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Duloxetine, sold under the brand name Cymbalta among others,[1] is a medication used to treat major depressive disorder, generalized anxiety disorder, obsessive–compulsive disorder, fibromyalgia, neuropathic pain, central sensitization, and other types of chronic pain.[9][10] It is taken by mouth.[9]

Duloxetine is a serotonin–norepinephrine reuptake inhibitor (SNRI).[11] The precise mechanism for its antidepressant and anxiolytic effects is not known.[9]

Common side effects include dry mouth, nausea, constipation, loss of appetite, drowsiness, sexual problems, and increased sweating.[12] Severe side effects include an increased risk of suicide, serotonin syndrome, mania, and liver problems.[9] Antidepressant withdrawal syndrome may occur if stopped.[9] Use during the later part of pregnancy may increase the risk of bleeding or cause complications for the fetus.[12]

Duloxetine was approved for medical use in the United States[9][13] and the European Union in 2004.[4][6] It is available as a generic medication.[11] In 2023, it was the 31st most commonly prescribed medication in the United States, with more than 18 million prescriptions.[14][15]

Medical uses

Duloxetine 20mg sold under the name Cymbalta in Japan

The main uses of duloxetine are in major depressive disorder, generalized anxiety disorder, neuropathic pain, chronic musculoskeletal pain, and fibromyalgia.[3][9][16][17]

Duloxetine is recommended as a first-line agent for the treatment of chemotherapy-induced neuropathy by the American Society of Clinical Oncology,[18] as a first-line therapy for fibromyalgia in the presence of mood disorders by the German Interdisciplinary Association for Pain Therapy,[19] as a Grade B recommendation for the treatment of diabetic neuropathy by the American Association for Neurology[20] and as a level A recommendation in certain neuropathic states by the European Federation of Neurological Societies.[21]

Painful diabetic peripheral neuropathy

A 2014 Cochrane review concluded that duloxetine is beneficial in the treatment of diabetic neuropathy and fibromyalgia but that more comparative studies with other medicines are needed.[22] The French medical journal Prescrire concluded that duloxetine is no better than other available agents and has a greater risk of side effects.[23] Whereas duloxetine has shown efficacy in treating painful diabetic peripheral neuropathy by blocking late Nav 1.7 sodium ion channels and increasing norepinephrine, serotonin, and dopamine in the central nervous system (CNS) and while improving mean NPRS scores and achieving a ≥50% pain response in more patients compared to placebo, it has been associated with potentially serious adverse reactions including hepatotoxicity, serotonin syndrome, severe skin reactions, increased risk of bleeding, increased blood pressure and sexual dysfunction.[24]

Major depressive disorder

Duloxetine was approved for the treatment of major depression in 2004.[3][4] A 2025 systematic review assessing the benefits and harms of duloxetine in depression found an average change of 1.81 points on the 53-point Hamilton Depression Rating Scale and a small beneficial effect on quality of life, effects below the review’s predefined minimal clinically important differences. There was insufficient data to assess suicide or other serious adverse events. All results assessed were at a high risk of bias.[25] A 2012 Cochrane Review did not find greater efficacy of duloxetine compared to SSRIs and newer antidepressants. Additionally, the review found evidence that duloxetine has increased side effects and reduced tolerability compared to other antidepressants. It thus did not recommend duloxetine as a first-line treatment for major depressive disorder, given the (then) high cost of duloxetine compared to inexpensive off-patent antidepressants and lack of increased efficacy.[26] Duloxetine appears less tolerable than some other antidepressants.[27] Generic duloxetine became available in 2013.

