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desethylamiodarone

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Description

desethylamiodarone: metabolite of amiodarone; structure given in first source [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID104774
CHEMBL ID1600
CHEBI ID180711
SCHEMBL ID4535165
MeSH IDM0110249

Synonyms (36)

Synonym
(2-butyl-1-benzouran-3-yl)-[4-[2-(ethylamino)ethoxy]-3,5-diiodophenyl]methanone
CHEBI:180711
methanone, (2-butyl-3-benzofuranyl)(4-(2-(ethylamino)ethoxy)-3,5-diiodophenyl)-
n-desethylamiodarone
n-deethylamiodarone
n-monodesethylamiodarone
(2-butyl-3-benzofuranyl)(4-(2-(ethylamino)ethoxy)-3,5-diiodophenyl)methanone
lb 33020
bdbm18958
deethylamiodarone
chembl1600 ,
desethylamiodarone
l 33520
(2-{4-[(2-butyl-1-benzofuran-3-yl)carbonyl]-2,6-diiodophenoxy}ethyl)(ethyl)amine
83409-32-9
mono-n-desethylamiodarone
FT-0665924
(2-butyl-1-benzofuran-3-yl)-[4-[2-(ethylamino)ethoxy]-3,5-diiodophenyl]methanone
m31fu99e3y ,
unii-m31fu99e3y
dami
amiodarone hydrochloride impurity b [ep impurity]
lb-33020
(2-butylbenzofuran-3-yl)(4-(2-(ethylamino)ethoxy)-3,5-diiodophenyl)methanone
desethylaminodarone [who-dd]
amiodarone metabolite m7
desethylaminodarone
DTXSID00232344
SCHEMBL4535165
(2-butyl-3-benzofuranyl)[4-[2-(ethylamino)ethoxy]-3,5-diiodophenyl]-methanone
VXOKDLACQICQFA-UHFFFAOYSA-N
AKOS027383912
amiodarone-m n-desethyl
desethyl amiodarone
Q27283413
discontinued see: d288731

Research Excerpts

Overview

Desethylamiodarone (DEA) acts as a competitive inhibitor of triiodothyronine (T3) binding to the alpha1-thyroid hormone receptor (TR alpha1) but as a non-competitive inhibitor with respect to TR beta1.

ExcerptReferenceRelevance
"Desethylamiodarone (DEA) acts as a competitive inhibitor of triiodothyronine (T3) binding to the alpha1-thyroid hormone receptor (TR alpha1) but as a non-competitive inhibitor with respect to TR beta1. "( Effect of mutations in the beta1-thyroid hormone receptor on the inhibition of T3 binding by desethylamiodarone.
Bakker, O; Chatterjee, VK; van Beeren, HC; Wiersinga, WM, 1999
)
1.97
"Desethylamiodarone (DA) is a major metabolite of amiodarone (AM), a Class III antiarrhythmic drug. "( A comparison of plasma, white blood cell, red blood cell, and tissue distribution of amiodarone and desethylamiodarone in anesthetized dogs.
Bandyopadhyay, S; Somani, P, 1987
)
1.93

Effects

ExcerptReferenceRelevance
"Desethylamiodarone has been identified as the principal lipophilic metabolite of amiodarone present in plasma specimens from amiodarone-treated patients. "( Identification and measurement of desethylamiodarone in blood plasma specimens from amiodarone-treated patients.
Farmer, PB; Flanagan, RJ; Holt, DW; Storey, GC, 1982
)
1.99

Treatment

Desethylamiodarone treatment resulted in a neutrophilic alveolitis, but the levels of TNF-alpha and TGF-beta were not significantly different from control animals. Treatment with desethylamodarone also induced phospholipidosis in AM.

ExcerptReferenceRelevance
"Desethylamiodarone treatment resulted in a neutrophilic alveolitis, but the levels of TNF-alpha and TGF-beta were not significantly different from control animals."( Amiodarone-induced pulmonary toxicity in Fischer rats: release of tumor necrosis factor alpha and transforming growth factor beta by pulmonary alveolar macrophages.
Gairola, CG; Reinhart, PG, 1997
)
1.02
"Desethylamiodarone pretreatment improved survival without altering the occurrence of different types of arrhythmias during the first 20 min after coronary ligation."( Antiarrhythmic effect of desethylamiodarone in conscious rats.
Bódi, I; Rabloczky, G; Varró, A, 1987
)
1.3
"Treatment with desethylamiodarone also induced phospholipidosis in AM."( Amiodarone-induced phospholipidosis in rat alveolar macrophages.
Kacew, S; Ogle, CL; Reasor, MJ; Walker, ER, 1988
)
0.61

Toxicity

Benzofuran antiarrhythmic drug amiodarone has a direct toxic effect on the human thyroid gland. The relationship of steady-state serum levels of amiodrone and its major metabolite was assessed. Desethylamodarone was more toxic than amiodlarone in the cultured hepatocytes.

