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trimebutine

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trimebutine

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Also known as 2-Dimethylamino-2-phenylbutyl 3,4,5-trimethoxybenzoat, Trimebutino, Trimébutine

Trimebutine is a drug with antimuscarinic and very weak mu opioid agonist effects. It is used for the treatment of irritable bowel syndrome and other gastrointestinal disorders. It is sometimes combined with simethicone as a combination drug. Trimebutine is formulated as a tablet or granules for oral suspension.

Chemical data

Formula
C22H29NO5
Molecular weight
387.5 g/mol
IUPAC name
[2-(dimethylamino)-2-phenylbutyl] 3,4,5-trimethoxybenzoate
SMILES
CCC(COC(=O)C1=CC(=C(C(=C1)OC)OC)OC)(C2=CC=CC=C2)N(C)C
InChIKey
LORDFXWUHHSAQU-UHFFFAOYSA-N
XLogP
4
Polar surface area
57.2 Ų
H-bond donors
0
H-bond acceptors
6
Formal charge
0

via PubChem

Drug data · ChEMBL

Max clinical phase
Phase 3
Molecule type
Small molecule
Indications
irritable bowel syndrome, gastrointestinal disease

via ChEMBL · EBI

Wikidata facts

Mass
387.204573
Has use
medication
Show 6 more facts
subject has role
parasympatholytic
chemical formula
C₂₂H₂₉NO₅
canonical SMILES
CCC(COC(=O)C1=CC(=C(C(=C1)OC)OC)OC)(C2=CC=CC=C2)N(C)C
defined daily dose
0.6
medical condition treated
irritable bowel syndrome
Commons category
Trimebutine
Sources (4)

via Wikidata · CC0

~7 min read

Encyclopedic overview

15 sections
Contents
  • Pharmacology
  • Pharmacokinetics
  • Metabolism and excretion
  • Carcinogenicity
  • Interactions
  • Adverse effects
  • Synthesis
  • Research
  • Novel salts of trimebutine
  • Acute ulcerative colitis
  • Cancer
  • Alkaline corneal burns
  • Brand names
  • See also
  • References

Trimebutine is a drug with antimuscarinic and very weak mu opioid agonist effects. It is used for the treatment of irritable bowel syndrome and other gastrointestinal disorders. It is sometimes combined with simethicone as a combination drug. Trimebutine is formulated as a tablet or granules for oral suspension.

== Pharmacology == Trimebutine is a multimodal drug that acts on many receptors in the body. Its main effects are mediated through inhibition of voltage-gated L-type calcium channels, thereby decreasing calcium influx in smooth muscle in the gut. This mechanism explains its ability to slow peristalsis, which in turn helps with diarrhoea management in IBS patients. Antispasmodic effect is mediated through inhibition of inward rectifier potassium channels and calcium-dependend potassium channels. Moreover, trimebutine and its metabolite N-desmethyltrimebutine exert non-selective antagonistic effect on mAChRs, which is believed to potentiate its antispasmodic effects, as do many other drugs in this class.

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

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