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Clorotepine

Antipsychotic medication From Wikipedia, the free encyclopedia

Clorotepine (INNTooltip International Nonproprietary Name; brand names Clotepin, Clopiben), also known as octoclothepin or octoclothepine, is an antipsychotic of the tricyclic group which was derived from perathiepin in 1965 and marketed in the Czech Republic by Spofa in or around 1971 for the treatment of schizophrenic psychosis.[1][2][3][4][5][6]

Trade namesClotepin, Clopiben
Other namesOctoclothepin; Octoclothepine; VUFB-6281; VUFB-10030
ATC code
  • None
Quick facts Clinical data, Trade names ...
Clorotepine
Clinical data
Trade namesClotepin, Clopiben
Other namesOctoclothepin; Octoclothepine; VUFB-6281; VUFB-10030
Routes of
administration
By mouth
ATC code
  • None
Legal status
Legal status
  • In general: ℞ (Prescription only)
Identifiers
  • 1-(8-chloro-10,11-dihydrodibenzo[b,f]thiepin-10-yl)-4-methylpiperazine
CAS Number
PubChem CID
ChemSpider
UNII
ChEMBL
CompTox Dashboard (EPA)
Chemical and physical data
FormulaC19H21ClN2S
Molar mass344.90 g·mol−1
3D model (JSmol)
  • Clc4cc2c(Sc1ccccc1CC2N3CCN(C)CC3)cc4
  • InChI=1S/C19H21ClN2S/c1-21-8-10-22(11-9-21)17-12-14-4-2-3-5-18(14)23-19-7-6-15(20)13-16(17)19/h2-7,13,17H,8-12H2,1H3
  • Key:XRYLGRGAWQSVQW-UHFFFAOYSA-N
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Clorotepine is known to have high affinity for the dopamine D1,[7] D2,[8] D3,[8] and D4 receptors,[8] the serotonin 5-HT2A,[7] 5-HT2B,[9] 5-HT2C,[9] 5-HT6,[10] and 5-HT7 receptors,[10] the α1A-,[11] α1B-,[11] and α1D-adrenergic receptors,[11] and the histamine H1 receptors,[12] where it has been it has been confirmed to act as an antagonist (or inverse agonist) at most sites (and likely is as such at all of them based on structure–activity relationships), and it also blocks the reuptake of norepinephrine via inhibition of the norepinephrine transporter.[13]

Due to its very potent activity at the D2 receptor, along with tefludazine, clorotepine was used as the basis for developing a 3-dimensional (3D) pharmacophore for D2 receptor antagonists.[14]

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