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Tetracaine

HCID 5411
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Basic information

CAS
94-24-6
Standard SMILES
CCCCNc1ccc(C(=O)OCCN(C)C)cc1
InChIKey
GKCBAIGFKIBETG-UHFFFAOYSA-N
Molecular formula
C15H24N2O2
Average molar mass
264.36 g/mol
Monoisotopic mass
264.18377801

Overview

Tetracaine is a benzoate ester in which 4-N-butylbenzoic acid and 2-(dimethylamino)ethanol have combined to form the ester bond; a local ester anaesthetic (ester caine) used for surface and spinal anaesthesia. It has a role as a local anaesthetic. It is a benzoate ester and a tertiary amino compound.

Names & identifiers

Preferred name
Tetracaine
IUPAC
2-(dimethylamino)ethyl 4-(butylamino)benzoate
English name
Tetracaine
Molecular formula
C15H24N2O2
Molecular weight
264.36

Names & synonyms

tetracaine94-24-6Amethocaine2-(Dimethylamino)ethyl 4-(butylamino)benzoateLaudocaineMetrasprayPontocaineAnetainDicaineUromucaesthinContralginFissucain
Show more names
TETRACAINE BASETETRACAINTetracainumDlcalnetetracine
IntercainMedicaineMeethobalmMucaesthinNiphanoidMedihaler-TetracaineTetracainaTetrakain

Database identifiers

CAS
94-24-6
PubChem CID
5411
DTXSID
DTXSID1043883
ChEMBL
CHEMBL698
ChEBI
CHEBI:9468
UNII
0619F35CGV
EC Number
202-316-6
Nikkaji
J3.945D

Properties

Computed structural properties

XLogP
3.7
Topological polar surface area
41.6 Ų
Hydrogen bond donors
1
Hydrogen bond acceptors
4
Rotatable bonds
9
Heavy atoms
19
Formal charge
0
Complexity
249

Experimental & physicochemical properties

Chemical ClassesOther Uses -> Pharmaceuticals
Drugs · 2 items

Pharmaceuticals

Pharmaceuticals -> Listed in ZINC15

SpringerMaterials PropertiesNuclear quadrupole resonance spectroscopy
LogP3.46
Human Drugs · 5 items

Breast Feeding; Lactation; Milk, Human; Anesthetics, Local

FDA approved drugs -> Active ingredient

FDA approved drugs -> Active ingredient

Pharmaceuticals

Ophthalmological preparations > Local anaesthetics

Dissociation Constants · 3 items

8.49

8.5

8.6

Collision Cross Section · 3 items

164.78 Ų [M+K]+ [CCS Type: TW; Method: calibrated with polyalanine and drug standards]

173.1 Ų [M+H]+ [CCS Type: TW; Method: Major Mix IMS/Tof Calibration Kit (Waters)]

173.5 Ų [M+H]+ [CCS Type: DT; Method: single field calibrated]

Safety & regulation

Safety information is for reference only and does not replace the supplier’s Safety Data Sheet (SDS), applicable regulations, or professional assessment.

GHS classification

GHS Classification · 4 items

Danger

H301 (97.7%): Toxic if swallowed [Danger Acute toxicity, oral]

P203, P261, P264, P270, P272, P280, P301+P316, P302+P352, P318, P321, P330, P333+P317, P362+P364, P405, and P501 (click each P-code to see the statement)

Aggregated GHS information provided per 43 reports by companies from 5 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.

Hazard information

Other Safety InformationIMAP assessments - Benzoic acid, 4-(butylamino)-, 2-(dimethylamino)ethyl ester: Environment tier I assessment
Hazards SummaryProcaine allergy used to be a common skin sensitizer for dentists. There exists cross-reactivity between procaine, benzocaine, and tetracaine but not with lidocaine and other amide-type local anesthetics currently used. [Kanerva, p. 434]
Hazard Classes and CategoriesAcute Tox. 3 (97.7%)

Toxicology

Adverse Effects · 2 items

Skin Sensitizer - An agent that can induce an allergic reaction in the skin.

When dosing based on weight, clinicians should not exceed 1.5 to 3 mg/kg of the patient's actual weight. The toxicity of the drug is affected by the site of administration. Tetracaine undergoes absorption (from fastest to slowest) in the following order: IV > intercostal > caudal > epidural > brachial plexus > subcutaneous. Absorption speed may be mitigated by avoiding areas near a large vascular supply and adding local vasoconstrictors to the solution (epinephrine or phenylephrine).