ExcerptReferenceRelevance
" Desethylamiodarone was more toxic than amiodarone in the cultured hepatocytes."( Amiodarone- and desethylamiodarone-induced myelinoid inclusion bodies and toxicity in cultured rat hepatocytes.
Bandyopadhyay, S; Gross, SA; Klaunig, JE; Somani, P, 1990
)
1.54
" Using lactate dehydrogenase release into the medium to quantitate cell death, both drugs were found to cause cell death in a concentration-dependent manner within 24 hr of incubation; this data showed desethylamiodarone to be significantly more toxic than amiodarone."( Amiodarone and desethylamiodarone toxicity in isolated hepatocytes in culture.
Bandyopadhyay, S; Gross, SA; Klaunig, JE; Somani, P, 1989
)
0.82
"Since recent in vivo evidence suggests that the benzofuran antiarrhythmic drug amiodarone has a direct toxic effect on the human thyroid gland, we have investigated the effects of both amiodarone and its metabolite desethylamiodarone on a novel immortalized functional human thyrocyte line (SGHTL-34 cells)."( Cytotoxic effects of amiodarone and desethylamiodarone on human thyrocytes.
Beddows, SA; Johnstone, AP; McNerney, R; Nussey, SS; Page, SR; Taylor, AH; Whitley, GS, 1989
)
0.74
"Amiodarone pulmonary toxicity represents an example of a life-threatening adverse drug reaction."( Amiodarone pulmonary toxicity: biochemical evidence for a cellular phospholipidosis in the bronchoalveolar lavage of human subjects.
Martin, WJ; Standing, JE, 1988
)
0.27
" Sixty-three patients (55%) had one or more adverse effects attributed to amiodarone."( Relation between amiodarone and desethylamiodarone plasma concentrations and electrophysiologic effects, efficacy and toxicity.
DiMarco, JP; Greenberg, ML; Kaiser, DL; Lerman, BB; Shipe, JR, 1987
)
0.56
"The relationship of steady-state serum levels of amiodarone and its major metabolite, desethylamiodarone, to therapeutic and toxic effects was evaluated in 111 patients treated for supraventricular and ventricular arrhythmias."( Relationship of steady-state serum concentrations of amiodarone and desethylamiodarone to therapeutic efficacy and adverse effects.
Falik, R; Flores, BT; Gibson, GA; Josephson, ME; Marchlinski, FE; Shaw, L, 1987
)
0.73
"The relationship of apparent steady-state serum concentrations of amiodarone and its metabolite, desethylamiodarone, to therapeutic and toxic effects was assessed in 127 patients who had treatment-resistant ventricular or supraventricular arrhythmias or were intolerant to other agents."( Steady-state serum amiodarone concentrations: relationships with antiarrhythmic efficacy and toxicity.
Belhassen, B; Greenspan, AM; Greenspon, AJ; Horowitz, LN; Rotmensch, HH; Shoshani, D; Spielman, SR; Swanson, BN; Vlasses, PH, 1984
)
0.49
"The relationships between size of loading dose and drug concentration, size of maintenance dose and drug concentration, and pulmonary and cutaneous adverse side effects and drug dosage were examined in patients given amiodarone."( Relationships between amiodarone dosage, drug concentrations, and adverse side effects.
Heger, JJ; Prystowsky, EN; Zipes, DP, 1983
)
0.27
" Amiodarone appeared to be safe and did not have to be discontinued because of intolerable side effects."( Efficacy, safety, and determinants of conversion of atrial fibrillation and flutter with oral amiodarone.
Crijns, HJ; de Kam, PJ; Gosselink, AT; Lie, KI; Tieleman, RG; van den Berg, MP; van Gelder, IC; van Gilst, WH, 1997
)
0.3
"Amiodarone (AM), a drug used in the treatment of cardiac dysrrhythmias, can produce severe pulmonary adverse effects, including fibrosis."( Direct mitochondrial dysfunction precedes reactive oxygen species production in amiodarone-induced toxicity in human peripheral lung epithelial HPL1A cells.
Brien, JF; Comeau, JL; Hill, BC; Ji, Y; Massey, TE; Nicolescu, AC; Racz, WJ; Takahashi, T, 2008
)
0.35
" First, we showed that 50μM amiodarone is more toxic to primary human hepatocytes after CYP induction with rifampicin."( The role of CYP3A4 in amiodarone-associated toxicity on HepG2 cells.
Brecht, K; Krähenbühl, S; Lindinger, PW; Maseneni, S; Morand, R; Török, M; Zahno, A, 2011
)
0.37
"Amiodarone is a widely used potent antiarrhythmic for the treatment of cardiac disease; however, its use is often discontinued due to numerous adverse effects, including hepatotoxicity."( The role of CYP 3A4 and 1A1 in amiodarone-induced hepatocellular toxicity.
Bryant, MS; Guo, L; Ning, B; Ren, Z; Wu, Q; Xuan, J, 2016
)
0.43

