J5C

Oxymetazoline

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is present as a standalone ligand in 2 entries

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Chemical Component Summary
Name	Oxymetazoline
Identifiers	6-~{tert}-butyl-3-(4,5-dihydro-1~{H}-imidazol-2-ylmethyl)-2,4-dimethyl-phenol
Formula	C₁₆ H₂₄ N₂ O
Molecular Weight	260.375
Type	NON-POLYMER
Isomeric SMILES	Cc1cc(c(c(c1CC2=NCCN2)C)O)C(C)(C)C
InChI	InChI=1S/C16H24N2O/c1-10-8-13(16(3,4)5)15(19)11(2)12(10)9-14-17-6-7-18-14/h8,19H,6-7,9H2,1-5H3,(H,17,18)
InChIKey	WYWIFABBXFUGLM-UHFFFAOYSA-N

Chemical Details
Formal Charge	0
Atom Count	43
Chiral Atom Count	0
Bond Count	44
Aromatic Bond Count	6

Drug Info: DrugBank

DrugBank ID	DB00935
Name	Oxymetazoline
Groups	approved investigational
Description	Oxymetazoline is an imidazole derivative and a potent, direct-acting alpha (α)-adrenergic agonist with affinity to both α<sub>1</sub>- and α<sub>2</sub>-adrenoceptors.[A215542] Oxymetazoline is available in various formulations with a wide variety of clinical implications. The topical formulation of the drug is used to treat persistent facial redness in adults.[L15062] As an effective decongestant, oxymetazoline is available in over-the-counter intranasal sprays used to relieve nasal and sinus congestion caused by a wide variety of conditions, such as common cold, hay fever, and upper respiratory allergies.[A215587, L15092] In dentistry, oxymetazoline and tetracaine combination intranasal spray (Kovanaze) is used for regional anesthesia during dental procedures in children and adults.[L15057] In July 2020, the FDA approved the use of an ophthalmic formulation of oxymetazoline (Upneeq) in adults with acquired blepharoptosis, or ptosis, making it the first FDA-approved medical treatment for this medical condition.[L15042, L15067]
Synonyms	Oxymetazoline hydrochloride 6-tert-butyl-3-(2-imidazolin-2-ylmethyl)-2,4-dimethylphenol Oximetazolinum Oxymethazoline 2-(4-tert-butyl-2,6-dimethyl-3-hydroxybenzyl)-2-imidazoline 6-t-butyl-3-(2-imidazolin-2-ylmethyl)-2,4-dimethylphenol Oxymetazoline Oxymetozoline 3-[(4,5-dihydro-1H-imidazol-2-yl)methyl]-6-(1,1-dimethylethyl)-2,4-dimethylphenol Oxymetazolina Oxymetazolinum Oxymétazoline
Brand Names	Drixoral No Drip Cooling Menthol Equate Nasal Original No Drip Nasal Mist 7 Select Original Nasal Family Wellness Oxymetazoline Sinus Severe DG Health Nasal Mucinex Sinus-action Congestion & Sinus Nasal Spray Quality Choice CareOne Severe Congestion Nasal Up and Up nasal Exchange Select Nasal No Drip Original Visine L.R. Ophthalmic Sol 0.025% Severe Congestion Nasal no drip Walgreens Nasal Decongestant Extra Moisturizing Oxymetazoline Hydrochloride Nasal Spray 0.05% Anefrin Nasal Extra Moisturizing Tukol Max Action CVS Health Walgreens 12-Hour Sinus Relief Sinex Original Ultra Fine Mist CVS Severe Nasal Congestion Relief Clear and Cool Ultra Fine Mist Premier Value Care One Nasal Extra Moisturizing Maximum Strenth Nasal Afrin Cold Mucinex Sinus-Max Full Force Clear Time Nasal Relief Ocuclear Oph Dps 0.025% Rexall Sinus Nasal Pump Mist Walgreens Extra Moisturizing Anefrin Nasal Vicks Sinex SEVERE MOISTURIZING ULTRA FINE MIST Mucinex Full Force Sinus relief Equate Nasal Nasal Mist Walgreens Smart Sense Nasal Original SinuFrin Plus NeilMed Original No Drip Nasal Walgreens Mucinex Sinus-Max Pressure, Pain and Cough and Mucinex Sinus-Max Severe Congestion Relief Clear and Cool Care One Nasal FormuCare Nasal Original Healthy Accents Nasal Original Long Lasting Nasal Mist Shopko Severe Congestion Nasal Nasal Decongestant Extra Moisturizing Premier Value Discount drug mart Extra Moisturizing Afrin Original Pump Mist Drixoral Nasal Congestion Max Str.Nasal Relief Severe Congestion Smart Sense pump mist WinCo Foods Original Nasal Drixoral No Drip Nasal Congestion Afrin Original Nasal Up and Up Nasal Extra Moisturizing DG Health Clear Time Drixoral Decongestant Nasal Spray Sunmark