<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <version>1.0</version>
  <creation_date>2009-07-21 20:27:31 UTC</creation_date>
  <update_date>2026-05-14 16:47:28 UTC</update_date>
  <accession>T3D2873</accession>
  <common_name>Esomeprazole</common_name>
  <class>SmallMolecule</class>
  <description>Esomeprazole is an exogenous organic compound with the formula C17H19N3O3S and an average molecular weight of 345.42 g/mol. It exists as a solid at room temperature. Esomeprazole belongs to the sulfinylbenzimidazoles, a subclass of benzimidazoles within the organic compounds.

As a proton pump inhibitor, esomeprazole suppresses gastric acid secretion through the specific inhibition of the H+/K+-ATPase in the gastric parietal cell. By acting specifically on the proton pump, it blocks the final step in acid production, which reduces gastric acidity. The compound has seven recorded protein targets, including the potassium-transporting ATPase alpha chain 1 (ATP4A), the sodium/potassium-transporting ATPase subunit alpha-1 (ATP1A1), the potassium-transporting ATPase subunit beta (ATP4B), the ATP-dependent translocase ABCB1, cytochrome P450 3A4 (CYP3A4), cytochrome P450 2C9 (CYP2C9), and one other protein.

Esomeprazole is found in or released from 13 recorded sources. These include healthcare, pharmaceuticals, and veterinary products such as antiinflammatory and antirheumatic products and drugs for acid related disorders. It is also associated with drinking water and water supply, household cleaning and consumer products including pipe accessories and other smoking requisites, building and construction materials such as ladders, floors, tents or canopies, and electrical and electronic equipment including amplifiers, antennas, magnets, relays, and video games. Recorded exposure routes for the compound include oral, intravenous, and topical administration.</description>
  <categories>
    <category>Drug</category>
    <category>Synthetic Toxin</category>
  </categories>
  <types>
    <type>Organic Compound</type>
    <type>Ether</type>
    <type>Drug</type>
    <type>Enzyme Inhibitor</type>
    <type>Anti-Ulcer Agent</type>
    <type>Histamine Antagonist</type>
    <type>Metabolite</type>
    <type>Proton Pump Inhibitor</type>
    <type>Synthetic Compound</type>
  </types>
  <synonyms>
    <synonym>(+)-Omeprazole</synonym>
    <synonym>(-)-Omeprazole</synonym>
    <synonym>(R)-(+)-Omeprazole</synonym>
    <synonym>(S)-Esomeprazole</synonym>
    <synonym>(S)-Omeprazole</synonym>
    <synonym>Alenia</synonym>
    <synonym>Awa-Block</synonym>
    <synonym>Axagon</synonym>
    <synonym>Cor</synonym>
    <synonym>Cronopep</synonym>
    <synonym>Emanera</synonym>
    <synonym>Emep</synonym>
    <synonym>Emozul</synonym>
    <synonym>ES-OD</synonym>
    <synonym>Esmep</synonym>
    <synonym>Eso</synonym>
    <synonym>Esofag</synonym>
    <synonym>Esogastrosedol</synonym>
    <synonym>Esolok</synonym>
    <synonym>Esomarfan</synonym>
    <synonym>Esomenta</synonym>
    <synonym>Esomep</synonym>
    <synonym>Esomeprazol</synonym>
    <synonym>Esomeprazol Genfar</synonym>
    <synonym>Ésoméprazole</synonym>
    <synonym>Esomeprazolum</synonym>
    <synonym>Esopral</synonym>
    <synonym>Esorest</synonym>
    <synonym>Lucen</synonym>
    <synonym>Nexiam</synonym>
    <synonym>Nexium</synonym>
    <synonym>Nexium i.v.</synonym>
    <synonym>Perprazole</synonym>
  </synonyms>
  <chemical_formula>C17H19N3O3S</chemical_formula>
  <average_molecular_weight>345.416</average_molecular_weight>
  <monisotopic_moleculate_weight>345.114712179</monisotopic_moleculate_weight>
  <iupac_name>5-methoxy-2-[(S)-(4-methoxy-3,5-dimethylpyridin-2-yl)methanesulfinyl]-1H-1,3-benzodiazole</iupac_name>
  <traditional_iupac>5-methoxy-2-[(S)-(4-methoxy-3,5-dimethylpyridin-2-yl)methanesulfinyl]-1H-1,3-benzodiazole</traditional_iupac>
  <cas_registry_number>161796-78-7</cas_registry_number>
  <smiles>COC1=CC2=C(NC(=N2)[S@@](=O)CC2=NC=C(C)C(OC)=C2C)C=C1</smiles>
  <inchi>InChI=1S/C17H19N3O3S/c1-10-8-18-15(11(2)16(10)23-4)9-24(21)17-19-13-6-5-12(22-3)7-14(13)20-17/h5-8H,9H2,1-4H3,(H,19,20)/t24-/m0/s1</inchi>
  <inchikey>SUBDBMMJDZJVOS-DEOSSOPVSA-N</inchikey>
  <taxonomy>
    <kingdom>Organic compounds</kingdom>
    <super_class>Organoheterocyclic compounds</super_class>
    <class>Benzimidazoles</class>
    <sub_class>Sulfinylbenzimidazoles</sub_class>
    <direct_parent>Sulfinylbenzimidazoles</direct_parent>
    <alternate_parents>
      <alternative_parent>Alkyl aryl ethers</alternative_parent>
      <alternative_parent>Anisoles</alternative_parent>