Duloxetine, marketed under the brand name Cymbalta, is a newer antidepressant medication that functions as a selective norepinephrine and serotonin reuptake inhibitor (SNRI). It is structurally and functionally similar to venlafaxine, another SNRI. Duloxetine is primarily used to treat major depressive disorder, generalized anxiety disorder, diabetic peripheral neuropathic pain, and fibromyalgia.
Used in Pharmaceutical Industry:
Duloxetine is used as an antidepressant for treating major depressive disorder, providing relief from depressive symptoms and improving overall mood and well-being.
Duloxetine is used as an anxiolytic for managing generalized anxiety disorder, helping to reduce anxiety levels and associated symptoms.
Used in Pain Management:
Duloxetine is used as an analgesic for treating diabetic peripheral neuropathic pain, alleviating discomfort and improving the quality of life for patients with diabetes.
Duloxetine is used as a therapeutic agent for fibromyalgia, helping to reduce chronic widespread pain and improve the functionality of individuals suffering from this condition.

116539-59-4

Post Buying Request

  • 116539-59-4 Structure
  • Basic information

    1. Product Name: Duloxetine
    2. Synonyms: DULOXETINE;DULOXETINE-D3;(S)-DULOXETINE;DULOXETIN;(3S)-N-methyl-3-naphthalen-1-yloxy-3-thiophen-2-yl-propan-1-amine;N-Methyl-gama-(1-naphthalenyloxy)-2-thiophenepropanamine;DULOXETINE HCI;Duloxetine & Intermediates
    3. CAS NO:116539-59-4
    4. Molecular Formula: C18H19NOS
    5. Molecular Weight: 297.41
    6. EINECS: 1533716-785-6
    7. Product Categories: ACTIVE PHARMACEUTICAL INGREDIENTS;API
    8. Mol File: 116539-59-4.mol
  • Chemical Properties

    1. Melting Point: N/A
    2. Boiling Point: 466.2 °C at 760 mmHg
    3. Flash Point: 235.7 °C
    4. Appearance: /
    5. Density: 1.158 g/cm3
    6. Vapor Pressure: 7.23E-09mmHg at 25°C
    7. Refractive Index: 1.627
    8. Storage Temp.: N/A
    9. Solubility: N/A
    10. PKA: 10.02±0.10(Predicted)
    11. CAS DataBase Reference: Duloxetine(CAS DataBase Reference)
    12. NIST Chemistry Reference: Duloxetine(116539-59-4)
    13. EPA Substance Registry System: Duloxetine(116539-59-4)
  • Safety Data

    1. Hazard Codes: N/A
    2. Statements: N/A
    3. Safety Statements: N/A
    4. WGK Germany:
    5. RTECS:
    6. HazardClass: N/A
    7. PackingGroup: N/A
    8. Hazardous Substances Data: 116539-59-4(Hazardous Substances Data)

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  • Duloxetine

    Cas No: 116539-59-4

  • Duloxetine

    Cas No: 116539-59-4

  • N-methyl-3-(1-naphthalenyloxy)-3-thiophen-2-yl-1-propanamine hydrochloride

116539-59-4 Usage

Pharmacokinetics

Duloxetine appears to be fairly well absorbed after oral doses, with peak plasma levels in 6 to 10 hours and linear pharmacokinetics. The drug is extensively metabolized in the liver to active metabolites, with 72% of an oral dose primarily excreted in the urine as conjugated metabolites and up to 15% appearing in the feces. N-demethylation to an active metabolite (CYP2D6) and hydroxylation of the naphthyl ring (CYP1A2) at either the 4-, 5-, or 6-positions are the main metabolic pathways for duloxetine. Its metabolites are primarily excreted into the urine as glucuronide, sulfate, and O-methylated conjugation products. The major metabolites found in plasma also were found in the urine. Preclinical data for 4-hydroxyduloxetine suggests it has a similar pharmacological profile to duloxetine, with selective inhibition of SERT but less activity at the NET.