Nasal Health Mart Nasal Afrin No Drip Severe Congestion Discount Drug Mart Original Nasal Leader Original Nasal Decongestant Nasal Mist Long Lasting Nasal Decongestant Premier Value Major Nasal Relief 12-Hour Sinex Moisturizing Ultra Fine Mist Nasal Mist CVS CVS Health Nasal Mist Afrin No Drip Night Chamomile Healthy Accents Nasal Original 12 Hour Original Nasal Decongestant Rx Act Nasal Original Topcare Sinus Nasal Zicam Congestion Relief Basic Care Nasal Leader Nasal Claritin Allergy Decongestant Zicam Sinus Relief Sound Body 12 Hour Nasal Original Severe Nasal WinCo Foods Extra Moisturizing Nasal Relief Publix Severe Sinus Relief Mist Up and up nasal Vicks Sinex 12 Hour Decongestant Ultra Fine Mist Moisturizing Drixoral No Drip With Calming Chamomile Zicam Intense Sinus Relief TOPCARE No Drip Extra Moisturizing Sinufrin Plus Extra Moisturizing No Drip Nasal Walgreens Ultra Fine Mist Sinus Relief Meijer Original No Drip Anefrin Nasal Smart Sense Nasal Extra Moisturizing Berkley and Jensen Nasal Nasal Decongestant Otrivin Medicated Sinus Rx Act Nasal Extra Moisturizing Afrin No Drip Extra Moisturizing Nostrilla Aesb - Oxymetazoline Hydrochloride Nasal Solution USP, 0.025% Basic Care No Drip Nasal Mucinex Sinus-Max Moisture Smart Vicks Sinex Severe No Drip Long Lasting Dristan Mentholated Nasal Spray MUCINEX SINUS-MAX SEVERE CONGESTION RELIEF SINUS and ALLERGY ShopRite Nasal Afrin No Drip Original Pump Mist Best Choice Topcare Sinus Relief Vicks Sinex 12 Hour Ultra Fine Mist Vicks Sinex Severe Original Assured Nasal Relief Original Ydyb - Oxymetazoline Hydrochloride Nasal Solution USP, 0.025% Afrin Sinus Breaze Nasal Sinus Colds and Allergies Sbeb - Oxymetazoline Hydrochloride Nasal Solution USP, 0.05% Zicam Dg Health Sinus Relief Nasal Congestion Spray Original No Drip Nasal BEST CHOICE No Drip Vicks Sinex 12 Hour Decongestant Ultra Fine Mist Cleartime Shopko Extra Moisturizing Nasal Good Sense Nasal Family Dollar Good Neighbor Pharmacy Nasal Extra Moisturizing Quality Choice Nasal Care One Nasal Original Visine Workplace Sudafed OM Vicks Sinex Severe VapoCOOL Ultra Fine Mist 12 Hour Anefrin Nasal Nasal D Sinex Complete Todays Health Nasal Relief Original Topcare Sinus Severe Leader Severe Congestion Nasal MUCINEX Childrens Stuffy Nose Vicks Sinex 12 Hour Decongestant Long Lasting Decongestant Nasal Spray Children Afrin No Drip Extra Moisturizing Stuffy Nose Pump Mist Stuffy Nose Pump Mist Best Choice Ultra Fine Mist Vicks Sinex Scent Free Publix Maximum Strength Giltuss Severe Sinus Nasal Extra Moisturizing Decongestant Nasal Nasal 12 Hour AVON HeXashield Congestion Relief Original Good Neighbor Pharmacy Nasal DG health sinus severe Publix Extra Moisturizing Severe Anefrin Smart Sense Nasal Vicks Sinex VapoSpray Oxymetazoline Hydrochloride Best Choice Maximum Strength CVS Health No Drip Rhinase D Gel Moisturizing Nasal Decongestant Afrin Severe Congestion Nafrine Pediatric Nasal Spray/drops 0.025% Equate Walgreens Original Anefrin Nasal Mucinex Sinus-action Moisture Smart Nasal Spray No Drip Severe Nasal Mist Extra Moisturizing Nasal Pump Mist Anti Drip n-Drops NASAL DECONGESTANT Mucinex Moisture Smart Clirol Nasal Spray No More Nosebleed Oxymetazoline HCl Vicks Sinex 12 Hour Afrin Original Maximum Strength Nasal Decongestant Drixoral No Drip Original Unscented Anefrin Nasal Original Mucinex Nasal Moisture Smart Preferred Plus 12 Hour Nasal Extra Moisturizing Preferred Plus Nasal No Drip Nasal Mist Original Todays Health Sinus Nasal Relief Oxymetazoline Hydrochloride 12-Hour Sinex Scent Free Ultra Fine Mist Assured Severe Congestion Nasal Relief 12 Hour Nasal Circle K Congestion Relief Topcare Nasal Nasal decongestant Rexall Nasal Dg Health Nasal Original No Drip Nasal Mist Nasal Decongestant Severe Congestion Oxymethazoline HCL Nasal Original Unscented Nasal Spray Family Care Nasal Relief Walgreens Anefrin Severe Congestion Nasal Assured Nasal Relief