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Pentamidine Isethionate

HCID 8813
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Basic information

CAS
140-64-7
Standard SMILES
N=C(N)c1ccc(OCCCCCOc2ccc(C(=N)N)cc2)cc1.O=S(=O)(O)CCO.O=S(=O)(O)CCO
InChIKey
YBVNFKZSMZGRAD-UHFFFAOYSA-N
Molecular formula
C19H24N4O2.2C2H6O4S
Average molar mass
592.7 g/mol
Monoisotopic mass
592.18728571

Overview

Pentamidine isethionate appears as odorless white or almost white crystals or powder. Odor also reported as a slight butyric odor. Very bitter taste. pH (5% aqueous solution) 4.5-6.5. (NTP, 1992)

Names & identifiers

Preferred name
Pentamidine Isethionate
IUPAC
4-[5-(4-carbamimidoylphenoxy)pentoxy]benzenecarboximidamide;bis(2-hydroxyethanesulfonic acid)
English name
Pentamidine isethionate
Molecular formula
C23H36N4O10S2
Molecular weight
592.68

Names & synonyms

PENTAMIDINE ISETHIONATE140-64-7Pentamidine diisethionate4,4'-(Pentane-1,5-diylbis(oxy))dibenzimidamide bis(2-hydroxyethanesulfonate)Pentamidine isetionatePentacarinatPentamidine diisetionateNebupentLomidinPneumopentDiamidineLomidine isoethionate
Show more names
2512RPM&B-800RP-2512BenambaxAeropentBanaMbax
PENTAMUSAF XR-10DTXSID5023796RP 2512OCZ103-OSPentamidini isetionasWR 4931V2P3K60DA2

Database identifiers

CAS
140-64-7
PubChem CID
8813
DTXSID
DTXSID5023796
ChEMBL
CHEMBL361506
ChEBI
CHEBI:7977
UNII
V2P3K60DA2
EC Number
205-424-1

Properties

Computed structural properties

Topological polar surface area
284 Ų
Hydrogen bond donors
8
Hydrogen bond acceptors
12
Rotatable bonds
14
Heavy atoms
39
Formal charge
0
Complexity
493

Experimental & physicochemical properties

Chemical ClassesOther Uses -> Pharmaceuticals
Solubility · 6 items

greater than or equal to 100 mg/mL at 66 °F (NTP, 1992)

Water > 30 (mg/mL)

Acetate buffer, pH 4 ~2.5 (mg/mL)

Carbonate buffer, pH 9 < 1 (mg/mL)

0.1 N HCl ~2.5 (mg/mL)

0.1 NaOH < 1 (mg/mL)

Human Drugs · 2 items

FDA approved drugs -> Active ingredient

FDA approved drugs -> Active ingredient

Melting Point370 to 378 °F (NTP, 1992)
Physical DescriptionPentamidine isethionate appears as odorless white or almost white crystals or powder. Odor also reported as a slight butyric odor. Very bitter taste. pH (5% aqueous solution) 4.5-6.5. (NTP, 1992)
Stability/Shelf Life · 1 item

Bulk: The compound was found to be stable in the bulk form when exposed to light at ambient or 60 ° C temperature for 90 days. Solution: Pentamidine isethionate was found to be stable as a solution in normal saline at room temperature over a 72 hour period.

Collision Cross Section174.5 Ų [M+H]+ [CCS Type: TW; Method: calibrated with polyalanine and drug standards]

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

Warning

H315 (100%): Causes skin irritation [Warning Skin corrosion/irritation]

P261, P264, P264+P265, P271, P272, P280, P302+P352, P304+P340, P305+P351+P338, P319, P321, P332+P317, P333+P317, P337+P317, P362+P364, P403+P233, P405, and P501 (click each P-code to see the statement)

Aggregated GHS information provided per 70 reports by companies from 6 notifications to the ECHA C&L Inventory. Each notification may be associated with multiple companies.