Clinical Use

Duloxetine has been approved for the treatment of depression and diabetic peripheral neuropathic pain. It is another analogue in the line of fluoxetine-based products from Lilly, in which the phenyl and phenoxy groups of fluoxetine have been respectively replaced with the benzene isostere, thiophene, and a naphthyloxy group (previously described under fluoxetine). Duloxetine exhibits dual inhibition with high affinity for the SERTs and NETs, with a five times preferential inhibition of the SERT. Duloxetine appears to be a more potent in vitro blocker of SERTs and NETs than venlafaxine. In humans, duloxetine has a low affinity for the other neuroreceptors, suggesting low incidence of unwanted adverse effects.

Drug interactions

Potentially hazardous interactions with other drugsAntibacterials: metabolism inhibited by ciprofloxacin – avoid.Anticoagulants: possibly increased risk of bleeding with dabigatran.Other CNS medication: enhanced effect.Antidepressants: avoid with MAOIs, moclobemide, St John’s wort, tryptophan, venlaflaxine, amitriptyline, clomipramine and SSRIs due to increased risk of serotonin syndrome; increased risk of side effects with tricyclic antidepressants; fluvoxamine decreases the clearance of duloxetine by 77% – avoid; possible increased risk of convulsions with vortioxetine.Antimalarials: avoid with artemether/lumefantrine and piperaquine with artenimol.Dapoxetine: avoid concomitant use.Methylthioninium: risk of CNS toxicity – avoid if possible.

Metabolism

Duloxetine is extensively metabolised and the metabolites are excreted principally in urine. Both cytochromes P450-2D6 and 1A2 catalyse the formation of the two major metabolites, glucuronide conjugate of 4-hydroxy duloxetine and sulphate conjugate of 5-hydroxy, 6-methoxy duloxetine. Based upon in vitro studies, the circulating metabolites of duloxetine are considered pharmacologically inactive

Check Digit Verification of cas no

The CAS Registry Mumber 116539-59-4 includes 9 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 6 digits, 1,1,6,5,3 and 9 respectively; the second part has 2 digits, 5 and 9 respectively.
Calculate Digit Verification of CAS Registry Number 116539-59:
(8*1)+(7*1)+(6*6)+(5*5)+(4*3)+(3*9)+(2*5)+(1*9)=134
134 % 10 = 4
So 116539-59-4 is a valid CAS Registry Number.

InChI:InChI=1/C18H19NOS/c1-19-12-11-17(18-10-5-13-21-18)20-16-9-4-7-14-6-2-3-8-15(14)16/h2-10,13,17,19H,11-12H2,1H3/t17-/m1/s1

Duloxetine is a serotonin-norepinephrine reuptake inhibitor (Ki=4.6 nM), used for major depressive disorder, generalized anxiety disorder, fibromyalgia and neuropathic pain.

116539-59-4SDS

SAFETY DATA SHEETS

According to Globally Harmonized System of Classification and Labelling of Chemicals (GHS) – Sixth revised edition

Duloxetine

NeuroscienceTransporter PharmacologyBinding Affinity

⚠ Attention: For research use only. Not for human or veterinary use.
Molecular FormulaC18H19NOS
Molecular Weight297.4 g/mol
CAS No.116539-59-4
Cat. No.B1670986
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Technical Parameters


Basic Identity
Product Name Duloxetine
CAS 116539-59-4
Synonyms
Molecular Formula C18H19NOS
Molecular Weight 297.4 g/mol
Structural Identifiers
SMILES CNCCC(C1=CC=CS1)OC2=CC=CC3=CC=CC=C32
InChI InChI=1S/C18H19NOS/c1-19-12-11-17(18-10-5-13-21-18)20-16-9-4-7-14-6-2-3-8-15(14)16/h2-10,13,17,19H,11-12H2,1H3/t17-/m0/s1
InChIKey ZEUITGRIYCTCEM-KRWDZBQOSA-N
Commercial & Availability
Standard Pack Sizes 5 mg / 10 mg / 25 mg / Bulk Custom
Availability In Stock
Custom Synthesis Available on request
Handling Information
Appearance Solid powder
Solubility 2.96e-03 g/L
Storage Dry, dark and at 0 – 4 C for short term (days to weeks) or -20 C for long term (months to years).

