Identification
Name Diethylpropion
Accession Number DB00937 (APRD00919)
Type small molecule
Description A appetite depressant considered to produce less central nervous system disturbance than most drugs in this therapeutic category. It is also considered to be among the safest for patients with hypertension. (From AMA Drug Evaluations Annual, 1994, p2290)
Structure
Categories (*)
Molecular Weight 205.2961
Groups illicit
Monoisotopic Weight 205.146664235
Pharmacology
Indication Used in the management of exogenous obesity as a short-term adjunct (a few weeks) in a regimen of weight reduction based on caloric restriction.
Mechanism of action Diethylpropion is an amphetamine that stimulates neurons to release or maintain high levels of a particular group of neurotransmitters known as catecholamines; these include dopamine and norepinephrine. High levels of these catecholamines tend to suppress hunger signals and appetite. Diethylpropion (through catecholamine elevation) may also indirectly affect leptin levels in the brain. It is theorized that diethylpropion can raise levels of leptin which signal satiety. It is also theorized that increased levels of the catecholamines are partially responsible for halting another chemical messenger known as neuropeptide Y. This peptide initiates eating, decreases energy expenditure, and increases fat storage.
Absorption Diethylpropion is rapidly absorbed from the GI tract after oral administration.
Protein binding Not Available
Biotransformation Extensively metabolized through a complex pathway of biotransformation involving N-dealkylation and reduction. Many of these metabolites are biologically active and may participate in the therapeutic action of diethylpropion.
Route of elimination Diethylpropion is rapidly absorbed from the GI tract after oral administration and is extensively metabolized through a complex pathway of biotransformation involving N-dealkylation and reduction. Diethylpropion and/or its active metabolites are believed to cross the blood-brain barrier and the placenta. Diethylpropion and its metabolites are excreted mainly by the kidney.
Toxicity The reported oral LD50 for mice is 600 mg/kg, for rats is 250 mg/kg and for dogs is 225 mg/kg. Manifestation of acute overdosage include restlessness, tremor, hyperreflexia, rapid respiration, confusion, assaultiveness, hallucinations, and panic states.
Affected organisms
  • Humans and other mammals
Interactions
Drug Interactions
Drug Mechanism of interaction
Acetophenazine Decreased anorexic effect, may increase psychotic symptoms
Chlorpromazine Decreased anorexic effect, may increase psychotic symptoms
Ethopropazine Decreased anorexic effect, may increase psychotic symptoms
Fluoxetine Risk of serotoninergic syndrome
Fluphenazine Decreased anorexic effect, may increase psychotic symptoms
Fluvoxamine Risk of serotoninergic syndrome
Guanethidine Diethylpropion may decrease the effect of guanethidine.
Isocarboxazid Possible hypertensive crisis
Mesoridazine Decreased anorexic effect, may increase psychotic symptoms
Methdilazine Decreased anorexic effect, may increase psychotic symptoms
Methotrimeprazine Decreased anorexic effect, may increase psychotic symptoms
Paroxetine Risk of serotoninergic syndrome
Perphenazine Decreased anorexic effect, may increase psychotic symptoms
Phenelzine Possible hypertensive crisis
Prochlorperazine Decreased anorexic effect, may increase psychotic symptoms.
Promazine Decreased anorexic effect, may increase psychotic symptoms
Promethazine Decreased anorexic effect, may increase psychotic symptoms.
Propericiazine Decreased anorexic effect, may increase psychotic symptoms.
Propiomazine Decreased anorexic effect, may increase psychotic symptoms
Rasagiline Possible hypertensive crisis
Thiethylperazine Decreased anorexic effect, may increase psychotic symptoms
Thioridazine Decreased anorexic effect, may increase psychotic symptoms
Tranylcypromine Possible hypertensive crisis
Trifluoperazine Decreased anorexic effect, may increase psychotic symptoms
Triflupromazine Decreased anorexic effect, may increase psychotic symptoms
Trimeprazine Decreased anorexic effect, may increase psychotic symptoms
Venlafaxine Risk of serotoninergic syndrome
Food Interactions
  • Take without regard to meals.
