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Chemistry

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Also known as: 502-85-2, Sodium 4-hydroxybutyrate, Anetamin, 4-hydroxybutyric acid sodium salt, Sodium 4-hydroxybutanoate, Somsanit
Molecular Formula
C4H7NaO3
Molecular Weight
126.09  g/mol
InChI Key
XYGBKMMCQDZQOZ-UHFFFAOYSA-M
FDA UNII
7G33012534

Sodium Oxybate
The sodium salt of 4-hydroxybutyric acid. It is used for both induction and maintenance of ANESTHESIA.
1 2D Structure

Sodium Oxybate

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
sodium;4-hydroxybutanoate
2.1.2 InChI
InChI=1S/C4H8O3.Na/c5-3-1-2-4(6)7;/h5H,1-3H2,(H,6,7);/q;+1/p-1
2.1.3 InChI Key
XYGBKMMCQDZQOZ-UHFFFAOYSA-M
2.1.4 Canonical SMILES
C(CC(=O)[O-])CO.[Na+]
2.2 Other Identifiers
2.2.1 UNII
7G33012534
2.3 Synonyms
2.3.1 MeSH Synonyms

1. 4 Hydroxybutyrate Sodium

2. 4-hydroxybutyrate Sodium

3. Gamma Hydroxybutyrate

4. Gamma-hydroxybutyrate

5. Oxybate Sodium

6. Oxybate, Sodium

7. Oxybutyrate, Sodium

8. Sodium Gamma Hydroxybutyrate

9. Sodium Gamma-hydroxybutyrate

10. Sodium Oxybutyrate

11. Somsanit

12. Xyrem

2.3.2 Depositor-Supplied Synonyms

1. 502-85-2

2. Sodium 4-hydroxybutyrate

3. Anetamin

4. 4-hydroxybutyric Acid Sodium Salt

5. Sodium 4-hydroxybutanoate

6. Somsanit

7. Oxybate Sodium

8. Gamma Oh

9. Sodium Oxybate [usan]

10. Sodium Oxybutyrate

11. Catabate

12. Sodium Oxybat

13. Oxybate (sodium)

14. 4-hydroxybutyrate Sodium

15. Wy-3478

16. Butanoic Acid, 4-hydroxy-, Monosodium Salt

17. Gamma-hydroxybutyrate Sodium

18. Sodium Gamma-hydroxybutyrate

19. Sodium;4-hydroxybutanoate

20. Gamma-hydroxy Sodium Butyrate

21. Butanoic Acid, 4-hydroxy-, Sodium Salt

22. Eb 27

23. Hydroxybutyric Acid Monosodium Salt

24. 4-hydroxybutyric Acid Monosodium Salt

25. Wy 3478

26. .gamma.-hydroxybutyrate Sodium Salt

27. Nsc-84223

28. Sodium Oxybate (usan)

29. 7g33012534

30. Butyric Acid, 4-hydroxy-, Monosodium Salt

31. Butyric Acid, 4-hydroxy-, Sodium Salt

32. Natrium 4-hydroxybutyrat

33. Sodium-4-hydroxybutyrate

34. Sodium Oxybate (sodium 4-hydroxybutanoate)

35. Ghb Sodium Salt (sodium Gammahydroxybutyrate)

36. 4-hydroxybuttersaeure Natriumsalz

37. Gamma-hydroxybutyrate Sodium Salt

38. Ncgc00247714-01

39. Einecs 207-953-3

40. Nsc 84223

41. Gamma-hydroxybutyric Acid, Sodium Salt

42. Jzp-6

43. Sodium4-hydroxybutyrate

44. Acetamide,2,2-dichloro-n-[(1r,2r)-2-hydroxy-1-(hydroxymethyl)-2-(4-nitrophenyl)ethyl]-,rel-

45. Unii-7g33012534

46. Xyrem (tn)

47. Sodium Gammahydroxybutyrate

48. Dsstox_cid_28866

49. Dsstox_rid_83135

50. Dsstox_gsid_48940

51. Schembl61823

52. Sodium Oxybate [hsdb]

53. Sodium Oxybate [vandf]

54. Dea No. 2012

55. Sodium Oxybate [mart.]

56. Chembl1200682

57. Dtxsid3048940

58. Oxybate Sodium [who-dd]

59. Sodium Oxybate [ema Epar]

60. Hms2091e15

61. Hy-b1187

62. Tox21_112871

63. Sodium Oxybate [orange Book]

64. Gamma Hydroxybutyric Acid Preparations

65. Xywav Component Sodium Oxybate

66. Akos006221428

67. Ccg-212465

68. Cs-4796

69. Db09072

70. Sodium Oxybate Component Of Xywav

71. Cas-502-85-2

72. Db-071156

73. Ft-0626615

74. D05866

75. H-4040

76. Sodium Salt Of Gamma-hydroxybutyric Acid

77. .gamma.-hydroxybutyrate Sodium Salt [mi]