Pharmacokinetics

ExcerptReferenceRelevance
" Because of the long elimination half-life for amiodarone previously reported in healthy volunteers after single doses of amiodarone and the frequent administration of amiodarone associated with this half-life, a modified equation for a continuous infusion was used to describe each subject's ASC versus time data."( Effect of phenytoin on the clinical pharmacokinetics of amiodarone.
Gear, K; Hoyer, GL; Karol, MD; Marcus, FI; Nolan, PE, 1990
)
0.28
"Phenobarbitone pretreatment has been shown to increase amiodarone total clearance and decrease amiodarone elimination half-life after a single intravenous amiodarone dose in the rat."( Effect of phenobarbitone on the pharmacokinetics and tissue levels of amiodarone in the rat.
Bernhard, R; Ferguson, RK; Fruncillo, RJ; Swanson, BN; Vlasses, PH, 1985
)
0.27
" Terminal half-life (t1/2 el) of amiodarone increased from a mean (SD) 24."( Amiodarone pharmacokinetics in coronary patients: differences between acute and one-month chronic dosing.
Cheymol, G; Coumel, P; Escoubet, B; Jaillon, P; Poirier, JM; Richard, MO,
)
0.13
" The administration of a single intravenous dose of amiodarone hydrochloride, 50 mg/kg, reduced antipyrine clearance by 32% and increased the half-life by 46%."( Effect of amiodarone and desethylamiodarone on the pharmacokinetics of antipyrine in the rat.
Knowlton, PW; Liu, LL; Svensson, CK, 1987
)
0.58
" The decline in amiodarone plasma concentration after a single intravenous 400 mg dose was described by a triexponential decay equation, with a mean terminal half-life (t1/2) of 34."( Pharmacokinetics and body distribution of amiodarone in man.
Maes, RA; Plomp, TA; Robles de Medina, EO; van Lier, T; van Rossum, JM, 1984
)
0.27
" In patients the terminal elimination half-life was on the order of 40 days, with a more rapid phase of elimination in the first few days following the withdrawal of therapy."( Amiodarone pharmacokinetics.
Holt, DW; Jackson, PR; Storey, GC; Tucker, GT, 1983
)
0.27
"Amiodarone is an increasingly popular and uniquely effective antiarrhythmic agent for which population pharmacokinetic parameters in patients receiving long-term oral therapy have not been defined previously."( Population pharmacokinetics of long-term oral amiodarone therapy.
Bouillon, T; Pollak, PT; Shafer, SL, 2000
)
0.31
" Rapid distribution half-life was 17 hours, and terminal half-life was 55 days."( Population pharmacokinetics of long-term oral amiodarone therapy.
Bouillon, T; Pollak, PT; Shafer, SL, 2000
)
0.31
" Evaluation of the safety of the combination is needed to confirm that the relatively small pharmacokinetic changes in this study are of no clinical significance."( A pharmacokinetic study of the combined administration of amiodarone and ximelagatran, an oral direct thrombin inhibitor.
Carlson, GF; Eriksson, UG; Gillette, S; Hamer, JE; Kowey, PR; Sarich, TC; Schützer, KM; Teng, R, 2004
)
0.32
" Amiodarone had a significantly lower (approximately 50%) clearance than DEA, although the volume of distribution and terminal phase half-life did not differ significantly."( Pharmacokinetics of desethylamiodarone in the rat after its administration as the preformed metabolite, and after administration of amiodarone.
Brocks, DR; Hamdy, DA; Shayeganpour, A, 2008
)
0.67
" The pharmacokinetic profile, blood pressure and electrocardiographic analyses were obtained on a timely basis after up to 77 days."( Pharmacokinetics of intravenous amiodarone and its electrocardiographic effects on healthy Japanese subjects.
Hagiwara, N; Irie, S; Kasanuki, H; Shiga, T; Tanaka, T, 2011
)
0.37
" Here, using amiodarone (AMIO) as an example, we demonstrate the use of physiologically based pharmacokinetic (PBPK) modeling to assess how a potential inhibitory metabolite can contribute to clinically significant DDIs."( Physiologically based pharmacokinetic modeling to predict drug-drug interactions involving inhibitory metabolite: a case study of amiodarone.
Chen, Y; Hop, CE; Mao, J, 2015
)
0.42
" The present study aimed to build a whole-body physiologically based pharmacokinetic (PBPK) model for AMD and DEA in rats."( A Physiologically Based Pharmacokinetic Model of Amiodarone and its Metabolite Desethylamiodarone in Rats: Pooled Analysis of Published Data.
Cai, Y; Chen, F; Hu, ZY; Jia, WW; Lu, JT; Zhao, YS, 2016
)
0.66
" The key pharmacokinetic properties of AMD, such as extensive tissue distribution, substantial storage in the fat tissue, and long half-lives in many tissues, were closely reflected."( A Physiologically Based Pharmacokinetic Model of Amiodarone and its Metabolite Desethylamiodarone in Rats: Pooled Analysis of Published Data.
Cai, Y; Chen, F; Hu, ZY; Jia, WW; Lu, JT; Zhao, YS, 2016
)
0.66
"Some population pharmacokinetic models for amiodarone (AMD) did not incorporate N-desethylamiodarone (DEA) concentration."( Population Pharmacokinetic Model of Amiodarone and N-Desethylamiodarone Focusing on Glucocorticoid and Inflammation.
Akai, N; Hanada, K; Hirai, T; Itoh, T; Iwamoto, T; Kasai, H; Takahashi, M; Uchida, S, 2022
)
1.2

