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Nevirapine

Nevirapine Structure
CAS No.
129618-40-2
Chemical Name:
Nevirapine
Synonyms
D00435;Nevirne;VIRAMUNE;BI-RG-587;Viramnune;Nevirapil;Weilaping;BIRG 0587;HSDB 7164;AIDS005653
CBNumber:
CB9743074
Molecular Formula:
C15H14N4O
Molecular Weight:
266.3
MOL File:
129618-40-2.mol
MSDS File:
SDS
Modify Date:
2024/5/24 18:18:52

Nevirapine Properties

Melting point 247°C
Boiling point 409.5°C (rough estimate)
Density 1.1300 (rough estimate)
refractive index 1.6200 (estimate)
Flash point 9℃
storage temp. 2-8°C
solubility DMSO: ≥22mg/mL
form powder
pka 2.8(at 25℃)
color white to tan
Water Solubility 0.1g/L(temperature not stated)
Merck 14,6490
BCS Class 2
CAS DataBase Reference 129618-40-2(CAS DataBase Reference)
EPA Substance Registry System 6H-Dipyrido[3,2-b:2',3'-e][1,4]diazepin-6-one, 11-cyclopropyl-5,11-dihydro-4-methyl- (129618-40-2)

SAFETY

Risk and Safety Statements

Symbol(GHS) 
GHS02,GHS06,GHS08
Signal word  Danger
Hazard statements  H225-H301+H311+H331-H370
Precautionary statements  P210-P260-P280-P301+P310-P311
Hazard Codes  Xi
Risk Statements  36/37/38
Safety Statements  26-36-37/39
RIDADR  UN1230 - class 3 - PG 2 - Methanol, solution
WGK Germany  2
RTECS  JM5562500
HS Code  29339900
NFPA 704
0
2 0

Nevirapine price More Price(4)

Manufacturer Product number Product description CAS number Packaging Price Updated Buy
Sigma-Aldrich(India) SML0097 Nevirapine 129618-40-2 10MG ₹9536.83 2022-06-14 Buy
Sigma-Aldrich(India) SML0097 Nevirapine 129618-40-2 50MG ₹38829.28 2022-06-14 Buy
Sigma-Aldrich(India) PHR1757 Nevirapine Pharmaceutical Secondary Standard; Certified Reference Material 129618-40-2 1G ₹12080.7 2022-06-14 Buy
TCI Chemicals (India) N0922 Nevirapine min. 98.0 % 129618-40-2 200MG ₹11500 2022-05-26 Buy
Product number Packaging Price Buy
SML0097 10MG ₹9536.83 Buy
SML0097 50MG ₹38829.28 Buy
PHR1757 1G ₹12080.7 Buy
N0922 200MG ₹11500 Buy

Nevirapine Chemical Properties,Uses,Production

Description

Nevirapine and its analogues exhibit antiretroviral effect against azothymidine-resistant HIV strains. Nevirapine in combination with ZDV and ddI produced approximately 18% higher CD4 cell counts and a decrease in viral load compared with patients who took ZDV and ddI. Nevirapine is recommended with nucleosides for patients infected with HIV-1 who have experienced clinical or immunologic deterioration. The significant side effects of nevirapine are liver dysfunction and skin rashes.

Chemical Properties

Crystalline Solid

Uses

Labelled Nevirapine , a potent (IC50=84nM) and selective non-nucleoside inhibitor of HIV-1 reverse transcriptase. Antiviral.;Labeled Nevirapine, intended for use as an internal standard for the quantification of Nevirapine by GC- or LC-mass spectrometry.

Indications

Nevirapine (Viramune) is approved for the treatment of HIV infection in adults and children as part of a combination therapy. During the first 12 weeks of treatment, patients must be closely monitored for the development of potentially fatal hepatic toxicity (i.e., hepatitis, hepatic necrosis, and hepatic failure) and skin reactions (i.e., Stevens-Johnson syndrome, toxic epidermal necrolysis, and hypersensitivity reactions). Although these toxicities are rare, common side effects include mild to moderate rash, fever, nausea, fatigue, headache, and elevated liver enzymes.