Structure & Identifiers


Interactive Chemical Structure Model






Duloxetine Specification and Classification


Duloxetine is a serotonin-norepinephrine reuptake inhibitor (SNRI) that acts as a dual inhibitor of human serotonin (5-HT) and norepinephrine (NE) transporters with high affinity [1]. Its molecular formula is C18H19NOS, and it is commercially available as the hydrochloride salt for research applications . The compound is extensively used in neuroscience, pharmacology, and drug discovery research focused on mood disorders, neuropathic pain, and transporter pharmacology.

Dual serotonin (SERT) and norepinephrine (NET) transporter inhibition probe
Neuroscience research: mood disorder and neuropathic pain models
Transporter pharmacology and SNRI mechanism studies

Duloxetine vs Venlafaxine and Milnacipran: Key Differences


Despite belonging to the same SNRI class, duloxetine, venlafaxine, and milnacipran exhibit pronounced differences in transporter binding affinity, selectivity ratios, and dose-response characteristics that preclude experimental interchangeability [1]. Venlafaxine displays a 30-fold selectivity for serotonin over norepinephrine and requires higher doses to achieve dual inhibition, whereas duloxetine maintains a 9-fold selectivity ratio and inhibits both transporters at all doses [2]. Milnacipran exhibits a balanced 1:1 inhibition ratio, a profile distinct from both duloxetine and venlafaxine [3]. These pharmacological divergences translate into different in vivo potency ranges, metabolic pathways, and adverse effect profiles that directly impact experimental design, dose selection, and interpretation of results.

Venlafaxine exhibits a wider SERT selectivity window relative to NET than duloxetine, potentially altering transporter occupancy interpretation.
Milnacipran’s balanced 1:1 SERT/NET ratio precludes direct substitution for duloxetine in dual-inhibition research models.
In vivo potency ranges and metabolic pathways differ; doses effective for venlafaxine may not reflect equivalent transporter occupancy for duloxetine.

Duloxetine Quantitative Differentiation Evidence


Human NET and SERT Binding Affinity Comparison

In a direct comparative in vitro study, duloxetine inhibited binding to the human norepinephrine (NE) transporter with a Ki of 7.5 nM and to the serotonin (5-HT) transporter with a Ki of 0.8 nM, yielding a Ki ratio (NET/SERT) of 9 [1]. Under identical experimental conditions, venlafaxine exhibited Ki values of 2480 nM and 82 nM for NET and SERT, respectively, with a Ki ratio of 30 [1].

Transporter Binding Affinity
Head-to-head
Target (Duloxetine): NET Ki 7.5 nM, SERT Ki 0.8 nM, ratio 9
Comparator (Venlafaxine): NET Ki 2480 nM, SERT Ki 82 nM, ratio 30
~310-fold higher NET affinity, ~102-fold higher SERT affinity
Reported affinity context for in vitro assay design
In vitro radioligand binding, human recombinant transporters
NeuroscienceTransporter PharmacologyBinding Affinity

In Vivo Transporter Occupancy in Rat Brain

In ex vivo binding studies measuring transporter occupancy in rat brain, duloxetine inhibited binding to 5-HT transporters with an ED50 of 0.03 mg/kg and to NE transporters with an ED50 of 0.7 mg/kg [1]. Venlafaxine required substantially higher doses, with ED50 values of 2 mg/kg for SERT and 54 mg/kg for NET [1].

