Loxapine
NERVOUS SYSTEM
Also known as: adasuve, cloxazepine, loxapin, loxapine HCl, loxapine hydrochloride, loxapine succinate, loxipine maleate, loxitane, oxilapine
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Loxapine is an ofp drug catalogued in DrugCentral. It was first approved by the FDA in 1975. DrugCentral lists 37 molecular targets, including HTR2A, DRD4 and Htr2a. Recorded indications include Bipolar disorder and Schizophrenia.
- Approval status: ofp (first approved 1975 by the FDA).
- Molecular targets: HTR2A, DRD4, Htr2a and HRH1 (37 listed in DrugCentral).
- Indications: Bipolar disorder and Schizophrenia.
- ATC code: N05AH01 (Diazepines, oxazepines, thiazepines and oxepines).
- Molecular formula: C18H18ClN3O; molecular weight 327.81 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (2)
- Bipolar disorder
- Schizophrenia
Contraindications (14)
- Alcoholism
- Benign prostatic hyperplasia
- Carcinoma of female breast
- Coma
- Disorder of cardiovascular system
- Drug Induced CNS Depression
- Glaucoma
- Hyperprolactinemia
- Neuroleptic malignant syndrome
- Pigmentary Retinopathy
- Retention of urine
- Seizure disorder
- Senile dementia
- Tardive dyskinesia
Mechanism & targets
Molecular targets (37)
| Target | Gene | Action | Activity |
|---|---|---|---|
| 5-hydroxytryptamine receptor 2A | HTR2A | antagonist | Ki 8.62 |
| D(4) dopamine receptor | DRD4 | antagonist | Ki 8.31 |
| 5-hydroxytryptamine receptor 2A | Htr2a | unknown | IC50 8.22 |
| Histamine H1 receptor | HRH1 | antagonist | Ki 8.20 |
| 5-hydroxytryptamine receptor 2C | HTR2C | antagonist | Ki 8.00 |
| 5-hydroxytryptamine receptor 6 | HTR6 | unknown | Ki 7.82 |
| 5-hydroxytryptamine receptor 6 | Htr6 | antagonist | Ki 7.80 |
| Adrenergic receptor alpha-1 | Adra1b|Adra1d|Adra1a | unknown | IC50 7.74 |
| D(2) dopamine receptor | DRD2 | antagonist | Ki 7.68 |
| D(2) dopamine receptor | Drd2 | unknown | Ki 7.68 |
| D(3) dopamine receptor | DRD3 | antagonist | IC50 7.66 |
| Alpha-1A adrenergic receptor | ADRA1A | unknown | Ki 7.51 |
| 5-hydroxytryptamine receptor 7 | Htr7 | unknown | Ki 7.37 |
| Alpha-1B adrenergic receptor | ADRA1B | unknown | Ki 7.28 |
| D(1A) dopamine receptor | DRD1 | unknown | Ki 7.27 |
| D(1B) dopamine receptor | DRD5 | unknown | Ki 7.12 |
| Alpha-2C adrenergic receptor | ADRA2C | unknown | Ki 7.10 |
| Alpha-2B adrenergic receptor | ADRA2B | unknown | Ki 6.97 |
| Muscarinic acetylcholine receptor M3 | CHRM3 | unknown | Ki 6.91 |
| Muscarinic acetylcholine receptor M5 | CHRM5 | unknown | Ki 6.83 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1975-02-25 | FDA | — | — |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
N05AH01 | NERVOUS SYSTEM › PSYCHOLEPTICS › ANTIPSYCHOTICS › Diazepines, oxazepines, thiazepines and oxepines |
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 |
|---|---|
| Coma | 1290.3 |
| Poisoning deliberate | 972.6 |
| Neuroleptic malignant syndrome | 647.6 |
| Antipsychotic drug level below therapeutic | 647.4 |
| Disinhibition | 599.5 |
| Therapeutic product effect variable | 578.1 |
| Akathisia | 533.9 |
| Obsessive-compulsive disorder | 526.9 |
| Somnolence | 492.9 |
| Euphoric mood | 490.0 |
| Extrapyramidal disorder | 489.1 |
| Miosis | 415.0 |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Loxapine is on its molecule page.
| Molecular formula | C18H18ClN3O |
|---|---|
| Molecular weight | 327.81 g/mol |
| CAS number | 1977-10-2 |
| InChIKey | XJGVXQDUIWGIRW-UHFFFAOYSA-N |
| PubChem CID | 3964 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Loxapine used for?
DrugCentral lists the following indications for Loxapine: Bipolar disorder and Schizophrenia.
How does Loxapine work?
Its molecular targets in DrugCentral include HTR2A (antagonist), DRD4 (antagonist), Htr2a and HRH1 (antagonist).
When was Loxapine first approved?
Loxapine was first approved by the FDA in 1975.
What is the chemical formula of Loxapine?
Loxapine has the molecular formula C18H18ClN3O and a molecular weight of 327.81 g/mol.
Browse: all drugs starting with L · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 1613 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1201060 — compound record and bioactivity
- PubChem CID 3964 — chemical identifiers
- DrugBank DB00408 — drug record
- FDA UNII LER583670J — substance identity
- DailyMed: FDA labels for Loxapine — current prescribing information (label search)
- UniProt P28223 (HTR2A) — target protein
- UniProt P21917 (DRD4) — target protein
- UniProt P35367 (HRH1) — target protein
- UniProt P28335 (HTR2C) — target protein
- UniProt P50406 (HTR6) — target protein
- UniProt P14416 (DRD2) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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