Hazard information

Fire HazardsFlash point data for this chemical are not available; however, it is probably combustible. (NTP, 1992)
Health Hazards · 1 item

SYMPTOMS: Symptoms of exposure to this compound include fall in blood pressure, hypotension, hypoglycemia, dizziness, tachycardia, flushing, itching and an increase in blood urea. Other symptoms include pain and abscess formation at the site of injection, hyperglycemia, hematological disturbances, vomiting, liver and kidney dysfunction, dizziness, headache, breathlessness and fainting. It has caused local reactions and reversible uremia in an infant. It has also caused fever and profound fatal acidosis in a teen. It can cause hemorrhage and dermatitis via intramuscular routes. Other symptoms include cardiac arrhythmias, leukopenia, hypocalcemia, Stevens-Johnson syndrome, thrombocytopenia, confusion and hallucinations. Symptoms of exposure to a related compound include convulsions and liver and kidney damage. Other symptoms include pancreatitis. It may also cause diabetes mellitus.

Hazards SummaryImmunological contact urticaria documented in pharmaceutical and healthcare workers; [Kanerva, p. 219]
Reactive GroupAlcohols and Polyols
Reactivity Profile

Chemistry & industry

Pharmacology

ATC Code · 2 items

P01CX01

P - Antiparasitic products, insecticides and repellents

Metabolism/MetabolitesHepatic. Half Life: 9.1-13.2 hours
FDA Pharmacological Classification · 2 items

PENTAMIDINE ISETHIONATE

Antiprotozoal [EPC]

MeSH Pharmacological Classification · 3 items

Substances that destroy fungi by suppressing their ability to grow or reproduce. They differ from FUNGICIDES, INDUSTRIAL because they defend against fungi present in human or animal tissues.

Substances that are destructive to protozoans.

Agents destructive to the protozoal organisms belonging to the suborder TRYPANOSOMATINA.

Uses & manufacturing

UsesFor the treatment of pneumonia due to <i>Pneumocystis carinii</i>.
Applications · 4 items

UsesPentamidine isethionate salt has been used:as a positive control for anti-leishmanial, anti-plasmodial and cytotoxic assaysas a prototypical compound to analyse the inhibitor effect on human ether-a-go-go-related gene (HERG) K+ channel traffickingas an anti-leishmanial agent in promastigotes

UsesHas been widely used as a drug to treat protozoal diseases, such as malaria, amoebic dysentery and trypanosomiasis. It has also been shown to be effective for both prophylaxis of pneumocystic carinii pneumonia (PCC).

UsesAntiparasitic

General DescriptionOdorless white or almost white crystals or powder. Odor also reported as a slight butyric odor. Very bitter taste. pH (5% aqueous solution) 4.5-6.5.

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Compound notes

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On this pageBasic informationOverviewNames & identifiersPropertiesSafety & regulationChemistry & industryRelated reactionsCompound notes

Physicochemical properties

Melting point
188 · 188-194 °C(lit.)
storage temp.
2 · 2-8°C
solubility
Freely soluble in water, sparingly soluble in ethanol (96 per cent), practically insoluble in methylene chloride.
form
powder
color
White to Off-White
Merck
13 · 13,7192
Stability
Hygroscopic
Major Application
pharmaceutical (small molecule)
InChIKey
YBVNFKZSMZGRAD-UHFFFAOYSA-N
SMILES
C1(OCCCCCOC2=CC=C(C(=N)N)C=C2)C=CC(C(N)=N)=CC=1.C(CO)S(=O)(=O)O.C(CO)S(=O)(=O)O
CAS DataBase Reference
140 · 140-64-7(CAS DataBase Reference)
EWG's Food Scores
1 · 1
NCI Dictionary of Cancer Terms
Pentam; pentamidine isethionate
FDA UNII
2 P3K60DA2 · V2P3K60DA2
NCI Drug Dictionary
NebuPent
ATC code
1 CX01 · P01CX01
EPA Substance Registry System
2 · Ethanesulfonic acid, 2-hydroxy-, compd. with 4,4'-[1,5-pentanediylbis(oxy)]bis[benzenecarboximidamide] (2:1) (140-64-7)
UNSPSC Code
41116107 · 41116107
NACRES
77 · NA.77
Protein binding
69 % · 69%
Excreted unchanged in urine
5 % · <5%
Volume of distribution
3 · 3-4(L/kg)
Biological half-life
6 · 6-9 / 9
Symbol(GHS)
7 · GHS07
Signal word
Warning
Hazard statements
315 · H315-H317-H319-H335
Precautionary statements
280 · P280-P305+P351+P338
target organs
Respiratory system
Hazard Codes
Xi
Risk Statements
36 · 36/37/38-43
Safety Statements
26 · 26-36/37
RIDADR
3249 · 3249
WGK Germany
3 · 3
RTECS
6500000 · CV6500000
HazardClass
6.1 · 6.1(b)
PackingGroup
III
HS Code
2925294500 · 2925294500
Storage Class
11 · 11 - Combustible Solids
Hazard Classifications
2 Skin · Eye Irrit. 2Skin Irrit. 2Skin Sens. 1STOT SE 3
Toxicity
50 intraperitoneal · LD50 intraperitoneal in mouse: 63mg/kg
Can decompose on prolonged exposure to light.
Air and Water ReactionsHygroscopic. May be sensitive to prolonged exposure to air. Aqueous solutions deteriorate on storage. Water soluble.
Hazard Classes and CategoriesSkin Irrit. 2 (100%)

