approved?
Biperiden was first approved by the FDA in 1959.
What drug class does Biperiden belong to?
Biperiden is in the Anticholinergic class.
What is the chemical formula of Biperiden?
Biperiden has the molecular formula C21H29NO and a molecular weight of 311.47 g/mol.
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Sources
- DrugCentral drug card 374 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1101 — compound record and bioactivity
- PubChem CID 2381 — chemical identifiers
- DrugBank DB00810 — drug record
- FDA UNII 0FRP6G56LD — substance identity
- DailyMed: FDA labels for Biperiden — current prescribing information (label search)
- UniProt P11229 (CHRM1) — target protein
- UniProt P08173 (CHRM4) — target protein
- UniProt P20309 (CHRM3) — target protein
- UniProt P08912 (CHRM5) — target protein
- UniProt P08172 (CHRM2) — target protein
- UniProt Q15822 (CHRNA2) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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