Cevimeline
Cholinergic Receptor Agonist — NERVOUS SYSTEM
Also known as: cevimeline HCl, cevimeline hydrochloride, cevimeline hydrochloride hemihydrate, cevimeline hydrochloride hydrate, evoxac
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Cevimeline is an ofp drug in the Cholinergic Receptor Agonist class catalogued in DrugCentral. It was first approved by the FDA in 2000. Its mechanism of action is classified as Cholinergic Muscarinic Agonists. DrugCentral lists 5 molecular targets, including CHRM1, CHRM3 and CHRM5. Recorded indications include Xerostomia Secondary to Sjogren's Syndrome.
- Approval status: ofp (first approved 2000 by the FDA).
- Drug class: Cholinergic Receptor Agonist.
- Mechanism of action: Cholinergic Muscarinic Agonists.
- Molecular targets: CHRM1, CHRM3, CHRM5 and CHRM2 (5 listed in DrugCentral).
- Indications: Xerostomia Secondary to Sjogren's Syndrome.
- ATC code: N07AX03 (Other parasympathomimetics).
- Molecular formula: C10H17NOS; molecular weight 199.32 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (1)
- Xerostomia Secondary to Sjogren's Syndrome
Contraindications (20)
- Acute exacerbation of asthma
- Angina pectoris
- Angle-closure glaucoma
- Asthma
- Breastfeeding (mother)
- Calculus in biliary tract
- Cholangitis
- Cholecystitis
- Chronic bronchitis
- Conduction disorder of the heart
- Exacerbation of asthma
- Iritis
- Kidney stone
- Myocardial infarction
- Night blindness
- Non-Q wave myocardial infarction
- Reduced visual acuity
- Renal colic
- Severe chronic obstructive pulmonary disease
- Ureteral Spasm
Mechanism & targets
| Mechanism of action (MoA) | Cholinergic Muscarinic Agonists |
|---|---|
| Established pharmacologic class | Cholinergic Receptor Agonist |
Molecular targets (5)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Muscarinic acetylcholine receptor M1 | CHRM1 | agonist | EC50 7.64 |
| Muscarinic acetylcholine receptor M3 | CHRM3 | agonist | EC50 7.32 |
| Muscarinic acetylcholine receptor M5 | CHRM5 | unknown | EC50 7.20 |
| Muscarinic acetylcholine receptor M2 | CHRM2 | unknown | EC50 5.98 |
| Muscarinic acetylcholine receptor M4 | CHRM4 | unknown | EC50 5.88 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 2000-01-11 | FDA | — | DAIICHI SANKYO |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
N07AX03 | NERVOUS SYSTEM › OTHER NERVOUS SYSTEM DRUGS › PARASYMPATHOMIMETICS › Other parasympathomimetics |
Pharmacogenomics
Drug-label and guideline annotations from PharmGKB and CPIC.
- FDA label: CYP2D6 · Actionable PGx
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 |
|---|---|
| Headache | 30.6 |
| Dry eye | 29.5 |
| Dry mouth | 26.6 |
| Product dose omission issue | 20.1 |
Chemical structure
| Molecular formula | C10H17NOS |
|---|---|
| Molecular weight | 199.32 g/mol |
| CAS number | — |
| InChIKey | WUTYZMFRCNBCHQ-UHFFFAOYSA-N |
| PubChem CID | 25137844 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Cevimeline used for?
DrugCentral lists the following indications for Cevimeline: Xerostomia Secondary to Sjogren's Syndrome.
How does Cevimeline work?
Cevimeline is classified as Cholinergic Muscarinic Agonists; its molecular targets in DrugCentral include CHRM1 (agonist), CHRM3 (agonist), CHRM5 and CHRM2.
When was Cevimeline first approved?
Cevimeline was first approved by the FDA in 2000.
What drug class does Cevimeline belong to?
Cevimeline is in the Cholinergic Receptor Agonist class.
What is the chemical formula of Cevimeline?
Cevimeline has the molecular formula C10H17NOS and a molecular weight of 199.32 g/mol.
Browse: all drugs starting with C · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 584 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL168815 — compound record and bioactivity
- PubChem CID 25137844 — chemical identifiers
- DrugBank DB00185 — drug record
- FDA UNII K9V0CDQ56E — substance identity
- DailyMed: FDA labels for Cevimeline — current prescribing information (label search)
- UniProt P11229 (CHRM1) — target protein
- UniProt P20309 (CHRM3) — target protein
- UniProt P08912 (CHRM5) — target protein
- UniProt P08172 (CHRM2) — target protein
- UniProt P08173 (CHRM4) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
- PharmGKB / CPIC — pharmacogenomic label annotations
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