Safety & protection

Fire FightingFires involving this material can be controlled with a dry chemical, carbon dioxide or Halon extinguisher. (NTP, 1992)
First Aid · 1 item

EYES: First check the victim for contact lenses and remove if present. Flush victim's eyes with water or normal saline solution for 20 to 30 minutes while simultaneously calling a hospital or poison control center. Do not put any ointments, oils, or medication in the victim's eyes without specific instructions from a physician. IMMEDIATELY transport the victim after flushing eyes to a hospital even if no symptoms (such as redness or irritation) develop.

Nonfire Spill Response · 1 item

SMALL SPILLS AND LEAKAGE: If you spill this chemical, you should dampen the solid spill material with water, then transfer the dampened material to a suitable container. Use absorbent paper dampened with water to pick up any remaining material. Seal your contaminated clothing and the absorbent paper in a vapor-tight plastic bag for eventual disposal. Wash all contaminated surfaces with a soap and water solution. Do not reenter the contaminated area until the Safety Officer (or other responsible person) has verified that the area has been properly cleaned.

Personal Protective Equipment (PPE) · 1 item

RECOMMENDED RESPIRATOR: Where the neat test chemical is weighed and diluted, wear a NIOSH-approved half face respirator equipped with an organic vapor/acid gas cartridge (specific for organic vapors, HCl, acid gas and SO2) with a dust/mist filter. (NTP, 1992)

Toxicology

Exposure RoutesAbsorbed poorly through the gastrointestinal tract and is usually administered parenterally.
Toxicity SummaryThe mode of action of pentamidine is not fully understood. It is thought that the drug interferes with nuclear metabolism producing inhibition of the synthesis of DNA, RNA, phospholipids, and proteins.
Signs and SymptomsSymptoms of overdose include pain, nausea, anorexia, hypotension, fever, rash, bad taste in mouth, confusion/hallucinations, dizziness, and diarrhea.
Carcinogen ClassificationNo indication of carcinogenicity to humans (not listed by IARC).
Drug Induced Liver Injury · 6 items

Drug Induced Liver Injury Rank (DILIrank 2.0)

Pentamidine isethionate

vLess-DILI-concern

3

Warnings & precautions

DOI:10.1016/j.drudis.2016.02.015

Safety data

wgk
3
rtecs
CV6500000
ridadr
3249
hs_code
2925294500
Toxicity
LD50 intraperitoneal in mouse: 63mg/kg
risk_code
36/37/38-43
Signal word
Warning
Symbol(GHS)
GHS07
hazard_code
Xi
safety_code
26-36/37
hazard_class
6.1(b)
Storage Class
11 - Combustible Solids
packing_group
III
target organs
Respiratory system
Hazard statements
H315-H317-H319-H335
Hazard Classifications
Eye Irrit. 2Skin Irrit. 2Skin Sens. 1STOT SE 3
Precautionary statements
P280-P305+P351+P338

Additional notes

DefinitionChEBI: An organosulfonate salt obtained by reaction of pentamidine with two equivalents of 2-hydroxyethylsulfonic acid.