85-79-0CCCCOc1cc(C(=O)NCCN(CC)CC)c2ccccc2n1PUFQVTATUTYEAL-UHFFFAOYSA-NCinchocaine is a monocarboxylic acid amide that is the 2-(diethylamino)ethyl amide of 2-butoxyquinoline-4-carboxylic acid. One of the most potent and toxic of the long-acting local anesthetics, its parenteral use was restricted to spinal anesthesia. It is now generally only used (usually as the hydrochloride) in creams and ointments and in suppositories for temporary relief of pain and itching associated with skin and anorectal conditions. It has a role as a topical anaesthetic. It is a monocarboxylic acid amide, an aromatic ether and a tertiary amino compound.
85-79-0DTXSID3045271CHEMBL1086CHEBI:247956Pharmaceuticals
Pharmaceuticals -> Listed in ZINC15
log Kow= 4.40
4.2
4.19
Hydroscopic crystals; decomp @ 90-98 °C; faintly alkaline to litmus (aq soln, 1 in 20); freely sol in alc, acetone, chloroform; sol in 0.5 part water; slightly sol in benzene, ethyl acetate, toluene (on warming); insol in ether, oils /Dibucaine hydrochloride/
INSOL IN WATER; SOL IN ETHANOL, CHLOROFORM, ETHER, PETROLEUM ETHER
Soluble in alcohol and acetone; slightly soluble in water.
3.89e-02 g/L
>51.5 [ug/mL] (The mean of the results at pH 7.4)
Breast Feeding; Lactation; Anesthetics, Local
Pharmaceuticals
Safety information is for reference only and does not replace the supplier’s Safety Data Sheet (SDS), applicable regulations, or professional assessment.
Danger
H302 (92.7%): Harmful if swallowed [Warning Acute toxicity, oral]
P264, P264+P265, P270, P280, P301+P317, P305+P354+P338, P317, P330, and P501 (click each P-code to see the statement)
Aggregated GHS information provided per 41 reports by companies from 4 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.
REACH registered substance: Cinchocaine (EC: 201-632-1)
Cinchocaine: Does not have an individual approval but may be used under an appropriate group standard
Manufacturers, packers, and distributors of drug and drug products for human use are responsible for complying with the labeling, certification, and usage requirements as prescribed by the Federal Food, Drug, and Cosmetic Act, as amended (secs 201-902, 52 Stat. 1040 et seq., as amended; 21 U.S.C. 321-392).
SRP: At the time of review, criteria for land treatment or burial (sanitary landfill) disposal practices are subject to significant revision. Prior to implementing land disposal of waste residue (including waste sludge), consult with environmental regulatory agencies for guidance on acceptable disposal practices.
N - Nervous system
D - Dermatologicals
S - Sensory organs
S - Sensory organs
C - Cardiovascular system
QD - Dermatologicals
Local anesthetics block both the initiation and conduction of nerve impulses by decreasing the neuronal membrane's permeability to sodium ions through sodium channel inhibition. This reversibly stabilizes the membrane and inhibits depolarization, resulting in the failure of a propagated action potential and subsequent conduction blockade.
... PREVENT THE GENERATION & THE CONDUCTION OF THE NERVE IMPULSE. THEIR PRIMARY SITE OF ACTION IS THE CELL MEMBRANE. ... BLOCK CONDUCTION BY DECREASING OR PREVENTING THE TRANSIENT INCREASE IN THE PERMEABILITY OF EXCITABLE MEMBRANES TO NA IONS THAT IS NORMALLY PRODUCED BY A SLIGHT DEPOLARIZATION ... /LOCAL ANESTHETICS/
AS ANESTHETIC ACTION PROGRESSIVELY DEVELOPS IN A NERVE, THE THRESHOLD FOR ELECTRICAL EXCITABILITY GRADUALLY INCREASES, THE RATE OF RISE OF THE ACTION POTENTIAL DECLINES, IMPULSE CONDUCTION SLOWS, & THE SAFETY FACTOR FOR CONDUCTION DECREASES; THESE FACTORS DECREASE PROBABILITY OF PROPAGATION OF THE ACTION POTENTIAL, AND NERVE CONDUCTION FAILS. /LOCAL ANESTHETICS/
... CAN BLOCK K ION CHANNELS. ... BLOCKADE OF CONDUCTION IS NOT ACCOMPANIED BY ANY LARGE OR CONSISTENT CHANGE IN RESTING MEMBRANE DUE TO BLOCK OF K ION CHANNELS. /LOCAL ANESTHETICS/
... SITE AT WHICH LOCAL ANESTHETICS ACT, AT LEAST IN THEIR CHARGED FORM, IS ACCESSIBLE ONLY FROM THE INNER SURFACE OF THE MEMBRANE. ... LOCAL ANESTHETICS APPLIED EXTERNALLY FIRST MUST CROSS THE MEMBRANE BEFORE THEY CAN EXERT A BLOCKING ACTION. /LOCAL ANESTHETICS/
... ACT ON ANY PART OF NERVOUS SYSTEM & ON EVERY TYPE OF NERVE FIBER. /LOCAL ANESTHETICS/
Primarily hepatic.
