{
  "meta": {
    "disclaimer": "Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.",
    "terms": "https://open.fda.gov/terms/",
    "license": "https://open.fda.gov/license/",
    "last_updated": "2026-09-09",
    "results": {
      "skip": 0,
      "limit": 1,
      "total": 1
    }
  },
  "results": [
    {
      "codes": [
        {
          "uuid": "3533e697-3788-4d68-91e1-c3243f2e8162",
          "code": "N0000175370",
          "comments": "Cellular or Molecular Interactions [MoA]|Receptor Interactions [MoA]|Cholinergic Interactions [MoA]|Cholinergic Antagonists [MoA]",
          "type": "PRIMARY",
          "url": "https://nciterms.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=VA_NDFRT&code=N0000175370",
          "code_system": "NDF-RT",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "81250c37-22ff-4197-86e9-41a37e158556",
          "code": "N0000175574",
          "comments": "Established Pharmacologic Class [EPC]|Anticholinergic [EPC]",
          "type": "PRIMARY",
          "url": "https://nciterms.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=VA_NDFRT&code=N0000175574",
          "code_system": "NDF-RT",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "32b51ff1-a684-4d58-8212-058743b80ccf",
          "code": "186691-13-4",
          "type": "PRIMARY",
          "url": "https://commonchemistry.cas.org/detail?cas_rn=186691-13-4",
          "code_system": "CAS",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf",
            "4783b7c6-45a3-4b4c-bfd7-0f6da3a966da"
          ]
        },
        {
          "uuid": "0f65f9c9-69ca-4bb1-b0ed-ef86f99d8f23",
          "code": "C76004",
          "type": "PRIMARY",
          "url": "https://ncit.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=NCI%20Thesaurus&code=C76004",
          "code_system": "NCI_THESAURUS",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "1d7de62a-fc96-4fb3-8d46-c9739fd5dfd6",
          "code": "C079890",
          "type": "PRIMARY",
          "url": "http://www.ncbi.nlm.nih.gov/mesh/67079890",
          "code_system": "MESH",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "ef7fd54c-6ea7-48d9-81c0-d91213237006",
          "code": "367",
          "type": "PRIMARY",
          "url": "http://www.guidetopharmacology.org/GRAC/LigandDisplayForward?ligandId=367",
          "code_system": "IUPHAR",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "8ed2f44c-d507-4869-973f-800bf5684667",
          "code": "69120",
          "comments": "RxNorm",
          "type": "PRIMARY",
          "url": "https://rxnav.nlm.nih.gov/REST/rxcui/69120/allProperties.xml?prop=all",
          "code_system": "RXCUI",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "041e8751-b3fb-4aa4-9a00-e28f2a0c0ab4",
          "code": "DB01409",
          "type": "PRIMARY",
          "url": "http://www.drugbank.ca/drugs/DB01409",
          "code_system": "DRUG BANK",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "3aecd10b-433b-4c27-948f-902c03524274",
          "code": "SUB25691",
          "type": "PRIMARY",
          "code_system": "EVMPD",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "2c5e807a-cecc-4dc8-aa26-0011ad81f5cf",
          "code": "R03AL06",
          "comments": "ATC|RESPIRATORY SYSTEM|DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES|ADRENERGICS, INHALANTS|Adrenergics in combination with anticholinergics|olodaterol and tiotropium bromide",
          "type": "PRIMARY",
          "url": "http://www.whocc.no/atc_ddd_index/?code=R03AL06&showdescription=yes",
          "code_system": "WHO-ATC",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "e8f45095-2d18-4ef9-bc6a-d2da0a46d579",
          "code": "R03BB54",
          "comments": "ATC|RESPIRATORY SYSTEM|DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES|OTHER DRUGS FOR OBSTRUCTIVE AIRWAY DISEASES, INHALANTS|Anticholinergics|tiotropium bromide, combinations",