In Vivo Transporter Occupancy
Head-to-head
Target: SERT ED50 0.03 mg/kg, NET ED50 0.7 mg/kg
Comparator: SERT ED50 2 mg/kg, NET ED50 54 mg/kg
~67-fold lower dose for SERT, ~77-fold lower for NET occupancy
In vivo occupancy context for dose selection in rodent studies
Ex vivo radioligand binding after systemic administration in rats
NeuropharmacologyIn Vivo PharmacologyTransporter Occupancy

Functional Monoamine Depletion Blockade

In a functional in vivo model of neurotransmitter depletion, duloxetine blocked p-chloroamphetamine-induced 5-HT depletion with an ED50 of 2.3 mg/kg and 6-hydroxydopamine-induced NE depletion with an ED50 of 12 mg/kg [1]. Venlafaxine exhibited ED50 values of 5.9 mg/kg and 94 mg/kg, respectively [1].

Monoamine Depletion Blockade
Head-to-head
Target: 5-HT depletion ED50 2.3 mg/kg, NE depletion ED50 12 mg/kg
Comparator: 5-HT ED50 5.9 mg/kg, NE ED50 94 mg/kg
2.6-fold lower for 5-HT, 7.8-fold lower for NE blockade
Functional depletion context for neurochemical research
Rat brain p-chloroamphetamine and 6-hydroxydopamine models
NeurochemistryIn Vivo PharmacologyMonoamine Depletion

CYP2D6 Inhibition Profile

Duloxetine is classified as a moderate inhibitor of CYP2D6 [1]. Concomitant administration of duloxetine (40 mg once daily) with paroxetine (20 mg once daily) increased duloxetine AUC by approximately 60% [2]. In contrast, paroxetine and fluoxetine are potent CYP2D6 inhibitors [3].

CYP2D6 Inhibition
Class-level
Moderate inhibitor: ~60% AUC increase with paroxetine 20 mg
Potent inhibitors: paroxetine, fluoxetine
Supports drug interaction study design and comparator selection
In vitro and clinical DDI classification
Drug MetabolismEnzymologyCYP450

Pharmacokinetics in Hepatic Impairment

In a study comparing six cirrhotic subjects (Child-Pugh class B) with six healthy controls following a single 20 mg oral dose, duloxetine elimination half-life was significantly prolonged in cirrhosis (47.8 hours vs 13.5 hours, p < 0.05) [1]. Apparent clearance was markedly reduced (24 L/h vs 160 L/h, p < 0.05) [1].

Hepatic Impairment PK
Reported
Cirrhotic vs Healthy: t1/2 47.8 h vs 13.5 h; CL/F 24 L/h vs 160 L/h
3.5-fold half-life extension, 6.7-fold clearance reduction
PK context for hepatic impairment research models
Single-dose study, Child-Pugh B cirrhosis subjects
PharmacokineticsHepatic MetabolismSpecial Populations

Efficacy in Taxane-Induced Neuropathy

A 2024 randomized clinical trial compared duloxetine and venlafaxine in breast cancer patients with acute symptomatic taxane-induced neuropathy [1]. Both groups exhibited decreased neuropathic pain, and the study concluded that both drugs effectively treat neuropathic symptoms such as paresthesia, tingling, and itching, with no statistically significant difference between interventions on any variables measured [1].

Taxane Neuropathy Model
Head-to-head
Duloxetine and venlafaxine both associated with decreased neuropathic pain scores; no statistically significant difference on measured variables
Reported neuropathy-model endpoint comparability
Randomized study in taxane-induced neuropathy research cohort
Neuropathic PainOncology Supportive CareClinical Pharmacology

Duloxetine Research and Industrial Applications


In Vitro Transporter Assay and Reference Compound

Duloxetine serves as a high-affinity reference ligand for serotonin (SERT) and norepinephrine (NET) transporter binding and functional assays. Its well-characterized Ki values (SERT Ki = 0.8 nM; NET Ki = 7.5 nM) and 9-fold selectivity ratio make it suitable for assay validation, competitive binding studies, and as a positive control in transporter inhibition screens [1]. Its minimal off-target binding to dopaminergic, adrenergic, cholinergic, and other receptor systems ensures assay specificity [2].

