Bretylium tosylate
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Bretylium tosylate
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CAS No:
61-75-6
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Formula:
C11H17BrN.C7H7O3S
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Chemical Name:
Bretylium tosylate
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Synonyms:
Benzenemethanaminium,2-bromo-N-ethyl-N,N-dimethyl-,4-methylbenzenesulfonate (1:1);(o-Bromobenzyl)ethyldimethylammonium p-toluenesulfonate;Ammonium,(o-bromobenzyl)ethyldimethyl-,p-toluenesulfonate;Benzenemethanaminium,2-bromo-N-ethyl-N,N-dimethyl-,salt with 4-methylbenzenesulfonic acid (1:1);Bretylium tosylate;Darenthin;Bretylium p-toluenesulfonate;N-Ethyl-N-(o-bromobenzyl)-N,N-dimethylammonium tosylate;Bretylan;Bretylate;Ornid;Bretylol;Bretylium tosilate;ASL 603;NSC 62164
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CAS No:
Description
Bretylium (tosylate) is an inhibitor of the presynaptic release of vasoconstrictor neurotransmitters. It is the sympathetic nerve and adrenergic ganglion blocking agent .(1) Bretylium tosylate inhibits adrenergic function presynaptically only after an initial release in neurotransmitter substance.(2) The reference for administration dose is 15 mg/kg (I.P).
Bretylium tosylate is the tosylate salt of bretylium. It blocks noradrenaline release from the peripheral sympathetic nervous system, and is used in emergency medicine, cardiology, and other specialties for the acute management of ventricular tachycardia and ventricular fibrillation. It has a role as an adrenergic antagonist, an anti-arrhythmia drug and an antihypertensive agent. It is a quaternary ammonium salt and an organosulfonate salt. It contains a bretylium.|Bretylium Tosylate is the tosylate salt form of bretylium, a quaternary ammonium salt and non-selective adrenergic neuronal blocking agent with anti-arrhythmic properties. Bretylium tosylate is selectively taken up into peripheral nerve terminals and initially causes a release of norepinephrine from sympathetic nerve endings, thereby causing a sympathomimetic effect. This is followed by a prolonged anti-adrenergic action which prevents further discharge of neurotransmitter from sympathetic nerve endings. Its myocardial effects include a prolongation of action potential as well as refractory period. This drug is used to treat and suppress ventricular arrhythmias, particularly ventricular fibrillation and ventricular tachycardia.|An agent that blocks the release of adrenergic transmitters and may have other actions. It was formerly used as an antihypertensive agent, but is now proposed as an anti-arrhythmic.
Bretylium tosylate Basic Attributes
414.36
413.066010
200-516-8
78ZP3YR353
62164
DTXSID1022685
C47418
C - Cardiovascular system
2923900100
Characteristics
65.6
white
97-99 °C
H2O: soluble50mg/mL
Peritoneal-rat LD50: 57 mg/kg; oral-mouse LD50: 400 mg/kg
Thermal decomposition releases toxic fumes of sulfur oxides, nitrogen oxides and ammonia
140.6 Ų [M+H]+ [CCS Type: TW, Method: calibrated with polyalanine and drug standards]
Safety Information
NONH for all modes of transport
20/21/22
36
BO9450000
Xn
Warehouse ventilated, low temperature and dry
P261-P280-P301 + P312 + P330
H302 + H312 + H332
|Warning|H302 (100%): Harmful if swallowed [Warning Acute toxicity, oral]|P261, P264, P270, P271, P280, P301+P312, P302+P352, P304+P312, P304+P340, P312, P322, P330, P363, and P501|Aggregated GHS information provided by 38 companies from 1 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.
Drug Information
Agents used for the treatment or prevention of cardiac arrhythmias. They may affect the polarization-repolarization phase of the action potential, its excitability or refractoriness, or impulse conduction or membrane responsiveness within cardiac fibers. Anti-arrhythmia agents are often classed into four main groups according to their mechanism of action: sodium channel blockade, beta-adrenergic blockade, repolarization prolongation, or calcium channel blockade. (See all compounds classified as Anti-Arrhythmia Agents.)|Drugs used in the treatment of acute or chronic vascular HYPERTENSION regardless of pharmacological mechanism. Among the antihypertensive agents are DIURETICS; (especially DIURETICS, THIAZIDE); ADRENERGIC BETA-ANTAGONISTS; ADRENERGIC ALPHA-ANTAGONISTS; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; CALCIUM CHANNEL BLOCKERS; GANGLIONIC BLOCKERS; and VASODILATOR AGENTS. (See all compounds classified as Antihypertensive Agents.)|Drugs that bind to but do not activate ADRENERGIC RECEPTORS. Adrenergic antagonists block the actions of the endogenous adrenergic transmitters EPINEPHRINE and NOREPINEPHRINE. (See all compounds classified as Adrenergic Antagonists.)
Bretylate
Bretylium tosylate Use and Manufacturing
Bretylium tosylate has a biphasic response, initially inducing norepinephrine release followed by sympathetic ganglionic blockade. Bretylium tosylate is a class III antiarrhythmic agent and a competitive inhibitor of acetylcholinesterase.
Human Drugs -> FDA Approved Drug Products with Therapeutic Equivalence Evaluations (Orange Book) -> Active Ingredients
Computed Properties
Molecular Weight:414.4
Hydrogen Bond Acceptor Count:3
Rotatable Bond Count:3
Exact Mass:413.06603
Monoisotopic Mass:413.06603
Topological Polar Surface Area:65.6
Heavy Atom Count:24
Complexity:349
Covalently-Bonded Unit Count:2
Compound Is Canonicalized:Yes
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