Drugs Information: Demecarium (ophthalmic)

Basic Information

ID DDInter497
Drug Type small molecule
Molecular Formula C32H52N4O4
Molecular Weight 556.792
Description Demecarium is an indirect-acting parasympathomimetic agent that is used to treat glaucoma. It is a cholinesterase inhibitor or an anticholinesterase. Cholinesterase inhibitors prolong the effect of acetylcholine, which is released at the neuroeffector junction of parasympathetic postganglion nerves, by inactivating the cholinesterases that break it down. Demecarium inactivates both pseudocholinesterase and acetylcholinesterase. In the eye, this causes constriction of the iris sphincter muscle (causing miosis) and the ciliary muscle. The outflow of the aqueous humor is facilitated, which leads to a reduction in intraocular pressure.
ATC Classification S01EB04
IUPAC Name N,N,N-Trimethyl-3-{[Methyl({10-[Methyl({[3-(Trimethylazaniumyl)Phenoxy]Carbonyl})Amino]Decyl})Carbamoyl]Oxy}Anilinium
InChI Inchi=1S/C32H52N4O4/C1-33(31(37)39-29-21-17-19-27(25-29)35(3,4)5)23-15-13-11-9-10-12-14-16-24-34(2)32(38)40-30-22-18-20-28(26-30)36(6,7)8/H17-22,25-26H,9-16,23-24H2,1-8H3/Q+2
InChI Key RWZVPVOZTJJMNU-UHFFFAOYSA-N
Canonical SMILES CN(CCCCCCCCCCN(C)C(=O)OC1=CC=CC(=C1)[N+](C)(C)C)C(=O)OC1=CC=CC(=C1)[N+](C)(C)C
Useful Links DrugBank ChEMBL PubChem

Interactions with Demecarium (ophthalmic)

Severity level ID Name Mechanism Detail