Description
Desloratadine is a second generation of tricyclic antihistamine. It is a H1-receptor antagonist which has anti-inflammatory activity. Its affinity to the H1 receptor is higher than most other H1-receptor antagonists. Desloratadine works by blocking a certain natural substance (histamine) which is produced during an allergic reaction. Desloratidine has a long-lasting effect and does not cause drowsiness because it does not readily enter the central nervous system.
Desloratadine is used to treat nasal and non-nasal symptoms (watery eyes, runny nose, itching eyes/nose, sneezing, and itching) of seasonal allergic rhinitis. It is also used to relieve chronic itching caused by hives.
Chemical Properties
Beige Solid
Uses
For the relief of symptoms of seasonal allergic rhinitis, perennial (non-seasonal) allergic rhinitis. Desloratidine is also used for the sympomatic treatment of pruritus and urticaria (hives) associated with chronic idiopathic urticaria.
Uses
Nonsedating-type histamine H1-receptor antagonist. An active metabolite of Loratadine. Also inhibits generation and release of inflammatory mediators from basophils and mast cells.
Uses
Desloratadine has been used to test its effect on embryoid body development in in vitro gastrulation model of P19C5 stem cells. It has also been used as an antihistamine mimic in rats and to treat lung cancer (A549) and glioblastoma (U87) cells in various cellular studies.
Definition
ChEBI: Loratadine in which the ethoxycarbonyl group attached to the piperidine ring is replaced by hydrogen. The major metabolite of loratidine, desloratadine is an antihistamine which is used for the symptomatic relief of allergic conditions including rhinitis
nd chronic urticaria. It does not readily enter the central nervous system, so does not cause drowsiness.
Indications
Desloratadine (Clarinex) is an active metabolite of loratadine. A 5 mg
daily dose has been shown to be effective. There is no evidence that it offers
any advantage over loratadine.
Fexofenadine (like its parent compound terfenadine) may rarely promote
cardiac arrhythmias (24). No significant difference in efficacy has been noted
in the nonsedating H1 blockers. Combinations of nonsedating antihistamines
in the morning and sedating antihistamines in the evening may be more cost
effective than increasing doses of the nonsedating agent.
Manufacturing Process
To a solution of 10.9 g (0.1 mole) of ethylchloroformate in 300 ml of
anhydrous benzene is added dropwise, with stirring at room temperature, a
solution of 16.2 g (0.05 M) of 11-(N-methyl-4-piperidylidene)-8-chloro-6,11-
dihydro-5H-benzo-[5,6]-cyclohepta-[1,2-b]-pyridine in 200 ml of benzene.
The solution is stirred and is heated under reflux overnight (16-20 hours). The
mixture is cooled and is poured into ice water and the organic layer is
separated, washed with water, dried, and then concentrated to dryness. The
residue is triturated with petroleum ether and a white solid of 8-chloro-6,11-
dihydro-11-(1-ethoxycarbonyl-4-piperidylidene)-5H-benzo[5,6
]cyclohepta[1,2-b]pyridine having a melting point of 128-130°C is
recrystallized from isopropyl ether after decolorization with decolorizing
carbon.
To 12 g of sodium hydroxide in 30 ml ethyl alcohol (70%) add 6 g of 8-chloro6,11-dihydro-11-(1-ethoxycarbonyl-4-piperidylidene)-5Hbenzo[5,6]cyclohepta[1,2-b]pyridine and reflux with stirring for 24 hours.
After about the first 6-8 hours an additional 30 ml of 70% ethyl alcohol may
be added. Remove about 50% of the solvent by distillation in vacuo. Add a
small amount of ice water and acidify with glacial acetic acid. Extract with
chloroform (6-8 times), since the product precipitates from the acetic acid
solution as a thick emulsion which cannot be filtered. Concentrate the
chloroform extracts to a small volume and precipitate the product with hexane
to give crude 8-chloro-6,11-dihydro-11-(4-piperidylidene)-5Hbenzo[5,6]cyclohepta[1,2-b]pyridine acetic acid salt, m.p. 197-200°C.