          "type": "PRIMARY",
          "url": "http://www.whocc.no/atc_ddd_index/?code=R03BB54&showdescription=yes",
          "code_system": "WHO-ATC",
          "references": [
            "dd695a48-ccdd-48f5-a69c-e96c6d1331bf"
          ]
        },
        {
          "uuid": "d4da318e-5aca-da75-cacc-778d5527843d",
          "code": "Tiotropium",
          "type": "PRIMARY",
          "url": "https://en.wikipedia.org/wiki/Tiotropium",
          "code_system": "WIKIPEDIA",
          "references": [
            "b01870db-4467-60ab-6630-8e508351a4cf"
          ]
        },
        {
          "uuid": "425ac670-7d9f-f2a9-bd87-a61ee2cdf24b",
          "code": "DTXSID5044281",
          "type": "PRIMARY",
          "url": "https://comptox.epa.gov/dashboard/chemical/details/DTXSID5044281",
          "code_system": "EPA CompTox",
          "references": [
            "6710b2e5-f347-73e8-e35e-008280772058"
          ]
        },
        {
          "uuid": "9c84983b-170a-94ee-42f2-4a79c131f69d",
          "code": "C29704",
          "comments": "Pharmacologic Substance[C1909]|Agent Affecting Nervous System[C78272]|Anticholinergic Agent[C66880]|Antimuscarinic Agent",
          "type": "CONCEPT",
          "url": "https://ncit.nci.nih.gov/ncitbrowser/ConceptReport.jsp?dictionary=NCI%20Thesaurus&code=C29704",
          "code_system": "NCI_THESAURUS",
          "references": [
            "b3fbb941-29f1-f061-8065-59197239cf58"
          ]
        },
        {
          "uuid": "54210e58-66d6-d0a4-439c-38d9260d33a4",
          "code": "Tiotropium",
          "type": "PRIMARY",
          "url": "https://www.ncbi.nlm.nih.gov/books/n/lactmed/LM598/",
          "code_system": "LACTMED",
          "references": [
            "b3fbb941-29f1-f061-8065-59197239cf58"
          ]
        },
        {
          "uuid": "4e08ece7-97bf-4c6e-bba3-ab50dafce534",
          "code": "0EB439235F",
          "type": "PRIMARY",
          "code_system": "FDA UNII"
        },
        {
          "uuid": "0fed7ca7-1526-8aef-c9b8-40373b13455f",
          "code": "0EB439235F",
          "type": "PRIMARY",
          "url": "https://dailymed.nlm.nih.gov/dailymed/search.cfm?adv=1&query=0EB439235F",
          "code_system": "DAILYMED",
          "references": [
            "db71de58-f8ae-cdab-c5e4-883b07101e12"
          ]
        },
        {
          "uuid": "6ffc788f-dda0-5aa4-f7b6-9bd7af7d4ecb",
          "code": "100000089907",
          "type": "PRIMARY",
          "code_system": "SMS_ID",
          "references": [
            "29a57984-4c5b-b550-4083-b1400a16c135"
          ]
        }
      ],
      "substance_class": "chemical",
      "references": [
        {
          "uuid": "ad7fd7fb-a8fb-480a-1b02-c07455322dca",
          "citation": "https://www.accessdata.fda.gov/drugsatfda_docs/nda/2004/21-395.pdf_Spiriva_BioPharmr_P1.pdf",
          "doc_type": "NDA PUBLIC REVIEW",
          "public_domain": true,
          "tags": [
            "PUBLIC_DOMAIN_RELEASE"
          ]
        },
        {
          "uuid": "53392c3c-1f9b-4942-b48f-25facbe39832",
          "citation": "ChemIDPlus 2008",
          "doc_type": "SRS",
          "public_domain": true,
          "tags": [
            "NOMEN",
            "PUBLIC_DOMAIN_RELEASE",
            "AUTO_SELECTED"
          ]
        },
        {
          "uuid": "7ccee46b-c7fd-4a26-8d39-08a70eb8c895",
          "citation": "COINED(USAN 2006)",
          "doc_type": "STN (SCIFINDER)",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "375e27b3-de1c-4339-871d-86f9e9edfc48",
          "citation": "USP DICTIONARY 2008",
          "doc_type": "SRS",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "1faf0611-e299-47f0-8dfb-379f47d09fa3",
          "citation": "WHO-DD",
