<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <version>1.0</version>
  <creation_date>2009-07-05 03:30:53 UTC</creation_date>
  <update_date>2026-05-14 16:42:05 UTC</update_date>
  <accession>T3D2570</accession>
  <common_name>Lamotrigine</common_name>
  <class>SmallMolecule</class>
  <description>Lamotrigine is an exogenous organic compound with the formula C9H7Cl2N5 and an average molecular weight of 256.09 g/mol. It exists as a solid at room temperature. Lamotrigine belongs to the halobenzenes, a subclass of benzene and substituted derivatives within the organic compounds.

This compound is utilized as an anticonvulsant, antimanic drug, and antidepressant. Biologically, it functions as a non-narcotic analgesic, calcium channel blocker, and excitatory amino acid antagonist, and it acts as an inhibitor of prolyl oligopeptidase (EC 3.4.21.26). Lamotrigine has 43 recorded protein targets, including sodium channel protein type 5 subunit alpha (SCN5A), type 1 subunit alpha (SCN1A), type 2 subunit alpha (SCN2A), and type 3 subunit alpha (SCN3A). It also acts as an inducer, blocker, or inhibitor of the voltage-gated inwardly rectifying potassium channel KCNH2, as well as sodium channel protein type 10 subunit alpha (SCN10A), type 7 subunit alpha (SCN7A), and type 11 subunit alpha (SCN11A). One proposed mechanism of action involves the inhibition of voltage-sensitive sodium channels, which may stabilize neuronal membranes and modulate the presynaptic transmitter release of excitatory amino acids such as aspartate and glutamate, though the relevance of this in humans remains to be established.

Lamotrigine is found in 13 recorded sources, including antiepileptics, drinking water, food preservation, various electrical and electronic equipment (such as radio transmission systems, magnets, and electric hearing aids), and household consumer products (including tobacco smoke filters and cigar cigarettes). The recorded exposure route for this compound is oral.</description>
  <categories>
    <category>Drug</category>
    <category>Food Toxin</category>
    <category>Synthetic Toxin</category>
  </categories>
  <types>
    <type>Organic Compound</type>
    <type>Organochloride</type>
    <type>Amine</type>
    <type>Drug</type>
    <type>Food Toxin</type>
    <type>Anticonvulsant</type>
    <type>Antimanic Agent</type>
    <type>Analgesic</type>
    <type>Antidepressant</type>
    <type>Calcium Channel Blocker</type>
    <type>Excitatory Amino Acid Antagonist</type>
    <type>Metabolite</type>
    <type>Synthetic Compound</type>
    <type>Antidepressive Agent</type>
    <type>Human Neurotoxin</type>
  </types>
  <synonyms>
    <synonym>3,5-Diamino-6-(2,3-dichlorophenyl)-1,2,4-triazine</synonym>
    <synonym>Convulsan</synonym>
    <synonym>Crisomet</synonym>
    <synonym>Dafex</synonym>
    <synonym>Daksol</synonym>
    <synonym>Danoptin</synonym>
    <synonym>Dezepil</synonym>
    <synonym>Elmendos</synonym>
    <synonym>Epilepax</synonym>
    <synonym>Epimil</synonym>
    <synonym>Epiral</synonym>
    <synonym>Epitec</synonym>
    <synonym>Epitrigine</synonym>
    <synonym>GW 273293</synonym>
    <synonym>Labileno</synonym>
    <synonym>Lambipol</synonym>
    <synonym>Lamect</synonym>
    <synonym>Lameptil</synonym>
    <synonym>Lameptil S</synonym>
    <synonym>Lametec</synonym>
    <synonym>Lamez</synonym>
    <synonym>Lamictal</synonym>
    <synonym>Lamictal CD</synonym>
    <synonym>Lamictal XR</synonym>
    <synonym>Lamictin</synonym>
    <synonym>Lamotrigina</synonym>
    <synonym>Lamotriginum</synonym>
    <synonym>Lamotrix</synonym>
    <synonym>Larig</synonym>
    <synonym>Medotrigin</synonym>
    <synonym>Mogine</synonym>
    <synonym>Trimolep</synonym>
    <synonym>Trogine</synonym>
    <synonym>Xebarin</synonym>
  </synonyms>
  <chemical_formula>C9H7Cl2N5</chemical_formula>
  <average_molecular_weight>256.091</average_molecular_weight>
  <monisotopic_moleculate_weight>255.007850663</monisotopic_moleculate_weight>
  <iupac_name>6-(2,3-dichlorophenyl)-1,2,4-triazine-3,5-diamine</iupac_name>
  <traditional_iupac>lamotrigine</traditional_iupac>
  <cas_registry_number>84057-84-1</cas_registry_number>
  <smiles>NC1=NC(N)=C(N=N1)C1=C(Cl)C(Cl)=CC=C1</smiles>
  <inchi>InChI=1S/C9H7Cl2N5/c10-5-3-1-2-4(6(5)11)7-8(12)14-9(13)16-15-7/h1-3H,(H4,12,13,14,16)</inchi>
  <inchikey>PYZRQGJRPPTADH-UHFFFAOYSA-N</inchikey>
  <taxonomy>
    <kingdom>Organic compounds</kingdom>
    <super_class>Benzenoids</super_class>
    <class>Benzene and substituted derivatives</class>
    <sub_class>Halobenzenes</sub_class>
    <direct_parent>Dichlorobenzenes</direct_parent>
    <alternate_parents>
