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Drug ReportsBethanechol
Bethanechol
Bethanechol, Duvoid (bethanechol) is a small molecule pharmaceutical. Bethanechol was first approved as Urecholine on 1982-01-01. It is used to treat drug-induced abnormalities, gastroesophageal reflux, neurogenic urinary bladder, and urinary retention in the USA. The pharmaceutical is active against muscarinic acetylcholine receptor M2 and muscarinic acetylcholine receptor M3. In addition, it is known to target muscarinic acetylcholine receptor M5, muscarinic acetylcholine receptor M1, and muscarinic acetylcholine receptor M4.
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EMA approval date
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Commercial
Therapeutic Areas
Therapeutic Area
MeSH
digestive system diseasesD004066
nervous system diseasesD009422
urogenital diseasesD000091642
hereditary congenital and neonatal diseases and abnormalitiesD009358
signs and symptoms pathological conditionsD013568
Trade Name
FDA
EMA
No data
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Bethanechol chloride
Tradename
Company
Number
Date
Products
URECHOLINEOdyssey PharmaceuticalsN-006536 DISCN1982-01-01
5 products, RLD
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FDA
EMA
Brand Name
Status
Last Update
bethanechol chlorideANDA2024-01-22
Agency Specific
FDA
EMA
No data
Patent Expiration
No data
ATC Codes
N: Nervous system drugs
— N07: Other nervous system drugs in atc
— N07A: Parasympathomimetics
— N07AB: Choline esters, parasympathomimetics
— N07AB02: Bethanechol
HCPCS
Code
Description
J0520
Injection, bethanechol chloride, myotonachol or urecholine, up to 5 mg
Clinical
Clinical Trials
7 clinical trials
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Indications Phases 4
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Indications Phases 3
No data
Indications Phases 2
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Pancreatic neoplasmsD010190EFO_0003860C2511———2
Eosinophilic esophagitisD057765EFO_0004232K20.0—1———1
Indications Phases 1
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Type 2 diabetes mellitusD003924EFO_0001360E111————1
Esophageal motility disordersD015154—K22.41————1
Indications Without Phase
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
TracheobronchomalaciaD055089——————11
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common nameBethanechol
INN—
Description
Bethanechol is the carbamic acid ester of 2-methylcholine. A slowly hydrolysed muscarinic agonist with no nicotinic effects, it is used as its chloride salt to increase smooth muscle tone, as in the gastrointestinal tract following abdominal surgery, treatment of gastro-oesophageal reflux disease, and as an alternative to catheterisation in the treatment of non-obstructive urinary retention. It has a role as a muscarinic agonist. It is a quaternary ammonium ion and a carbamate ester.
Classification
Small molecule
Drug class—
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Structure (InChI/SMILES or Protein Sequence)
CC(C[N+](C)(C)C)OC(N)=O
Identifiers
PDB—
CAS-ID674-38-4
RxCUI—
ChEMBL IDCHEMBL1482
ChEBI ID3084
PubChem CID2370
DrugBankDB01019
UNII ID—
Target
Agency Approved
CHRM2
CHRM2
CHRM3
CHRM3
Organism
Homo sapiens
Gene name
CHRM2
Gene synonyms
NCBI Gene ID
Protein name
muscarinic acetylcholine receptor M2
Protein synonyms
7TM receptor, acetylcholine receptor, muscarinic 2, muscarinic M2 receptor
Uniprot ID
Mouse ortholog
Chrm2 (243764)
muscarinic acetylcholine receptor M2 (Q9ERZ4)
Alternate
CHRM5
CHRM5
CHRM1
CHRM1
CHRM4
CHRM4
Organism
Homo sapiens
Gene name
CHRM5
Gene synonyms
NCBI Gene ID
Protein name
muscarinic acetylcholine receptor M5
Protein synonyms
acetylcholine receptor, muscarinic 5
Uniprot ID
Mouse ortholog
Chrm5 (213788)
muscarinic acetylcholine receptor M5 (Q920H4)
Variants
No data
Financial
Revenue by drug
$
€
£
â‚£
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Estimated US medical usage
Bethanechol
Total medical expenditures per year (USD, in millions)
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Number of persons purchased
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Number of purchases
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Refill frequency
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Tabular view
Trends
PubMed Central
Top Terms for Disease or Syndrome:
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Additional graphs summarizing 1,849 documents
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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187 adverse events reported
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