          "doc_type": "SRS",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "9c1363b3-96f7-48f2-979d-0d15ac2a36c9",
          "citation": "WHO DRUG DICTIONARY",
          "doc_type": "WHO DRUG DICTIONARY",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "452feada-19a4-41a8-8a50-866ae9ea975d",
          "citation": "NDF-RT",
          "doc_type": "SRS",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "a041198d-5aad-48e5-9d22-adb523fe84e1",
          "citation": "STN",
          "doc_type": "SRS",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "d5bd6dd9-ac36-4d91-8576-b4f003adb800",
          "citation": "FDA_SRS",
          "doc_type": "SRS",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "dd695a48-ccdd-48f5-a69c-e96c6d1331bf",
          "citation": "SRS CODE IMPORT",
          "doc_type": "SRS",
          "public_domain": true,
          "document_date": 1493390567000,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "426fb4f0-3de3-4091-acef-b55279fe2ff3",
          "citation": "BIOPHARMACEUTICS & DRUG DISPOSITION, VOLUME 33, ISSUE 1, PAGES 39?45, JANUARY 2012",
          "url": "http://onlinelibrary.wiley.com/doi/10.1002/bdd.1773/epdf",
          "doc_type": "JOURNAL ARTICLE",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "9916e898-c7cd-4c9d-9a63-aed9c5c1b8ff",
          "citation": "http://www.accessdata.fda.gov/spl/data/ca587c20-50ac-4f59-96f6-5b1e1505722f/ca587c20-50ac-4f59-96f6-5b1e1505722f.xml",
          "url": "http://www.accessdata.fda.gov/spl/data/ca587c20-50ac-4f59-96f6-5b1e1505722f/ca587c20-50ac-4f59-96f6-5b1e1505722f.xml",
          "doc_type": "WEBSITE",
          "public_domain": true,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "8319ae63-8af1-4c04-a8cb-cfe9b8e2ddc4",
          "citation": "SRS import [0EB439235F]",
          "url": "http://fdasis.nlm.nih.gov/srs/srsdirect.jsp?regno=0EB439235F",
          "doc_type": "SRS",
          "public_domain": true,
          "document_date": 1493390567000,
          "tags": [
            "NOMEN"
          ]
        },
        {
          "uuid": "91830655-882b-48d2-a9d4-f86d6c34eadc",
          "citation": "TIOTROPIUM [WHO-DD]",
          "doc_type": "SRS_LOCATOR",
          "public_domain": true
        },
        {
          "uuid": "2b4d24b8-0be8-4508-b5b0-529655f00e8f",
          "citation": "TIOTROPIUM [VANDF]",
          "doc_type": "SRS_LOCATOR",
          "public_domain": true
        },
        {
          "uuid": "b01870db-4467-60ab-6630-8e508351a4cf",
          "citation": "WIKI",
          "url": "https://en.wikipedia.org/wiki/Tiotropium",
          "doc_type": "WIKI",
          "public_domain": true,
          "tags": [
            "NOMEN",
            "PUBLIC_DOMAIN_RELEASE"
          ]
        },
        {
          "uuid": "6710b2e5-f347-73e8-e35e-008280772058",
          "citation": "WEBSITE",
          "url": "https://comptox.epa.gov/dashboard/dsstoxdb/results?utf8=%E2%9C%93&search=186691-13-4",
          "doc_type": "WEBSITE",
          "public_domain": true,
          "tags": [
            "NOMEN",
            "PUBLIC_DOMAIN_RELEASE"
          ]
        },
        {
          "uuid": "29a57984-4c5b-b550-4083-b1400a16c135",
          "citation": "EU-SRS",
          "doc_type": "EMA LIST",
          "public_domain": true
        },
        {
          "uuid": "b3fbb941-29f1-f061-8065-59197239cf58",
          "doc_type": "SYSTEM",
          "public_domain": true
        },
        {
          "uuid": "4783b7c6-45a3-4b4c-bfd7-0f6da3a966da",
          "citation": "STN",
          "doc_type": "STN (SCIFINDER)",
          "public_domain": true
        },
        {
          "uuid": "079b6b8b-de70-47d4-bda5-48dce2bcfe8d",
          "citation": "WHO-DD",
          "doc_type": "WHO DRUG DICTIONARY",
          "public_domain": true
        },
        {