In Vivo Neuropharmacology in Rodent Models

The in vivo potency profile of duloxetine—with ex vivo SERT ED50 of 0.03 mg/kg and NET ED50 of 0.7 mg/kg in rats—enables precise dose selection for behavioral and neurochemical studies [1]. Researchers can confidently achieve dual transporter inhibition at doses as low as 5-10 mg/kg (oral or intraperitoneal), avoiding the dose-escalation complexities associated with venlafaxine, which requires >50 mg/kg for equivalent NET occupancy [1]. This makes duloxetine particularly suitable for chronic dosing paradigms and studies requiring sustained dual transporter inhibition.

Drug Metabolism and CYP2D6 Inhibition

Duloxetine is extensively metabolized by CYP1A2 and CYP2D6, with over 96% plasma protein binding [1]. Its moderate CYP2D6 inhibition profile provides a useful comparator to potent inhibitors like paroxetine and fluoxetine [2]. Known drug interaction magnitudes (e.g., ~60% AUC increase with paroxetine 20 mg; ~6-fold AUC increase with fluvoxamine 100 mg) offer quantitative benchmarks for designing and interpreting drug-drug interaction studies [3].

Taxane-Induced Neuropathic Pain Model

A 2024 head-to-head randomized trial confirmed that duloxetine is effective in managing taxane-induced neuropathic symptoms in breast cancer patients, with efficacy comparable to venlafaxine [1]. This clinical validation positions duloxetine as a viable compound for preclinical and translational research investigating chemotherapy-induced peripheral neuropathy, pain signaling pathways, and adjunctive therapies in oncology supportive care.

Application
Selection Property
Validation Focus
In vitro transporter binding assays
SERT/NET affinity profile
Competitive binding and specificity verification
In vivo rodent neuropharmacology
In vivo transporter occupancy
Dose selection and dual inhibition confirmation
CYP2D6 drug interaction studies
CYP2D6 inhibition classification
Interaction magnitude and comparator reference
Chemotherapy-induced neuropathy research
Taxane neuropathy model endpoint
Endpoint comparability with comparator SNRI

Technical Documentation Hub

1.Identification

1.1 GHS Product identifier

CAS No.
116539-59-4
Chemical Name:
Duloxetine
Synonyms
DULOXETIN;DULOXETINE HCI;DULOXETINE-D3;(S)-DULOXETINE;(3S)-N-methyl-3-naphthalen-1-yloxy-3-thiophen-2-yl-propan-1-amine;CS-559;DULOXETINE;(+)-Duloxetine;Duloxetine, >=99%;Duloxetine Hcl(S)
CBNumber:
CB8670379
Molecular Formula:
C18H19NOS
Molecular Weight:
297.42
MDL Number:
MFCD06801358
MOL File:
116539-59-4.mol
MSDS File:
SDS
TDS File:
TDS
Last updated:2026-07-27 17:00:41
Product description Number Pack Size Price
Duloxetine 99.92% CS-2885 5mg $43
Duloxetine 99.92% CS-2885 10mg $65
Duloxetine 99.92% CS-2885 25mg $104
Duloxetine 99.92% CS-2885 50mg $151
Duloxetine 99.92% CS-2885 100mg $214
More product size
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Duloxetine Properties

Boiling point 466.2±40.0 °C(Predicted)
Density 1.158±0.06 g/cm3(Predicted)
storage temp. Store at -20°C
solubility Soluble in DMSO
form Oil
pka 10.02±0.10(Predicted)
color Light brown to yellow
BCS Class 2
InChI InChI=1/C18H19NOS.ClH/c1-19-12-11-17(18-10-5-13-21-18)20-16-9-4-7-14-6-2-3-8-15(14)16;/h2-10,13,17,19H,11-12H2,1H3;1H/t17-;/s3
InChIKey BFFSMCNJSOPUAY-VOPAOICTNA-N
SMILES C1(=CC=CS1)[C@H](CCNC)OC1=CC=CC2=CC=CC=C12.Cl |&1:5,r|
FDA UNII O5TNM5N07U
ATC code N06AX21
EPA Substance Registry System 2-Thiophenepropanamine, N-methyl-?-(1-naphthalenyloxy)-, (?S)- (116539-59-4)