Compound-Compound Interactions

ExcerptReferenceRelevance
"A rapid method for the quantification of amiodarone and desethylamiodarone in animal plasma using high-performance liquid chromatography combined with UV detection (HPLC-UV) is presented."( Determination of amiodarone and desethylamiodarone in horse plasma and urine by high-performance liquid chromatography combined with UV detection and electrospray ionization mass spectrometry.
Baert, K; Croubels, S; De Backer, P; De Clercq, D; Deprez, P; Maes, A; van Loon, G, 2006
)
0.86
"Evaluation of drug-drug interaction (DDI) involving circulating inhibitory metabolites of perpetrator drugs has recently drawn more attention from regulatory agencies and pharmaceutical companies."( Physiologically based pharmacokinetic modeling to predict drug-drug interactions involving inhibitory metabolite: a case study of amiodarone.
Chen, Y; Hop, CE; Mao, J, 2015
)
0.42

Bioavailability

ExcerptReferenceRelevance
" Assuming there were no changes in the bioavailability of amiodarone during continuous administration, these findings strongly suggest induction of amiodarone metabolism by phenytoin."( Effect of phenytoin on the clinical pharmacokinetics of amiodarone.
Gear, K; Hoyer, GL; Karol, MD; Marcus, FI; Nolan, PE, 1990
)
0.28
" The mean bioavailability of oral amiodarone ranged from 17% to 60% with an average of 39%."( Pharmacokinetics and body distribution of amiodarone and desethylamiodarone in rats after oral administration.
Maes, RA; Plomp, TA; Van Rossum, JM; Wiersinga, WM,
)
0.38
"The relative and absolute bioavailability of different oral forms of amiodarone was examined in 12 subjects."( Absolute bioavailability of amiodarone in normal subjects.
Berger, Y; Desager, JP; Harvengt, C; Pacco, M; Pourbaix, S, 1985
)
0.27
" The bioavailability of oral amiodarone was only 31 +/- 26%, in part due to first-pass metabolism."( Pharmacokinetics and body distribution of amiodarone in man.
Maes, RA; Plomp, TA; Robles de Medina, EO; van Lier, T; van Rossum, JM, 1984
)
0.27
"1 fold) than oral DEA and oral bioavailability of AM (46%) was greater than DEA (17%)."( Pharmacokinetics of desethylamiodarone in the rat after its administration as the preformed metabolite, and after administration of amiodarone.
Brocks, DR; Hamdy, DA; Shayeganpour, A, 2008
)
0.67

Dosage Studied

The defibrillation energy requirement does not correlate with the plasma concentrations of amiodarone, desethylamiodar one, or amiodrone plus desethylation. Desethylamodarone serum and tissue concentrations were substantially lower than the corresponding amiodArone concentrations.