Definition

ChEBI: A dipyridodiazepine that is 5,11-dihydro-6H-dipyrido[3,2-b:2',3'-e][1,4]diazepine which is substituted by methyl, oxo, and cyclopropyl groups at positions 4, 6, and 11, respectively. A non-nucleoside reverse tr nscriptase inhibitor with activity against HIV-1, it is used in combination with other antiretrovirals for the treatment of HIV infection.

Acquired resistance

One or more changes within the HIV reverse transcriptase at amino acid positions 100, 103, 106, 108, 181, 188 and 190 are associated with resistance. These point mutations have also been implicated, either alone or in combination, in HIV resistance to other non-nucleoside reverse transcriptase inhibitors.

General Description

Nevirapine (Viramune) is more than 90% absorbed by theoral route and is widely distributed throughout the body. Itdistributes well into breast milk and crosses the placenta.Transplacental concentrations are about 50% those ofserum. The drug is extensively transformed by cytochromeP450 (CYP) to inactive hydroxylated metabolites; it mayundergo enterohepatic recycling.

Pharmaceutical Applications

A synthetic heterocyclic compound formulated for oral use as anhydrous compound or as the hemihydrate in a liquid oral suspension.

Mechanism of action

Nevirapine is a dipyridodiazepinone derivative that binds directly to RT . Thus, it blocks RNA- and DNA-dependent polymerase activities by causing a disruption of the enzyme's catalytic site. The activity of nevirapine does not compete with template or nucleoside triphosphate. The HIV-2 RT and human DNA polymerases are not inhibited by nevirapine. The 50% inhibitory concentration ranged within 10 to 100 nM against HIV-1.

Pharmacokinetics

Oral absorption: c. 93%
Cmax 200 mg twice daily: c. 5.74 mg/L
Cmin 200 mg twice daily: c. 2.88 mg/L
Plasma half-life: c. 36 h
Volume of distribution: c. 1.21 L/kg
Plasma protein binding: c. 60%
Absorption and distribution
Nevirapine is orally very well absorbed and widely distributed. CNS penetration is good and the semen:plasma ratio is in the range of 0.6–1. It is distributed into breast milk.
Metabolism and excretion
It is extensively metabolized by cytochrome P450 enzymes into a number of hydroxylated intermediates that are subsequently conjugated with glucuronide. Around 81% of the dose is excreted in urine (<5% as unchanged compound) and 10% in feces. There is no significant change in the pharmacokinetics in renal impairment. It is contraindicated in patients with severe hepatic impairment; caution should be exercised in patients with moderate hepatic dysfunction.

Clinical Use

Treatment of HIV-1 infection in adults and children over 2 months old (in combination with other antiretroviral therapies)
Reduction of maternal transmission of HIV to the fetus (recommended only for use in HIV-infected treatment-naive women in labor who have had no prior HIV therapy)

Side effects

Life-threatening hepatic events, including fulminant hepatitis, have been observed in treatment-naive patients, generally within the first few weeks of treatment, but sometimes later. Approximately half the patients also develop skin rash, with or without fever or constitutional symptoms. Women with elevated CD4 counts (>250 cells/mm3) appear to be at highest risk. Men with pretreatment CD4 counts >400 cells/mm3 are also at increased risk. These risks exist in the absence of underlying hepatic abnormalities and, in some cases, hepatic injury continues to progress despite discontinuation of treatment. Treatment should stop, and not be restarted, in patients with clinical evidence of hepatitis. A starting dose of 200 mg per day, with escalation to full dose if no adverse reaction occurs, reduces the frequency of reaction. Single doses given to mothers or infants for prevention of perinatal HIV infection appear safe.