Pharmacokinetic data

Protein binding 95-96%
Excreted unchanged in urine <1 (77% as metabolites)
Volume of distribution 1640 Litres
Biological half-life 8-17 / Unchanged

SAFETY

Risk and Safety Statements

Symbol(GHS) Exclamation Mark (GHS07)
GHS07
Signal word Warning
Hazard statements H302-H315-H319
Precautionary statements P501-P270-P264-P280-P302+P352-P337+P313-P305+P351+P338-P362+P364-P332+P313-P301+P312+P330
Hazardous Substances Data 116539-59-4(Hazardous Substances Data)

Duloxetine price More Price(33)

Manufacturer Product number Product description CAS number Packaging Price Updated Buy
ChemScene CS-2885 Duloxetine 99.92% 116539-59-4 5mg $43 2026-06-04 Buy
ChemScene CS-2885 Duloxetine 99.92% 116539-59-4 10mg $65 2026-06-04 Buy
ChemScene CS-2885 Duloxetine 99.92% 116539-59-4 25mg $104 2026-06-04 Buy
ChemScene CS-2885 Duloxetine 99.92% 116539-59-4 50mg $151 2026-06-04 Buy
ChemScene CS-2885 Duloxetine 99.92% 116539-59-4 100mg $214 2026-06-04 Buy

Duloxetine Chemical Properties,Uses,Production

History

Duloxetine is a second-generation antidepressant. Its mechanism of action involves inhibiting the reuptake of serotonin and norepinephrine by neurons, thereby increasing the concentration of these two neurotransmitters in the synaptic cleft, thus improving mood and relieving pain.
Initial Approval (2004): Cymbalta was initially approved for the treatment of major depressive disorder (MDD). In the same year, it also received approval for the treatment of diabetic peripheral neuropathy (DPNP), making it a unique drug capable of simultaneously addressing two common and frequently co-occurring conditions: depression and neuropathic pain.
Expansion of Indications: Subsequently, Eli Lilly expanded its indications through clinical trials, making it a multi-functional drug. The most significant expansions include generalized anxiety disorder (GAD) (2007), fibromyalgia (2008), and chronic musculoskeletal pain (2010). The approval of these indications secured Cymbalta a significant position in the pain management market, making it one of Eli Lilly’s blockbuster drugs.
Patent Expiration (2013): In December 2013, Cymbalta’s primary patent in the United States expired, a phenomenon known as the “patent cliff.”
Following the patent expiration, the FDA quickly approved several generic versions (generic name: duloxetine), leading to a significant drop in sales, but also enabling wider use of the drug at a lower price.

Uses

Antidepressant.

Definition

ChEBI: (S)-duloxetine is a duloxetine. It is an enantiomer of a (R)-duloxetine.

brand name

Cymbalta (Lilly).

General Description

Duloxetine (Cymbalta) is a newer antidepressant. It islargely like venlafaxine, which is an SNERI (selective norepinephrinereuptake inhibitor).

Pharmacokinetics

Duloxetine appears to be fairly well absorbed after oral doses, with peak plasma levels in 6 to 10 hours and linear pharmacokinetics. The drug is extensively metabolized in the liver to active metabolites, with 72% of an oral dose primarily excreted in the urine as conjugated metabolites and up to 15% appearing in the feces.
N-demethylation to an active metabolite (CYP2D6) and hydroxylation of the naphthyl ring (CYP1A2) at either the 4-, 5-, or 6-positions are the main metabolic pathways for duloxetine. Its metabolites are primarily excreted into the urine as glucuronide, sulfate, and O-methylated conjugation products. The major metabolites found in plasma also were found in the urine. Preclinical data for 4-hydroxyduloxetine suggests it has a similar pharmacological profile to duloxetine, with selective inhibition of SERT but less activity at the NET.

