<?xml version="1.0" encoding="UTF-8"?>
<compound>
  <version>1.0</version>
  <creation_date>2009-07-30 17:58:59 UTC</creation_date>
  <update_date>2026-05-14 16:43:33 UTC</update_date>
  <accession>T3D3517</accession>
  <common_name>Labetalol</common_name>
  <class>SmallMolecule</class>
  <description>Labetalol belongs to the benzoic acids and derivatives, a subclass of benzene and substituted derivatives within the organic compounds. This exogenous compound has the formula C19H24N2O3, an average molecular weight of 328.41 g/mol, and exists as a solid at room temperature. It is used as an antihypertensive agent, a sympatholytic agent, an alpha-adrenergic antagonist, and a beta-adrenergic antagonist. In terms of health effects, it is a treatment for hypertension (PMC10298655, PMC1429741) and eclampsia (PMC10298655, PMC8228929).

Labetalol targets several proteins, including the alpha-1A, alpha-1B, and alpha-1D adrenergic receptors, as well as the beta-1, beta-2, and beta-3 adrenergic receptors, and heparanase. Labetalol HCl combines nonselective, competitive, beta-adrenergic blocking activity and selective, competitive, alpha-1-adrenergic blocking activity in a single substance. In man, the ratios of alpha- to beta-blockade have been estimated to be approximately 1:3 following oral administration and 1:7 following intravenous administration. Labetalol contains two asymmetric centers and exists as a molecular complex of two diastereoisomeric pairs, with the R,R' stereoisomer, dilevalol, comprising 25% of racemic labetalol.

The compound is recorded in 13 sources, including beta blocking agents, drinking water, indoor air, food preservation, tobacco smoke filters, cigar cigarettes, other smoking requisites, and electrical and electronic equipment such as antennas, electrodes, conductive bodies, hybrid capacitors, and electrically stimulated smoking devices. Recorded exposure routes include oral, intravenous, and inhalation.</description>
  <categories>
    <category>Drug</category>
    <category>Synthetic Toxin</category>
  </categories>
  <types>
    <type>Organic Compound</type>
    <type>Amine</type>
    <type>Amide</type>
    <type>Ester</type>
    <type>Drug</type>
    <type>Sympatholytic</type>
    <type>Sympathomimetic</type>
    <type>Antihypertensive Agent</type>
    <type>Adrenergic alpha-Antagonist</type>
    <type>Metabolite</type>
    <type>Adrenergic beta-Antagonist</type>
    <type>Synthetic Compound</type>
    <type>Adrenergic alpha-1 Receptor Antagonist</type>
    <type>Human Neurotoxin</type>
  </types>
  <synonyms>
    <synonym>3-Carboxamido-4-hydroxy-alpha-((1-methyl-3-phenylpropylamino)methyl)benzyl alcohol</synonym>
    <synonym>5-(1-Hydroxy-2-(1-methyl-3-phenylpropylamino)ethyl)salicylamide</synonym>
    <synonym>Albetol</synonym>
    <synonym>Labetalolum</synonym>
    <synonym>Labetolol</synonym>
    <synonym>Latol</synonym>
    <synonym>Normadate</synonym>
    <synonym>Normodyne</synonym>
    <synonym>Trandate</synonym>
  </synonyms>
  <chemical_formula>C19H24N2O3</chemical_formula>
  <average_molecular_weight>328.4055</average_molecular_weight>
  <monisotopic_moleculate_weight>328.178692644</monisotopic_moleculate_weight>
  <iupac_name>2-hydroxy-5-{1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl}benzamide</iupac_name>
  <traditional_iupac>labetalol</traditional_iupac>
  <cas_registry_number>36894-69-6</cas_registry_number>
  <smiles>CC(CCC1=CC=CC=C1)NCC(O)C1=CC(C(N)=O)=C(O)C=C1</smiles>
  <inchi>InChI=1S/C19H24N2O3/c1-13(7-8-14-5-3-2-4-6-14)21-12-18(23)15-9-10-17(22)16(11-15)19(20)24/h2-6,9-11,13,18,21-23H,7-8,12H2,1H3,(H2,20,24)</inchi>
  <inchikey>SGUAFYQXFOLMHL-UHFFFAOYSA-N</inchikey>
  <taxonomy>
    <kingdom>Organic compounds</kingdom>
    <super_class>Benzenoids</super_class>
    <class>Benzene and substituted derivatives</class>
    <sub_class>Benzoic acids and derivatives</sub_class>
    <direct_parent>Salicylamides</direct_parent>
    <alternate_parents>
      <alternative_parent>1,2-aminoalcohols</alternative_parent>
      <alternative_parent>1-hydroxy-2-unsubstituted benzenoids</alternative_parent>
      <alternative_parent>Amino acids and derivatives</alternative_parent>
      <alternative_parent>Aralkylamines</alternative_parent>
      <alternative_parent>Aromatic alcohols</alternative_parent>
      <alternative_parent>Benzamides</alternative_parent>
      <alternative_parent>Benzoyl derivatives</alternative_parent>
      <alternative_parent>Dialkylamines</alternative_parent>
      <alternative_parent>Hydrocarbon derivatives</alternative_parent>
      <alternative_parent>Organic oxides</alternative_parent>
      <alternative_parent>Organopnictogen compounds</alternative_parent>
      <alternative_parent>Primary carboxylic acid amides</alternative_parent>
      <alternative_parent>Secondary alcohols</alternative_parent>
