<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <id type="integer">2812</id>
  <title>T3D2770</title>
  <common-name>Trihexyphenidyl</common-name>
  <description>Trihexyphenidyl is only found in individuals that have used or taken this drug. It is one of the centrally acting muscarinic antagonists used for treatment of parkinsonian disorders and drug-induced extrapyramidal movement disorders and as an antispasmodic. Trihexyphenidyl is a selective M1 muscarinic acetylcholine receptor antagonist. It is able to discriminate between the M1 (cortical or neuronal) and the peripheral muscarinic subtypes (cardiac and glandular). Trihexyphenidyl partially blocks cholinergic activity in the CNS, which is responsible for the symptoms of Parkinson's disease. It is also thought to increase the availability of dopamine, a brain chemical that is critical in the initiation and smooth control of voluntary muscle movement.</description>
  <cas>144-11-6</cas>
  <pubchem-id>5572</pubchem-id>
  <chemical-formula>C20H31NO</chemical-formula>
  <weight>301.240570</weight>
  <appearance>White powder.</appearance>
  <melting-point>258.5°C</melting-point>
  <boiling-point nil="true"/>
  <density nil="true"/>
  <solubility>3.14e-03 g/L</solubility>
  <specific-gravity nil="true"/>
  <flash-point nil="true"/>
  <vapour-pressure nil="true"/>
  <route-of-exposure>Oral.Trihexyphenidyl is rapidly absorbed from the gastrointestinal tract.</route-of-exposure>
  <target nil="true"/>
  <mechanism-of-toxicity>Trihexyphenidyl is a selective M1 muscarinic acetylcholine receptor antagonist. It is able to discriminate between the M1 (cortical or neuronal) and the peripheral muscarinic subtypes (cardiac and glandular). Trihexyphenidyl partially blocks cholinergic activity in the CNS, which is responsible for the symptoms of Parkinson's disease. It is also thought to increase the availability of dopamine, a brain chemical that is critical in the initiation and smooth control of voluntary muscle movement.</mechanism-of-toxicity>
  <metabolism>Half Life: 3.3-4.1 hours</metabolism>
  <toxicity nil="true"/>
  <lethaldose nil="true"/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use-source>Indicated for the treatment of parkinson's disease and extrapyramidal reactions caused by drugs.</use-source>
  <min-risk-level nil="true"/>
  <health-effects nil="true"/>
  <symptoms>Symptoms of overdose include mydriasis, dryness of mucous membranes, red face, atonic states of bowels and bladder, and hyperthermia in high doses. Central consequences are agitation, confusion, and hallucinations. </symptoms>
  <treatment>Treatment of acute overdose involves symptomatic and supportive therapy. Gastric  lavage or other methods to limit absorption should be instituted. A small dose of diazepam or a short-acting barbiturate may be administered if CNS excitation is observed. Phenothiazines are contraindicated because the toxicity may be intensified due to their antimuscarinic action, causing coma. Respiratory support, artificial respiration or vasopressor agents may be necessary. Hyperpyrexia must be reversed, fluid volume replaced and acid-balance maintained. Urinary catheterization may be necessary. It is not known if Trihexyphenidyl is dialyzable. (L1712)</treatment>
  <created-at type="dateTime">2009-07-21T20:26:45Z</created-at>
  <updated-at type="dateTime">2014-12-24T20:25:51Z</updated-at>
  <interacting-proteins nil="true"/>
  <wikipedia>Trihexyphenidyl</wikipedia>
  <uniprot-id></uniprot-id>
  <kegg-compound-id>C07171</kegg-compound-id>
  <omim-id></omim-id>
  <chebi-id>518411</chebi-id>
  <biocyc-id></biocyc-id>
  <ctd-id nil="true"/>
  <stitch-id>Trihexyphenidyl</stitch-id>
  <drugbank-id>DB00376</drugbank-id>
  <pdb-id></pdb-id>
  <actor-id nil="true"/>
  <organism nil="true"/>
  <export type="boolean">true</export>
  <metabolizing-proteins nil="true"/>
  <transporting-proteins nil="true"/>
  <moldb-smiles>OC(CCN1CCCCC1)(C1CCCCC1)C1=CC=CC=C1</moldb-smiles>
  <moldb-formula>C20H31NO</moldb-formula>
  <moldb-inchi>InChI=1/C20H31NO/c22-20(18-10-4-1-5-11-18,19-12-6-2-7-13-19)14-17-21-15-8-3-9-16-21/h1,4-5,10-11,19,22H,2-3,6-9,12-17H2</moldb-inchi>
  <moldb-inchikey>InChIKey=HWHLPVGTWGOCJO-UHFFFAOYNA-N</moldb-inchikey>
  <moldb-average-mass type="decimal">301.4662</moldb-average-mass>
  <moldb-mono-mass type="decimal">301.240564619</moldb-mono-mass>
  <origin>Exogenous</origin>
  <state>Solid</state>
  <logp>4.49</logp>
  <hmdb-id>HMDB14520</hmdb-id>
  <chembl-id>CHEMBL1490</chembl-id>
  <chemspider-id>5371</chemspider-id>
  <structure-image-file-name nil="true"/>
  <structure-image-content-type nil="true"/>
  <structure-image-file-size type="integer" nil="true"/>
  <structure-image-updated-at type="dateTime" nil="true"/>
  <biodb-id nil="true"/>
  <synthesis-reference></synthesis-reference>
  <structure-image-caption nil="true"/>
</compound>