Chemistry & industry

Pharmacology

ATC Code · 6 items

S01HA03

N - Nervous system

S - Sensory organs

D - Dermatologicals

C - Cardiovascular system

QD - Dermatologicals

Protein BindingTetracaine is rapidly hydrolyzed in the plasma; therefore, protein binding could not be determined.
Mechanism of ActionTetracaine is an ester-type anesthetic and produces local anesthesia by blocking the sodium ion channels involved in the initiation and conduction of neuronal impulses.
Biological Half-LifeTetracaine is hydrolyzed rapidly in the plasma; therefore, half-life has not been determined.
Metabolism/MetabolitesTetracaine is rapidly hydrolyzed by plasma esterases to the following primary metabolites: para-aminobenzoic acid and diethylaminoethanol. The activity of both metabolites is unspecified.
FDA Pharmacological Classification · 6 items

0619F35CGV

TETRACAINE

Established Pharmacologic Class [EPC] - Ester Local Anesthetic

Chemical Structure [CS] - Esters

Physiologic Effects [PE] - Local Anesthesia

Tetracaine is an Ester Local Anesthetic. The physiologic effect of tetracaine is by means of Local Anesthesia.

MeSH Pharmacological Classification · 1 item

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.

Related reactions

2 records
New reaction record
HRID 1378501 reaction equation
HRID 1378501As productuspto-grants-1997_09
HRID 2424241 reaction equation
HRID 2424241As reactantuspto-grants-2011_06

Compound notes

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Physicochemical properties

Melting point
41 to · 41.0 to 45.0 °C
Boiling point
407.59 °C · 407.59°C (rough estimate)
Density
1.02 · 1.0200 (rough estimate)
refractive index
1.58 · 1.5800 (estimate)
storage temp.
2 · 2-8°C
solubility
soluble in Methanol
form
powder to crystal
pka
8.33 · pKa 8.33±0.03(H2O t = 20.0 I = 0.10 (KCl)) (Uncertain)
color
White to Almost white
Water Solubility
156 mg/L · 156mg/L(temperature not stated)
Major Application
pharmaceutical
InChI
InChI=1S/C15H24N2O2/c1-4-5-10-16-14-8-6-13(7-9-14)15(18)19-12-11-17(2)3/h6-9,16H,4-5,10-12H2,1-3H3
InChIKey
GKCBAIGFKIBETG-UHFFFAOYSA-N
SMILES
C(OCCN(C)C)(=O)C1=CC=C(NCCCC)C=C1
LogP
3.51 · 3.510
CAS DataBase Reference
94 · 94-24-6(CAS DataBase Reference)
FDA 21 CFR
310.545 · 310.545
EWG's Food Scores
1 · 1
FDA UNII
619 F35CGV · 0619F35CGV
ATC code
5 AD02,D04AB06,N01BA03,N01BA53,S01HA03 · C05AD02,D04AB06,N01BA03,N01BA53,S01HA03
NIST Chemistry Reference
Tetracaine(94-24-6)
UNSPSC Code
41116107 · 41116107
NACRES
24 · NA.24
Symbol(GHS)
6 · GHS06,GHS08
Signal word
Danger
Hazard statements
301 · H301-H317-H351
Precautionary statements
280 · P280-P301+P330+P331+P310
Hazard Codes
Xn,Xi
Risk Statements
22 · 22-40-42/43-43
Safety Statements
22 · 22-36/37
RIDADR
2811 · UN 2811
WGK Germany
3 · 3
RTECS
4725000 · DG4725000
HazardClass
6.1 · 6.1
PackingGroup
III
HS Code
29224999 · 29224999
Storage Class
6.1 C · 6.1C - Combustible acute toxic Cat.3toxic compounds or compounds which causing chronic effects
Hazard Classifications
3 OralCarc · Acute Tox. 3 OralCarc. 2Skin Sens. 1
Limited Quantities
5 kg · 5.0 kg (11 lbs) (solid)
Excepted Quantities
Max Inner Pack (30g or 30ml) and Max Outer Pack (1Kg or 1L)
Toxicity Summary
Signs and Symptoms of Overdose
Drug Induced Liver Injury · 5 items