METABOLISM OF AMIDE-LINKED LOCAL ANESTHETICS IS MORE COMPLEX /THAN ESTER TYPES/ ...
No reaction records under the current filter.
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99-101 °C (HCl salt)
64 °C
Melting point: 62-65 °C
99 - 101 °C (hydrochloride salt)
... DURATION OF ACTION /OF SPINAL ANESTHESIA/ ... MAY BE INCREASED ... BY ADDING EPINEPHRINE TO THE SOLUTION. /LOCAL ANESTHETICS/
BY DECREASING THE RATE OF ABSORPTION, /EPINEPHRINE/ NOT ONLY LOCALIZES THE ANESTHETIC AT THE DESIRED SITE BUT ALSO ALLOWS THE RATE AT WHICH IT IS DESTROYED IN THE BODY TO KEEP PACE WITH THE RATE AT WHICH IT IS ABSORBED INTO THE CIRCULATION. THIS REDUCES ITS SYSTEMIC TOXICITY. /LOCAL ANESTHETICS/
DIBUCAINE HCL CAUSED PHOTOALLERGIC DERMATITIS IN 13-YR-OLD GIRL WHEN USED AS LOCAL ANESTHETIC IN TREATMENT OF DENTAL CARIES.
A 2-year-old child apparently ingested dibucaine hydrochloride (0.5% Nupercainal Cream), acted strangely, staggered, then seized, became cyanotic, vomited, developed a cardiorespiratory arrest, and died. /Dibucaine hydrochloride/
LD50 Mouse ip 24,500 ug/kg
LD50 Mouse sc 28,500 ug/kg
LD50 Rabbit sc 8500 ug/kg
LD50 Rabbit iv 2500 ug/kg
Manufacturers, packers, and distributors of drug and drug products for human use are responsible for complying with the labeling, certification, and usage requirements as prescribed by the Federal Food, Drug, and Cosmetic Act, as amended (secs 201-902, 52 Stat. 1040 et seq., as amended; 21 U.S.C. 321-392).
L6JW2TJG99
DIBUCAINE
Established Pharmacologic Class [EPC] - Standardized Chemical Allergen
Physiologic Effects [PE] - Increased Histamine Release
Physiologic Effects [PE] - Cell-mediated Immunity
Chemical Structure [CS] - Allergens
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
In general, ionized forms (salts) of local anesthetics are not readily absorbed through intact skin. However, both nonionized (bases) and ionized forms of local anesthetics are readily absorbed through traumatized or abraded skin into the systemic circulation.
THE DRUG IS PARTIALLY METABOLIZED & A PORTION IS ELIMINATED UNCHANGED.
... RADIOACTIVE /SPINAL/ LOCAL ANESTHETICS ARE CONCN WITHIN SPINAL NERVE ROOTS AS WELL AS POSTERIOR & LATERAL COLUMNS OF SPINAL CORD. ... RATE OF ENZYMATIC HYDROLYSIS OF LOCAL ANESTHETIC AGENTS BY SPINAL FLUID IS SLOW. /LOCAL ANESTHETICS/
DURATION ... DEPENDS UPON RATE @ WHICH DRUG IS REMOVED FROM CEREBROSPINAL FLUID & FROM NERVE ROOTS WHERE IT EXERTS ITS ACTION. /LOCAL ANESTHETICS/
AT AUTOPSY, DIBUCAINE WAS DEMONSTRATED FROM UPPER SPINAL CORD (3.11 MUG/0.1 G), LOWER SPINAL CORD (7.15 MUG/0.1 G), LIVER (0.299 MUG/1.0 G) & KIDNEY (0.181 MUG/1.0 G).