      <alternative_parent>Azacyclic compounds</alternative_parent>
      <alternative_parent>Heteroaromatic compounds</alternative_parent>
      <alternative_parent>Hydrocarbon derivatives</alternative_parent>
      <alternative_parent>Imidazoles</alternative_parent>
      <alternative_parent>Methylpyridines</alternative_parent>
      <alternative_parent>Organic oxides</alternative_parent>
      <alternative_parent>Organonitrogen compounds</alternative_parent>
      <alternative_parent>Organopnictogen compounds</alternative_parent>
      <alternative_parent>Sulfinyl compounds</alternative_parent>
      <alternative_parent>Sulfoxides</alternative_parent>
    </alternate_parents>
    <substituents>
      <substituent>Alkyl aryl ether</substituent>
      <substituent>Anisole</substituent>
      <substituent>Aromatic heteropolycyclic compound</substituent>
      <substituent>Azacycle</substituent>
      <substituent>Azole</substituent>
      <substituent>Benzenoid</substituent>
      <substituent>Ether</substituent>
      <substituent>Heteroaromatic compound</substituent>
      <substituent>Hydrocarbon derivative</substituent>
      <substituent>Imidazole</substituent>
      <substituent>Methylpyridine</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>Organosulfur compound</substituent>
      <substituent>Pyridine</substituent>
      <substituent>Sulfinyl compound</substituent>
      <substituent>Sulfinylbenzimidazole</substituent>
      <substituent>Sulfoxide</substituent>
    </substituents>
    <molecular_framework>Aromatic heteropolycyclic compounds</molecular_framework>
    <descriptors>
      <descriptor>5-methoxy-2-\{[(4-methoxy-3,5-dimethylpyridin-2-yl)methyl]sulfinyl\}-1H-benzimidazole</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/>
  <state>Solid</state>
  <appearance>White powder.</appearance>
  <experimental_properties>
    <property>
      <kind>melting_point</kind>
      <value>155°C</value>
    </property>
    <property>
      <kind>solubility</kind>
      <value>3.53e-01 g/L</value>
    </property>
    <property>
      <kind>logp</kind>
      <value>0.6</value>
    </property>
  </experimental_properties>
  <predicted_properties>
    <property>
      <kind>logp</kind>
      <value>1.66</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logs</kind>
      <value>-2.99</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>solubility</kind>
      <value>3.53e-01 g/l</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logp</kind>
      <value>2.43</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_acidic</kind>
      <value>9.68</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_basic</kind>
      <value>4.77</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>iupac</kind>
      <value>5-methoxy-2-[(S)-(4-methoxy-3,5-dimethylpyridin-2-yl)methanesulfinyl]-1H-1,3-benzodiazole</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>average_mass</kind>
      <value>345.416</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>mono_mass</kind>
      <value>345.114712179</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>smiles</kind>
      <value>COC1=CC2=C(NC(=N2)[S@@](=O)CC2=NC=C(C)C(OC)=C2C)C=C1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formula</kind>
      <value>C17H19N3O3S</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchi</kind>
      <value>InChI=1S/C17H19N3O3S/c1-10-8-18-15(11(2)16(10)23-4)9-24(21)17-19-13-6-5-12(22-3)7-14(13)20-17/h5-8H,9H2,1-4H3,(H,19,20)/t24-/m0/s1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchikey</kind>
      <value>SUBDBMMJDZJVOS-DEOSSOPVSA-N</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polar_surface_area</kind>
      <value>77.1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>refractivity</kind>
      <value>93.66</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polarizability</kind>
      <value>35.81</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>rotatable_bond_count</kind>
      <value>5</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>acceptor_count</kind>
      <value>5</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>Oral</route_of_exposure>
  <mechanism_of_toxicity>Esomeprazole is a proton pump inhibitor that suppresses gastric acid secretion by specific inhibition of the H&lt;sup&gt;+&lt;/sup&gt;/K&lt;sup&gt;+&lt;/sup&gt;-ATPase in the gastric parietal cell. By acting specifically on the proton pump, Esomeprazole blocks the final step in acid production, thus reducing gastric acidity.</mechanism_of_toxicity>