          "uuid": "db71de58-f8ae-cdab-c5e4-883b07101e12",
          "citation": "DailyMed",
          "doc_type": "DAILYMED",
          "public_domain": true
        }
      ],
      "definition_type": "PRIMARY",
      "moieties": [
        {
          "uuid": "6ae36b0e-6a9e-4501-ae0f-36eb8485c8ac",
          "id": "6ae36b0e-6a9e-4501-ae0f-36eb8485c8ac",
          "molfile": "\n  Marvin  01132105332D          \n\n 26 30  0  0  0  0            999 V2000\n   -1.6849   -0.2303    0.0000 C   0  0  1  0  0  0  0  0  0  1  0  0\n   -2.3612    0.1632    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0\n   -1.6820    0.5509    0.0000 C   0  0  1  0  0  0  0  0  0  2  0  0\n   -1.0640    1.0465    0.0000 C   0  0  2  0  0  0  0  0  0  2  0  0\n   -0.2944    0.8803    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    0.0437    0.1691    0.0000 C   0  0  1  0  0  0  0  0  0  2  0  0\n   -0.2886   -0.5422    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n   -1.0582   -0.7229    0.0000 C   0  0  1  0  0  0  0  0  0  1  0  0\n   -0.5859    0.1457    0.0000 N   0  3  0  0  0  0  0  0  0  3  0  0\n    0.1953    0.9387    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    0.2011   -0.6442    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    0.8687    0.1778    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0\n    1.5858    0.5917    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    1.5829    1.4167    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0\n    2.3029    0.1807    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    1.8889   -0.5364    0.0000 O   0  5  0  0  0  0  0  0  0  0  0  0\n    3.0141    0.5976    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.7983    0.3323    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    4.2909    1.0027    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.8070    1.6791    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.0141    1.4225    0.0000 S   0  0  0  0  0  0  0  0  0  0  0  0\n    2.7139   -0.5364    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    2.4544   -1.3176    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.1220   -1.8102    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.7924   -1.3292    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.5418   -0.5393    0.0000 S   0  0  0  0  0  0  0  0  0  0  0  0\n  1  2  1  1  0  0  0\n  1  3  1  0  0  0  0\n  8  1  1  0  0  0  0\n  3  2  1  1  0  0  0\n  3  4  1  0  0  0  0\n  4  5  1  6  0  0  0\n  4  9  1  0  0  0  0\n  6  5  1  0  0  0  0\n  6  7  1  0  0  0  0\n  6 12  1  6  0  0  0\n  8  7  1  6  0  0  0\n  8  9  1  0  0  0  0\n 10  9  1  0  0  0  0\n 11  9  1  0  0  0  0\n 13 12  1  0  0  0  0\n 14 13  2  0  0  0  0\n 15 13  1  0  0  0  0\n 16 15  1  0  0  0  0\n 17 15  1  0  0  0  0\n 22 15  1  0  0  0  0\n 18 17  2  0  0  0  0\n 21 17  1  0  0  0  0\n 19 18  1  0  0  0  0\n 19 20  2  0  0  0  0\n 20 21  1  0  0  0  0\n 23 22  2  0  0  0  0\n 26 22  1  0  0  0  0\n 24 23  1  0  0  0  0\n 24 25  2  0  0  0  0\n 25 26  1  0  0  0  0\nM  CHG  2   9   1  16  -1\nM  END",
          "smiles": "C[N+]1(C)[C@H]2C[C@@H](C[C@@H]1[C@@H]3[C@H]2O3)OC(=O)C(c4cccs4)(c5cccs5)[O-]",
          "formula": "C19H21NO4S2",
          "atropisomerism": "No",
          "charge": 0,
          "count": 1,
          "stereochemistry": "EPIMERIC",
          "count_amount": {
            "type": "MOL RATIO",
            "average": 1,
            "units": "MOL RATIO",
            "uuid": "5b70421e-c8b4-4535-8bfd-2f7e2614cd93"
          },
          "defined_stereo": 5,
          "ez_centers": 0,
          "molecular_weight": "391.5072",
          "optical_activity": "UNSPECIFIED",
          "stereo_centers": 5
        }
      ],
      "definition_level": "COMPLETE",
      "uuid": "f5dfecfa-5d14-4ebd-a38f-9fa840389cdd",
