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allopregnanolone

Structure via PubChem · Public domain (PubChem)

EntityQ2482223· pop 24· linked from 1,917 articles

allopregnanolone

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Also known as brexanolone

Allopregnanolone is a naturally occurring neurosteroid which is made in the body from the hormone progesterone. As a medication, allopregnanolone was referred to as brexanolone, sold under the brand name Zulresso, and was used to treat postpartum depression. It was given by injection into a vein.

Key facts

Drug.image
Allopregnanolone.svg
Drug.image_class
skin-invert-image
Drug.width
225
Drug.alt
Skeletal formula of allopregnanolone
Drug.image2
Allopregnanolone-3D-balls.png
Drug.image_class2
bg-transparent
Drug.width2
225
Drug.alt2
Ball-and-stick model of the allopregnanolone molecule
Drug.USAN
brexanolone
Drug.tradename
Zulresso
Drug.MedlinePlus
a619037
Drug.DailyMedID
Brexanolone
Drug.licence_US
Zulresso
Drug.routes_of_administration
Intravenous
Drug.class
Neurosteroids; Antidepressants
Drug.ATC_prefix
N06
Drug.ATC_suffix
AX29
Drug.legal_US
Schedule IV

via Wikipedia infobox

Chemical data

Formula
C21H34O2
Molecular weight
318.5 g/mol
IUPAC name
1-[(3R,5S,8R,9S,10S,13S,14S,17S)-3-hydroxy-10,13-dimethyl-2,3,4,5,6,7,8,9,11,12,14,15,16,17-tetradecahydro-1H-cyclopenta[a]phenanthren-17-yl]ethanone
SMILES
CC(=O)[C@H]1CC[C@@H]2[C@@]1(CC[C@H]3[C@H]2CC[C@@H]4[C@@]3(CC[C@H](C4)O)C)C
InChIKey
AURFZBICLPNKBZ-SYBPFIFISA-N
XLogP
4.9
Polar surface area
37.3 Ų
H-bond donors
1
H-bond acceptors
2
Formal charge
0

via PubChem

Drug data · ChEMBL

Molecule type
Small molecule

via ChEMBL · EBI

Wikidata facts

Mass
318.255880328
Show 7 more facts
chemical formula
C₂₁H₃₄O₂
isomeric SMILES
CC(=O)[C@H]1CC[C@@H]2[C@@]1(CC[C@H]3[C@H]2CC[C@@H]4[C@@]3(CC[C@H](C4)O)C)C
found in taxon
Homo sapiens
canonical SMILES
O=C(C)C1CCC2C3CCC4CC(O)CCC4(C)C3CCC12C
Commons category
Allopregnanolone
stereoisomer of
pregnanolone
legal status (medicine)
boxed warning
Sources (8)

via Wikidata · CC0

~16 min read

Encyclopedic overview

23 sections
Contents
  • Medical uses
  • Clinical efficacy
  • Side effects
  • Biological function
  • Mechanism of action
  • Molecular interactions
  • Biphasic actions at the GABA<sub>A</sub> receptor
  • Antidepressant effects
  • Pharmacology
  • Pharmacokinetics
  • Chemistry
  • Biosynthesis
  • Derivatives
  • History
  • Society and culture
  • Names
  • Legal status
  • Available forms
  • Research
  • See also
  • References
  • Further reading
  • External links

Allopregnanolone is a naturally occurring neurosteroid which is made in the body from the hormone progesterone. As a medication, allopregnanolone was referred to as brexanolone, sold under the brand name Zulresso, and was used to treat postpartum depression. It was given by injection into a vein.

Side effects of brexanolone may include sedation, sleepiness, dry mouth, hot flashes, and loss of consciousness. It was a neurosteroid and acts as a positive allosteric modulator of the GABAA receptor, the major biological target of the inhibitory neurotransmitter γ-aminobutyric acid (GABA).

Excerpted from Wikipedia’s “allopregnanolone” article, available under the CC BY-SA 4.0 licence.