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Open Access Articles- Top Results for Propanidid

Propanidid

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Propanidid
250px
Systematic (IUPAC) name
propyl {4-[2-(diethylamino)-2-oxoethoxy]-3-methoxyphenyl}acetate
Clinical data
AHFS/Drugs.com International Drug Names
Identifiers
1421-14-3 7pxN
N01AX04
PubChem CID 15004
ChemSpider 14283 7pxY
UNII AO82L471NS 7pxY
KEGG D05626 7pxY
Chemical data
Formula C18H27NO5
337.411 g/mol
 14pxN (what is this?)  (verify)

Propanidid is an ultra short-acting phenylacetate general anesthetic. It was originally introduced by Bayer in 1963[1] but anaphylactic reactions caused it to be withdrawn shortly afterwards.

Even though Cremophor EL has been shown to cause anaphylactic reactions in humans in several cases (both when given intravenously and orally), it is still debated whether or not propanidid itself may have contributed to the reactions.

It has been argued that the toxic effects or reactions to Propanidid (and Althesin) were due to the drugs themselves.[2] Several cases of negative reactions have been recorded for different drugs using Cremophor EL as solubilizer. This suggest that the negative reactions were mainly caused by Cremophor and not by the drug substances themselves.

Synthesis

File:Propanidid synthesis.svg
Propanidid synthesis: R. Hiltmann et al., DE 1134981 ; U.S. Patent 3,086,978 (1962, 1963 both to Bayer).

References

  1. ^ US patent 3086978, Hiltmann, R.; Wollweber, H.; Hoffmeister, F.; Wirth, W., "3-Methoxy-4-Carbamidomethoxy-Phenylacetic Acid Esters", issued 1963-04-23, assigned to Bayer 
  2. ^ Clarke, R. S.; Dundee, J. W.; Carson, I. W. (1973). "A New Steroid Anaesthetic - Althesin" (PDF). Proceedings of the Royal Society of Medicine 66 (10): 1027–1030. PMC 1645602. PMID 4148526. 

External links

  • Klockgether-Radke A, Kersten J, Schröder T, Stafforst D, Kettler D, Hellige G (1995). "Anesthesia with propanidid in a liposomal preparation. An experimental study in swine". Anaesthesist 44 (8): 573–80. PMID 7573906. doi:10.1007/s001010050191. 
  • Habazettl H, Vollmar B, Röhrich F, Conzen P, Doenicke A, Baethmann A (1992). "Anesthesiologic efficacy of propanidid as a liposome dispersion. An experimental study with rats". Anaesthesist 41 (8): 448–56. PMID 1524155. 
  • Zawisza P, Przyborowski L (1992). "Propanidid and etomidate identification from the blood by thin-layer chromatography". Acta Pol Pharm 49 (5–6): 15–7. PMID 16092193. 
  • Theis JG et al. (1995). "Anaphylactoid reactions in children receiving high-dose intravenous cyclosporine for reversal of tumor resistance: the causative role of improper dissolution of Cremophor EL". Journal of Clinical Oncology 13 (10): 2508–2516. PMID 7595701. 
  • Ebo DG et al. (2001). "IgE-mediated anaphylaxis after first intravenous infusion of cyclosporine". Annals of Allergy, Asthma & Immunology 87 (3): 243–245. PMID 11570623. doi:10.1016/S1081-1206(10)62234-X. 



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