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Chemistry

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Also known as: 638-23-3, S-carboxymethyl-l-cysteine, Carbocisteine, Carbocistein, S-(carboxymethyl)-l-cysteine, Mucodyne
Molecular Formula
C5H9NO4S
Molecular Weight
179.20  g/mol
InChI Key
GBFLZEXEOZUWRN-VKHMYHEASA-N
FDA UNII
740J2QX53R

Carbocisteine
A compound formed when iodoacetic acid reacts with sulfhydryl groups in proteins. It has been used as an anti-infective nasal spray with mucolytic and expectorant action.
1 2D Structure

Carbocisteine

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
(2R)-2-amino-3-(carboxymethylsulfanyl)propanoic acid
2.1.2 InChI
InChI=1S/C5H9NO4S/c6-3(5(9)10)1-11-2-4(7)8/h3H,1-2,6H2,(H,7,8)(H,9,10)/t3-/m0/s1
2.1.3 InChI Key
GBFLZEXEOZUWRN-VKHMYHEASA-N
2.1.4 Canonical SMILES
C(C(C(=O)O)N)SCC(=O)O
2.1.5 Isomeric SMILES
C([C@@H](C(=O)O)N)SCC(=O)O
2.2 Other Identifiers
2.2.1 UNII
740J2QX53R
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 3-(carboxymethylthio)alanine