      "version": "15",
      "structure": {
        "id": "75d410e8-54ac-4844-ab7d-a65ade798196",
        "molfile": "\n  Marvin  01132106072D          \n\n 28 32  0  0  1  0            999 V2000\n   -1.6849   -0.2303    0.0000 C   0  0  2  0  0  0  0  0  0  0  0  0\n   -1.6820    0.5509    0.0000 C   0  0  1  0  0  0  0  0  0  0  0  0\n   -0.5859    0.1457    0.0000 N   0  3  1  0  0  0  0  0  0  0  0  0\n   -2.3612    0.1632    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0\n   -1.0582   -0.7229    0.0000 C   0  0  2  0  0  0  0  0  0  0  0  0\n   -1.0640    1.0465    0.0000 C   0  0  1  0  0  0  0  0  0  0  0  0\n    2.3029    0.1807    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    1.5858    0.5917    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    2.7139   -0.5364    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.0141    0.5976    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n   -0.2944    0.8803    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n   -0.2886   -0.5422    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    0.8687    0.1778    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0\n    0.0437    0.1691    0.0000 C   0  0  1  0  0  0  0  0  0  0  0  0\n    3.0141    1.4225    0.0000 S   0  0  0  0  0  0  0  0  0  0  0  0\n    3.5418   -0.5393    0.0000 S   0  0  0  0  0  0  0  0  0  0  0  0\n    1.5829    1.4167    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0\n    3.7983    0.3323    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    2.4544   -1.3176    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.8070    1.6791    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.7924   -1.3292    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    4.2909    1.0027    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    3.1220   -1.8102    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    1.8889   -0.5364    0.0000 O   0  0  0  0  0  0  0  0  0  0  0  0\n    0.1953    0.9387    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n    0.2011   -0.6442    0.0000 C   0  0  0  0  0  0  0  0  0  0  0  0\n   -2.2708   -0.8133    0.0000 H   0  0  0  0  0  0  0  0  0  0  0  0\n   -2.2708    1.1369    0.0000 H   0  0  0  0  0  0  0  0  0  0  0  0\n  2  1  1  0  0  0  0\n  5  3  1  1  0  0  0\n  4  1  1  0  0  0  0\n  5  1  1  0  0  0  0\n  6  2  1  0  0  0  0\n  7  8  1  0  0  0  0\n  8 13  1  0  0  0  0\n  9  7  1  0  0  0  0\n 10  7  1  0  0  0  0\n 11  6  1  0  0  0  0\n 12  5  1  0  0  0  0\n 14 13  1  6  0  0  0\n 14 12  1  0  0  0  0\n 15 10  1  0  0  0  0\n 16  9  1  0  0  0  0\n 17  8  2  0  0  0  0\n 18 10  2  0  0  0  0\n 19  9  2  0  0  0  0\n 20 15  1  0  0  0  0\n 21 16  1  0  0  0  0\n 22 18  1  0  0  0  0\n 23 19  1  0  0  0  0\n 24  7  1  0  0  0  0\n 25  3  1  0  0  0  0\n 26  3  1  0  0  0  0\n  1 27  1  6  0  0  0\n  2 28  1  6  0  0  0\n  4  2  1  0  0  0  0\n  6  3  1  1  0  0  0\n 11 14  1  0  0  0  0\n 22 20  2  0  0  0  0\n 23 21  2  0  0  0  0\nM  CHG  1   3   1\nM  END",
        "smiles": "C[N+]1(C)[C@H]2C[C@@H](C[C@@H]1[C@]3([H])[C@@]2([H])O3)OC(=O)C(c4cccs4)(c5cccs5)O",
        "formula": "C19H22NO4S2",
        "atropisomerism": "No",
        "charge": 1,
        "count": 1,
        "stereochemistry": "ACHIRAL",
        "defined_stereo": 5,
        "ez_centers": 0,
        "molecular_weight": "392.5152",
        "optical_activity": "UNSPECIFIED",
        "references": [
          "53392c3c-1f9b-4942-b48f-25facbe39832",
          "8319ae63-8af1-4c04-a8cb-cfe9b8e2ddc4"
        ],
        "stereo_centers": 5
      },
      "unii": "0EB439235F",
      "relationships": [
        {
          "uuid": "246de433-06c1-4c04-9a6e-d55163efd401",
          "type": "ACTIVE MOIETY",
          "related_substance": {