ExcerptRelevanceReference
"Two intravenous amiodarone dosing schedules in 28 patients with atrial fibrillation arisen less than 10 days before, were evaluated."( [Amiodarone and its infusion velocity in recent-onset atrial fibrillation].
Bonino, ML; Ramus, GV; Tonda, L; Veglio, F, 1991
)
0.28
"A comparative study of the plasma disposition and tissue distribution of amiodarone and its proximate metabolite, desethylamiodarone, for a single oral dose and short-term oral dosage regimens was conducted in the dog."( Disposition of amiodarone and its proximate metabolite, desethylamiodarone, in the dog for oral administration of single-dose and short-term drug regimens.
Abdollah, H; Armstrong, PW; Brennan, FJ; Brien, JF; Jimmo, S,
)
0.59
" The tissue ultrastructural changes after repeated DEA dosing were qualitatively similar to our previous findings with amiodarone."( Amiodarone toxicity. II. Desethylamiodarone-induced phospholipidosis and ultrastructural changes during repeated administration in rats.
Guha, M; Kannan, R; Sarma, JS; Venkataraman, K, 1991
)
0.58
" The ultrastructural changes in liver, lung, and alveolar macrophages in saline controls and in rats on the two amiodarone dosage regimens were investigated."( Tissue drug accumulation and ultrastructural changes during amiodarone administration in rats.
Guha, M; Kannan, R; Sarma, JS; Venkataraman, K, 1989
)
0.28
" These data emphasize the highly variable cellular distribution of amiodarone and desethylamiodarone in the same patient on stable dosage over time."( Individual variability of amiodarone distribution in plasma and erythrocytes: implications for therapeutic monitoring.
Burgess, CD; Maling, TJ; Purdie, G; Siebers, RW; Taylor, C, 1989
)
0.5
" A standardized oral loading dosage was used for all patients (1,200 mg/day for 14 days; 800 mg/day for 7 days; and 400 mg/day thereafter)."( Electropharmacology of amiodarone therapy initiation. Time courses of onset of electrophysiologic and antiarrhythmic effects.
Duff, HJ; Gillis, AM; Mitchell, LB; Wyse, DG, 1989
)
0.28
"83 h for both dosages and the mean elimination half-life was 15 h after the 100 mg/kg dosage and 105 h after the 200 mg/kg dosage."( Pharmacokinetics and body distribution of amiodarone and desethylamiodarone in rats after oral administration.
Maes, RA; Plomp, TA; Van Rossum, JM; Wiersinga, WM,
)
0.38
" After one-month dosing apparent t1/2 el of desethylamiodarone increased to 29."( Amiodarone pharmacokinetics in coronary patients: differences between acute and one-month chronic dosing.
Cheymol, G; Coumel, P; Escoubet, B; Jaillon, P; Poirier, JM; Richard, MO,
)
0.39
" There was no significant correlation between serum amiodarone or desethylamiodarone levels and dosage of amiodarone."( Amiodarone efficacy in a young population: relationship to serum amiodarone and desethylamiodarone levels.
Garson, A; Kannan, R; McVey, P; Miller, S; Singh, BN; Yabek, SM, 1987
)
0.74
"Thirty-three patients treated with an abbreviated oral amiodarone loading regimen for ventricular tachycardia underwent electrophysiologic testing in the control state, after 1 week of high-dose (1170 +/- 88 mg/day) inpatient therapy; and after an 8-week intermediate (669 +/- 129 mg/day) dosing phase."( Dissociation of electrophysiologic and pharmacologic stability during an abbreviated oral loading regimen of amiodarone.
Batsford, WP; Bookbinder, MJ; Kennedy, EE; McPherson, CA; Perlmutter, RA; Rosenfeld, LF, 1987
)
0.27
"Thirty-eight patients with refractory supraventricular and ventricular tachyarrhythmias were administered a mean oral dosage of 400 mg amiodarone daily (200-600 mg)."( [Amiodarone therapy--behavior of serum and fatty tissue concentrations].
Bethge, KP; Bosse, K; Gonska, BD; Köbberling, J; Kreuzer, H; Quentin, CD; Wagner, H, 1986
)
0.27
" The absolute bioavailability of oral amiodarone was calculated by comparison of AUCs after oral dosing with those after intravenous injection."( Absolute bioavailability of amiodarone in normal subjects.
Berger, Y; Desager, JP; Harvengt, C; Pacco, M; Pourbaix, S, 1985
)
0.27
" Desethylamiodarone serum and tissue concentrations were substantially lower than the corresponding amiodarone concentrations and varied from 1 to 48% (mean 15%) depending on the dosage used and the kind of tissue."( Tissue distribution of amiodarone and desethylamiodarone in rats after multiple intraperitoneal administration of various amiodarone dosages.
Maes, RA; Plomp, TA; Wiersinga, WM, 1985
)
1.45
"In eight patients who had previously responded to treatment with oral amiodarone for prevention of recurrent supraventricular paroxysmal tachycardia, a new regimen of oral amiodarone dosing was evaluated."( Once per week oral administration of amiodarone in the prophylaxis of supraventricular paroxysmal tachycardia.
Furlanello, F; Inama, G; Padrini, R; Piovan, D, 1985
)
0.27
" The responsiveness was maintained with the smaller dosage of 200 mg in 68% of this group."( Multicenter controlled observation of a low-dose regimen of amiodarone for treatment of severe ventricular arrhythmias. Collaborative Group for Amiodarone Evaluation.
, 1984
)
0.27
" The dosage was 400 to 600 mg/d following a loading dosage of 1000 mg for 8 to 12 days."( [Control of anti-arrhythmia therapy with amiodarone. Value of the determination of blood levels].
Lüderitz, B; Nitsch, J, 1984
)
0.27
" Monitoring serum amiodarone concentrations may differentiate failure of drug therapy from suboptimal dosing and reduce the incidence of concentration-related side effects."( Steady-state serum amiodarone concentrations: relationships with antiarrhythmic efficacy and toxicity.