      <alternative_parent>1,2,4-triazines</alternative_parent>
      <alternative_parent>Aminotriazines</alternative_parent>
      <alternative_parent>Aryl chlorides</alternative_parent>
      <alternative_parent>Azacyclic compounds</alternative_parent>
      <alternative_parent>Heteroaromatic compounds</alternative_parent>
      <alternative_parent>Hydrocarbon derivatives</alternative_parent>
      <alternative_parent>Imidolactams</alternative_parent>
      <alternative_parent>Organochlorides</alternative_parent>
      <alternative_parent>Organopnictogen compounds</alternative_parent>
      <alternative_parent>Primary amines</alternative_parent>
    </alternate_parents>
    <substituents>
      <substituent>1,2,4-triazine</substituent>
      <substituent>1,2-dichlorobenzene</substituent>
      <substituent>Amine</substituent>
      <substituent>Aminotriazine</substituent>
      <substituent>Aromatic heteromonocyclic compound</substituent>
      <substituent>Aryl chloride</substituent>
      <substituent>Aryl halide</substituent>
      <substituent>Azacycle</substituent>
      <substituent>Heteroaromatic compound</substituent>
      <substituent>Hydrocarbon derivative</substituent>
      <substituent>Imidolactam</substituent>
      <substituent>Organic nitrogen compound</substituent>
      <substituent>Organochloride</substituent>
      <substituent>Organohalogen compound</substituent>
      <substituent>Organoheterocyclic compound</substituent>
      <substituent>Organonitrogen compound</substituent>
      <substituent>Organopnictogen compound</substituent>
      <substituent>Primary amine</substituent>
      <substituent>Triazine</substituent>
    </substituents>
    <molecular_framework>Aromatic heteromonocyclic compounds</molecular_framework>
    <descriptors>
      <descriptor>1,2,4-triazines</descriptor>
      <descriptor>dichlorobenzene</descriptor>
      <descriptor>primary arylamine</descriptor>
    </descriptors>
  </taxonomy>
  <status>Detected and Not Quantified</status>
  <origin>Exogenous</origin>
  <cellular_locations>
    <cellular_location>Cytoplasm</cellular_location>
    <cellular_location>Extracellular</cellular_location>
    <cellular_location>Membrane</cellular_location>
  </cellular_locations>
  <biofluid_locations/>
  <tissue_locations/>
  <pathways>
    <pathway>
      <name>Lamotrigine Action Pathway</name>
      <smpdb_id>SMP0126274</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Lamotrigine Drug Metabolism Action Pathway</name>
      <smpdb_id>SMP0143004</smpdb_id>
      <kegg_map_id/>
    </pathway>
  </pathways>
  <state>Solid</state>
  <appearance>White to pale cream-colored powder. Crystals from isopropanol (T66).</appearance>
  <experimental_properties>
    <property>
      <kind>melting_point</kind>
      <value>216-218°C (uncorr)</value>
    </property>
    <property>
      <kind>solubility</kind>
      <value>4.88e-01 g/L</value>
    </property>
    <property>
      <kind>logp</kind>
      <value>2.5</value>
    </property>
  </experimental_properties>
  <predicted_properties>
    <property>
      <kind>logp</kind>
      <value>1.87</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logs</kind>
      <value>-2.72</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>solubility</kind>
      <value>4.88e-01 g/l</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logp</kind>
      <value>1.93</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_acidic</kind>
      <value>14.98</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_basic</kind>
      <value>5.87</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>iupac</kind>
      <value>6-(2,3-dichlorophenyl)-1,2,4-triazine-3,5-diamine</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>average_mass</kind>
      <value>256.091</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>mono_mass</kind>
      <value>255.007850663</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>smiles</kind>
      <value>NC1=NC(N)=C(N=N1)C1=C(Cl)C(Cl)=CC=C1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formula</kind>
      <value>C9H7Cl2N5</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchi</kind>
      <value>InChI=1S/C9H7Cl2N5/c10-5-3-1-2-4(6(5)11)7-8(12)14-9(13)16-15-7/h1-3H,(H4,12,13,14,16)</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchikey</kind>
      <value>PYZRQGJRPPTADH-UHFFFAOYSA-N</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polar_surface_area</kind>
      <value>90.71</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>refractivity</kind>
      <value>66.62</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polarizability</kind>
      <value>23.1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>rotatable_bond_count</kind>
