Tocainide hydrochloride
(Synonyms: N-(2-氨基丙酰基)-2,6-二甲基苯胺) 目录号 : GC38865Tocainide hydrochloride 是一种 sodium channel 阻滞剂,在产生疼痛的病灶中(神经膜上) 阻断钠通道。Tocainide hydrochloride 是利多卡因 (lignocaine) 的一种伯胺类似物,用于治疗心律不齐。
Cas No.:71395-14-7
Sample solution is provided at 25 µL, 10mM.
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Tocainide hydrochloride is a sodium channel blocker, it blocks the sodium channels in the pain-producing foci in the nerve membranes. Tocainide hydrochloride is a primary amine analog of lidocaine, can be used for the treatment of tinnitus[1][2].
Tocainide (100 mg/kg) effectively suppresses ventricular ectopic activity in unanesthetized dogs with coronary occlusion. Termination of tocainide infusion in both digitalis toxicity and coronary occlusion models results in prompt return of ventricular ectopic activity[1].
[1]. Alpert JS, et al. Chemistry, pharmacology, antiarrhythmic efficacy and adverse effects of tocainide hydrochloride, an orally active structural analog of lidocaine. Pharmacotherapy. 1983 Nov-Dec;3(6):316-23. [2]. De Luca A,et al.Optimal requirements for high affinity and use-dependent block of skeletal muscle sodium channel by N-benzyl analogs of tocainide-like compounds.Mol Pharmacol. 2003 Oct;64(4):932-45.
Cas No. | 71395-14-7 | SDF | |
别名 | N-(2-氨基丙酰基)-2,6-二甲基苯胺 | ||
Canonical SMILES | CC(N)C(NC1=C(C)C=CC=C1C)=O.[H]Cl | ||
分子式 | C11H17ClN2O | 分子量 | 228.72 |
溶解度 | DMSO : 125 mg/mL (546.52 mM; Need ultrasonic); H2O : 50 mg/mL (218.61 mM; Need ultrasonic) | 储存条件 | Store at -20°C |
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1 mg | 5 mg | 10 mg | |
1 mM | 4.3722 mL | 21.8608 mL | 43.7216 mL |
5 mM | 0.8744 mL | 4.3722 mL | 8.7443 mL |
10 mM | 0.4372 mL | 2.1861 mL | 4.3722 mL |
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Chemistry, pharmacology, antiarrhythmic efficacy and adverse effects of Tocainide hydrochloride, an orally active structural analog of lidocaine
Pharmacotherapy 1983 Nov-Dec;3(6):316-23.PMID:6419205DOI:10.1002/j.1875-9114.1983.tb03286.x.
Tocainide is an orally effective antiarrhythmic agent, structurally and pharmacologically similar to lidocaine. It appears to be free of marked negative hemodynamic or electrophysiologic effects in patients with heart disease, despite a high frequency of minor and often transient central nervous system and gastrointestinal side effects. Tocainide is effective in suppressing ventricular arrhythmias in a variety of settings. This agent may be a useful addition to our antiarrhythmic armamentarium.
Treatment of tinnitus with Tocainide hydrochloride
Otolaryngol Head Neck Surg 1980 Jul-Aug;88(4):442-6.PMID:6821429doi
Intravenous (IV) injection of lidocaine was used in patients with tinnitus for combined treatment with oral anticonvulsants carbamazepine (Tegretol) and primidone (Mysoline). In most cases, the high complication rate with these drugs precluded their long-term use. Tocainide hydrochloride (HCl), a primary amine analog of lidocaine, can be taken orally and was evaluated for the use in the treatment of tinnitus. A double-blind study in which one group received 200 mg tocainide HCl four times a day and one group received a placebo revealed no significant differences in tinnitus relief between the two groups. A single-blind study in which 600 mg tocainide HCl four times a day was administered showed 80% to 98% tinnitus relief in five of the six patients who tolerated the drug. Tocainide HCl treatment of tinnitus is promising.
Metabolism of tocainide in the rat
J Pharm Sci 1982 May;71(5):491-4.PMID:6808112DOI:10.1002/jps.2600710504.
The metabolism of tocainide, an oral antiarrhythmic agent, was studied in male Wistar rats following oral administration of 15 mg/kg of Tocainide hydrochloride. Qualitative and quantitative identification of the metabolites in urine was carried out by GC-mass spectrometry and electron capture detector gas chromatography. About 15-20% of the dose administered was excreted as intact drug in the urine. An additional 20% of the dose was present as acid hydrolysable conjugates. Enzymatic hydrolysis (beta-glucuronidase) revealed half of the acid hydrolysable conjugates to be a glucuronide. The enzyme mediated hydrolysis was blocked by its specific inhibitor saccharo-1,4-lactone. N-acetyl tocainide, an oxidatively deaminated tocainide, an aldehyde adduct of tocainide, and a cyclic hydantoin derivative of tocainide were also identified as metabolites in the urine samples.
A sequential double blind cross-over trial of Tocainide hydrochloride in tinnitus
Clin Otolaryngol Allied Sci 1985 Apr;10(2):97-101.PMID:3928215DOI:10.1111/j.1365-2273.1985.tb01175.x.
A sequential double blind cross-over trial of Tocainide hydrochloride, an oral analogue of lignocaine, is reported. The dosage of Tocainide hydrochloride ranged from 200-600 mg daily. Of the 32 patients who completed the trial, 1 had complete relief and 2 had partial relief of their tinnitus whilst taking tocainide. An increased incidence of side-effects in patients taking tocainide was noted, in particular, headache, dizziness, nausea and skin rashes.