Recrystallize from benzene-hexane to obtain the product, m.p. 199-200°C.
Yield 4.0-4.5 g.
brand name
Clarinex (Schering-Plough).
Therapeutic Function
Antiallergic
General Description
Desloratadine, 8-chloro-6,11-dihydro-11-(4-piperdinylidene)-5H-benzo[5,6]cyclohepta[1,2-b]pyridine(Clarinex) is a white to off-white powder that is slightlysoluble in water, but very soluble in ethanol and propyleneglycol. It is the proposed active metabolite loratadine and hasa very similar receptor binding and safety profile. It is indicated for the symptomatic relief of pruritus andreduction in the number and size of hives in chronic idiopathicurticaria patients 6 months of age and older and for therelief of the nasal and nonnasal symptoms of perennial allergicrhinitis (in patients 6 months of age and older) and seasonalallergic rhinitis (in patients 2 years of age and older).
Desloratadine is extensively metabolized to 3-hydroxydesloratadine,also an active metabolite, which is subsequentlyglucuronidated . The cytochrome enzymesresponsible for the formation of 3-hydroxydesloratadinehave not been reported. Coadministration ofdesloratadine with CYP3A4 inhibitors results in marginalincreases in plasma concentrations of desloratadine and3-hydroxydesloratadine, but no significant changes in safetyor efficacy. The mean elimination half-life of desloratadineis about 6 hours, and the drug and its metabolites areeliminated in the urine and feces.
Biochem/physiol Actions
Desloratadine is a selective and nonsedating histamine H1 receptor antagonist, an active metabolite of loratadine (Claritin), used to relieve hay fever and allergy symptoms with less drowsiness than other antihistamines; does not significantly inhibits cardiac K+ channels at clinically achievable blood levels. Free from antimuscarinic/anticholinergic effects.
Clinical Use
Desloratadine was launched as an improved version of Schering-Plough's
Claritin? (Loratadine), for the treatment of nasal and non-nasal symptoms of seasonal
allergic rhinitis (SAR). Desloratadine can be prepared by a 7-step synthesis starting with a
Ritter reaction on 2-cyano-3-picoline and involving successively alkylation with 3-
chlorobenzyl chloride, dehydration, Grignard reaction with the piperidine magnesium
chloride, intramolecular cyclization in strong acidic medium, and finally demethylation of
the piperidine. Desloratadine (the descarboethoxyloratadine) is a biologically active
metabolite of the second-generation antihistamine Ioratadine. Desloratadine is a nonsedating
competitive histamine H
1 receptor antagonist with increased potency and
improved safety as compared to Ioratadine. When compared with other H1 antagonists as
an inhibitor of histamine-induced calcium flux in CHO cells, desloratadine was found to be
more potent than most H
1 antagonists (such as the widely used terfenadine, fexofenadine,
cetirizine, Ioratadine and astemizole) in this assay. Desloratadine is also a potent
antagonist of muscarinic M
1 and M
3 receptors (not M
2) indicating anticholinergic activity.
These effects may be the explanation for the unexpected decongestant effects of
desloratadine reported in clinical trials. Desloratadine appears to be devoid of significant
effects on potassium channels and does not appear to suffer from adverse interaction with
cytochrome P450 inhibitors. Clinical studies have shown that it does not induce sedation or
cardiac arrhythmias and does not potentiate the effects of alcohol. Apparent total body clearance is in the range of 114-201 l/h and the mean elimination half life is 19-34.6 h in human. Desloratadine is available as 5-mg tablets, which is the once-daily recommended
dose for adults and children above 12 years. It may be taken without regard to food. The
treatment not only improved symptoms of SAR but also improved patient ratings of nasal
congestion. The FDA also has issued an "approvable" letter for this agent for the treatment
of chronic idiopathic urticaria (ClU).
References
[1] https://www.drugbank.ca
[2] Raif S. Geha, Eli O. Meltzer (2001) Desloratadine: A new, nonsedating, oral antihistamine, The Journal of Allergy and Clinical Immunology,107, 751-762
