Drug/Small Molecule:
carbachol

2D structure

Overview

Trade Names: CB; Carbachol USP27; Carbachol chloride; Carbachol hydrochloride; Carbacholin; Carbacholine; Carbacholine chloride; Carbacolina; Carbaminocholine chloride; Carbaminoylcholine chloride; Carbamiotin; Carbamoylcholine chloride; Carbamoylcholine-hydrochloride; Carbamylcholine chloride; Carbastat; Carbastat intraocular; Carbochol; Carbocholin; Carbocholine; Carboptic; Carbyl; Carcholin; Choline carbamate chloride; Choline chloride carbamate; Choline chloride, carbamoyl-; Choline chlorine carbamate; Choline, chloride, carbamate; Coletyl; Doryl; Isopto Carbachol; Jestryl; Karbachol; Karbamoylcholin chlorid; Lentin; Lentine; Miostat; Mistura C; Moryl; P. V. Carbachol; Rilentol; Vasoperif
PharmGKB Accession Id: PA448784

Description

A slowly hydrolyzed cholinergic agonist that acts at both muscarinic and nicotinic receptors. PubChem (source: Drug Bank)

Indication

Primarily used in the treatment of glaucoma, but is also used during ophthalmic surgery. (source: Drug Bank)

ATC Therapeutic Categories

  • N07AB:Choline esters
  • S01EB:Parasympathomimetics

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Carbachol is a parasympathomimetic that stimulates both muscarinic and nicotinic receptors. In topical ocular and intraocular administration its principal effects are miosis and increased aqueous humour outflow. (source: Drug Bank)

Pharmacology

Carbachol is a potent cholinergic (parasympathomimetic) agent which produces constriction of the iris and ciliary body resulting in reduction in intraocular pressure. The exact mechanism by which carbachol lowers intraocular pressure is not precisely known. In the cat and rat, carbachol is well-known for its ability to induce rapid eye movement (REM) sleep when microinjected into the pontine reticular formation. Carbachol elicits this REM sleep-like state via activation of postsynaptic muscarinic cholinergic receptors (mAChRs). (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Absorption

Not well absorbed in the gastro-intestinal tract, and does not cross the blood-brain barrier. (source: Drug Bank)

Toxicity

Oral, mouse: LD<sub>50</sub> = 15 mg/kg; Oral, rat: LD<sub>50</sub> = 40 mg/kg. (source: Drug Bank)

Isomeric SMILES Code:

C[N+](C)(C)CCOC(=O)N.[Cl-] (source: Drug Bank)

A list of non-curated publications that mention this drug along with other genes is available.

Drug Targets

Gene Description
CHRM1 Uncurated Annotation (source: Drug Bank)
CHRM2 Uncurated Annotation (source: Drug Bank)
CHRNA2 Uncurated Annotation (source: Drug Bank)

A list of non-curated publications that mention this drug along with other drugs is available.

Non-Curated Information

A list of non-curated publications that mention this drug along with other diseases is available.

Additional Datasets

These datasets are minimally curated and are sorted alphabetically by title.

  1. The Connectivity Map: using gene-expression signatures to connect small molecules, genes, and disease

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB00411
KEGG Drug ID:
D00524
PubChem Compound ID:
2551
PubChem Substance ID:
7978854
IUPHAR Ligand ID:
298

Common Searches

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Non-Curated Publications

A list of non-curated publications that mention this drug is available.

PharmGKB integrates drug information from different sources: DrugBank, Open Eye Scientific Software.
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