78. Butanoic Acid, 4-hydroxy-, Sodium Salt (1:1)

79. Q7553347

80. 90318-49-3

2.4 Create Date
2008-02-05
3 Chemical and Physical Properties
Molecular Weight 126.09 g/mol
Molecular Formula C4H7NaO3
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count3
Rotatable Bond Count3
Exact Mass126.02928836 g/mol
Monoisotopic Mass126.02928836 g/mol
Topological Polar Surface Area60.4 Ų
Heavy Atom Count8
Formal Charge0
Complexity64.3
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count2
4 Drug and Medication Information
4.1 Drug Information
1 of 2  
Drug NameXyrem
PubMed HealthSodium Oxybate (By mouth)
Drug ClassesCentral Nervous System Agent
Drug LabelSodium oxybate, a CNS depressant, is the active ingredient in Xyrem. The chemical name for sodium oxybate is sodium 4-hydroxybutyrate. The molecular formula is C4H7NaO3, and the molecular weight is 126.09 g/mole. The chemical structure is:Sodium oxyb...
Active IngredientSodium oxybate
Dosage FormSolution
RouteOral
Strength500mg/ml
Market StatusPrescription
CompanyJazz Pharms

2 of 2  
Drug NameXyrem
PubMed HealthSodium Oxybate (By mouth)
Drug ClassesCentral Nervous System Agent
Drug LabelSodium oxybate, a CNS depressant, is the active ingredient in Xyrem. The chemical name for sodium oxybate is sodium 4-hydroxybutyrate. The molecular formula is C4H7NaO3, and the molecular weight is 126.09 g/mole. The chemical structure is:Sodium oxyb...
Active IngredientSodium oxybate
Dosage FormSolution
RouteOral
Strength500mg/ml
Market StatusPrescription
CompanyJazz Pharms

4.2 Drug Indication

For the treatment of cataplexy and excessive daytime sleepiness (EDS) associated with narcolepsy.


FDA Label


Treatment of narcolepsy with cataplexy in adult patients.


Substitution treatment for alcohol dependence within a framework of careful medical supervision along with continuous psychosocial support and social rehabilitation. Treatment should be initiated only in patients resistant to existing interventions or in patients for whom existing therapies are contra-indicated or not recommended. ,


5 Pharmacology and Biochemistry
5.1 Pharmacology

Sodium oxybate works through an unknown mechanism to treat narcolepsy by inducing sleep within about 5-15 minutes of administration.


5.2 MeSH Pharmacological Classification

Adjuvants, Anesthesia

Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage. (See all compounds classified as Adjuvants, Anesthesia.)


Anesthetics, Intravenous

Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174) (See all compounds classified as Anesthetics, Intravenous.)


5.3 FDA Pharmacological Classification
5.3.1 Pharmacological Classes
Central Nervous System Depression [PE]; Decreased Central Nervous System Organized Electrical Activity [PE]; Central Nervous System Depressant [EPC]
5.4 ATC Code

N07XX04


N07BB


B05XA02

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


N - Nervous system

N01 - Anesthetics

N01A - Anesthetics, general

N01AX - Other general anesthetics

N01AX11 - Sodium oxybate


N - Nervous system

N07 - Other nervous system drugs

N07X - Other nervous system drugs

N07XX - Other nervous system drugs

N07XX04 - Sodium oxybate


5.5 Absorption, Distribution and Excretion

Absorption

Absolute bioavailability is approximately 88%. Tmax of 30.7-51.9min.


Route of Elimination

The major metabolite is carbon dioxide which is cleared by expiration, less then 5% appears as the unchanged drug in the urine within 6-8 hours after dosing.


Volume of Distribution

Vd of 37.7-67.7


Clearance

Total clearance of 895-1361mL/min.


5.6 Metabolism/Metabolites

Animal studies indicate that the major elimination pathway is metabolism by the creation of carbon dioxide and water through the Krebs cycle and secondarily by beta-oxidation. In the primary pathway hydroxyacid-oxoacid transhydrogenase catalyzes the conversion of sodium oxybate to succinic semialdehyde which is then transformed to succinic acid by succinic semmialdehyde dehydrogenase. Succinic acid is then turned into carbon dioxide and water in the Krebs cycle. Succinic semialdehyde is also metabolised into carbon dioxide and water by a transhydrofenase in the presence of alpha ketoglutarate.


5.7 Biological Half-Life

0.5 to 1 hour.


