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Pitolisant information


Pitolisant
Clinical data
Pronunciation/pɪˈtɒlɪsənt/
pi-TOL-i-sənt
Trade namesWakix, Ozawade
Other namesTiprolisant; Ciproxidine; BF2.649
AHFS/Drugs.comMonograph
MedlinePlusa619055
License data
  • US DailyMed: Pitolisant
Routes of
administration
By mouth
Drug classHistamine H3 receptor inverse agonists
ATC code
  • N07XX11 (WHO)
Legal status
Legal status
  • CA: ℞-only[1][2]
  • US: ℞-only[3]
  • EU: Rx-only[4][5][6]
Identifiers
IUPAC name
  • 1-[3-[3-(4-chlorophenyl)propoxy]propyl]piperidine
CAS Number
  • 362665-56-3 ☒N
  • HCl: 903576-44-3 ☒N
PubChem CID
  • 9948102
DrugBank
  • DB11642
  • HCl: DBSALT002888
ChemSpider
  • 8123714 checkY
  • HCl: 9726467
UNII
  • 4BC83L4PIY
  • HCl: YV33CH63HI checkY
KEGG
  • D10749 ☒N
  • HCl: D11490 ☒N
ChEBI
  • CHEBI:134709 checkY
ChEMBL
  • ChEMBL462605 checkY
CompTox Dashboard (EPA)
  • DTXSID30957654 Edit this at Wikidata
Chemical and physical data
FormulaC17H26ClNO
Molar mass295.85 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • C1CCN(CC1)CCCOCCCC2=CC=C(C=C2)Cl
InChI
  • InChI=1S/C17H26ClNO/c18-17-9-7-16(8-10-17)6-4-14-20-15-5-13-19-11-2-1-3-12-19/h7-10H,1-6,11-15H2 checkY
  • Key:NNACHAUCXXVJSP-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Pitolisant, sold under the brand name Wakix among others, is a medication used for the treatment of excessive daytime sleepiness in adults with narcolepsy.[3] It is a histamine 3 (H3) receptor antagonist/inverse agonist (an antihistamine drug specific to that kind of receptors).[3] It represents the first commercially available medication in its class, so that the US Food and Drug Administration (FDA) declares it a first-in-class medication.[7][8] Pitolisant enhances the activity of histaminergic neurons in the brain that function to improve a person's wakefulness.[9] It was approved by the European Medicines Agency (EMA) in March 2016 for narcolepsy with or without cataplexy, and for excessive daytime sleepiness by the FDA in August 2019.[10] The most common side effects include difficulty sleeping, nausea, and feeling worried.[11]

  1. ^ "Summary Basis of Decision (SBD) for Wakix". Health Canada. 23 October 2014. Archived from the original on 22 December 2022. Retrieved 29 May 2022.
  2. ^ "Health product highlights 2021: Annexes of products approved in 2021". Health Canada. 3 August 2022. Retrieved 25 March 2024.
  3. ^ a b c "Wakix- pitolisant hydrochloride tablet, film coated". DailyMed. 6 November 2019. Archived from the original on 11 August 2020. Retrieved 18 August 2020.
  4. ^ Cite error: The named reference Wakix EPAR was invoked but never defined (see the help page).
  5. ^ Cite error: The named reference Ozawade EPAR was invoked but never defined (see the help page).
  6. ^ "Ozawade Product information". Union Register of medicinal products. Archived from the original on 5 March 2023. Retrieved 3 March 2023.
  7. ^ "New Drug Therapy Approvals 2019". U.S. Food and Drug Administration (FDA). 31 December 2019. Archived from the original on 16 September 2020. Retrieved 15 September 2020.
  8. ^ "FDA Approves Pitolisant for Daytime Sleepiness in Patients with Narcolepsy". Pharmacy Times. 16 August 2019. Archived from the original on 12 August 2020. Retrieved 18 August 2020.
  9. ^ Syed YY (September 2016). "Pitolisant: First Global Approval". Drugs. 76 (13): 1313–1318. doi:10.1007/s40265-016-0620-1. PMID 27438291. S2CID 42684839.
  10. ^ Giliberto S, Shishodia R, Nastruz M, Brar C, Bulathsinhala S, Terry J, Pemminati S, Shenoy SK (March 2024). "A Comprehensive Review of Novel FDA-Approved Psychiatric Medications (2018-2022)". Cureus. 16 (3): e56561. doi:10.7759/cureus.56561. PMC 11028406. PMID 38646400.
  11. ^ Cite error: The named reference FDA snapshot was invoked but never defined (see the help page).

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Pitolisant

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Pitolisant, sold under the brand name Wakix among others, is a medication used for the treatment of excessive daytime sleepiness in adults with narcolepsy...

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Stimulant

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the brain. Pitolisant is an histamine 3 (H3)-receptor inverse agonist. As histamine 3 (H3) receptors mainly act as autoreceptors, pitolisant decreases...

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Eugeroic

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which acts as a norepinephrine–dopamine reuptake inhibitor (NDRI), and pitolisant, which acts as a histamine 3 (H3) receptor antagonist/inverse agonist...

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H3 receptor antagonist

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clobenpropit, ABT-239, ciproxifan, conessine, A-349,821, betahistine, and pitolisant. The histamine H3 receptor (H3R) was discovered in 1983 and was one of...

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Narcolepsy

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cataplexy. These medications include alerting agents (modafinil, armodafinil, pitolisant and solriamfetol), Oxybate medications (twice nightly sodium oxybate,...

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Cataplexy

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histamine release in hypothalamus. An inverse agonist of the histamine H3 is Pitolisant. Results after testing on animals have indicated increased wakefulness...

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QT interval

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conditions such as long QT syndrome, by certain medications such as sotalol or pitolisant, by disturbances in the concentrations of certain salts within the blood...

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Thioperamide

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2011). "The histamine H3 receptor: from discovery to clinical trials with pitolisant". British Journal of Pharmacology. 163 (4): 713–21. doi:10.1111/j.1476-5381...

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Microsleep

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(nCPAP) Therapy (0249-015). http://ClinicalTrials.gov/show/NCT00620659 Pitolisant to Assess Weekly Frequency of Cataplexy Attacks and EDS in Narcoleptic...

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Piperidine

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agonists: Loratadine Histamine 3 (H3) receptor antagonists/inverse agonists: Pitolisant SERM (selective estrogen receptor modulators) Raloxifene Vasodilators...

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Antihistamine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Promethazine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Chlorphenamine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Betahistine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Dimenhydrinate

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Doxylamine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

Word Count : 3073

Meclizine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Mirtazapine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Hydroxyzine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Tricyclic antidepressant

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Famotidine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Loratadine

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Risperidone

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Clobenpropit Conessine Enerisant GSK-189254 Impentamine Iodophenpropit Irdabisant JNJ-5207852 NNC 38-1049 PF-03654746 Pitolisant SCH-79687 Thioperamide VUF-5681...

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Cetirizine

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CYP2D6

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(6): 642–650. doi:10.1002/cpt.319. PMC 4862932. PMID 26660002. "Wakix pitolisant tablets Prescribing Information" (PDF). Wakix HCP. Archived (PDF) from...

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Fexofenadine

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Quetiapine

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Solriamfetol

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other wakefulness-promoting agents including modafinil, armodafinil, and pitolisant. Solriamfetol is available in the form of 75 and 150 mg oral tablets....

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