Belhassen, B; Greenspan, AM; Greenspon, AJ; Horowitz, LN; Rotmensch, HH; Shoshani, D; Spielman, SR; Swanson, BN; Vlasses, PH, 1984
)
0.27
" On the other hand digitalis administered according to age, sex, weight, kidney function, together with amiodarone, can be given at full dosage in patients without cardiac failure."( [Pharmacological and clinical research on the interaction of digitalis and amiodarone in heart disease patients with varying degrees of cardiac insufficiency].
Aquili, C; Ferrari, M; Fornaro, G; Fortina, A; Padrini, R; Piovan, D; Rossi, P; Tomassini, G, 1984
)
0.27
" Drug or metabolite concentrations in plasma and RBCs correlated directly with daily dosage of amiodarone."( Plasma and red blood cell concentrations of amiodarone during chronic therapy.
Heger, JJ; Prystowsky, EN; Solow, EB; Zipes, DP, 1984
)
0.27
"The concentrations of amiodarone (Cordarone) and desethylamiodarone in plasma after single oral and intravenous and long-term oral dosing were determined in seven normal subjects and 106 patients with various cardiac arrhythmias, respectively, using a high-performance liquid chromatographic method."( Pharmacokinetics and body distribution of amiodarone in man.
Maes, RA; Plomp, TA; Robles de Medina, EO; van Lier, T; van Rossum, JM, 1984
)
0.52
"The relationships between size of loading dose and drug concentration, size of maintenance dose and drug concentration, and pulmonary and cutaneous adverse side effects and drug dosage were examined in patients given amiodarone."( Relationships between amiodarone dosage, drug concentrations, and adverse side effects.
Heger, JJ; Prystowsky, EN; Zipes, DP, 1983
)
0.27
" The concentrations of all four drugs in the sample collected during life were consistent with the dosage given and in the range accepted for normal therapy."( Differences in amiodarone, digoxin, flecainide and sotalol concentrations between antemortem serum and femoral postmortem blood.
McCarthy, PT; O'Sullivan, JJ; Wren, C, 1995
)
0.29
"A 24 h intravenous dosing regimen of amiodarone was designed to reach a peak plasma concentration at 1 h and to maintain the concentration above a certain level during the infusion period."( Acute treatment of recent-onset atrial fibrillation and flutter with a tailored dosing regimen of intravenous amiodarone. A randomized, digoxin-controlled study.
Chang, MS; Chen, CY; Chiang, HT; Hou, ZY; Lin, SL; Tu, MS; Woosley, RL, 1995
)
0.29
" Thus, dosage adjustment in patients with renal impairment is not necessary based on this pharmacokinetic analysis."( Disposition of intravenous amiodarone in subjects with normal and impaired renal function.
Chow, MS; Izard, M; Klamerus, KJ; Neefe, DL; O'Rangers, E; Ujhelyi, MR; Vadiei, K; Zimmerman, JJ, 1996
)
0.29
" The heart rate, PQ, QR, QS, QT, RR intervals, and P,R,S, and T amplitudes were also measured after dosing using telemetry."( Effects of desethylamiodarone on the electrocardiogram in conscious freely moving animals: pharmacokinetic and pharmacodynamic modeling using computer-assisted radio telemetry.
Eddington, ND; Kharidia, J, 1996
)
0.68
" The defibrillation energy requirement does not correlate with the plasma concentrations of amiodarone, desethylamiodarone, amiodarone plus desethylamiodarone, or with the duration or daily dosage of amiodarone therapy."( Relation between amiodarone and desethylamiodarone plasma concentrations and ventricular defibrillation energy requirements.
Daoud, EG; Horwood, L; Man, KC; Morady, F; Strickberger, SA, 1997
)
0.79
"Amiodarone caused a dose-response increase in DFT (mean +/- SD) from 22."( Effects of amiodarone and its active metabolite desethylamiodarone on the ventricular defibrillation threshold.
Chen, BP; Chow, MS; Fan, C; Kluger, J; Zhou, L, 1998
)
0.56
" A practical dosing regimen of 1600 mg/d for 2 days, 1,200 mg/d for 5 days, 1,000 mg/d for 7 days, 800 mg/d for 7 days, 600 mg/d for 7 days, and 400 mg/d for 62 days followed by a maintenance dose of 343 mg/d (400 mg/d for 6 of 7 days) is proposed."( Population pharmacokinetics of long-term oral amiodarone therapy.
Bouillon, T; Pollak, PT; Shafer, SL, 2000
)
0.31
" However, based on the estimated variability, the proposed dosing regimen would produce steady-state concentrations within the therapeutic window for 90% of patients."( Population pharmacokinetics of long-term oral amiodarone therapy.
Bouillon, T; Pollak, PT; Shafer, SL, 2000
)
0.31
"To achieve similar concentrations, an approximately 3-fold increase in dosage of amiodarone was required when patients were given the drug nasogastrically rather than orally."( Serum amiodarone and desethylamiodarone concentrations following nasogastric versus oral administration.
Goto, T; Kamakura, S; Komamura, K; Kotake, T; Morishita, H; Takada, M, 2006
)
0.65
" Venous blood samples were taken periodically during the first 72 hours after dosing to determine standard pharmacokinetic parameters."( Comparative bioavailability of a premixed, ready-to-use formulation of intravenous amiodarone with traditional admixture in healthy subjects.
Adams, MP; Agha, B; Cooper, WD; Cushing, DJ; Souney, PF, 2012
)
0.38
" Model simulations were in good agreement with the observed time courses of the drug-metabolite pair in tissues, under various dosing scenarios."( A Physiologically Based Pharmacokinetic Model of Amiodarone and its Metabolite Desethylamiodarone in Rats: Pooled Analysis of Published Data.
Cai, Y; Chen, F; Hu, ZY; Jia, WW; Lu, JT; Zhao, YS, 2016
)
0.66
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Drug Classes (1)