Sinufrin Sunmark no drip No Drip Severe Congestion Premier Value Discount Drug Mart Severe Nasal Zicam Extreme Congestion Relief Marc Glassman Maximum Strength ORIGINAL Nasal PUMP MIST No Drip Quality Choice Maximum Strength Todays Health Nasal Relief Extra Moisturizing Drixoral No Drip Extra Moisturizing Dg Health Nasal Severe Congestion Nasal Anti-Drip Nasal Decongestant CVS Health Sinus Extra Moisturizing Nasal Spray Upneeq Vicks Sinex 12 Hour Nasal Decongestant Ultra Fine Mist Moisturizing Sunmark Nasal Original Discount Drug Mart Maximum Strength Nasal Quality Choice Nasal Maximum Strength Otrivin Medicated No Drip Foster and Thrive Nasal CVS Health Sinus Relief Visine L.R. Nasal Decongestant Sinus Premier Value Afrin No-Drip Allergy Sinus Nasal Mist Equaline Nasal Sinus Relief Shopko Original Nasal Best Choice Allergy Sinus Quality Choice Nasal Original Rhofade Signature Care Nasal Decongestant equate Nasal Decongestant super-fine moisturizing mist Sound Body Nasal Afrin No Drip Sinus Pump Mist Nasal Relief Rite Aid Claritin Eye Allergy Relief Drixoral No Drip Nasal Congestion With Menthol Rx Act Nasal Sinus Being Well Nasal 12 Hour Leader Extra Moisturizing Nasal No Drip Premier Value EQUALINE Oxymetazoline HCl Nasal Decongestant No Drip Oxymetazoline Hydrochloride Nasal Spray 0.05% With Moisturizers CVS Health Ultra Fine Mist Nasal Sinus Cooling Menthol Nasal Spray SinuFrin NeilMed WinCo Foods Severe Congestion Nasal Relief Afrin NoDrip Allergy Sinus Night Dristan 12 Hr No Drip Topcare Clear Time Vicks Sinex 12 Hour Decongestant Nasal Extra Moisturizing Children Afrin Extra Moisturizing Stuffy Nose Pump Mist Stuffy Nose Pump Mist 7 Select Nasal Congestion Relief Lil Drug Store Products Discount Drug Mart Severe Congestion Nasal Nasal D Original Nasal Original Kroger No Drip CVS Original Nasal Mist Breaze Nasal Moisturizing Kovanaze Nasal Decongestant Original Afrin Allergy Sinus Nasal Care One Nasal Sinus Preferred Plus 12 Hour Nasal Original Vicks QlearQuil 12 Hour Decongestant Moisturizing 12 Hour Nasal Decongestant Extra Moisturizing Walgreen OXYMETAZOLINE HCl MUCINEX SINUS-MAX SEVERE NASAL CONGESTION RELIEF CLEAR and COOL NASAL Vicks Sinex Decongestant Nasal Spray 0.05% HEB Nasal decongestant No Drip Extra Moisturizing Xlear Nasal Decongestant Nasalub Nasal Relief Smart Sense sinus relief Dristan 12 hr Smart Sense Pump Mist Afrin Long Lasting Dristan Nasal Mist
Indication	Oxymetazoline is indicated for the topical treatment of persistent facial erythema associated with rosacea in adults.[L15062] Ophthalmic oxymetazoline is indicated for the treatment of acquired blepharoptosis in adults.[L15067] When used in combination with tetracaine intranasally, oxymetazoline is indicated for regional anesthesia when performing a restorative procedure on Teeth 4-13 and A-J in adults and children who weigh 40 kg or more.[L15057] Oxymetazoline can be found in over-the-counter nasal products as a nasal decongestant.[L15092] For off-label uses, oxymetazoline has been used during nasal intubation and during ear, nose, and throat surgery to improve visualization of the airway and to minimize post-operative bleeding.[A215542]
Categories	Adrenergic Agents Adrenergic Agonists Adrenergic alpha-1 Receptor Agonists Adrenergic alpha-2 Receptor Agonists Adrenergic alpha-Agonists Agents producing tachycardia Agents that produce hypertension Autonomic Agents Cardiovascular Agents Cytochrome P-450 CYP2C19 Substrates Cytochrome P-450 Substrates Decongestants and Antiallergics Dermatologicals Imidazoles Increased Sympathetic Activity Nasal Decongestants Nasal Preparations Neurotransmitter Agents Ophthalmologicals Peripheral Nervous System Agents Respiratory System Agents Sensory Organs Sympathomimetics Sympathomimetics Used as Decongestants Sympathomimetics, Plain UGT1A9 Substrates Vasoconstriction Vasoconstrictor Agents
ATC-Code	S01GA04 D11AX27 R01AB07 R01AA05
CAS number	1491-59-4