      <alternative_parent>Vinylogous acids</alternative_parent>
    </alternate_parents>
    <substituents>
      <substituent>1,2-aminoalcohol</substituent>
      <substituent>1-hydroxy-2-unsubstituted benzenoid</substituent>
      <substituent>Alcohol</substituent>
      <substituent>Amine</substituent>
      <substituent>Amino acid or derivatives</substituent>
      <substituent>Aralkylamine</substituent>
      <substituent>Aromatic alcohol</substituent>
      <substituent>Aromatic homomonocyclic compound</substituent>
      <substituent>Benzamide</substituent>
      <substituent>Benzoyl</substituent>
      <substituent>Carboxamide group</substituent>
      <substituent>Carboxylic acid derivative</substituent>
      <substituent>Hydrocarbon derivative</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>Phenol</substituent>
      <substituent>Primary carboxylic acid amide</substituent>
      <substituent>Salicylamide</substituent>
      <substituent>Secondary alcohol</substituent>
      <substituent>Secondary aliphatic amine</substituent>
      <substituent>Secondary amine</substituent>
      <substituent>Vinylogous acid</substituent>
    </substituents>
    <molecular_framework>Aromatic homomonocyclic compounds</molecular_framework>
    <descriptors>
      <descriptor>benzamides</descriptor>
      <descriptor>secondary amino compound</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>Labetalol Pathway</name>
      <smpdb_id/>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Labetalol Action Pathway</name>
      <smpdb_id>SMP0000368</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Labetalol B1-Adrenergic Cardiac Muscle Relaxation Action Pathway</name>
      <smpdb_id>SMP0126203</smpdb_id>
      <kegg_map_id/>
    </pathway>
    <pathway>
      <name>Laβlol Drug Metabolism Pathway</name>
      <smpdb_id>SMP0145329</smpdb_id>
      <kegg_map_id/>
    </pathway>
  </pathways>
  <state>Solid</state>
  <appearance>White powder.</appearance>
  <experimental_properties>
    <property>
      <kind>melting_point</kind>
      <value>188°C</value>
    </property>
    <property>
      <kind>solubility</kind>
      <value>117 mg/L (at 25°C)</value>
    </property>
    <property>
      <kind>logp</kind>
      <value>3.09</value>
    </property>
  </experimental_properties>
  <predicted_properties>
    <property>
      <kind>logp</kind>
      <value>1.73</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logs</kind>
      <value>-4.75</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>solubility</kind>
      <value>5.78e-03 g/l</value>
      <source>ALOGPS</source>
    </property>
    <property>
      <kind>logp</kind>
      <value>1.89</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_acidic</kind>
      <value>8.05</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>pka_strongest_basic</kind>
      <value>9.8</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>iupac</kind>
      <value>2-hydroxy-5-{1-hydroxy-2-[(4-phenylbutan-2-yl)amino]ethyl}benzamide</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>average_mass</kind>
      <value>328.4055</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>mono_mass</kind>
      <value>328.178692644</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>smiles</kind>
      <value>CC(CCC1=CC=CC=C1)NCC(O)C1=CC(C(N)=O)=C(O)C=C1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formula</kind>
      <value>C19H24N2O3</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchi</kind>
      <value>InChI=1S/C19H24N2O3/c1-13(7-8-14-5-3-2-4-6-14)21-12-18(23)15-9-10-17(22)16(11-15)19(20)24/h2-6,9-11,13,18,21-23H,7-8,12H2,1H3,(H2,20,24)</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>inchikey</kind>
      <value>SGUAFYQXFOLMHL-UHFFFAOYSA-N</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polar_surface_area</kind>
      <value>95.58</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>refractivity</kind>
      <value>94.72</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>polarizability</kind>
      <value>36.83</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>rotatable_bond_count</kind>
      <value>8</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>acceptor_count</kind>
      <value>4</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>donor_count</kind>
      <value>4</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>physiological_charge</kind>
      <value>1</value>
      <source>ChemAxon</source>
    </property>
    <property>
      <kind>formal_charge</kind>
      <value>0</value>
      <source>ChemAxon</source>
    </property>
  </predicted_properties>
  <route_of_exposure>Oral, parenteral (intravenous injection). Completely absorbed (100%) from the gastrointestinal tract with peak plasma levels occurring 1 to 2 hours after oral administration. The absolute bioavailability of labetalol is increased when administered with food.</route_of_exposure>