            "uuid": "5edf3383-5d57-4294-a846-fbfc06dfaf1e",
            "refuuid": "f5dfecfa-5d14-4ebd-a38f-9fa840389cdd",
            "name": "TIOTROPIUM",
            "unii": "0EB439235F",
            "linking_id": "0EB439235F",
            "ref_pname": "TIOTROPIUM",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "00bf653b-9e84-4967-a689-7c16efe19ba5",
          "type": "SALT/SOLVATE->PARENT",
          "related_substance": {
            "uuid": "27e53dc6-37ba-4813-9be8-ca0b308c1fd4",
            "refuuid": "16171a68-9ba1-4f3d-a933-8ccdec316161",
            "name": "TIOTROPIUM BROMIDE ANHYDROUS",
            "unii": "XX112XZP0J",
            "linking_id": "XX112XZP0J",
            "ref_pname": "TIOTROPIUM BROMIDE ANHYDROUS",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "11cacf78-4ca6-4730-86fa-09b1b31bfb0e",
          "type": "SALT/SOLVATE->PARENT",
          "related_substance": {
            "uuid": "dc6373de-43ea-40bb-8f76-85bc8d1f6466",
            "refuuid": "0bc87604-d0c7-4581-adf7-2ce9afd062b8",
            "name": "TIOTROPIUM BROMIDE MONOHYDRATE",
            "unii": "L64SXO195N",
            "linking_id": "L64SXO195N",
            "ref_pname": "TIOTROPIUM BROMIDE MONOHYDRATE",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "6350af1c-175b-42a8-b8ff-e7fe07eb4ece",
          "type": "SALT/SOLVATE->PARENT",
          "related_substance": {
            "uuid": "0cbc3898-6ec1-4e49-a7b7-8d3b2fd7a3d0",
            "refuuid": "ba4f00e5-6440-4564-9423-63a0c7c2559c",
            "name": "TIOTROPIUM BROMIDE MONOMETHANOLATE",
            "unii": "2292GX2183",
            "linking_id": "2292GX2183",
            "ref_pname": "TIOTROPIUM BROMIDE MONOMETHANOLATE",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "56426534-7d51-4e1a-90de-4afb9fbd2915",
          "qualification": "FECAL; PLASMA; URINE",
          "type": "METABOLITE->PARENT",
          "references": [
            "426fb4f0-3de3-4091-acef-b55279fe2ff3"
          ],
          "related_substance": {
            "uuid": "4714e170-ec2c-479a-9c9f-8df8ef97af3e",
            "refuuid": "06d8dd0c-f410-442c-a4d9-596607307d1b",
            "name": "LAS-188638",
            "unii": "Y19J0IW68J",
            "linking_id": "Y19J0IW68J",
            "ref_pname": "LAS-188638",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "8c21631f-8f90-443e-a4ed-bab3353bfe3c",
          "qualification": "PLASMA",
          "type": "METABOLITE->PARENT",
          "references": [
            "426fb4f0-3de3-4091-acef-b55279fe2ff3"
          ],
          "related_substance": {
            "uuid": "91aa9364-339b-4678-bbc7-0d995c05d2a9",
            "refuuid": "ce49c7c8-0ff2-4fd7-ad0c-1b9c69de19b2",
            "name": "2-THIOPHENEGLYOXYLIC ACID",
            "unii": "723A77PV2M",
            "linking_id": "723A77PV2M",
            "ref_pname": "2-THIOPHENEGLYOXYLIC ACID",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "e81d6f8d-03db-4996-9e89-2c938eb1b17d",
          "comments": "nonenzymatically cleave",
          "type": "METABOLITE INACTIVE->PARENT",
          "references": [
            "9916e898-c7cd-4c9d-9a63-aed9c5c1b8ff"
          ],
          "related_substance": {
            "uuid": "4a90bba0-345f-4f1e-a768-f781832a5292",
            "refuuid": "46cc2a03-6a7f-48f1-b522-8e8ccb1674e1",
            "name": "METHSCOPINE",
            "unii": "3V75J11G7I",
            "linking_id": "3V75J11G7I",
            "ref_pname": "METHSCOPINE",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "81dc33e2-408e-4ec5-a7e0-21179e2c8f15",
          "type": "METABOLITE INACTIVE->PARENT",
          "references": [
            "9916e898-c7cd-4c9d-9a63-aed9c5c1b8ff"
          ],
          "related_substance": {
            "uuid": "b244f779-42e3-4b6e-9ce0-e516605966fb",
            "refuuid": "3a2b88ba-3ade-4910-860f-33800729235f",