Drug Targets

Name	Target Sequence	Pharmacological Action	Actions
Alpha-1A adrenergic receptor	MVFLSGNASDSSNCTQPPAPVNISKAILLGVILGGLILFGVLGNILVILS...	unknown	partial agonist
Alpha-2A adrenergic receptor	MGSLQPDAGNASWNGTEAPGGGARATPYSLQVTLTLVCLAGLLMLLTVFG...	unknown	agonist,partial agonist
Alpha-2B adrenergic receptor	MDHQDPYSVQATAAIAAAITFLILFTIFGNALVILAVLTSRSLRAPQNLF...	unknown	agonist
Alpha-2C adrenergic receptor	MASPALAAALAVAAAAGPNASGAGERGSGGVANASGASWGPPRGQYSAGA...	unknown	agonist
Alpha-1B adrenergic receptor	MNPDLDTGHNTSAPAHWGELKNANFTGPNQTSSNSTLPQLDITRAISVGL...	unknown	agonist
Alpha-1D adrenergic receptor	MTFRDLLSVSFEGPRPDSSAGGSSAGGGGGSAGGAAPSEGPAVGGVPGGA...	unknown	agonist
5-hydroxytryptamine receptor 1A	MDVLSPGQGNNTTSPPAPFETGGNTTGISDVTVSYQVITSLLLGTLIFCA...	unknown	agonist
5-hydroxytryptamine receptor 1B	MEEPGAQCAPPPPAGSETWVPQANLSSAPSQNCSAKDYIYQDSISLPWKV...	unknown	agonist
5-hydroxytryptamine receptor 1D	MSPLNQSAEGLPQEASNRSLNATETSEAWDPRTLQALKISLAVVLSVITL...	unknown	agonist
5-hydroxytryptamine receptor 1C	MVNLGNAVRSLLMHLIGLLVWQFDISISPVAAIVTDTFNSSDGGRLFQFP...	unknown	partial agonist
UDP-glucuronosyltransferase 1-9	MACTGWTSPLPLCVCLLLTCGFAEAGKLLVVPMDGSHWFTMRSVVEKLIL...	unknown	substrate
Cytochrome P450 2C19	MDPFVVLVLCLSCLLLLSIWRQSSGRGKLPPGPTPLPVIGNILQIDIKDV...	unknown	substrate
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Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS. Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682