  <mechanism_of_toxicity>Labetalol has two asymmetric centers and therefore, exists as a molecular complex of two diastereoisomeric pairs. Dilevalol, the R,R' stereoisomer, makes up 25% of racemic labetalol. Labetalol HCl combines both selective, competitive, alpha-1-adrenergic blocking and nonselective, competitive, beta-adrenergic blocking activity in a single substance. In man, the ratios of alpha- to beta- blockade have been estimated to be approximately 1:3 and 1:7 following oral and intravenous (IV) administration, respectively. Beta-2-agonist activity has been demonstrated in animals with minimal beta-1-agonist (ISA) activity detected. In animals, at doses greater than those required for alpha- or beta- adrenergic blockade, a membrane stabilizing effect has been demonstrated.

LD50 = 66 mg/kg (Rat, parental-intravenous)</mechanism_of_toxicity>
  <metabolism>Primarily hepatic, undergoes significant first pass metabolism&#13;Route of Elimination: These metabolites are present in plasma and are excreted in the urine, and via the bile, into the feces.&#13;Half Life: 6-8 hours</metabolism>
  <toxicity>LD50 = 66 mg/kg (Rat, parental-intravenous)</toxicity>
  <lethaldose/>
  <carcinogenicity>No indication of carcinogenicity to humans (not listed by IARC).</carcinogenicity>
  <use_source>For the management of hypertension (alone or in combination with other classes of antihypertensive agents), as well as chronic stable angina pectoris and sympathetic overactivity syndrome associated with severe tetanus. Labetalol is used parenterally for immediate reduction in blood pressure in severe hypertension or in hypertensive crises when considered an emergency, for the control of blood pressure in patients with pheochromocytoma and pregnant women with preeclampsia, and to produce controlled hypotension during anesthesia to reduce bleeding resulting from surgical procedures.</use_source>
  <min_risk_level/>
  <health_effects>#&lt;HealthEffect::ActiveRecord_Associations_CollectionProxy:0x00007f7226b179f8&gt;</health_effects>
  <symptoms>Side effects or adverse reactions include dizziness when standing up, very low blood pressure, severely slow heartbeat, weakness, diminished sexual function, fatigue</symptoms>
  <treatment/>
  <drugbank_id>DB00598</drugbank_id>
  <hmdb_id>HMDB14736</hmdb_id>
  <pubchem_compound_id>3869</pubchem_compound_id>
  <chembl_id>CHEMBL429</chembl_id>
  <chemspider_id>3734</chemspider_id>
  <kegg_id>C07063</kegg_id>
  <uniprot_id/>
  <omim_id/>
  <chebi_id>6343</chebi_id>
  <biocyc_id/>
  <ctd_id/>
  <stitch_id>Labetalol  </stitch_id>
  <actor_id/>
  <pdb_id/>
  <wikipidia>Labetalol</wikipidia>
  <general_references/>
  <targets>
    <target>
      <target_id/>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
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      <constants/>
      <references/>
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      <constants/>
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      <constants/>
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      <constants/>
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      <constants/>
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      <constants/>
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      <constants/>
      <references/>
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      <constants/>
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      <constants/>
      <references/>
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      <constants/>
      <references/>
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      <constants/>
      <references/>
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    <target>
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      <constants/>
      <references/>
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    <target>
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      <constants/>
      <references/>
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    <target>
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      <mechanism_of_action/>
      <constants/>
      <references/>
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      <constants/>
      <references/>
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      <mechanism_of_action/>
      <constants/>
      <references/>
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      <constants/>
      <references/>
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    <target>
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      <mechanism_of_action/>
      <constants/>
      <references/>
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    <target>