5.8 Mechanism of Action

The exact mechanism of action is unknown. It is the sodium salt of the endogenous compound gamma hydroxybutyrate which is a metabolite of the GABA neurotransmitter and it's thought that it's therapeutic effects are mediated via GABA B actions at noradrenergic, dopaminergic and thalamocortical neurons.


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Veranova Lp

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Rusan Pharma

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Sodium Oxybate

Date of Issue : 2021-08-27

Valid Till : 2024-06-10

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Address of the Firm : Plot No. 6406, GIDC Estate, Ankleshwar-393002, Dist. Bharuch, Gujarat

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Sodium Oxybate IH

Date of Issue : 2022-07-23

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About the Company : Founded in 1979, Noramco specializes in the development and manufacturing of APIs for both opioid and non-opioid products. With expertise in controlled substance development and ma...

Founded in 1979, Noramco specializes in the development and manufacturing of APIs for both opioid and non-opioid products. With expertise in controlled substance development and manufacturing, Noramco offers services like supply-chain integration for high-purity controlled substances, efficient routes to APIs, analytical data, stability studies, regulatory help, formulation-friendly particle size grades, extended technical packages, DEA-compliant security and production capacity from kilos to multi-ton supply. Noramco also offers world-class supply security for controlled substances, from Schedule I to Schedule III.
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Veranova is a global leader in the development and manufacturing of specialist and complex APIs for pharma and biotech customers. We have over 50 years of experience navigating the challenges of the global healthcare industry, and nurturing long-standing, trusted customer relationships. Operating within two divisions, Generics and Originators, we deliver a differentiated service offering to pharma and biotech customers for every stage in the drug development lifecycle. Macfarlan Smith Limited is trading as Veranova in the United Kingdom.
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About the Company : Rusan Pharma is a fully integrated global pharmaceutical company specializing in the treatment of addiction & pain management. We manufacture & market a wide range of APIs & formul...

Rusan Pharma is a fully integrated global pharmaceutical company specializing in the treatment of addiction & pain management. We manufacture & market a wide range of APIs & formulations, in the area of controlled substances. Our facilities are GMP-approved by Health Canada, EU, TGA, ANVISA, PIC/S, WHO, Russia & SAHPRA. We have CEP approval for various APIs such as Buprenorphine, Fentanyl, Naltrexone, Methadone, Bisoprolol & we also manufacture Naloxone, Nalbuphine, Nalmefene, Apomorphine, Efflornithine & Sodium Oxybate. We also develop & manufacture various transdermal patches & long-acting formulations such as depot injections & Implants.
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Medlab Asia & Asia Health
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Gamma-Hydroxybutyric Acid Sodium

About the Company : Back in the year 1973, a team of individuals came up with such an idea – The idea called Alkem. Looking back at our 5 decades, illustrious journey, that one small idea has Not on...

Back in the year 1973, a team of individuals came up with such an idea – The idea called Alkem. Looking back at our 5 decades, illustrious journey, that one small idea has Not only triggered us to become one of India’s largest generic and specialty pharmaceutical company but also, create a foothold in over 40 countries. 29% of our revenue is generated via offshore sales and it has consistently been ranked amongst the top ten pharmaceutical companies in India. They have 20 manufacturing facilities at multiple locations in India and the United States of America.
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Sodium Oxybate

About the Company : Centaur accepts change as a constant, and continuously innovates to remain significant. Centaur has built knowledge sharing relationships with the pharmaceutical majors in areas of...

Centaur accepts change as a constant, and continuously innovates to remain significant. Centaur has built knowledge sharing relationships with the pharmaceutical majors in areas of product development, custom synthesis, contract research and contract manufacturing. Centaur formulations and API are exported across 5 continents and more than 60 countries including regulated markets. Formulations Centaur ranks among India's TOP 50 pharmaceutical companies by prescriptions (CMarc) and by stockist audit (ORG-IMS). Centaur's All-India network includes a 1000 strong sales force that covers 250,000 doctors and 250,000 retailers every month.
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About the Company : Curia is a global contract research, development and manufacturing organization (CDMO), offering products and services across the drug development spectrum to help our partners tur...

Curia is a global contract research, development and manufacturing organization (CDMO), offering products and services across the drug development spectrum to help our partners turn their ideas into real-world impact. We partner closely with pharmaceutical and biotechnology companies to boost business performance and improve patients’ lives. From early discovery and development through manufacturing and commercialization, our suite of custom solutions allows us to tailor every engagement to your precise needs, whether that’s an independent project or an opportunity that cuts across the drug continuum.
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About the Company : Farmak International is a leading GMP EU certified pharmaceutical manufacturer in Ukraine established in 1925 with FDA inspected site for production of food supplement. Company spe...