      <value>1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>acceptor_count</kind>
      <value>5</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>donor_count</kind>
      <value>2</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>physiological_charge</kind>
      <value>0</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formal_charge</kind>
      <value>0</value>
      <source>ChemAxon</source>
    </property>
  </predicted_properties>
  <route_of_exposure>Inhalation (A308); dermal (A308); ingestion (A308).</route_of_exposure>
  <mechanism_of_toxicity>One proposed mechanism of action of Lamotrigine, the relevance of which remains to be established in humans, involves an effect on sodium channels. &lt;i&gt;in vitro&lt;/i&gt; pharmacological studies suggest that lamotrigine inhibits voltage-sensitive sodium channels and/or calcium channels, thereby stabilizing neuronal membranes and consequently modulating presynaptic transmitter release of excitatory amino acids (e.g., glutamate and aspartate). Studies on lamotrigine show binding to sodium channels similar to local anesthetics. </mechanism_of_toxicity>
  <metabolism>Lamotrigine is metabolized predominantly by glucuronic acid conjugation. The major metabolite is an inactive 2-N-glucuronide conjugate. Exretion occur in the urine and the feces with unchanged lamotrigine (10%), the 2-N-glucuronide (76%), a 5-N-glucuronide (10%), a 2-N-methyl metabolite (0.14%), and other unidentified minor metabolites (4%). (A308)&#13;Half Life: 25 +/- 10 hours (healthy individuals); 42.9 hours (chronic renal failure)</metabolism>
  <toxicity>LD50: 250 (mg/kg) (mice) &#13;LD50: 250 (mg/kg) (rat)&#13;LD50&gt; 640 (mg/kg) (oral, rat) (Sawyer)&#13;LD50&gt; 640 (mg/kg) (oral, mice) (Sawyer)</toxicity>
  <lethaldose/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use_source>For the adjunctive treatment of partial seizures in epilepsy and generalized seizures of Lennox-Gastaut syndrome. Also for the maintenance treatment of bipolar I disorder and depression. Off-label uses include the treatment of peripheral neuropathy, trigeminal neuralgia, cluster headaches, migraines, and reducing neuropathic pain. (A308, L1155)</use_source>
  <min_risk_level/>
  <health_effects>#&lt;HealthEffect::ActiveRecord_Associations_CollectionProxy:0x00007f3bbf9e9560&gt;</health_effects>
  <symptoms>Symptoms of overdose include decreased level of consciousness, coma, delayed heartbeat, increased seizures, lack of coordination, and rolling eyeballs.</symptoms>
  <treatment>There are no specific antidotes for lamotrigine. Following a suspected overdose, hospitalization of the patient is advised. General supportive care is indicated, including frequent monitoring of vital signs and close observation of the patient. If indicated, emesis should be induced or gastric lavage should be performed; usual precautions should be taken to protect the airway. (A308)</treatment>
  <drugbank_id>DB00555</drugbank_id>
  <hmdb_id>HMDB14695</hmdb_id>
  <pubchem_compound_id>3878</pubchem_compound_id>
  <chembl_id>CHEMBL741</chembl_id>
  <chemspider_id>3741</chemspider_id>
  <kegg_id/>
  <uniprot_id/>
  <omim_id/>
  <chebi_id>6367</chebi_id>
  <biocyc_id/>
  <ctd_id/>
  <stitch_id>Lamotrigine</stitch_id>
  <actor_id/>
  <pdb_id/>
  <wikipidia>Lamotrigine</wikipidia>
  <general_references>
    <reference>
      <pubmed_id>18048412</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>15115640</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>12716240</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>11888243</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>14667954</pubmed_id>
    </reference>
    <reference>
      <pubmed_id>19579915</pubmed_id>
    </reference>
    <reference>
      <reference_text>O'Neil MJ (ed) (2001). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. 13th ed. Whitehouse Station, NJ: Merck and Co., Inc.</reference_text>
    </reference>
    <reference>
      <reference_text>Wikipedia. Lamotrigine. Last Updated 25 July 2009.: http://en.wikipedia.org/wiki/Lamotrigine</reference_text>
    </reference>
    <reference>
      <reference_text>Drugs.com: http://www.drugs.com/cons/Lamotrigine.html</reference_text>
    </reference>
  </general_references>
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    <target>
      <target_id>BE0002081</target_id>
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          <value>10</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50031299</assay_source>
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        <constant>
          <constant_type>IC50</constant_type>