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Nevirapine Spectrum

6H-DIPYRIDO[3,2-B:2',3'-E][1,4]DIAZEPIN-6-ONE, 11-CYCLOPROPYL-5,11-DIHYDRO-4-METHYL- 11-Cyclopropyl-4-Methyl-5H-dipyrido[3,2-b:2',3'-e][1,4]diazepin-6(11H)-one 6H-Dipyrido[2,3-b:3',2'-e][1,4]diazepin-6-one, 11-cyclopropyl-5,11-dihydro-4-Methyl- AIDS005653 BI-RG-587 & CD4-IgG D00435 MLS00008458 N11-Cyclopropyl-4-methyl-5,11-dihydro-6H-dipyrido[3,2-b:2',3'-e]-[1,4]diazepin-6-one & CD4-immunoadhesin NCGC00065890-02 Nevirapine & CD4-IgG Nevirapine (JAN/USP/INN) Nevirapine+PRO 140 NON-NUCLEOSIDE RT INHIBITOR NEVIRAPINE Viramune (TN) 11-cyclopropyl-4-methyl-5,11-dihydro-6H-dipyrido[2,3-e:3',2'-b][1,4]diazepin-6-one 11-cyclopropyl-4-methyl-5,11-dihydro-6H-dipyrido[3,2-b:2',3'-e][1,4]diazepin-6-one Nevirapine solution 11-CYCLOPROPYL-5,11-DIHYDRO-4-METHYL-6H-DIPYRIDO[3,2-B:2',3'-E][1,4]DIAZEPIN-6-ONE 11-CYCLOPROPYL-5,11-DIHYDRO-4-METHYL-6H-DIPYRIDO[3,2-B',3'-E][1,4]DIAZEPIN-6-ONE VIRAMUNE NEVIRAPINE NEVIRAPINE(SUBJECTTOPATENTFREE) 11-cyclopropyl-5,11-dihydro-4-methyl-6H-dipyrido[3,2-b:2’,3’-][1,4] diazepin-6-one Viramune (Nevirapine) Novirapine* Nevirapine(Nvp) 11-Cyclopropyl-5,11-dihydro-4-methyl-6H-dipyrido[3,2-6:2’,3’-e][1,4]diazepin-6-one BI-RG-587 Viramnune Nevirapil 11-Cyclopropyl-4-Methyl-6,11-dihydro-5H-dipyrido[3,2-b:2',3'-e][1,4]diazepin-6-one Nevirapine(ViraMune) Nevarapine NSC 641530 5-CYCLOPROPYL-9-METHYL-5,10-DIHYDRO-4,5,6,10-TETRAAZA-DIBENZO[A,D]CYCLOHEPTEN-11-ONE 5H-Dipyrido(3,2-b:2',3'-e)(1,4)diazepin-6-one, 5,11-dihydro-11-cyclopropyl-4-methyl- 11-Cyclopropyl-4-methyl-11H-dipyrido[3,2-b:2',3'-e][1,4]diazepine-6(5H)-one 4-Methyl-11-cyclopropyl-5,11-dihydro-6H-dipyrido[3,2-b:2',3'-e][1,4]diazepin-6-one 5,11-Dihydro-11-cyclopropyl-4-methyl-6H-dipyrido[3,2-b:2',3'-e][1,4]diazepin-6-one Nevirapine Anhydrous (100 mg)F0D1590.997mg/mg(ai) Nevirapine Anhydrous (100 mg) Nevirapine, 99%, Non-nucleoside reverse transcriptase inhibitor (NNRTI) Nevirapine for peak identification CRS Nevirapine> Nevirapine (anhydrous) CRS nevirapine product Nevirapine USP/EP/BP Nevirne Nevirapine (BI-RG 587) NevirapineQ: What is Nevirapine Q: What is the CAS Number of Nevirapine Q: What is the storage condition of Nevirapine Nevirapine Anhydrous (1460703) Weilaping BIRG 0587 HSDB 7164 Nevirapine (NSC 641530) 11-Cyclopropyl-4-methyl-5,11-dihydro-6H-dipyrido[3,2-b:2',3'-e][1,4]diazepin-6-one 129618-40-2 C15H14N4O