Sodium-dependent noradrenaline transporter
Name Sodium-dependent noradrenaline transporter
Gene Name SLC6A2
Pharmacological action yes
Actions inhibitor
References
  • Overington JP, Al-Lazikani B, Hopkins AL: How many drug targets are there? Nat Rev Drug Discov. 2006 Dec;5(12):993-6. - Pubmed
  • Imming P, Sinning C, Meyer A: Drugs, their targets and the nature and number of drug targets. Nat Rev Drug Discov. 2006 Oct;5(10):821-34. - Pubmed
  • Arias HR, Santamaria A, Ali SF: Pharmacological and neurotoxicological actions mediated by bupropion and diethylpropion. Int Rev Neurobiol. 2009;88:223-55. - Pubmed
DTHybrid score 0.4483
Sodium-dependent dopamine transporter
Name Sodium-dependent dopamine transporter
Gene Name SLC6A3
Pharmacological action yes
Actions inhibitor
References
  • Yu H, Rothman RB, Dersch CM, Partilla JS, Rice KC: Uptake and release effects of diethylpropion and its metabolites with biogenic amine transporters. Bioorg Med Chem. 2000 Dec;8(12):2689-92. - Pubmed
  • Arias HR, Santamaria A, Ali SF: Pharmacological and neurotoxicological actions mediated by bupropion and diethylpropion. Int Rev Neurobiol. 2009;88:223-55. - Pubmed
DTHybrid score 0.455
Id Partner name Gene Name Score
824 Sodium-dependent serotonin transporter SLC6A4 0.2074
4119 Cytochrome P450 2D6 CYP2D6 0.1066
556 Alpha-1A adrenergic receptor ADRA1A 0.0677
131 Synaptic vesicular amine transporter SLC18A2 0.0668
4512 Cytochrome P450 3A4 CYP3A4 0.0632
3941 Amine oxidase [flavin-containing] A MAOA 0.0498
632 Alpha-1B adrenergic receptor ADRA1B 0.0474
492 Histamine H1 receptor HRH1 0.0458
3939 Amine oxidase [flavin-containing] B MAOB 0.043
318 Alpha-2A adrenergic receptor ADRA2A 0.0357
6016 Cytochrome P450 2C19 CYP2C19 0.035
4200 Cytochrome P450 1A2 CYP1A2 0.0334
1588 Multidrug resistance protein 1 ABCB1 0.033
502 5-hydroxytryptamine 2A receptor HTR2A 0.0309
6030 Cytochrome P450 2B6 CYP2B6 0.0285
4757 Cytochrome P450 2C9 CYP2C9 0.0281
1636 Trace amine-associated receptor 1 TAAR1 0.028
103 Muscarinic acetylcholine receptor M1 CHRM1 0.0268
1181 Alpha-1-acid glycoprotein 1 ORM1 0.0219
198 Sodium channel protein type 10 subunit alpha SCN10A 0.0199
629 Alpha-2B adrenergic receptor ADRA2B 0.0187
590 5-hydroxytryptamine 2C receptor HTR2C 0.0186
706 Glutamate [NMDA] receptor subunit 3A GRIN3A 0.017
193 Beta-1 adrenergic receptor ADRB1 0.0147
341 5-hydroxytryptamine 3 receptor HTR3A 0.0145
766 Beta-2 adrenergic receptor ADRB2 0.0144
401 Glutamate [NMDA] receptor subunit zeta-1 GRIN1 0.0142
3923 Cholinesterase BCHE 0.0136
4118 Cytochrome P450 3A5 CYP3A5 0.0135
378 Alpha-2C adrenergic receptor ADRA2C 0.0135
6147 Solute carrier family 22 member 3 SLC22A3 0.0134
6144 Solute carrier family 22 member 2 SLC22A2 0.0124
436 5-hydroxytryptamine 2B receptor HTR2B 0.012
6013 Cytochrome P450 2E1 CYP2E1 0.0113
118 Organic cation/carnitine transporter 2 SLC22A5 0.011
1517 Beta-3 adrenergic receptor ADRB3 0.0109
6107 Cytochrome P450 3A7 CYP3A7 0.0105
617 Muscarinic acetylcholine receptor M2 CHRM2 0.0105
1757 Myeloperoxidase MPO 0.0103
4924 Cytochrome P450 2C8 CYP2C8 0.0099