ClassDescription
aromatic ketoneA ketone in which the carbonyl group is attached to an aromatic ring.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Protein Targets (4)

Inhibition Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
ATP-dependent translocase ABCB1Homo sapiens (human)IC50 (µMol)20.30000.00022.318510.0000AID679131; AID679132
Thyroid hormone receptor betaRattus norvegicus (Norway rat)IC50 (µMol)27.00000.00020.00830.0350AID1797808
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Activation Measurements

ProteinTaxonomyMeasurementAverageMin (ref.)Avg (ref.)Max (ref.)Bioassay(s)
Trace amine-associated receptor 1Rattus norvegicus (Norway rat)EC50 (µMol)0.03300.01390.42632.0440AID409815
[prepared from compound, protein, and bioassay information from National Library of Medicine (NLM), extracted Dec-2023]

Biological Processes (25)

Processvia Protein(s)Taxonomy
positive regulation of thyroid hormone mediated signaling pathwayThyroid hormone receptor alphaGallus gallus (chicken)
negative regulation of RNA polymerase II transcription preinitiation complex assemblyThyroid hormone receptor alphaGallus gallus (chicken)
mRNA transcription by RNA polymerase IIThyroid hormone receptor alphaGallus gallus (chicken)
positive regulation of transcription by RNA polymerase IIThyroid hormone receptor alphaGallus gallus (chicken)
cell differentiationThyroid hormone receptor alphaGallus gallus (chicken)
retinoic acid receptor signaling pathwayThyroid hormone receptor alphaGallus gallus (chicken)
negative regulation of transcription by RNA polymerase IIThyroid hormone receptor alphaGallus gallus (chicken)
thyroid hormone mediated signaling pathwayThyroid hormone receptor alphaGallus gallus (chicken)
G2/M transition of mitotic cell cycleATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic metabolic processATP-dependent translocase ABCB1Homo sapiens (human)
response to xenobiotic stimulusATP-dependent translocase ABCB1Homo sapiens (human)
phospholipid translocationATP-dependent translocase ABCB1Homo sapiens (human)
terpenoid transportATP-dependent translocase ABCB1Homo sapiens (human)
regulation of response to osmotic stressATP-dependent translocase ABCB1Homo sapiens (human)
transmembrane transportATP-dependent translocase ABCB1Homo sapiens (human)
transepithelial transportATP-dependent translocase ABCB1Homo sapiens (human)
stem cell proliferationATP-dependent translocase ABCB1Homo sapiens (human)
ceramide translocationATP-dependent translocase ABCB1Homo sapiens (human)
export across plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
transport across blood-brain barrierATP-dependent translocase ABCB1Homo sapiens (human)
positive regulation of anion channel activityATP-dependent translocase ABCB1Homo sapiens (human)
carboxylic acid transmembrane transportATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic detoxification by transmembrane export across the plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic transport across blood-brain barrierATP-dependent translocase ABCB1Homo sapiens (human)
regulation of chloride transportATP-dependent translocase ABCB1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Molecular Functions (21)

Processvia Protein(s)Taxonomy
nuclear receptor activityThyroid hormone receptor alphaGallus gallus (chicken)
protein bindingThyroid hormone receptor alphaGallus gallus (chicken)
zinc ion bindingThyroid hormone receptor alphaGallus gallus (chicken)
TBP-class protein bindingThyroid hormone receptor alphaGallus gallus (chicken)
protein domain specific bindingThyroid hormone receptor alphaGallus gallus (chicken)
thyroid hormone bindingThyroid hormone receptor alphaGallus gallus (chicken)
sequence-specific double-stranded DNA bindingThyroid hormone receptor alphaGallus gallus (chicken)
RNA polymerase II cis-regulatory region sequence-specific DNA bindingThyroid hormone receptor alphaGallus gallus (chicken)
protein bindingATP-dependent translocase ABCB1Homo sapiens (human)
ATP bindingATP-dependent translocase ABCB1Homo sapiens (human)
ABC-type xenobiotic transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
efflux transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
ATP hydrolysis activityATP-dependent translocase ABCB1Homo sapiens (human)
transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
ubiquitin protein ligase bindingATP-dependent translocase ABCB1Homo sapiens (human)
ATPase-coupled transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
xenobiotic transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
carboxylic acid transmembrane transporter activityATP-dependent translocase ABCB1Homo sapiens (human)
phosphatidylcholine floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
phosphatidylethanolamine flippase activityATP-dependent translocase ABCB1Homo sapiens (human)
ceramide floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
floppase activityATP-dependent translocase ABCB1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Ceullar Components (10)

Processvia Protein(s)Taxonomy
nucleusThyroid hormone receptor alphaGallus gallus (chicken)
cytosolThyroid hormone receptor alphaGallus gallus (chicken)
RNA polymerase II transcription regulator complexThyroid hormone receptor alphaGallus gallus (chicken)
nucleusThyroid hormone receptor alphaGallus gallus (chicken)
cytoplasmATP-dependent translocase ABCB1Homo sapiens (human)
plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
cell surfaceATP-dependent translocase ABCB1Homo sapiens (human)
membraneATP-dependent translocase ABCB1Homo sapiens (human)
apical plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
extracellular exosomeATP-dependent translocase ABCB1Homo sapiens (human)
external side of apical plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
plasma membraneATP-dependent translocase ABCB1Homo sapiens (human)
[Information is prepared from geneontology information from the June-17-2024 release]

Bioassays (15)