Drug-Induced Liver Injury Severity and Toxicity (DILIst)

tetracaine

DILI Negative

Topical

DOI:10.1016/j.drudis.2019.09.022

Effects During Pregnancy and Lactation◉ Summary of Use during Lactation

Safety data

wgk
3
rtecs
DG4725000
ridadr
UN 2811
hs_code
29224999
risk_code
22-40-42/43-43
Signal word
Danger
Symbol(GHS)
GHS06,GHS08
hazard_code
Xn,Xi
safety_code
22-36/37
hazard_class
6.1
Storage Class
6.1C - Combustible acute toxic Cat.3toxic compounds or compounds which causing chronic effects
packing_group
III
Hazard statements
H301-H317-H351
Limited Quantities
5.0 kg (11 lbs) (solid)
Excepted Quantities
Max Inner Pack (30g or 30ml) and Max Outer Pack (1Kg or 1L)
Hazard Classifications
Acute Tox. 3 OralCarc. 2Skin Sens. 1
Precautionary statements
P280-P301+P330+P331+P310
Absorption, Distribution and Excretion · 3 items

Systemic absorption of anaesthetic from the combination cream is directly related to the duration and surface area of application. Although peak plasma concentrations for lidocaine were measured, plasma levels for tetracaine could not be determined due to low levels (<0.9 ng/mL)

Tetracaine is rapidly hydrolyzed in the plasma; therefore, volume of distribution could not be determined.

Tetracaine is hydrolyzed rapidly in the plasma; therefore, clearance has not been determined.

Uses & manufacturing

Uses · 2 items

Used as a local anesthetic by dentists and other surgeons; [Kanerva, p. 1748]

Use (kg; approx.) in Germany (2009): >50

Use ClassificationPharmaceuticals
Applications · 7 items

UsesTetracaine is used in assessing the potential for drug-nanoparticle surface interactions to improve drug penetration into the skin.

DescriptionTetracaine is a local anesthetic or numbing medicine that is used to numb the throat, eyes, or nose. Normally, the drug is administered before starting a surgery to decrease pain from the procedure. Tetracaine is applied to the eyes 30 minutes before the start of an intravenous and its effects can last up to 15 minutes.

Usesanalgesic

UsesTetracaine has been used as an anesthetic and to lower the glucose synthesis in upper small intestinal infusions. It has also been used to inhibit ryanodine receptors (RyRs) in rats.

UsesTopical ophthalmic anesthetic; used for spinal anesthesia

UsesTetracaine, also known as amethocaine, is the most potent and lipidsoluble ester local anaesthetic and has significant potential for toxicity if used systemically. It is commonly used as a 4% gel for topical application to decrease the pain from venous puncture or cannulation.

General DescriptionTetracaine was developed to address the low potency andshort duration of action of procaine and chloroprocaine. The addition of the butyl side chain on the para nitrogen increasesthe lipid solubility of the drug and enhances the topical potencyof tetracaine. The plasma half-life is 120 to 150 seconds.Topically applied tetracaine to unbroken skin requires 30 to 45minutes to confer topical anesthesia. Tetracaine 4% gel is superiorthan eutectic mixture with lidocaine (EMLA) (an emulsionof lidocaine and prilocaine) in preventing pain associatedwith needle procedures in children. Tetracaine metabolism issimilar to procaine ester metabolism yielding parabutylaminobenzoicacid and dimethylaminoethanol and conjugatesexcreted in the urine. The pKa of the dimethylated nitrogen is8.4 and tetracaine is formulated as a hydrochloride salt with apH of 3.5 to 6.0. The increased absorption from topical siteshas resulted in reported toxicity. Overdoses of tetracaine mayproduce central nervous system (CNS) toxicity and seizure activitywith fatalities from circulatory depression reported.No selective cardiac toxicity is seen with tetracaine althoughhypotension has been reported. Tetracaine is employed for infiltrationanesthesia, spinal anesthesia, or topical use.

Upstream & downstream products

Upstream raw materials

DimethylprocainePotassium carbonateN,N-Dimethylformamide1-Bromobutane

Downstream products

Tetracaine hydrochloride

Additional notes

DefinitionChEBI: A benzoate ester in which 4-N-butylbenzoic acid and 2-(dimethylamino)ethanol have combined to form the ester bond; a local ester anaesthetic (ester caine) used for surface and spinal anaesthesia.