Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
284.13471934
InChI
InChI=1S/C17H20N2S/c1-18(2)12-7-13-19-14-8-3-5-10-16(14)20-17-11-6-4-9-15(17)19/h3-6,8-11H,7,12-13H2,1-2H3
InChI Key
InChIKey=ZGUGWUXLJSTTMA-UHFFFAOYSA-N
IUPAC Name
dimethyl[3-(10H-phenothiazin-10-yl)propyl]amine
Traditional IUPAC Name
promazine
SMILES
CN(C)CCCN1C2=CC=CC=C2SC2=CC=CC=C12
Độ sôi
203-210 °C at 3.00E-01 mm Hg
Độ hòa tan
14.2 mg/L (at 24 °C)
pKa (Strongest Basic)
9.2
Refractivity
88.95 m3·mol-1
Dược Lực Học :
Promazine belongs to a group of medications known as the phenothiazine antipsychotics. It acts by blocking a variety of receptors in the brain, particularly dopamine receptors. Dopamine is involved in transmitting signals between brain cells. When there is an excess amount of dopamine in the brain it causes over-stimulation of dopamine receptors. These receptors normally act to modify behaviour and over-stimulation may result in psychotic illness. Promazine hydrochloride blocks these receptors and stops them becoming over-stimulated, thereby helping to control psychotic illness. Promazine has weak extrapyramidal and autonomic side effects which lead to its use in the elderly, for restless or psychotic patients. Its anti-psychotic effect is also weaker and it is not useful in general psychiatry.
Cơ Chế Tác Dụng :
A phenothiazine with actions similar to chlorpromazine but with less antipsychotic activity. It is primarily used in short-term treatment of disturbed behavior and as an antiemetic. Promazine is not approved for use in the United States.
Promazine is an antagonist at types 1, 2, and 4 dopamine receptors, 5-HT receptor types 2A and 2C, muscarinic receptors 1 through 5, alpha(1)-receptors, and histamine H1-receptors. Promazine's antipsychotic effect is due to antagonism at dopamine and serotonin type 2 receptors, with greater activity at serotonin 5-HT2 receptors than at dopamine type-2 receptors. This may explain the lack of extrapyramidal effects. Promazine does not appear to block dopamine within the tubero-infundibular tract, explaining the lower incidence of hyperprolactinemia than with typical antipsychotic agents or risperidone. Antagonism at muscarinic receptors, H1-receptors, and alpha(1)-receptors also occurs with promazine.
Dược Động Học :
▧ Absorption :
Absorption may be erratic and peak plasma concentrations show large interindividual differences.
▧ Protein binding :
94%
▧ Metabolism :
Hepatic, primarily to N-desmethylpromazine and promazine sulfoxide.
Độc Tính :
Side effects include: extrapyramidal symptoms, drowsiness, weight gain, dry mouth, constipation, endocrine effects (such as gynaecomastia and menstrual disturbance), sensitivity to sunlight and haemolytic anaemia.
Chỉ Định :
Used as an adjunct for short term treatment of moderate and severe psychomotor agitation. Also used to treat agitation or restlessness in the elderly.
Tương Tác Thuốc :
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Bromocriptine
The phenothiazine decreases the effect of bromocriptine
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Cisapride
Increased risk of cardiotoxicity and arrhythmias
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Dexfenfluramine
Decreased anorexic effect, may increase psychotic symptoms
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Diethylpropion
Decreased anorexic effect, may increase psychotic symptoms
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Donepezil
Possible antagonism of action
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Fenfluramine
Decreased anorexic effect, may increase psychotic symptoms
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Galantamine
Possible antagonism of action
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Gatifloxacin
Increased risk of cardiotoxicity and arrhythmias
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Grepafloxacin
Increased risk of cardiotoxicity and arrhythmias
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Guanethidine
Promazine may decrease the effect of guanethidine.
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Levofloxacin
Increased risk of cardiotoxicity and arrhythmias
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Mazindol
Decreased anorexic effect, may increase psychotic symptoms
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Phentermine
Decreased anorexic effect, may increase psychotic symptoms
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Phenylpropanolamine
Decreased anorexic effect, may increase psychotic symptoms
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Terfenadine
Increased risk of cardiotoxicity and arrhythmias
Liều Lượng & Cách Dùng :
Liquid - Intramuscular
Dữ Kiện Thương Mại
Giá thị trường
-
Giá bán buôn : USD >1.05
Đơn vị tính : tablet
-
Giá bán buôn : USD >8.04
Đơn vị tính : ml
-
Giá bán buôn : USD >0.17
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.18
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.21
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.3
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.32
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.35
Đơn vị tính : tablet
-
Giá bán buôn : USD >0.39
Đơn vị tính : tablet
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Giá bán buôn : USD >0.88
Đơn vị tính : ml
Nhà Sản Xuất
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Sản phẩm biệt dược : Combelen
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Sản phẩm biệt dược : Prazine
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Sản phẩm biệt dược : Sparine
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Sản phẩm biệt dược : Talofen