Farmak International is a leading GMP EU certified pharmaceutical manufacturer in Ukraine established in 1925 with FDA inspected site for production of food supplement. Company specialization is full-cycle production of finished dosage forms products for endocrinology, cardiology, rheumatology, ophthalmology and respiratory diseases; including anesthetics and radiopaque contrast media. Thanks to a strong research base and substantial investments in its production facilities, Farmak International possesses a considerable portfolio of high quality products and is open to cooperation, including but not limited to private labeling, in- and out-licensing, technologies transfers, R&D and contract manufacturing.
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Gamma-Hydroxybutyric Acid Sodium

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OmnisMed Pharmaceuticals believes that good healthcare must be accessible to everyone; That is the core of our philosophy. We are experts in providing a wide range of high-quality pharmaceutical products, highly tested and approved controlled drugs, and fully certifiable medical devices. All our suppliers hold several GMPs and certifications which are readily accepted by developed and developing markets. The high daily manufacturing capacity of our facilities and our distribution network allows us to quickly fulfill large orders and ensure our manufacturing process is cost-effective.
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20-Apr-2021
17-Sep-2024
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INTERMEDIATES SUPPLIERS

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01

Noramco

U.S.A
Medlab Asia & Asia Health
Not Confirmed
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  • fda
  • EDQM
  • WHO-GMP

Virtual BoothNoramco is a partner to the pharmaceutical industry for controlled substance development & manufacturing.

CAS Number : 591-81-1

End Use API : Sodium Oxybate

About The Company : Founded in 1979, Noramco specializes in the development and manufacturing of APIs for both opioid and non-opioid products. With expertise in controlled substanc...

Noramco

02

Medlab Asia & Asia Health
Not Confirmed
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Medlab Asia & Asia Health
Not Confirmed
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CAS Number : 591-81-1

End Use API : Sodium Oxybate

About The Company : MAITHILI is a group of companies based in India (MAM, MLS, MAC, MAT,SGG) and Singapore(MITCO). Maithili Life Sciences (MLS) is a Contract Research Organization...

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DATA COMPILATION #PharmaFlow

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NEWS #PharmaBuzz

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https://www.globenewswire.com/news-release/2024/10/17/2964979/0/en/Avadel-Pharmaceuticals-Announces-FDA-Approval-of-LUMRYZ-sodium-oxybate-Extended-Release-Oral-Suspension-CIII-for-the-Treatment-of-Cataplexy-or-Excessive-Daytime-Sleepiness-in-Patie.html

GLOBENEWSWIRE
17 Oct 2024

https://www.globenewswire.com/news-release/2024/09/25/2952920/0/en/Avadel-Pharmaceuticals-Announces-Publication-of-Data-Highlighting-Efficacy-of-LUMRYZ-sodium-oxybate-Extended-Release-Oral-Suspension-in-Improving-Narcolepsy-Symptoms-Regardless-of-.html

GLOBENEWSWIRE
25 Sep 2024

https://www.globenewswire.com/news-release/2024/09/03/2939609/0/en/Avadel-Pharmaceuticals-Announces-Publication-of-RESTORE-Data-Highlighting-Challenges-with-Twice-Nightly-Oxybates-and-Strong-Patient-Preference-for-Once-Nightly-LUMRYZ-Dosing-sodium.html

GLOBENEWSWIRE
03 Sep 2024

https://www.globenewswire.com/news-release/2024/08/20/2932758/0/en/Avadel-Pharmaceuticals-Announces-Publication-in-Clinical-Therapeutics-of-Data-Highlighting-Weight-Loss-in-People-with-Narcolepsy-Treated-with-LUMRYZ-sodium-oxybate-Extended-Release.html

GLOBENEWSWIRE
20 Aug 2024

https://www.globenewswire.com/news-release/2024/07/31/2922239/0/en/Avadel-Pharmaceuticals-Announces-First-Patient-Dosed-in-Phase-3-REVITALYZ-Trial-of-LUMRYZ-sodium-oxybate-Extended-Release-Oral-Suspension-for-the-Treatment-of-Idiopathic-Hypersomni.html

GLOBENEWSWIRE
31 Jul 2024
Avadel Shares LUMRYZ Data At SLEEP 2024
Avadel Shares LUMRYZ Data At SLEEP 2024

22 May 2024

// GLOBENEWSWIRE

https://www.globenewswire.com/news-release/2024/05/22/2886402/0/en/Avadel-Pharmaceuticals-Shares-New-LUMRYZ-sodium-oxybate-For-Extended-release-Oral-Suspension-CIII-Data-at-SLEEP-2024.html

GLOBENEWSWIRE
22 May 2024

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