Trimetazidine dihydrochlorideProduct ingredient for Trimetazidine

Name
Trimetazidine dihydrochloride
Drug Entry
Trimetazidine

Trimetazidine is a piperazine derivative indicated for the symptomatic treatment of stable angina pectoris in patients inadequately controlled or intolerant to first line therapies.9 Trimetazidine has been studied as a treatment for angina pectoris since the late 1960s.7,8

Acidic conditions, caused by anaerobic metabolism and fatty acid oxidation, in response to myocardial ischemia, activate sodium-hydrogen and sodium-calcium antiport systems.5 The increased intracellular calcium decreases contractility.5 It is hypothesized that trimetazidine inhibits 3-ketoacyl coenzyme A thiolase, which decreases fatty acid oxidation but not glucose metabolism, preventing the acidic conditions that exacerbate ischemic injury.1,10 However, evidence for this mechanism is controversial.5

Trimetazidine is not FDA approved. However, it has been approved in France since 1978.10

Accession Number
DBSALT001114  (DBSALT001115)
Structure
Synonyms
Trimetazidine diHCl / Trimetazidine HCl / Trimetazidine hydrochloride
UNII
48V6723Z1P
CAS Number
13171-25-0
Weight
Average: 339.26
Monoisotopic: 338.116398
Chemical Formula
C14H24Cl2N2O3
InChI Key
VYFLPFGUVGMBEP-UHFFFAOYSA-N
InChI
InChI=1S/C14H22N2O3.2ClH/c1-17-12-5-4-11(13(18-2)14(12)19-3)10-16-8-6-15-7-9-16;;/h4-5,15H,6-10H2,1-3H3;2*1H
IUPAC Name
1-[(2,3,4-trimethoxyphenyl)methyl]piperazine dihydrochloride
SMILES
Cl.Cl.COC1=C(OC)C(OC)=C(CN2CCNCC2)C=C1
ChemSpider
75067
ChEBI
32262
ChEMBL
CHEMBL3561076
Predicted Properties
PropertyValueSource
Water Solubility0.754 mg/mLALOGPS
logP0.85ALOGPS
logP0.91Chemaxon
logS-2.6ALOGPS
pKa (Strongest Basic)9.21Chemaxon
Physiological Charge1Chemaxon
Hydrogen Acceptor Count5Chemaxon
Hydrogen Donor Count1Chemaxon
Polar Surface Area42.96 Å2Chemaxon
Rotatable Bond Count5Chemaxon
Refractivity74.75 m3·mol-1Chemaxon
Polarizability29.15 Å3Chemaxon
Number of Rings2Chemaxon
Bioavailability1Chemaxon
Rule of FiveYesChemaxon
Ghose FilterYesChemaxon
Veber's RuleNoChemaxon
MDDR-like RuleNoChemaxon