Clinical Use

Duloxetine has been approved for the treatment of depression and diabetic peripheral neuropathic pain. It is another analogue in the line of fluoxetine-based products from Lilly, in which the phenyl and phenoxy groups of fluoxetine have been respectively replaced with the benzene isostere, thiophene, and a naphthyloxy group (previously described under fluoxetine). Duloxetine exhibits dual inhibition with high affinity for the SERTs and NETs, with a five times preferential inhibition of the SERT. Duloxetine appears to be a more potent in vitro blocker of SERTs and NETs than venlafaxine. In humans, duloxetine has a low affinity for the other neuroreceptors, suggesting low incidence of unwanted adverse effects.

Synthesis

Reaction of 2-acetylthiophene with paraformaldehyde and dimethylamine in ethanol gives 3-(dimethylamino)-1-(2-thienyl)- 1-propanone, which is enantioselectively reduced with a 2:1 complex of (2R,3S)-4-(dimethylamino)- 3-methyl-1,2-diphenyl-2-butanol and LiAlH4 in toluene to yield (S)-3-(dimethylamino)- 1-(2-thienyl)-1-propanol. The condensation of (S)-3-(dimethylamino)-1-(2- thienyl)-1-propanol with 1-fluoronaphthalene catalyzed by NaH in DMSO affords the corresponding naphthyl ether (S)-N,N-dimethyl-3- (naphthalen-1-yloxy)-3-(thiophen-2-yl)propan- 1-amine, which is finally monodemethylated with 2,2,2-trichloroethyl chloroformate and zinc in toluene and treated with oxalic acid .
Synthesis_116539-59-4

Drug interactions

Potentially hazardous interactions with other drugs
Antibacterials: metabolism inhibited by ciprofloxacin – avoid.
Anticoagulants: possibly increased risk of bleeding with dabigatran.
Other CNS medication: enhanced effect.
Antidepressants: avoid with MAOIs, moclobemide, St John’s wort, tryptophan, venlaflaxine, amitriptyline, clomipramine and SSRIs due to increased risk of serotonin syndrome; increased risk of side effects with tricyclic antidepressants; fluvoxamine decreases the clearance of duloxetine by 77% – avoid; possible increased risk of convulsions with vortioxetine.
Antimalarials: avoid with artemether/lumefantrine and piperaquine with artenimol.
Dapoxetine: avoid concomitant use.
Methylthioninium: risk of CNS toxicity – avoid if possible.

Metabolism

Duloxetine is extensively metabolised and the metabolites are excreted principally in urine. Both cytochromes P450-2D6 and 1A2 catalyse the formation of the two major metabolites, glucuronide conjugate of 4-hydroxy duloxetine and sulphate conjugate of 5-hydroxy, 6-methoxy duloxetine. Based upon in vitro studies, the circulating metabolites of duloxetine are considered pharmacologically inactive

Duloxetine Preparation Products And Raw materials

Raw materials

Preparation Products

Product name (S)-duloxetine

1.2 Other means of identification

Product number –
Other names Duloxetine

1.3 Recommended use of the chemical and restrictions on use

Identified uses For industry use only.
Uses advised against no data available

1.4 Supplier’s details

1.5 Emergency phone number

Emergency phone number –
Service hours Monday to Friday, 9am-5pm (Standard time zone: UTC/GMT +8 hours).

More Details:116539-59-4 SDS

116539-59-4Relevant academic research and scientific papers

Preparation method of duloxetine

 

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    • Boiling point: 466.2±40.0 °C (Predicted)
    • solubility: Soluble in DMSO
    • Density: 1.158±0.06 g/cm3 (Predicted)
    • storage temp.: Store at -20°C
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