diclazepam
{{Short description|Benzodiazepine medication}}
{{Drugbox
| Verifiedfields = changed
| Watchedfields = changed
| verifiedrevid = 443634166
| IUPAC_name = 7-Chloro-5-(2-chlorophenyl)-1-methyl-1,3-dihydro-2H-1,4-benzodiazepin-2-one
| image = Diclazepam structure.svg
| image_class = skin-invert-image
| width = 201
| image2 = Diclazepam molecule ball.png
| legal_CA = Schedule IV
| legal_BR = B1
| legal_BR_comment = {{Cite web |author=Anvisa |author-link=Brazilian Health Regulatory Agency |date=2023-03-31 |title=RDC Nº 784 - Listas de Substâncias Entorpecentes, Psicotrópicas, Precursoras e Outras sob Controle Especial |trans-title=Collegiate Board Resolution No. 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control|url=https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-784-de-31-de-marco-de-2023-474904992 |url-status=live |archive-url=https://web.archive.org/web/20230803143925/https://www.in.gov.br/en/web/dou/-/resolucao-rdc-n-784-de-31-de-marco-de-2023-474904992 |archive-date=2023-08-03 |access-date=2023-08-16 |publisher=Diário Oficial da União |language=pt-BR |publication-date=2023-04-04}}
| legal_DE = Anlage II
| legal_UK = Class C
| legal_US = Schedule I
| routes_of_administration = Oral, sublingual
| bioavailability = ?
| metabolism = Hepatic
| excretion = Renal
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 2894-68-0
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 070818R7PB
| PubChem = 76168
| ChemSpiderID = 68652
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = C22813
| C = 16
| H = 12
| Cl = 2
| N = 2
| O = 1
| smiles = CN1C2=C(C=C(C=C2)Cl)C(C3=C(Cl)C=CC=C3)=NCC1=O
| StdInChI = 1S/C16H12Cl2N2O/c1-20-14-7-6-10(17)8-12(14)16(19-9-15(20)21)11-4-2-3-5-13(11)18/h2-8H,9H2,1H3
| StdInChIKey = VPAYQWRBBOGGPY-UHFFFAOYSA-N
}}
Diclazepam (Ro5-3448), also known as chlorodiazepam and 2'-chloro-diazepam, is a benzodiazepine and functional analog of diazepam. It was first synthesized by Leo Sternbach and his team at Hoffman-La Roche in 1960.{{Cite patent| country=US | number = 3136815 | title = Amino substituted benzophenone oximes and derivatives thereof}} It is not currently approved for use as a medication, but rather sold as an unscheduled substance.{{cite journal | vauthors = Pettersson Bergstrand M, Helander A, Hansson T, Beck O | title = Detectability of designer benzodiazepines in CEDIA, EMIT II Plus, HEIA, and KIMS II immunochemical screening assays | journal = Drug Testing and Analysis | volume = 9 | issue = 4 | pages = 640–645 | date = April 2017 | pmid = 27366870 | doi = 10.1002/dta.2003 }}{{cite journal | vauthors = Høiseth G, Tuv SS, Karinen R | title = Blood concentrations of new designer benzodiazepines in forensic cases | journal = Forensic Science International | volume = 268 | pages = 35–38 | date = November 2016 | pmid = 27685473 | doi = 10.1016/j.forsciint.2016.09.006 }}{{cite journal | vauthors = Manchester KR, Maskell PD, Waters L | title = Experimental versus theoretical log D7.4 , pKa and plasma protein binding values for benzodiazepines appearing as new psychoactive substances | journal = Drug Testing and Analysis | volume = 10 | issue = 8 | pages = 1258–1269 | date = March 2018 | pmid = 29582576 | doi = 10.1002/dta.2387 | url = https://rke.abertay.ac.uk/en/publications/527a634d-decc-4d3a-bdca-08659bb13ed6 }}{{cite journal | vauthors = Manchester KR, Waters L, Haider S, Maskell PD | title = The blood-to-plasma ratio and predicted GABAA-binding affinity of designer benzodiazepines | journal = Forensic Toxicology | volume = 40 | issue = 2 | pages = 349–356 | date = July 2022 | pmid = 36454409 | pmc = 9715504 | doi = 10.1007/s11419-022-00616-y | s2cid = 247455284 | doi-access = free }} Efficacy and safety have not been tested in humans.
In animal models, its effects are similar to diazepam, possessing long-acting anxiolytic, anticonvulsant, hypnotic, sedative, skeletal muscle relaxant, and amnestic properties.{{citation needed|date=August 2015}}
Metabolism
Metabolism of this compound has been assessed, revealing diclazepam has an approximate elimination half-life of 42 hours and undergoes N-demethylation to delorazepam, which can be detected in urine for 6 days following administration of the parent compound.{{cite journal | vauthors = Bareggi SR, Truci G, Leva S, Zecca L, Pirola R, Smirne S | title = Pharmacokinetics and bioavailability of intravenous and oral chlordesmethyldiazepam in humans | journal = European Journal of Clinical Pharmacology | volume = 34 | issue = 1 | pages = 109–112 | date = 1988 | pmid = 2896126 | doi = 10.1007/bf01061430 | s2cid = 1574555 }} Other metabolites detected were lorazepam and lormetazepam which were detectable in urine for 19 and 11 days, respectively, indicating hydroxylation by cytochrome P450 enzymes occurring concurrently with N-demethylation.
Legal status
= United Kingdom =
In the UK, diclazepam has been classified as a Class C drug by the May 2017 amendment to The Misuse of Drugs Act 1971 along with several other benzodiazepine drugs.{{Cite web|url=http://www.legislation.gov.uk/uksi/2017/634/contents/made|title=The Misuse of Drugs Act 1971 (Amendment) Order 2017}}
= United States =
On December 23, 2022, the DEA announced it had begun consideration on the matter of placing Diclazepam under temporary Schedule I status.{{cite web |date=December 23, 2022 |title=(Proposed Rule) Schedules of Controlled Substances: Temporary Placement of Etizolam, Flualprazolam, Clonazolam, Flubromazolam, and Diclazepam in Schedule I |url=https://www.federalregister.gov/documents/2022/12/23/2022-27278/schedules-of-controlled-substances-temporary-placement-of-etizolam-flualprazolam-clonazolam |website=Federal Register |publisher=DEA}}
Later on July 25, 2023, the DEA published a pre-print notice that Diclazepam would become temporarily scheduled as a Schedule I controlled substance from 07/26/2023 to 07/26/2025.{{Cite web |date=July 25, 2023 |title=Schedules of Controlled Substances: Temporary Placement of Etizolam, Flualprazolam, Clonazolam, Flubromazolam, and Diclazepam in Schedule I |url=https://public-inspection.federalregister.gov/2023-15748.pdf |access-date=2023-07-25 |website=Federal Register |publisher=DEA}}
See also
- Diazepam
- Difludiazepam
- Delorazepam (Nordiclazepam)
- Lorazepam
- Phenazepam
- Ro09-9212
- Ro5-4864 (4'-Chlorodiazepam)
- Ro07-5220 (6'-Chlorodiclazepam)
References
{{Reflist}}
{{Benzodiazepines}}
{{Anticonvulsants}}
{{Anxiolytics}}
{{GABAAR PAMs}}