  <metabolism>Mainly hepatic. Esomeprazole is completely metabolized by the cytochrome P450 system via CYP2C19 and CYP3A4. Metabolism produces inactive hydroxy and desmethyl metabolites, which have no effect on gastric acid secretion. Less than 1% of the parent drug is excreted in urine. &#13;
Route of Elimination: Approximately 80% of the administered dose of esomeprazole is excreted as metabolites in urine and the remaining 20% is excreted in feces. &#13;
Half Life: 1-1.5 hours</metabolism>
  <toxicity/>
  <lethaldose/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use_source>Used in the treatment of acid-reflux disorders (GERD), peptic ulcer disease, H. pylori eradication, and prevention of gastroinetestinal bleeds with NSAID use. Used in the treatment of dyspepsia, peptic ulcer disease (PUD), gastroesophageal reflux disease (GORD/GERD) and Zollinger-Ellison syndrome.  [Wikipedia]</use_source>
  <min_risk_level/>
  <health_effects>#&lt;HealthEffect::ActiveRecord_Associations_CollectionProxy:0x00007f3bae72db70&gt;</health_effects>
  <symptoms>Blurred vision, confusion, drowsiness, dry mouthflushingheadache, nausea, rapid heartbeat, sweating.</symptoms>
  <treatment/>
  <drugbank_id>DB00736</drugbank_id>
  <hmdb_id>HMDB14874</hmdb_id>
  <pubchem_compound_id>9579578</pubchem_compound_id>
  <chembl_id>CHEMBL1201320</chembl_id>
  <chemspider_id>7853936</chemspider_id>
  <kegg_id>C07324</kegg_id>
  <uniprot_id/>
  <omim_id/>
  <chebi_id>50275</chebi_id>
  <biocyc_id/>
  <ctd_id/>
  <stitch_id>Esomeprazole</stitch_id>
  <actor_id/>
  <pdb_id/>
  <wikipidia>http://en.wikipedia.org/wiki/Esomeprazole</wikipidia>
  <general_references>
    <reference>
      <pubmed_id>10886041</pubmed_id>
    </reference>
    <reference>
      <reference_text>Drugs.com: http://www.drugs.com/cons/Esomeprazole.html</reference_text>
    </reference>
  </general_references>
  <targets>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000732</target_id>
      <mechanism_of_action>Esomeprazole is a proton pump inhibitor that suppresses gastric acid secretion by specific inhibition of the H&lt;sup&gt;+&lt;/sup&gt;/K&lt;sup&gt;+&lt;/sup&gt;-ATPase in the gastric parietal cell. By acting specifically on the proton pump, Esomeprazole blocks the final step in acid production, thus reducing gastric acidity.</mechanism_of_action>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000976</target_id>
      <mechanism_of_action>Esomeprazole is a proton pump inhibitor that suppresses gastric acid secretion by specific inhibition of the H&lt;sup&gt;+&lt;/sup&gt;/K&lt;sup&gt;+&lt;/sup&gt;-ATPase in the gastric parietal cell. By acting specifically on the proton pump, Esomeprazole blocks the final step in acid production, thus reducing gastric acidity.</mechanism_of_action>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000619</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>IC50</constant_type>
          <value>0.25</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>0.28</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>0.37</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>2</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>3.8</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0001032</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>IC50</constant_type>
          <value>17.7</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>89</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>91.2</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
        <constant>
          <constant_type>IC50</constant_type>
          <value>97.2</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0002793</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>Inhibitory</constant_type>
          <value>45</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0002638</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>IC50</constant_type>
          <value>77.98</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 50241343</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0000349</target_id>
      <mechanism_of_action>Esomeprazole is a proton pump inhibitor that suppresses gastric acid secretion by specific inhibition of the H&lt;sup&gt;+&lt;/sup&gt;/K&lt;sup&gt;+&lt;/sup&gt;-ATPase in the gastric parietal cell. By acting specifically on the proton pump, Esomeprazole blocks the final step in acid production, thus reducing gastric acidity.</mechanism_of_action>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000766</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
  </targets>
</compound>