MEDICATION (VET)
Therap cat: Anesthetic (local) /Hydrochloride/
Medicine (anesthetic)
Use (kg; approx.) in Germany (2009): >100
Miescher, US patent 1,825,623 (1931 to Ciba). /Dibucaine hydrochloride/
Quinoline derivative
NUPERCAINAL (CIBA), TOPICAL: CREAM 0.5% WITH ACETONE SODIUM BISULFITE 0.37% IN 1.5 OZ CONTAINERS; OINTMENT 1% WITH ACETONE BISULFITE 0.5% IN 1 & 2 OZ CONTAINERS; AEROSOL SPRAY 0.25% WITH ALCOHOL 46% IN 6 OZ CONTAINERS; SUPPOSITORIES 2.5 MG /DIBUCAINE HCL/
BUCACET (LEMMON): EACH LOZENGE CONTAINS DIBUCAINE HCL 0.5 MG & CETALKONIUM CHLORIDE 4 MG. /DIBUCAINE HCL/
Grade: NF
Also available as the hydrochloride.
A SPECTROPHOTOMETRIC TEST /FOR ATYPICAL CHOLINESTERASE/ WAS DEVELOPED BY KALOW & GENEST (1957) WHICH INCL DIBUCAINE AS AN INHIBITOR...MADE IT POSSIBLE TO IDENTIFY TYPE OF ESTERASE PRESENT IN TEST SERA...ALSO...TO DETECT HETEROZYGOUS CARRIERS OF /ATYPICAL ESTERASE/ TRAIT.
...toxicity resulted in its removal from the U.S. market as an injectable preparation ... It is currently available as a cream and an ointment for use on the skin.
UsesCinchocaine is a local anesthesic,used for Na+ channel blocker.
General DescriptionArticaine has a secondary nitrogen with a pKa of 7.8. It containsan aromatic thiophene ring bioisostere of the phenylring found in most other amide anesthetics. The log P of abenzene ring is 2.13 and the thiophene ring log P is 1.81,thus the thiophene ring is more hydrophilic than a phenylring. Although the thiophene ring has less lipid solubilitythan a phenyl ring, articaine is a lipid-soluble compound dueto the propylamine, the branched methyl and the substitutionson the thiophene ring. The onset of action of articaineis similar to lidocaine’s onset of action.
Preparation1. Synthesis of 2-chloro-N-[2-(diethylamino)ethyl]-4-quinoline carboxamide At room temperature, 200 g of 2-hydroxy-4-quinoline carboxylic acid and 1500 ml of toluene were added dropwise to a 3000 ml three-necked flask with stirring. The mixture was heated to 75 °C and reacted for 2 hours. The temperature was lowered to 25 °C and concentrated under reduced pressure. Then, 500 ml of toluene was added and the mixture was concentrated to dryness under reduced pressure. The solution was diluted directly with 2000 ml of toluene and added to a 5000 ml three-necked flask. 100 g of N,N-diethyldiethylamine was added. The mixture was heated to 70 °C and stirred until the reaction was complete. The temperature was lowered to room temperature, water was added and stirred for 30 minutes. The mixture was separated into liquid and liquid layers. The organic layer was washed twice with water and once with saturated brine. The solution was dried over anhydrous sodium sulfate, filtered, and the filtrate was evaporated to dryness to obtain 274 g of 2-chloro-N-[2-(diethylamino)ethyl]-4-quinoline carboxamide, i.e., octocamide, with a yield of 85%. 2. Synthesis of Cincocaine 200g of cincoamide, 550ml of n-butanol, and 300g of sodium n-butoxide were added to a 3000ml reaction flask. The mixture was gradually heated to reflux for 3 hours, then cooled to room temperature. 1000ml of purified water was added, and the mixture was stirred for 30 minutes. After standing for 30 minutes to separate the layers, the aqueous layer was discarded. The organic layer was dried with anhydrous sodium sulfate, filtered, and the filtrate was concentrated under reduced pressure. Then, 500ml of toluene was added, and the mixture was heated to 60℃ and stirred for 30 minutes. After standing, the layers separated. The upper toluene layer was cooled to crystallize, yielding 146g of purified Cinchocaine, with a yield of 65% and a purity of 99.7%.
DefinitionChEBI: A monocarboxylic acid amide that is the 2-(diethylamino)ethyl amide of 2-butoxyquinoline-4-carboxylic acid. One of the most potent and toxic of the long-acting local anesthetics, its parenteral use was restricted to spinal anesthesia. It is now generally o ly used (usually as the hydrochloride) in creams and ointments and in suppositories for temporary relief of pain and itching associated with skin and anorectal conditions.