<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <version>1.0</version>
  <creation_date>2009-07-21 20:26:59 UTC</creation_date>
  <update_date>2026-05-14 16:39:54 UTC</update_date>
  <accession>T3D2803</accession>
  <common_name>Methohexital</common_name>
  <class>SmallMolecule</class>
  <description>Methohexital belongs to the pyrimidines and pyrimidine derivatives, a subclass of diazines within the organic compounds. This exogenous compound has the formula C14H18N2O3 and an average molecular weight of 262.30 g/mol. At room temperature, it exists as a solid. It is utilized as an intravenous anaesthetic. Recorded exposure routes for the compound include intravenous, intramuscular, and rectal administration.

Methohexital is found in several recorded sources, including healthcare, pharmaceuticals, and veterinary products such as hypnotics, sedatives, and anesthetics. It is also associated with electrical and electronic equipment, specifically electrically stimulated smoking devices and conductive bodies characterized by conductive materials, as well as household cleaning and consumer products such as tobacco smoke filters, cigar cigarettes, non-electric simulated smoking devices, and other smoking requisites.

The compound targets the gamma-aminobutyric acid receptor subunit alpha-1 (GABRA1). Methohexital binds at a distinct binding site associated with a Cl- ionopore at the GABAA receptor, increasing the duration of time for which the Cl- ionopore is open. Consequently, the post-synaptic inhibitory effect of GABA in the thalamus is prolonged.</description>
  <categories>
    <category>Drug</category>
    <category>Synthetic Toxin</category>
  </categories>
  <types>
    <type>Organic Compound</type>
    <type>Amine</type>
    <type>Amide</type>
    <type>Drug</type>
    <type>Barbiturate</type>
    <type>Anesthetic</type>
    <type>Anesthetic, Intravenous</type>
    <type>Metabolite</type>
    <type>Synthetic Compound</type>
    <type>Human Neurotoxin</type>
  </types>
  <synonyms>
    <synonym>(+-)-5-Allyl-1-methyl-5-(1-methyl-2-pentynyl)barbituric acid</synonym>
    <synonym>5-Allyl-1-methyl-5-(1-methyl-2-pentynyl)-2,4,6(1H,3H,5H)-pyrimidinetrione</synonym>
    <synonym>5-Allyl-1-methyl-5-(1-methyl-pent-2-ynyl)-pyrimidine-2,4,6-trione</synonym>
    <synonym>5-Allyl-5-(3-hexyn-2-yl)-1-methylbarbituric acid</synonym>
    <synonym>alpha-DL-1-Methyl-5-allyl-5-(1'-methylpentyn-2-yl)barbituric acid</synonym>
    <synonym>Brevital</synonym>
    <synonym>Brietal</synonym>
    <synonym>Methodrexitone</synonym>
    <synonym>Methohexitalum</synonym>
    <synonym>Methohexitone</synonym>
    <synonym>Metohexital</synonym>
  </synonyms>
  <chemical_formula>C14H18N2O3</chemical_formula>
  <average_molecular_weight>262.3043</average_molecular_weight>
  <monisotopic_moleculate_weight>262.131742452</monisotopic_moleculate_weight>
  <iupac_name>5-(hex-3-yn-2-yl)-1-methyl-5-(prop-2-en-1-yl)-1,3-diazinane-2,4,6-trione</iupac_name>
  <traditional_iupac>methohexital</traditional_iupac>
  <cas_registry_number>151-83-7</cas_registry_number>
  <smiles>CCC#CC(C)C1(CC=C)C(=O)NC(=O)N(C)C1=O</smiles>
  <inchi>InChI=1S/C14H18N2O3/c1-5-7-8-10(3)14(9-6-2)11(17)15-13(19)16(4)12(14)18/h6,10H,2,5,9H2,1,3-4H3,(H,15,17,19)</inchi>
  <inchikey>NZXKDOXHBHYTKP-UHFFFAOYSA-N</inchikey>
  <taxonomy>
    <kingdom>Organic compounds</kingdom>
    <super_class>Organoheterocyclic compounds</super_class>
    <class>Diazines</class>
    <sub_class>Pyrimidines and pyrimidine derivatives</sub_class>
    <direct_parent>Barbituric acid derivatives</direct_parent>
    <alternate_parents>
      <alternative_parent>Azacyclic compounds</alternative_parent>
      <alternative_parent>Carbonyl compounds</alternative_parent>
      <alternative_parent>Diazinanes</alternative_parent>
      <alternative_parent>Dicarboximides</alternative_parent>
      <alternative_parent>Hydrocarbon derivatives</alternative_parent>
      <alternative_parent>N-acyl ureas</alternative_parent>
      <alternative_parent>Organic oxides</alternative_parent>
      <alternative_parent>Organonitrogen compounds</alternative_parent>
      <alternative_parent>Organopnictogen compounds</alternative_parent>