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      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0004863</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000172</target_id>
      <mechanism_of_action>Labetalol has two asymmetric centers and therefore, exists as a molecular complex of two diastereoisomeric pairs. Dilevalol, the R,R' stereoisomer, makes up 25% of racemic labetalol. Labetalol HCl combines both selective, competitive, alpha-1-adrenergic blocking and nonselective, competitive, beta-adrenergic blocking activity in a single substance. In man, the ratios of alpha- to beta- blockade have been estimated to be approximately 1:3 and 1:7 following oral and intravenous (IV) administration, respectively. Beta-2-agonist activity has been demonstrated in animals with minimal beta-1-agonist (ISA) activity detected. In animals, at doses greater than those required for alpha- or beta- adrenergic blockade, a membrane stabilizing effect has been demonstrated.</mechanism_of_action>
      <constants>
        <constant>
          <constant_type>Dissociation</constant_type>
          <value>0.0235</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25758</assay_source>
        </constant>
        <constant>
          <constant_type>Dissociation</constant_type>
          <value>0.03162</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25758</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0000694</target_id>
      <mechanism_of_action>Labetalol has two asymmetric centers and therefore, exists as a molecular complex of two diastereoisomeric pairs. Dilevalol, the R,R' stereoisomer, makes up 25% of racemic labetalol. Labetalol HCl combines both selective, competitive, alpha-1-adrenergic blocking and nonselective, competitive, beta-adrenergic blocking activity in a single substance. In man, the ratios of alpha- to beta- blockade have been estimated to be approximately 1:3 and 1:7 following oral and intravenous (IV) administration, respectively. Beta-2-agonist activity has been demonstrated in animals with minimal beta-1-agonist (ISA) activity detected. In animals, at doses greater than those required for alpha- or beta- adrenergic blockade, a membrane stabilizing effect has been demonstrated.</mechanism_of_action>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0001012</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>Dissociation</constant_type>
          <value>0.661</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25758</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0001064</target_id>
      <mechanism_of_action/>
      <constants>
        <constant>
          <constant_type>Dissociation</constant_type>
          <value>1000</value>
          <units>uM</units>
          <assay_type/>
          <assay_source>BindingDB 25758</assay_source>
        </constant>
      </constants>
      <references/>
    </target>
    <target>
      <target_id>BE0000501</target_id>
      <mechanism_of_action>Labetalol has two asymmetric centers and therefore, exists as a molecular complex of two diastereoisomeric pairs. Dilevalol, the R,R' stereoisomer, makes up 25% of racemic labetalol. Labetalol HCl combines both selective, competitive, alpha-1-adrenergic blocking and nonselective, competitive, beta-adrenergic blocking activity in a single substance. In man, the ratios of alpha- to beta- blockade have been estimated to be approximately 1:3 and 1:7 following oral and intravenous (IV) administration, respectively. Beta-2-agonist activity has been demonstrated in animals with minimal beta-1-agonist (ISA) activity detected. In animals, at doses greater than those required for alpha- or beta- adrenergic blockade, a membrane stabilizing effect has been demonstrated.</mechanism_of_action>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000575</target_id>
      <mechanism_of_action>Labetalol has two asymmetric centers and therefore, exists as a molecular complex of two diastereoisomeric pairs. Dilevalol, the R,R' stereoisomer, makes up 25% of racemic labetalol. Labetalol HCl combines both selective, competitive, alpha-1-adrenergic blocking and nonselective, competitive, beta-adrenergic blocking activity in a single substance. In man, the ratios of alpha- to beta- blockade have been estimated to be approximately 1:3 and 1:7 following oral and intravenous (IV) administration, respectively. Beta-2-agonist activity has been demonstrated in animals with minimal beta-1-agonist (ISA) activity detected. In animals, at doses greater than those required for alpha- or beta- adrenergic blockade, a membrane stabilizing effect has been demonstrated.</mechanism_of_action>
      <constants/>
      <references/>
    </target>
    <target>
      <target_id>BE0000715</target_id>
      <mechanism_of_action/>
      <constants/>
      <references/>
    </target>
  </targets>
</compound>
