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HCID 4178생성일: 2026년 11월 4일

Mexiletine

Mexiletine · MEXILETIN · C07220 · Mexilux · Mexilitine · Mexiletene · Mexilitine R · dl-Mexiletine

https://huagongshe.com/ko/chemical/4178

Mexiletine 분자 구조식

식별자 및 물리적 특성

CAS No.31828-71-4
분자식C11H17NO
평균 분자량179.26 g/mol
단동위원소 질량179.13101417 g/mol
SMILESCc1cccc(C)c1OCC(C)N
InChIKeyVLPIATFUUWWMKC-UHFFFAOYSA-N
PubChem CID4178
ChEMBLCHEMBL558
ChEBICHEBI:6916
EC No.250-825-7
DTXSIDDTXSID8048446

화학 및 물리적 성질

XLogP2.1
극성 표면적35.3
수소 결합 공여자 수1
수소 결합 수용자 수2
회전 가능 결합 수3
무거운 원자 수13
형식 전하0
복잡도139
의약품Pharmaceuticals
LogP(분배 계수)2.12.15
용해도5.38e-01 g/L에탄올: 50mg/mL
Human DrugsBreast FeedingLactationMilk, HumanAntiarrhythmicsEMA approved medicines: Human medicine (Orphan designations)
녹는점203-205 °C203 - 205 °C
Physical DescriptionSolid
Dissociation Constants9.149.159.2
Collision Cross Section145.11 Ų [M+H]+ [CCS Type: TWMethod: calibrated with polyalanine and drug standards]
끓는 점271.5±28.0 °C(Predicted)
밀도0.979±0.06 g/cm3(Predicted)
저장 조건2-8°C
pKa(산도 계수)pKa 9.14± 0.01(H2O,t =25±0.2,I=0.01(NaCl))(Approximate)
물리적 상태가루
색상하얀색
BCS Class1
NISTMexiletine(31828-71-4)

안전 및 규제

GHS 분류WarningH302 (100%): Harmful if swallowed [Warning Acute toxicity, oral]P264, P270, P301+P317, P330, and P501 (click each P-code to see the statement)Aggregated GHS information provided per 2 reports by companies from 1 notifications to the ECHA C&L Inventory.
규제 정보REACH registered substance: Mexiletine (EC: 250-825-7)
Hazard Classes and CategoriesAcute Tox. 4 (100%)
HepatotoxicityIn clinical trials, mexiletine was associated with a low rate of serum aminotransferase and alkaline phosphatase elevations (~0.5%). Despite wide scale use, mexiletine has only rarely been linked to cases of clinically apparent liver injury. Most cases are associated with a hypersensitivity reaction. Typically, patients present with fever, rash, eosinophilia and systemic systemics (DRESS syndrome) after 2 to 6 weeks of mexiletine therapy. Eosinophilia or atypical lymphocytosis usually accompany the liver test abnormalities but may arise or continue to worsen days or weeks after onset. The pattern of serum enzyme elevations ranges from cholestatic to hepatocellular, but jaundice is usually mild or absent. Autoimmune features are uncommon. Cases of Stevens Johnson and DRESS syndrome due to mexiletine have also been reported. Corticosteroids were often used, but largely for the fever and skin rash rather than the liver disease which was typically mild. Rare instances of cholestatic hepatitis with mexiletine therapy have also been reported and may represent a different form of liver injury.
유해 작용The adverse effect profile of mexiletine is extensive and limits its use. It affects nearly every organ systemmost notably, it has significant cardiovascular and central nervous system (CNS) side effects and affecting the gastrointestinal (GI), musculoskeletal, dermatologic systems.
독성 요약Toxicity is common with mexiletine and can manifest in several organ systems. Cardiovascular, CNS, and GI-related symptoms most commonly occur. Cardiovascular toxicity can present as varying degrees of heart block, heart failure, exacerbation of cardiac arrhythmias, and cardiac arrest. Central nervous system-related symptoms include lightheadedness, fatigue, confusion, the presence of tremors, and seizures. Gastrointestinal symptoms are highly variable but can include xerostomia, nausea/vomiting, and diarrhea. Mexiletine has a half-life of 10 to 12 hours and is metabolized by the liver with small amounts, about 10% of the administered dose, of excretion in the urine. Thus, toxicity is much more prevalent in the setting of liver failure as metabolism is largely impaired.

용도

용도

Cardiac depressant (anti-arrhythmic).

Drug Induced Liver InjuryBenchmark Dataset for the Liver Toxicity Knowledge Base (LTKB)mexiletineMexitil®Antiarrhythmics3less-DILI-concern drugs
Effects During Pregnancy and Lactation◉ Summary of Use during Lactation
수질 위해 등급(WGK)3
RTECS 번호KR9300000
운송 번호(UN)3249
위험 문구(R)20/21/22
위험 표시Xn
안전 문구(S)36
포장분류III
위험 등급6.1(b)