    </alternate_parents>
    <substituents>
      <substituent>1,3-diazinane</substituent>
      <substituent>Aliphatic heteromonocyclic compound</substituent>
      <substituent>Azacycle</substituent>
      <substituent>Barbiturate</substituent>
      <substituent>Carbonic acid derivative</substituent>
      <substituent>Carbonyl group</substituent>
      <substituent>Carboxylic acid derivative</substituent>
      <substituent>Dicarboximide</substituent>
      <substituent>Hydrocarbon derivative</substituent>
      <substituent>N-acyl urea</substituent>
      <substituent>Organic nitrogen compound</substituent>
      <substituent>Organic oxide</substituent>
      <substituent>Organic oxygen compound</substituent>
      <substituent>Organonitrogen compound</substituent>
      <substituent>Organooxygen compound</substituent>
      <substituent>Organopnictogen compound</substituent>
      <substituent>Urea</substituent>
      <substituent>Ureide</substituent>
    </substituents>
    <molecular_framework>Aliphatic heteromonocyclic compounds</molecular_framework>
    <descriptors>
      <descriptor>acetylenic compound</descriptor>
      <descriptor>barbiturates</descriptor>
    </descriptors>
  </taxonomy>
  <status>Detected and Not Quantified</status>
  <origin>Exogenous</origin>
  <cellular_locations>
    <cellular_location>Membrane</cellular_location>
  </cellular_locations>
  <biofluid_locations/>
  <tissue_locations/>
  <pathways>
    <pathway>
      <name>Methohexital Drug Metabolism Action Pathway</name>
      <smpdb_id>SMP0142928</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Methohexital Predicted Metabolism Pathway</name>
      <smpdb_id>SMP0174661</smpdb_id>
      <kegg_map_id/>
    </pathway>
  </pathways>
  <state>Solid</state>
  <appearance>White powder.</appearance>
  <experimental_properties>
    <property>
      <kind>solubility</kind>
      <value>5.24e-02 g/L</value>
    </property>
    <property>
      <kind>logp</kind>
      <value>1.8</value>
    </property>
  </experimental_properties>
  <predicted_properties>
    <property>
      <kind>logp</kind>
      <value>2.43</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logs</kind>
      <value>-3.70</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>solubility</kind>
      <value>5.24e-02 g/l</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logp</kind>
      <value>2.29</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_acidic</kind>
      <value>8.73</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>iupac</kind>
      <value>5-(hex-3-yn-2-yl)-1-methyl-5-(prop-2-en-1-yl)-1,3-diazinane-2,4,6-trione</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>average_mass</kind>
      <value>262.3043</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>mono_mass</kind>
      <value>262.131742452</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>smiles</kind>
      <value>CCC#CC(C)C1(CC=C)C(=O)NC(=O)N(C)C1=O</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formula</kind>
      <value>C14H18N2O3</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchi</kind>
      <value>InChI=1S/C14H18N2O3/c1-5-7-8-10(3)14(9-6-2)11(17)15-13(19)16(4)12(14)18/h6,10H,2,5,9H2,1,3-4H3,(H,15,17,19)</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchikey</kind>
      <value>NZXKDOXHBHYTKP-UHFFFAOYSA-N</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polar_surface_area</kind>
      <value>66.48</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>refractivity</kind>
      <value>71.51</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polarizability</kind>
      <value>27.4</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>rotatable_bond_count</kind>
      <value>5</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>acceptor_count</kind>
      <value>3</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>donor_count</kind>
      <value>1</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>Parenteral (intramuscular, intravenous).&#13;The absolute bioavailability following rectal administration of methohexital is 17%.</route_of_exposure>