2. Carbocysteine, L Isomer

3. Carbocysteine, L-isomer

4. L-isomer Carbocysteine

5. Mucodine

6. Mucodyne

7. Mukodin

8. Rhinathiol

9. S Carboxymethylcysteine

10. S-(carboxymethyl)-l-cysteine

11. S-carboxymethylcysteine

12. Thiodril

2.3.2 Depositor-Supplied Synonyms

1. 638-23-3

2. S-carboxymethyl-l-cysteine

3. Carbocisteine

4. Carbocistein

5. S-(carboxymethyl)-l-cysteine

6. Mucodyne

7. Reomucil

8. Rhinathiol

9. Transbronchin

10. Lisomucil

11. Muciclar

12. Mucolase

13. Mucocis

14. Siroxyl

15. Loviscol

16. Mucofan

17. Bronchokod

18. Carbocit

19. Mucopront

20. Mucotab

21. Pectox

22. Lisil

23. Pectdrill

24. L-carbocisteine

25. H-cys(carboxymethyl)-oh

26. (r)-s-(carboxymethyl)cysteine

27. 186537-58-6

28. Carbocisteina

29. Carbocisteinum

30. Mucolex

31. Pulmoclase

32. Rinatiol

33. L-carbocysteine

34. S-(carboxymethyl)-(r)-cysteine

35. L-3-((carboxymethyl)thio)alanine

36. Superthiol Sirup

37. Thiodril

38. Lj 206

39. Methista

40. (l)-2-amino-3-(carboxymethylthio)propionic Acid

41. S-carboxymethylcysteine

42. Carbocisteine [inn]

43. 3-(carboxymethylthio)-l-alanine

44. R05cb03

45. Ahr 3053

46. Ahr-3053

47. Df 1794y

48. Nsc 14156

49. (2r)-2-amino-3-(carboxymethylsulfanyl)propanoic Acid

50. (2r)-2-amino-3-[(carboxymethyl)sulfanyl]propanoic Acid

51. L-cysteine, S-(carboxymethyl)-

52. Chembl396416

53. Chebi:16163

54. 740j2qx53r

55. Lj-206

56. Nsc-14156

57. Carbocysteine [usan]

58. Alanine, 3-((carboxymethyl)thio)-, L-

59. Chilvax

60. Mucosol

61. Carboxymethylated Cysteine

62. S-carboxylmethyl-l-cysteine

63. Broncodeterge

64. 1391068-19-1

65. Mucotron

66. Mukinyl

67. 3-((carboxymethyl)thio)-l-alanine

68. Mucojet Sirup

69. Mucolex Sirup

70. L-(carboxymethyl)cysteine

71. Scmc

72. (r)-2-amino-3-(carboxymethylthio)propanoic Acid

73. 3-((carboxymethyl)thio)alanine

74. 3-[(carboxymethyl)thio]alanine

75. Carbocisteinum [inn-latin]

76. Carbocisteina [inn-spanish]

77. Unii-740j2qx53r

78. Carbocysteine [usan:inn:ban]

79. L.j.206

80. (2r)-2-azaniumyl-3-(carboxylatomethylsulfanyl)propanoate

81. Mucodyne (tn)

82. Einecs 211-327-5

83. Carbocistein [jan]

84. Mfcd00002614

85. Carbocysteine Dl-form

86. Brn 1725012

87. L.j. 206

88. Carbocysteine [mi]

89. L-carbocisteine (jp17)

90. Carbocisteine [jan]

91. Carbocysteine [inci]

92. Schembl20854

93. (2r)-2-amino-3-(carboxymethylthio)propanoic Acid

94. Carbocisteine [mart.]

95. L-carbocisteine [jan]

96. Hy-d0205a

97. (carboxymethyl)cysteine-, (l)-

98. Dtxsid30110060

99. L-carbocisteine [who-dd]

100. 3-(carboxymethylthio)alanine, L-

101. S-carboxymethyl-l-cysteine, 98%

102. Zinc1529732

103. Carbocisteine [ep Monograph]

104. Bdbm50213735

105. S5216

106. Akos015922826

107. 5-amino-3-thiadihexanoic Acid, (l)-

108. Db04339

109. Ac-11146

110. As-57938

111. Cs-0017457

112. C-1850

113. C03727

114. D00175

115. H11928

116. (2r)-2-amino-3-(carboxymethylthio)propionic Acid

117. A813055

118. A816956

119. A834542

120. Q423408

121. 2-amino-3-(carboxymethylthio)propionic Acid, (l)-

122. Q-200796

123. (2r)-3-(carboxythio)-2-(methylamino)propanoic Acid

124. (2r)-2-amino-3-((carboxymethyl)thio)propionic Acid

125. (2r)-2-azanyl-3-(2-hydroxy-2-oxoethylsulfanyl)propanoic Acid

126. Carbocisteine, European Pharmacopoeia (ep) Reference Standard

127. (2r)-2-amino-3-[(carboxymethyl)sulfanyl]propanoic Acids-(carboxymethyl)-l-cysteine

2.4 Create Date
2004-09-16
3 Chemical and Physical Properties
Molecular Weight 179.20 g/mol
Molecular Formula C5H9NO4S
XLogP3-3.1
Hydrogen Bond Donor Count3
Hydrogen Bond Acceptor Count6
Rotatable Bond Count5
Exact Mass179.02522894 g/mol
Monoisotopic Mass179.02522894 g/mol
Topological Polar Surface Area126 Ų
Heavy Atom Count11
Formal Charge0
Complexity161
Isotope Atom Count0
Defined Atom Stereocenter Count1
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Carbocisteine is indicated over the counter and in prescription formulas to clear airway secretions in conditions associated with increased mucus.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Due to its mucolytic effects, carbocisteine significantly reduces sputum viscosity, cough, dyspnea and fatigue. Additionally, it prevents pulmonary infections by decreasing accumulated mucus in the respiratory tract; this is especially beneficial in preventing exacerbations of COPD caused by bacteria and viruses. It has in-vitro anti-inflammatory activity with some demonstrated action against free radicals.


5.2 MeSH Pharmacological Classification

Anti-Infective Agents, Local

Substances used on humans and other animals that destroy harmful microorganisms or inhibit their activity. They are distinguished from DISINFECTANTS, which are used on inanimate objects. (See all compounds classified as Anti-Infective Agents, Local.)


Expectorants

Agents that increase mucous excretion. Mucolytic agents, that is drugs that liquefy mucous secretions, are also included here. (See all compounds classified as Expectorants.)


5.3 ATC Code

R05CB03

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (in prep.). List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


R - Respiratory system

R05 - Cough and cold preparations

R05C - Expectorants, excl. combinations with cough suppressants

R05CB - Mucolytics

R05CB03 - Carbocisteine


5.4 Absorption, Distribution and Excretion

Absorption

Carbocisteine is rapidly absorbed in the gastrointestinal tract when taken orally with peak serum concentrations achieved within 1 to 1.7 hours.


Route of Elimination

About 30% to 60% of an orally administered dose is detected unchanged in the urine.


Volume of Distribution

Carbocisteine penetrates well into the lung and bronchial secretions.


Clearance

Clearance information for carbocisteine is not readily available in the literature.


5.5 Metabolism/Metabolites

Metabolic pathways for carbocisteine include acetylation, decarboxylation, and sulfoxidation, leading to the formation of pharmacologically inactive carbocisteine derivatives. Significant variability exists in metabolism due to genetic polymorphism in sulfoxidation capacity. Two cytosolic enzymes are responsible for the metabolism of carbocisteine: cysteine dioxygenase and phenylalanine 4-hydroxylase. Reduced metabolism can cause increased exposure to carbocisteine, explaining variable clinical response between patients who may polymorphisms affecting the enzymes responsible for carbocisteine metabolism. It is generally accepted that sulfodixation is the main metabolic pathway of carbocisteine, however, one group of researchers found a novel urinary metabolite, S-(carboxymethylthio)-L-cysteine (CMTC). No cysteinyl sulfoxide metabolites were found in the urine of patients taking carbocisteine in this study.