            "name": "DI-2-THIENYLGLYCOLIC ACID",
            "unii": "RI3X2J9148",
            "linking_id": "RI3X2J9148",
            "ref_pname": "DI-2-THIENYLGLYCOLIC ACID",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "e2f4881a-7d3f-476b-92d0-2f490e8cc761",
          "amount": {
            "uuid": "aa8d011e-5619-4a4e-a448-4e1c30209302",
            "average": 72,
            "units": "%"
          },
          "type": "BINDER->LIGAND",
          "interaction_type": "BINDING",
          "references": [
            "ad7fd7fb-a8fb-480a-1b02-c07455322dca"
          ],
          "related_substance": {
            "uuid": "cd127afa-43fb-4d93-8b3b-dc1f59b79e87",
            "refuuid": "e95d330b-4c2d-44bb-a61b-860afeb4aa30",
            "name": "PLASMA PROTEIN FRACTION (HUMAN)",
            "unii": "6D53G0FD0Z",
            "linking_id": "6D53G0FD0Z",
            "ref_pname": "PLASMA PROTEIN FRACTION (HUMAN)",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "19ceec73-97a9-4c43-8b19-1a55810514d3",
          "amount": {
            "uuid": "9817bd68-0f8c-4938-b2c9-0b513ad23c72",
            "average": 73.6,
            "units": "%"
          },
          "comments": "after intravenous infusion in healthy young male subjects",
          "qualification": "URINE",
          "type": "EXCRETED UNCHANGED",
          "references": [
            "ad7fd7fb-a8fb-480a-1b02-c07455322dca"
          ],
          "related_substance": {
            "uuid": "fa78ceb4-d0c6-439d-9a48-cb7498b6feae",
            "refuuid": "f5dfecfa-5d14-4ebd-a38f-9fa840389cdd",
            "name": "TIOTROPIUM",
            "unii": "0EB439235F",
            "linking_id": "0EB439235F",
            "ref_pname": "TIOTROPIUM",
            "substance_class": "reference"
          }
        },
        {
          "uuid": "39a94c49-7bfa-46b3-ad65-c4c827d43b3e",
          "type": "METABOLIC ENZYME->SUBSTRATE",
          "references": [
            "ad7fd7fb-a8fb-480a-1b02-c07455322dca"
          ],
          "related_substance": {
            "uuid": "cf02acc9-0d20-4eab-b08e-3f4912bbdb65",
            "refuuid": "cc92795c-ba54-4e71-a72b-1af36b57df6b",
            "name": "CYTOCHROME P450 2D6",
            "unii": "8E4LAA4357",
            "linking_id": "8E4LAA4357",
            "ref_pname": "CYTOCHROME P450 2D6",
            "substance_class": "reference"
          }
        }
      ],
      "names": [
        {
          "uuid": "953af8e6-0367-45fb-b9bc-3cf01bab8ba7",
          "name": "3-OXA-9-AZONIATRICYCLO(3.3.1.02,4)NONANE, 7-((2-HYDROXY-2,2-DI-2-THIENYLACETYL)OXY)-9,9-DIMETHYL-, (1.ALPHA.,2.BETA.,4.BETA.,5.ALPHA.,7.BETA.)-",
          "stdName": "3-OXA-9-AZONIATRICYCLO(3.3.1.02,4)NONANE, 7-((2-HYDROXY-2,2-DI-2-THIENYLACETYL)OXY)-9,9-DIMETHYL-, (1.ALPHA.,2.BETA.,4.BETA.,5.ALPHA.,7.BETA.)-",
          "type": "sys",
          "languages": [
            "en"
          ],
          "preferred": false,
          "references": [
            "9c1363b3-96f7-48f2-979d-0d15ac2a36c9",
            "a041198d-5aad-48e5-9d22-adb523fe84e1"
          ],
          "display_name": false
        },
        {
          "uuid": "ba95acb2-3fb1-4f9f-9eb3-b7b4be6a353d",
          "name": "TIOTROPIUM",
          "stdName": "TIOTROPIUM",
          "type": "cn",
          "languages": [
            "en"
          ],
          "preferred": false,
          "references": [
            "9c1363b3-96f7-48f2-979d-0d15ac2a36c9",
            "53392c3c-1f9b-4942-b48f-25facbe39832",
            "1faf0611-e299-47f0-8dfb-379f47d09fa3",
            "2b4d24b8-0be8-4508-b5b0-529655f00e8f",
            "91830655-882b-48d2-a9d4-f86d6c34eadc",
            "7ccee46b-c7fd-4a26-8d39-08a70eb8c895",
            "452feada-19a4-41a8-8a50-866ae9ea975d"
          ],
          "display_name": true
        },
        {
          "uuid": "7ab8133a-161b-4082-8f06-e37513d26083",