  <mechanism_of_toxicity>Methohexital binds at a distinct binding site associated with a Cl&lt;sup&gt;-&lt;/sup&gt; ionopore at the GABA&lt;sub&gt;A&lt;/sub&gt; receptor, increasing the duration of time for which the Cl&lt;sup&gt;-&lt;/sup&gt; ionopore is open. The post-synaptic inhibitory effect of GABA in the thalamus is, therefore, prolonged.</mechanism_of_toxicity>
  <metabolism>Metabolism occurs in the liver through demethylation and oxidation. Side-chain oxidation is the most important biotransformation involved in termination of biologic activity.&#13;Route of Elimination: Excretion occurs via the kidneys through glomerular filtration.&#13;Half Life: 5.6 &amp;plusmn; 2.7 minutes</metabolism>
  <toxicity/>
  <lethaldose/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use_source>Methohexital is indicated for use as an intravenous anaesthetic. It has also been commonly used to induce deep sedation. It is only used in hospital or similar settings, under strict supervision.</use_source>
  <min_risk_level/>
  <health_effects>#&lt;HealthEffect::ActiveRecord_Associations_CollectionProxy:0x00007f72237c35c0&gt;</health_effects>
  <symptoms>The onset of toxicity following an overdose of intravenously administered methohexital will be within seconds of the infusion. If methohexital is administered rectally or is ingested, the onset of toxicity may be delayed. The manifestations of an ultrashort-acting barbiturate in overdose include central nervous system depression, respiratory depression, hypotension, loss of peripheral vascular resistance, and muscular hyperactivity ranging from twitching to convulsive-like movements. Other findings may include convulsions and allergic reactions. </symptoms>
  <treatment>Establish an airway and ensure oxygenation and ventilation. Resuscitative measures should be initiated promptly. For hypotension, intravenous fluids should be administered and the patient's legs raised. If desirable increase in blood pressure is not obtained, vasopressor and/or inotropic drugs may be used as dictated by the clinical situation. For convulsions, diazepam intravenously and phenytoin may be required. If the seizures are refractory to diazepam and phenytoin, general anesthesia and paralysis with a neuromuscular blocking agent may be necessary. Protect the patient's airway and support ventilation and perfusion. Meticulously monitor and maintain, within acceptable limits, the patient's vital signs, blood gases, serum electrolytes, etc. Absorption of drugs from the gastrointestinal tract may be decreased by giving activated charcoal, which, in many cases, is more effective than emesis or lavage; consider charcoal instead of or in addition to gastric emptying. Repeated doses of charcoal over time may hasten elimination of some drugs that have been absorbed. Safeguard the patient's airway when employing gastric emptying or charcoal. (L1712)</treatment>
  <drugbank_id>DB00474</drugbank_id>
  <hmdb_id>HMDB14617</hmdb_id>
  <pubchem_compound_id>9034</pubchem_compound_id>
  <chembl_id>CHEMBL7413</chembl_id>
  <chemspider_id>8683</chemspider_id>
  <kegg_id>C07844</kegg_id>
  <uniprot_id/>
  <omim_id/>
  <chebi_id>102216</chebi_id>
  <biocyc_id/>
  <ctd_id/>
  <stitch_id>Methohexital</stitch_id>
  <actor_id/>
  <pdb_id/>
  <wikipidia>Methohexital</wikipidia>
  <general_references>
    <reference>
      <pubmed_id>1156027</pubmed_id>
    </reference>
    <reference>
      <reference_text>Drugs.com: http://www.drugs.com/cons/Methohexital.html</reference_text>
    </reference>
    <reference>
      <reference_text>RxList: The Internet Drug Index (2009).: http://www.rxlist.com/</reference_text>
    </reference>
  </general_references>
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      <target_id>BE0000795</target_id>
      <mechanism_of_action>Methohexital binds at a distinct binding site associated with a Cl&lt;sup&gt;-&lt;/sup&gt; ionopore at the GABA&lt;sub&gt;A&lt;/sub&gt; receptor, increasing the duration of time for which the Cl&lt;sup&gt;-&lt;/sup&gt; ionopore is open. The post-synaptic inhibitory effect of GABA in the thalamus is, therefore, prolonged.</mechanism_of_action>
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  </targets>
</compound>