5.6 Biological Half-Life

The plasma half-life of carbicostine is 1.33 hours.


5.7 Mechanism of Action

The hypersecretion of mucus characterizes serious respiratory conditions including asthma, cystic fibrosis (CF), and chronic obstructive pulmonary disease (COPD). It blocks bacterial adherence to cells, preventing pulmonary infections. Glycoproteins (fucomucins, sialomucins and sulfomucins) regulate the viscoelastic properties of bronchial mucus. Increased fucomucins can be found in the mucus of patients with COPD. Carbocisteine serves to restore equilibrium between sialomucins and fucomucins, likely by intracellular stimulation of sialyl transferase enzyme, thus reducing mucus viscosity. A study found that L-carbocisteine can inhibit damage to cells by hydrogen peroxide (H2O2) by activating protein kinase B (Akt) phosphorylation, suggesting that carbocisteine may have antioxidant effects and prevent apoptosis of lung cells. There is some evidence that carbocisteine suppresses NF-B and ERK1/2 MAPK signalling pathways, reducing TNF-alpha induced inflammation in the lungs, as well as other inflammatory pathways. An in-vitro study found that L-carbocisteine reduces intracellular adhesion molecule 1 (ICAM-1), inhibiting rhinovirus 14 infection, thereby reducing airway inflammation.


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11-Jan-2021
10-Dec-2024
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Carbocysteine Manufacturers

A Carbocysteine manufacturer is defined as any person or entity involved in the manufacture, preparation, processing, compounding or propagation of Carbocysteine, including repackagers and relabelers. The FDA regulates Carbocysteine manufacturers to ensure that their products comply with relevant laws and regulations and are safe and effective to use. Carbocysteine API Manufacturers are required to adhere to Good Manufacturing Practices (GMP) to ensure that their products are consistently manufactured to meet established quality criteria.

click here to find a list of Carbocysteine manufacturers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PhamaCompass.

Carbocysteine Suppliers

A Carbocysteine supplier is an individual or a company that provides Carbocysteine active pharmaceutical ingredient (API) or Carbocysteine finished formulations upon request. The Carbocysteine suppliers may include Carbocysteine API manufacturers, exporters, distributors and traders.

click here to find a list of Carbocysteine suppliers with USDMF, JDMF, KDMF, CEP, GMP, COA and API Price related information on PharmaCompass.

Carbocysteine USDMF

A Carbocysteine DMF (Drug Master File) is a document detailing the whole manufacturing process of Carbocysteine active pharmaceutical ingredient (API) in detail. Different forms of Carbocysteine DMFs exist exist since differing nations have different regulations, such as Carbocysteine USDMF, ASMF (EDMF), JDMF, CDMF, etc.

A Carbocysteine DMF submitted to regulatory agencies in the US is known as a USDMF. Carbocysteine USDMF includes data on Carbocysteine's chemical properties, information on the facilities and procedures used, and details about packaging and storage. The Carbocysteine USDMF is kept confidential to protect the manufacturer’s intellectual property.

click here to find a list of Carbocysteine suppliers with USDMF on PharmaCompass.

Carbocysteine JDMF

The Pharmaceuticals and Medical Devices Agency (PMDA) established the Japan Drug Master File (JDMF), also known as the Master File (MF), to permit Japanese and foreign manufacturers of drug substances, intermediates, excipients, raw materials, and packaging materials (‘Products’) to voluntarily register confidential information about the production and management of their products in Japan.

The Carbocysteine Drug Master File in Japan (Carbocysteine JDMF) empowers Carbocysteine API manufacturers to present comprehensive information (e.g., production methods, data, etc.) to the review authority, i.e., PMDA (Pharmaceuticals & Medical Devices Agency).

PMDA reviews the Carbocysteine JDMF during the approval evaluation for pharmaceutical products. At the time of Carbocysteine JDMF registration, PMDA checks if the format is accurate, if the necessary items have been included (application), and if data has been attached.

click here to find a list of Carbocysteine suppliers with JDMF on PharmaCompass.

Carbocysteine CEP

A Carbocysteine CEP of the European Pharmacopoeia monograph is often referred to as a Carbocysteine Certificate of Suitability (COS). The purpose of a Carbocysteine CEP is to show that the European Pharmacopoeia monograph adequately controls the purity of Carbocysteine EP produced by a given manufacturer. Suppliers of raw materials can prove the suitability of Carbocysteine to their clients by showing that a Carbocysteine CEP has been issued for it. The manufacturer submits a Carbocysteine CEP (COS) as part of the market authorization procedure, and it takes on the role of a Carbocysteine CEP holder for the record. Additionally, the data presented in the Carbocysteine CEP (COS) is managed confidentially and offers a centralized system acknowledged by numerous nations, exactly like the Carbocysteine DMF.

