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Drug ReportsClidinium
Clidinium
Chlordiazepoxide / Clidinium, Librax, Quarzan (clidinium) is a small molecule pharmaceutical. Clidinium was first approved as Librax on 1982-01-01. It is used to treat inflammatory bowel diseases and peptic ulcer in the USA. The pharmaceutical is active against muscarinic acetylcholine receptor M3. In addition, it is known to target muscarinic acetylcholine receptor M2.
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Commercial
Therapeutic Areas
Therapeutic Area
MeSH
digestive system diseasesD004066
Trade Name
FDA
EMA
Combinations
Chlordiazepoxide clidinium, Librax (discontinued: Chlordiazepoxide clidinium)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Clidinium bromide
Tradename
Company
Number
Date
Products
QUARZANRocheN-010355 DISCN1982-01-01
2 products
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Chlordiazepoxide hydrochloride
+
Clidinium bromide
Tradename
Company
Number
Date
Products
LIBRAXBausch Health CompaniesN-012750 RX1982-01-01
1 products, RLD, RS
Labels
FDA
EMA
Brand Name
Status
Last Update
chlordiazepoxide hcl and clidinium bromideANDA2023-04-26
chlordiazepoxide hydrochloride and clidinium bromideANDA2024-10-09
chlordiazepoxide hydrochloride/clidinium bromideunapproved drug other2019-04-01
libraxNew Drug Application2023-01-13
not applicableANDA2021-12-27
Agency Specific
FDA
EMA
No data
Patent Expiration
No data
ATC Codes
A: Alimentary tract and metabolism drugs
A03: Drugs for functional gastrointestinal disorders
A03C: Antispasmodics in combination with psycholeptics
A03CA: Synthetic anticholinergic agents in combination with psycholeptics
A03CA02: Clidinium and psycholeptics
HCPCS
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Clinical
Clinical Trials
1 clinical trials
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Indications Phases 4
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Indications Phases 3
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Indications Phases 2
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Indications Phases 1
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Indications Without Phase
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Chest painD002637HP_0100749R07.911
Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common nameClidinium
INNclidinium bromide
Description
Clidinium is the ester resulting from formal condensation of benzilic acid and 3-hydroxy-1-methyl-1-azoniabicyclo[2.2.2]octane. It is used, generally as the bromide, for the symptomatic treatment of peptic ulcer disease and also to help relieve abdominal or stomach spasms or cramps due to colicky abdominal pain, diverticulitis, and irritable bowel syndrome. It has a role as a parasympatholytic, an antispasmodic drug and an anti-arrhythmia drug. It is a quaternary ammonium ion, a carboxylic ester and an organic cation. It is functionally related to a benzilic acid and a 3-quinuclidinol.
Classification
Small molecule
Drug classquaternary ammonium derivatives
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Structure (InChI/SMILES or Protein Sequence)
C[N+]12CCC(CC1)C(OC(=O)C(O)(c1ccccc1)c1ccccc1)C2
Identifiers
PDB
CAS-ID7020-55-5
RxCUI
ChEMBL IDCHEMBL620
ChEBI ID
PubChem CID2784
DrugBankDB00771
UNII IDBO76JF850N (ChemIDplus, GSRS)
Target
No data
Variants
No data
Financial
Revenue by drug
$
£
No data
Estimated US medical usage
Clidinium
+
Chlordiazepoxide
Total medical expenditures per year (USD, in millions)
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Clidinium
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Trends
PubMed Central
Top Terms for Disease or Syndrome:
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Additional graphs summarizing 172 documents
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Safety
Black-box Warning
Black-box warning for: Chlordiazepoxide hcl and clidinium bromide, Chlordiazepoxide hydrochloride and clidinium bromide, Chlordiazepoxide hydrochloride/clidinium bromide, Librax, Not applicable
Adverse Events
Top Adverse Reactions
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42,656 adverse events reported
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