          "name": "TIOTROPIUM CATION",
          "stdName": "TIOTROPIUM CATION",
          "type": "cn",
          "languages": [
            "en"
          ],
          "preferred": false,
          "references": [
            "7ccee46b-c7fd-4a26-8d39-08a70eb8c895",
            "375e27b3-de1c-4339-871d-86f9e9edfc48"
          ],
          "display_name": false
        },
        {
          "uuid": "b4782c26-70bc-4bca-992d-6efaa47c8a75",
          "name": "TIOTROPIUM ION",
          "stdName": "TIOTROPIUM ION",
          "type": "cn",
          "languages": [
            "en"
          ],
          "preferred": false,
          "references": [
            "9c1363b3-96f7-48f2-979d-0d15ac2a36c9",
            "d5bd6dd9-ac36-4d91-8576-b4f003adb800"
          ],
          "display_name": false
        },
        {
          "uuid": "cdf9a569-0658-4e3e-a096-e90bc62b043a",
          "name": "TIOTROPIUM [VANDF]",
          "stdName": "TIOTROPIUM [VANDF]",
          "type": "cn",
          "languages": [
            "en"
          ],
          "preferred": false,
          "references": [
            "9c1363b3-96f7-48f2-979d-0d15ac2a36c9",
            "452feada-19a4-41a8-8a50-866ae9ea975d"
          ],
          "display_name": false
        },
        {
          "uuid": "0528c94b-9624-57d1-5ae4-5ee010037863",
          "name": "Tiotropium [WHO-DD]",
          "stdName": "TIOTROPIUM [WHO-DD]",
          "type": "cn",
          "languages": [
            "en"
          ],
          "preferred": false,
          "references": [
            "079b6b8b-de70-47d4-bda5-48dce2bcfe8d"
          ],
          "display_name": false
        }
      ],
      "properties": [
        {
          "uuid": "c2ba33cb-4cd5-407a-a819-2c91f4d9ded4",
          "name": "Tmax",
          "value": {
            "uuid": "1fa4a502-0e6a-458f-9f5c-6bb500561d96",
            "average": 5,
            "units": "minutes"
          },
          "defining": false,
          "parameters": [
            {
              "uuid": "e2167831-87cd-493c-87fa-f8485fb88a00",
              "name": "INHALED ADMINISTRATION",
              "references": []
            },
            {
              "uuid": "306aad12-5d0f-43c6-9eea-da12857ac192",
              "name": "AT STEADY-STATE",
              "references": []
            }
          ],
          "property_type": "PHARMACOKINETIC",
          "references": [
            "ad7fd7fb-a8fb-480a-1b02-c07455322dca"
          ]
        },
        {
          "uuid": "196cf622-b8a0-41d5-a238-a66fb060aba7",
          "name": "Volume of Distribution",
          "value": {
            "uuid": "7738b74e-f64c-4914-ae70-3dda1ed9b2bc",
            "average": 32,
            "units": "Liters/Kilogram"
          },
          "defining": false,
          "parameters": [
            {
              "uuid": "69c97f7f-8bfe-4f70-9e94-9f4882ab584b",
              "name": "INTRAVENOUS INFUSION",
              "references": []
            }
          ],
          "property_type": "PHARMACOKINETIC",
          "references": [
            "ad7fd7fb-a8fb-480a-1b02-c07455322dca"
          ]
        },
        {
          "uuid": "1c947f84-a781-4267-8bf3-ece4529f85a9",
          "name": "Biological Half-life",
          "value": {
            "uuid": "4cb4891a-e978-4080-b5bb-7264da529ff6",
            "high": 6,
            "low": 5,
            "units": "days"
          },
          "defining": false,
          "parameters": [
            {
              "uuid": "97bf0753-82b8-483a-9fc8-0983b3b93462",
              "name": "INHALED ADMINISTRATION",
              "references": []
            }
          ],
          "property_type": "PHARMACOKINETIC",
          "references": [
            "ad7fd7fb-a8fb-480a-1b02-c07455322dca"
          ]
        }
      ]
    }
  ]
}