Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
163.136099549
InChI
InChI=1S/C11H17N/c1-11(2,12-3)9-10-7-5-4-6-8-10/h4-8,12H,9H2,1-3H3
InChI Key
InChIKey=RXQCGGRTAILOIN-UHFFFAOYSA-N
IUPAC Name
methyl(2-methyl-1-phenylpropan-2-yl)amine
Traditional IUPAC Name
mephentermine
SMILES
CNC(C)(C)CC1=CC=CC=C1
pKa (Strongest Basic)
10.3
Refractivity
53.12 m3·mol-1
Dược Lực Học :
Mephentermine is a sympathomimetic agent with mainly indirect effects on adrenergic receptors. It is used to maintain blood pressure in hypotensive states, for example, following spinal anesthesia. Although the central stimulant effects of mephentermine are much less than those of amphetamine, its use may lead to amphetamine-type dependence. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1248)
Cơ Chế Tác Dụng :
A sympathomimetic agent with mainly indirect effects on adrenergic receptors. It is used to maintain blood pressure in hypotensive states, for example, following spinal anesthesia. Although the central stimulant effects of mephentermine are much less than those of amphetamine, its use may lead to amphetamine-type dependence. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1248)
Mephentermine is an alpha adrenergic receptor agonist, but also acts indirectly by releasing endogenous norepinephrine. Cardiac output and systolic and diastolic pressures are usually increased. A change in heart rate is variable, depending on the degree of vagal tone. Sometimes the net vascular effect may be vasodilation. Large doses may depress the myocardium or produce central nervous system (CNS) effects.
Dược Động Học :
▧ Metabolism :
Hepatic, by N-demethylation and then p-hydroxylation.
▧ Half Life :
17 to 18 hours.
Chỉ Định :
Used to maintain blood pressure in hypotensive states.
Tương Tác Thuốc :
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Amitriptyline
The tricyclic antidepressant, amitriptyline, increases the sympathomimetic effect of mephentermine.
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Amoxapine
The tricyclic antidepressant, amoxapine, increases the sympathomimetic effect of mephentermine.
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Clomipramine
The tricyclic antidepressant, clomipramine, increases the sympathomimetic effect of mephentermine.
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Desipramine
The tricyclic antidepressant, desipramine, increases the sympathomimetic effect of mephentermine.
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Doxepin
The tricyclic antidepressant, doxepin, increases the sympathomimetic effect of mephentermine.
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Imipramine
The tricyclic antidepressant, imipramine, increases the sympathomimetic effect of mephentermine.
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Isocarboxazid
Increased arterial pressure
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Linezolid
Possible increase of arterial pressure
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Methyldopa
Increased arterial pressure
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Midodrine
Increased arterial pressure
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Moclobemide
Moclobemide increases the sympathomimetic effect of mephentermine.
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Nortriptyline
The tricyclic antidepressant, nortriptyline, increases the sympathomimetic effect of mephentermine.
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Phenelzine
Increased arterial pressure
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Rasagiline
Increased arterial pressure
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Reserpine
Increased arterial pressure
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Tranylcypromine
The MAO inhibitor, Tranylcypromine, may increase the vasopressor effect of the alpha1-agonist, Mephentermine. Concomitant therapy should be avoided.
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Trimipramine
Trimipramine may increase the vasopressor effect of the alpha1-agonist, Mephentermine. Avoid combination if possible. Monitor sympathetic response to therapy if used concomitantly.