Epinastine
Adrenergic Receptor Agonist — RESPIRATORY SYSTEM
Also known as: (+/-)-Epinastine, alesion, epinastine HCl, epinastine hydrochloride
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Epinastine is an ofp drug in the Adrenergic Receptor Agonist class catalogued in DrugCentral. It was first approved by the FDA in 2003. Its mechanism of action is classified as Adrenergic Agonists and Histamine H1 Receptor Antagonists. DrugCentral lists 11 molecular targets, including HRH1, HRH1 and SLC47A1. Recorded indications include Allergic conjunctivitis and Ocular Itching.
- Approval status: ofp (first approved 2003 by the FDA).
- Drug class: Adrenergic Receptor Agonist; Histamine-1 Receptor Inhibitor.
- Mechanism of action: Adrenergic Agonists; Histamine H1 Receptor Antagonists.
- Molecular targets: HRH1, HRH1, SLC47A1 and SLC22A2 (11 listed in DrugCentral).
- Indications: Allergic conjunctivitis and Ocular Itching.
- ATC code: R06AX24 (Other antihistamines for systemic use).
- Molecular formula: C16H15N3; molecular weight 249.32 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (2)
- Allergic conjunctivitis
- Ocular Itching
Mechanism & targets
| Mechanism of action (MoA) | Adrenergic Agonists; Histamine H1 Receptor Antagonists |
|---|---|
| Established pharmacologic class | Adrenergic Receptor Agonist; Histamine-1 Receptor Inhibitor |
Molecular targets (11)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Histamine H1 receptor | HRH1 | antagonist | Ki 8.90 |
| Histamine H1 receptor | HRH1 | unknown | IC50 8.80 |
| Multidrug and toxin extrusion protein 1 | SLC47A1 | unknown | IC50 5.96 |
| Solute carrier family 22 member 2 | SLC22A2 | unknown | IC50 5.37 |
| Multidrug and toxin extrusion protein 2 | SLC47A2 | unknown | IC50 4.53 |
| Potassium voltage-gated channel subfamily H member 2 | KCNH2 | unknown | IC50 4.00 |
| Histamine H2 receptor | HRH2 | unknown | — |
| Alpha-2A adrenergic receptor | ADRA2A | unknown | — |
| Alpha-1A adrenergic receptor | ADRA1A | unknown | — |
| 5-hydroxytryptamine receptor 2A | HTR2A | unknown | — |
| Multidrug resistance protein 1 | ABCB1 | unknown | — |
Regulatory approvals (2)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 2019-09-20 | PMDA | — | Santen Pharmaceutical Co., Ltd. | |
| 2003-10-16 | FDA | — | ALLERGAN |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
R06AX24 | RESPIRATORY SYSTEM › ANTIHISTAMINES FOR SYSTEMIC USE › ANTIHISTAMINES FOR SYSTEMIC USE › Other antihistamines for systemic use |
S01GX10 | SENSORY ORGANS › OPHTHALMOLOGICALS › DECONGESTANTS AND ANTIALLERGICS › Other antiallergics |
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 |
|---|---|
| Treatment failure | 161.7 |
| Hepatic function abnormal | 110.1 |
| Drug eruption | 60.8 |
| Interstitial lung disease | 55.6 |
| Syphilis | 51.2 |
| Pyrexia | 50.4 |
| Platelet count decreased | 46.1 |
| Pemphigoid | 43.9 |
| Decreased appetite | 38.2 |
| Alopecia areata | 37.5 |
| Cardiac failure | 32.8 |
| Enzyme level abnormal | 31.2 |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Epinastine is on its molecule page.
| Molecular formula | C16H15N3 |
|---|---|
| Molecular weight | 249.32 g/mol |
| CAS number | 80012-43-7 |
| InChIKey | WHWZLSFABNNENI-UHFFFAOYSA-N |
| PubChem CID | 3241 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Epinastine used for?
DrugCentral lists the following indications for Epinastine: Allergic conjunctivitis and Ocular Itching.
How does Epinastine work?
Epinastine is classified as Adrenergic Agonists and Histamine H1 Receptor Antagonists; its molecular targets in DrugCentral include HRH1 (antagonist), HRH1, SLC47A1 and SLC22A2.
When was Epinastine first approved?
Epinastine was first approved by the FDA in 2003.
What drug class does Epinastine belong to?
Epinastine is in the Adrenergic Receptor Agonist class.
What is the chemical formula of Epinastine?
Epinastine has the molecular formula C16H15N3 and a molecular weight of 249.32 g/mol.
Browse: all drugs starting with E · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 1027 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1106 — compound record and bioactivity
- PubChem CID 3241 — chemical identifiers
- DrugBank DB00751 — drug record
- FDA UNII Q13WX941EF — substance identity
- DailyMed: FDA labels for Epinastine — current prescribing information (label search)
- UniProt P35367 (HRH1) — target protein
- UniProt Q96FL8 (SLC47A1) — target protein
- UniProt O15244 (SLC22A2) — target protein
- UniProt Q86VL8 (SLC47A2) — target protein
- UniProt Q12809 (KCNH2) — target protein
- UniProt P25021 (HRH2) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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