A Carbocysteine CEP (COS) is recognised by all 36 nations that make up the European Pharmacopoeia Convention. Carbocysteine CEPs may be accepted in nations that are not members of the Ph. Eur. at the discretion of the authorities there.

click here to find a list of Carbocysteine suppliers with CEP (COS) on PharmaCompass.

Carbocysteine WC

A Carbocysteine written confirmation (Carbocysteine WC) is an official document issued by a regulatory agency to a Carbocysteine manufacturer, verifying that the manufacturing facility of a Carbocysteine active pharmaceutical ingredient (API) adheres to the Good Manufacturing Practices (GMP) regulations of the importing country. When exporting Carbocysteine APIs or Carbocysteine finished pharmaceutical products to another nation, regulatory agencies frequently require a Carbocysteine WC (written confirmation) as part of the regulatory process.

click here to find a list of Carbocysteine suppliers with Written Confirmation (WC) on PharmaCompass.

Carbocysteine NDC

National Drug Code is a comprehensive database maintained by the FDA that contains information on all drugs marketed in the US. This directory includes information about finished drug products, unfinished drug products, and compounded drug products, including those containing Carbocysteine as an active pharmaceutical ingredient (API).

Finished drug products

The FDA updates the NDC directory daily. The NDC numbers for Carbocysteine API and other APIs are published in this directory by the FDA.

Unfinished drugs

The NDC unfinished drugs database includes product listing information submitted for all unfinished drugs, such as active pharmaceutical ingredients (APIs), drugs intended for further processing and bulk drug substances for compounding.

Pharmaceutical companies that manufacture Carbocysteine as an active pharmaceutical ingredient (API) must furnish the FDA with an updated record of all drugs that they produce, prepare, propagate, compound, or process for commercial distribution in the US at their facilities.

Compounded drug products

The NDC directory also contains data on finished compounded human drug products that contain Carbocysteine and are produced by outsourcing facilities. While these outsourcing facilities are not mandated to assign a Carbocysteine NDC to their finished compounded human drug products, they may choose to do so.

click here to find a list of Carbocysteine suppliers with NDC on PharmaCompass.

Carbocysteine GMP

Carbocysteine Active pharmaceutical ingredient (API) is produced in GMP-certified manufacturing facility.

GMP stands for Good Manufacturing Practices, which is a system used in the pharmaceutical industry to make sure that goods are regularly produced and monitored in accordance with quality standards. The FDA’s current Good Manufacturing Practices requirements are referred to as cGMP or current GMP which indicates that the company follows the most recent GMP specifications. The World Health Organization (WHO) has its own set of GMP guidelines, called the WHO GMP. Different countries can also set their own guidelines for GMP like China (Chinese GMP) or the EU (EU GMP).

PharmaCompass offers a list of Carbocysteine GMP manufacturers, exporters & distributors, which can be sorted by USDMF, JDMF, KDMF, CEP (COS), WC, API price, and more, enabling you to easily find the right Carbocysteine GMP manufacturer or Carbocysteine GMP API supplier for your needs.

Carbocysteine CoA

A Carbocysteine CoA (Certificate of Analysis) is a formal document that attests to Carbocysteine's compliance with Carbocysteine specifications and serves as a tool for batch-level quality control.

Carbocysteine CoA mostly includes findings from lab analyses of a specific batch. For each Carbocysteine CoA document that a company creates, the USFDA specifies specific requirements, such as supplier information, material identification, transportation data, evidence of conformity and signature data.

Carbocysteine may be tested according to a variety of international standards, such as European Pharmacopoeia (Carbocysteine EP), Carbocysteine JP (Japanese Pharmacopeia) and the US Pharmacopoeia (Carbocysteine USP).

Inform the supplier about your product requirements, specifying if you need a product with particular monograph like EP (Ph. Eur.), USP, JP, BP, or any other quality. In addition, clarify whether you need hydrochloride (HCl), anhydricum, base, micronisatum or a specific level of purity. To find reputable suppliers, utilize the filters and select those certified by GMP, FDA, or any other certification as per your requirement.
For your convenience, we have listed synonyms and CAS numbers to help you find the best supplier. The use of synonyms and CAS numbers can be helpful in identifying potential suppliers, but it is crucial to note that they might not always indicate the exact same product. It is important to confirm the product details with the supplier before making a purchase to ensure that it meets your requirements.
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