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Contents

   



(Top)
 


1 History  





2 Action mechanism, pharmacokinetics  





3 Indication  





4 Contraindication  





5 Adverse effects  





6 References  














Trimecaine






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From Wikipedia, the free encyclopedia
 


Trimecaine
Skeletal formula
Ball-and-stick model
Names
IUPAC name

N2,N2-Diethyl-N1-(2,4,6-trimethylphenyl)glycinamide

Systematic IUPAC name

2-(Diethylamino)-N-(2,4,6-trimethylphenyl)acetamide

Other names

N2,N2-diethyl-N-mesitylglycinamide

Identifiers

CAS Number

3D model (JSmol)

ChemSpider
ECHA InfoCard 100.009.535 Edit this at Wikidata
EC Number
  • 210-487-3
KEGG
MeSH D014288

PubChem CID

UNII

CompTox Dashboard (EPA)

  • InChI=1S/C15H24N2O/c1-6-17(7-2)10-14(18)16-15-12(4)8-11(3)9-13(15)5/h8-9H,6-7,10H2,1-5H3,(H,16,18)

    Key: GOZBHBFUQHMKQB-UHFFFAOYSA-N

  • CCN(CC)CC(=O)NC1=C(C=C(C=C1C)C)C

Properties

Chemical formula

C15H24N2O
Molar mass 248.36386

Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).

checkY verify (what is checkY☒N ?)

Infobox references

Trimecaine (systematic name (2,4,6-trimethylphenylcarbamoylmethyl)diethylammonium chloride, chemical formulaC15H25ClN2O) is an organic compound used as a local anesthetic and cardial antiarrhythmic. It is white crystalline powder readily solubleinwater and ethanol.[1] It is an active ingredient in products available under trademarks Mesdicain, Mesocain, Mesokain and others.[2]

History[edit]

Trimecaine is probably a Czech discovery (in light of complex pharmacological and clinical evaluation and practical deployment) although its preparation was published by Löfgren in 1946.[2]

Action mechanism, pharmacokinetics[edit]

Like other local anesthetics belonging in the amide group trimecaine decreases the cell membrane permeability, causes depolarization and shortens the action potential.[3] Anesthetic effect starts within 15 minutes and remains 60–90 minutes. Its biological half-life is ca. 90 minutes. 10% of trimecaine is excreted unchanged (90% as its metabolites). It passes through the hematoencephalic and placental barriers.[4]

Indication[edit]

Trimecaine has two main application fields. The first one is local anesthesia (topical, infiltrational, topical mucosal and inhalational, spinal and Bier's intravenous). It is used in concentrations 0.4 up to 4%, in some cases (e.g. in stomatology) in mixtures with adrenaline. The other field is prophylaxis and therapy of ventriculous arrhythmiaonmyocardial infarction and in cardiosurgery. It is used also for prophylaxis of sympathetic reaction during tracheal intubations.[3][4]

Contraindication[edit]

Trimecaine must not be used at hypersensitivity on amide anesthetics, hypervolemia, hypotension, cardial conduction defects, asystole, cardiogenic shock and malignant hyperthermiainanamnesis.[3][4]

Adverse effects[edit]

Rarely allergic reactions may occur (from dermal or mucosal symptoms to anaphylactic shock). At overdosing a toxical reaction arises - excitation, agitation, dishevelment, visual defects, buzzing in ears, muscle thrill to tremor, in more severe cases somnolence, hyporeflexia, breathing defects to apnea, convulsions.[3][4]

References[edit]

  • ^ a b Trimekain
  • ^ a b c d Antiarytmika (Novák, M.) Archived 2007-08-10 at archive.today
  • ^ a b c d MESOCAIN - Operativa Archived 2011-07-18 at the Wayback Machine

  • Retrieved from "https://en.wikipedia.org/w/index.php?title=Trimecaine&oldid=1153705259"

    Categories: 
    Local anesthetics
    Antiarrhythmic agents
    Acetanilides
    Diethylamino compounds
    Hidden categories: 
    Webarchive template archiveis links
    Webarchive template wayback links
    Articles without InChI source
    Articles without EBI source
    ECHA InfoCard ID from Wikidata
    Articles containing unverified chemical infoboxes
    Chembox image size set
    Articles with short description
    Short description matches Wikidata
     



    This page was last edited on 7 May 2023, at 21:06 (UTC).

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