Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
352.122103923
InChI
InChI=1S/C18H19F3N2S/c1-22(2)10-5-11-23-14-6-3-4-7-16(14)24-17-9-8-13(12-15(17)23)18(19,20)21/h3-4,6-9,12H,5,10-11H2,1-2H3
InChI Key
InChIKey=XSCGXQMFQXDFCW-UHFFFAOYSA-N
IUPAC Name
dimethyl({3-[2-(trifluoromethyl)-10H-phenothiazin-10-yl]propyl})amine
Traditional IUPAC Name
triflupromazine
SMILES
CN(C)CCCN1C2=CC=CC=C2SC2=C1C=C(C=C2)C(F)(F)F
pKa (Strongest Basic)
9.2
Refractivity
94.93 m3·mol-1
Dược Lực Học :
Triflupromazine is a member of a class of drugs called phenthiazines, which are dopamine D1/D2 receptor antagonists. Phenothiazines are used to treat serious mental and emotional disorders, including schizophrenia and other psychotic disorders. It reduces anxiety, emotional withdrawal, hallucinations, disorganized thoughts, blunted mood, and suspiciousness. Triflupromazine is used particularly to control violent behavior during acute episodes of psychotic disorders. It can also be used to control severe nausea and vomiting, severe hiccups, and moderate to severe pain in some hospitalized patients. Triflupromazine acts on the central nervous system.
Cơ Chế Tác Dụng :
A phenothiazine used as an antipsychotic agent and as an antiemetic. [PubChem]
Triflupromazine binds to the dopamine D1 and dopamine D2 receptors and inhibits their activity. The mechanism of the anti-emetic effect is due predominantly to blockage of the dopamine D2 neurotransmitter receptors in the chemoreceptor trigger zone (CTZ) and vomiting centre. Triflupromazine blocks the neurotransmitter dopamine and the vagus nerve in the gastrointestinal tract. Triflupromazine also binds the muscarinic acetylcholine receptors (M1 and M2) and the tryptamine D receptors (5HT2B).
Dược Động Học :
▧ Absorption :
Absorption may be erratic and peak plasma concentrations show large interindividual differences.
▧ Protein binding :
Very high (90% or more).
▧ Metabolism :
Hepatic.
Độc Tính :
Symptoms of overdose include agitation, coma, convulsions, difficulty breathing, difficulty swallowing, dry mouth, extreme sleepiness, fever, intestinal blockage, irregular heart rate, low blood pressure, and restlessness.
Chỉ Định :
Used mainly in the management of psychoses. Also used to control nausea and vomiting.
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
Triflupromazine 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