Assay IDTitleYearJournalArticle
AID1797808TRbeta-Binding Assay from Article 10.1210/endo.137.7.8770901: \\Structure-function relationship of the inhibition of the 3,5,3'-triiodothyronine binding to the alpha1- and beta1-thyroid hormone receptor by amiodarone analogs.\\1996Endocrinology, Jul, Volume: 137, Issue:7
Structure-function relationship of the inhibition of the 3,5,3'-triiodothyronine binding to the alpha1- and beta1-thyroid hormone receptor by amiodarone analogs.
AID1797807TRalpha-Binding Assay. from Article 10.1210/endo.137.7.8770901: \\Structure-function relationship of the inhibition of the 3,5,3'-triiodothyronine binding to the alpha1- and beta1-thyroid hormone receptor by amiodarone analogs.\\1996Endocrinology, Jul, Volume: 137, Issue:7
Structure-function relationship of the inhibition of the 3,5,3'-triiodothyronine binding to the alpha1- and beta1-thyroid hormone receptor by amiodarone analogs.
AID1217052Drug level in human liver microsomes assessed as compound formation treated with 50 uM amiodarone for 60 mins by UPLC-Q/TOF mass spectrometry in presence of NADPH2011Drug metabolism and disposition: the biological fate of chemicals, Jun, Volume: 39, Issue:6
Identification of amiodarone metabolites in human bile by ultraperformance liquid chromatography/quadrupole time-of-flight mass spectrometry.
AID445746Effect on calcium mobilization in CHO cells stably expressing Galpha16 at 10 uM relative to beta-phenethylamine2009Bioorganic & medicinal chemistry letters, Oct-15, Volume: 19, Issue:20
Amiodarone and its putative metabolites fail to activate wild type hTAAR1.
AID445741Activation of human TAAR1 expressed in CHOK1 cells coexpressing Galpha16 assessed as calcium accumulation at 0.1 to 1 uM relative to beta-phenethylamine2009Bioorganic & medicinal chemistry letters, Oct-15, Volume: 19, Issue:20
Amiodarone and its putative metabolites fail to activate wild type hTAAR1.
AID1217046Retention time of the compound by UPLC-Q/TOF mass spectrometry2011Drug metabolism and disposition: the biological fate of chemicals, Jun, Volume: 39, Issue:6
Identification of amiodarone metabolites in human bile by ultraperformance liquid chromatography/quadrupole time-of-flight mass spectrometry.
AID679131TP_TRANSPORTER: inhibition of Digoxin transepithelial transport (basal to apical) (Digoxin: 0.025 uM) in MDR1-expressing LLC-PK1 cells2001European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, Feb, Volume: 12, Issue:4
Inhibitory effects of CYP3A4 substrates and their metabolites on P-glycoprotein-mediated transport.
AID679132TP_TRANSPORTER: inhibition of Daunorubicin transepithelial transport (basal to apical) (Daunorubicin: 0.035 uM) in MDR1-expressing LLC-PK1 cells2001European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences, Feb, Volume: 12, Issue:4
Inhibitory effects of CYP3A4 substrates and their metabolites on P-glycoprotein-mediated transport.
AID445740Activation of human TAAR1 expressed in CHOK1 cells assessed as cAMP accumulation at 0.1 to 1 uM2009Bioorganic & medicinal chemistry letters, Oct-15, Volume: 19, Issue:20
Amiodarone and its putative metabolites fail to activate wild type hTAAR1.
AID1217061Drug level in human liver S9 fraction assessed as compound formation treated with 50 uM amiodarone for 60 mins by UPLC-Q/TOF mass spectrometry in presence of NADPH2011Drug metabolism and disposition: the biological fate of chemicals, Jun, Volume: 39, Issue:6
Identification of amiodarone metabolites in human bile by ultraperformance liquid chromatography/quadrupole time-of-flight mass spectrometry.
AID1217045Drug level in arrhythmia patient bile treated with amiodarone at 200 mg/day, po for 7 days by UPLC-Q/TOF mass spectrometry2011Drug metabolism and disposition: the biological fate of chemicals, Jun, Volume: 39, Issue:6
Identification of amiodarone metabolites in human bile by ultraperformance liquid chromatography/quadrupole time-of-flight mass spectrometry.
AID445744Activation of human TAAR1 expressed in CHOK1 cells coexpressing Galpha16 assessed as calcium accumulation at 10 uM relative to beta-phenethylamine2009Bioorganic & medicinal chemistry letters, Oct-15, Volume: 19, Issue:20
Amiodarone and its putative metabolites fail to activate wild type hTAAR1.
AID409814Antagonist activity at rat TAAR1 expressed in HEK293 cells assessed as intracellular cAMP level at 10 uM after 1 hr2008Bioorganic & medicinal chemistry letters, Nov-15, Volume: 18, Issue:22
Trace amine-associated receptor 1 (TAAR1) is activated by amiodarone metabolites.
AID1217031Drug level in human liver S9 fraction assessed as compound formation treated with 50 uM amiodarone for 60 mins by LC-UV analysis in presence of NADPH2011Drug metabolism and disposition: the biological fate of chemicals, Jun, Volume: 39, Issue:6
Identification of amiodarone metabolites in human bile by ultraperformance liquid chromatography/quadrupole time-of-flight mass spectrometry.
AID409815Antagonist activity at rat TAAR1 expressed in HEK293 cells assessed as intracellular cAMP level2008Bioorganic & medicinal chemistry letters, Nov-15, Volume: 18, Issue:22
Trace amine-associated receptor 1 (TAAR1) is activated by amiodarone metabolites.
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (292)

TimeframeStudies, This Drug (%)All Drugs %
pre-1990117 (40.07)18.7374
1990's82 (28.08)18.2507
2000's56 (19.18)29.6817
2010's29 (9.93)24.3611
2020's8 (2.74)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 29.57

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index29.57 (24.57)
Research Supply Index5.80 (2.92)
Research Growth Index4.32 (4.65)
Search Engine Demand Index42.09 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (29.57)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials16 (5.11%)5.53%
Reviews4 (1.28%)6.00%
Case Studies11 (3.51%)4.05%
Observational1 (0.32%)0.25%
Other281 (89.78%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]