1656 CYP2B protein CYP2B 0.0097
982 Cocaine- and amphetamine-regulated transcript protein CARTPT 0.0095
320 5-hydroxytryptamine 1A receptor HTR1A 0.0093
51 Muscarinic acetylcholine receptor M3 CHRM3 0.0092
789 Alpha-1D adrenergic receptor ADRA1D 0.0091
831 D(2) dopamine receptor DRD2 0.0089
6145 Solute carrier family 22 member 1 SLC22A1 0.0088
274 Muscarinic acetylcholine receptor M5 CHRM5 0.0084
450 Muscarinic acetylcholine receptor M4 CHRM4 0.0082
5718 Cytochrome P450 2A6 CYP2A6 0.0082
458 Neuronal acetylcholine receptor subunit alpha-10 CHRNA10 0.0073
23 D(1A) dopamine receptor DRD1 0.007
215 Sodium channel protein type 11 subunit alpha SCN11A 0.0066
6079 Neuronal acetylcholine receptor subunit alpha-3 CHRNA3 0.0065
6164 POU domain, class 5, transcription factor 1 POU5F1 0.006
813 Neuronal acetylcholine receptor subunit alpha-2 CHRNA2 0.0057
4120 NADPH--cytochrome P450 reductase POR 0.0057
6432 Transporter snf 0.0053
467 Delta-type opioid receptor OPRD1 0.005
696 Kappa-type opioid receptor OPRK1 0.005
872 Gamma-aminobutyric-acid receptor subunit alpha-1 GABRA1 0.0048
6024 Cytochrome P450 1A1 CYP1A1 0.0048
1732 ATP-binding cassette sub-family G member 2 ABCG2 0.0046
474 Acetylcholinesterase ACHE 0.0045
2981 Phospholipase A2, membrane associated PLA2G2A 0.0044
828 Phenylalanine-4-hydroxylase PAH 0.0043
3109 Phenylalanine-4-hydroxylase phhA 0.0043
6182 Cytochrome P450 2J2 CYP2J2 0.0041
847 Mu-type opioid receptor OPRM1 0.004
482 Glycine receptor subunit alpha-1 GLRA1 0.004
220 Sodium channel protein type 5 subunit alpha SCN5A 0.0039
6086 Gamma-aminobutyric acid receptor subunit gamma-2 GABRG2 0.0036
4100 Gamma-aminobutyric-acid receptor subunit beta-2 GABRB2 0.0036
439 Glutamate [NMDA] receptor subunit epsilon-4 GRIN2D 0.0036
591 Glutamate [NMDA] receptor subunit 3B GRIN3B 0.0033
5878 Alpha-7 nicotinic cholinergic receptor subunit CHRFAM7A 0.0029
587 Serum albumin ALB 0.0027
153 Dopamine beta-hydroxylase DBH 0.0025
6099 Potassium voltage-gated channel subfamily D member 3 KCND3 0.0025
6098 Potassium voltage-gated channel subfamily D member 2 KCND2 0.0025
3876 Aromatic-L-amino-acid decarboxylase DDC 0.0024
6018 UDP-glucuronosyltransferase 1-9 UGT1A9 0.0023
6178 UDP-glucuronosyltransferase 2B7 UGT2B7 0.0022
904 Glutathione S-transferase P GSTP1 0.002
3810 Catechol O-methyltransferase COMT 0.002
163 D(1B) dopamine receptor DRD5 0.0019
725 5-hydroxytryptamine 1D receptor HTR1D 0.0019
885 5-hydroxytryptamine 1B receptor HTR1B 0.0019
432 D(4) dopamine receptor DRD4 0.0018
638 D(3) dopamine receptor DRD3 0.0018
6151 Monocarboxylate transporter 10 SLC16A10 0.0018
6106 Cytochrome P450 2C18 CYP2C18 0.0017
1360 Sphingomyelin phosphodiesterase SMPD1 0.0017
833 Organic cation/carnitine transporter 1 SLC22A4 0.0017
6100 BDNF/NT-3 growth factors receptor NTRK2 0.0015
1618 High affinity nerve growth factor receptor NTRK1 0.0012
1086 Potassium voltage-gated channel subfamily KQT member 2 KCNQ2 0.0011
124 Histamine H2 receptor HRH2 0.0011
858 Potassium voltage-gated channel subfamily A member 1 KCNA1 0.0009
20 Prostaglandin G/H synthase 1 PTGS1 0.0009