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          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50031299</assay_source>
        </constant>
      </constants>
      <references/>
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    <target>
      <target_id>BE0000197</target_id>
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        <constant>
          <constant_type>IC50</constant_type>
          <value>62</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50031299</assay_source>
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      <references/>
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    <target>
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      <constants/>
      <references/>
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    <target>
      <target_id>BE0002082</target_id>
      <mechanism_of_action>One proposed mechanism of action of Lamotrigine, the relevance of which remains to be established in humans, involves an effect on sodium channels. &lt;i&gt;in vitro&lt;/i&gt; pharmacological studies suggest that lamotrigine inhibits voltage-sensitive sodium channels, thereby stabilizing neuronal membranes and consequently modulating presynaptic transmitter release of excitatory amino acids (e.g., glutamate and aspartate).</mechanism_of_action>
      <constants/>
      <references/>
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    <target>
      <target_id>BE0002083</target_id>
      <mechanism_of_action>One proposed mechanism of action of Lamotrigine, the relevance of which remains to be established in humans, involves an effect on sodium channels. &lt;i&gt;in vitro&lt;/i&gt; pharmacological studies suggest that lamotrigine inhibits voltage-sensitive sodium channels, thereby stabilizing neuronal membranes and consequently modulating presynaptic transmitter release of excitatory amino acids (e.g., glutamate and aspartate).</mechanism_of_action>
      <constants>
        <constant>
          <constant_type>Inhibitory</constant_type>
          <value>17</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50031299</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0002084</target_id>
      <mechanism_of_action>One proposed mechanism of action of Lamotrigine, the relevance of which remains to be established in humans, involves an effect on sodium channels. &lt;i&gt;in vitro&lt;/i&gt; pharmacological studies suggest that lamotrigine inhibits voltage-sensitive sodium channels, thereby stabilizing neuronal membranes and consequently modulating presynaptic transmitter release of excitatory amino acids (e.g., glutamate and aspartate).</mechanism_of_action>
      <constants/>
      <references/>
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    <target>
      <target_id>BE0001143</target_id>
      <mechanism_of_action>One proposed mechanism of action of Lamotrigine, the relevance of which remains to be established in humans, involves an effect on sodium channels. &lt;i&gt;in vitro&lt;/i&gt; pharmacological studies suggest that lamotrigine inhibits voltage-sensitive sodium channels, thereby stabilizing neuronal membranes and consequently modulating presynaptic transmitter release of excitatory amino acids (e.g., glutamate and aspartate).</mechanism_of_action>
      <constants/>
      <references/>
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    <target>
      <target_id>BE0000330</target_id>
      <mechanism_of_action>One proposed mechanism of action of Lamotrigine, the relevance of which remains to be established in humans, involves an effect on sodium channels. &lt;i&gt;in vitro&lt;/i&gt; pharmacological studies suggest that lamotrigine inhibits voltage-sensitive sodium channels, thereby stabilizing neuronal membranes and consequently modulating presynaptic transmitter release of excitatory amino acids (e.g., glutamate and aspartate).</mechanism_of_action>
      <constants/>
      <references/>
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      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>IC50</constant_type>
          <value>229.08677</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50031299</assay_source>
        </constant>
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      <references/>
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        <constant>
          <constant_type>IC50</constant_type>
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          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50031299</assay_source>
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      <references/>
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