procainamide
- CAS No.
- 51-06-9
- Chemical Name:
- procainamide
- Synonyms
- C07401;Procamide;Novocamid;Procainamide;Novocainamide;PROCAINEAMIDE;Novocaine amide;procainamide USP/EP/BP;procainamide Solution, 100ppm;4-Amino-N-(2-diethylaminoethyl)
- CBNumber:
- CB5932746
- Molecular Formula:
- C13H21N3O
- Molecular Weight:
- 235.33
- MOL File:
- 51-06-9.mol
- Modify Date:
- 2023/5/18 11:31:22
| Melting point | 47°C |
|---|---|
| Boiling point | 377.72°C (rough estimate) |
| Density | 1.060 |
| refractive index | 1.5700 (estimate) |
| storage temp. | Keep in dark place,Inert atmosphere,Room temperature |
| solubility | Chloroform (Slightly), Ethyl Acetate (Slightly) |
| form | Solid |
| pka | pKa 9.24±0.10 (Uncertain) |
| color | Off-White to Light Brown |
procainamide Chemical Properties,Uses,Production
Description
Procainamide and its analogs were employed by Dr Claude Beck in a series of cardiac surgeries during the early 1930s. The compound was used to alleviate arrhythmias that present during the procedures, and was selected for its favorable tissue absorption properties. Procainamide’s central amide provides it protection from inactivating esterase action and allows oral administration of the compound. Procainamide was approved for use in the United States in 1950.
Uses
Procainamide is intended for treating paroxysmal atrial tachycardia, atrial fibrillation, premature ventricular contraction, and ventricular tachycardia. For quickly reaching therapeutic concentrations, parenternal introduction of procainamide is preferred over cynidine.
Definition
ChEBI: 4-Aminobenzamide substituted on the amide N by a 2-(diethylamino)ethyl group. It is a pharmaceutical antiarrhythmic agent used for the medical treatment of cardiac arrhythmias.
Biological Functions
Procainamide (Pronestyl, Procan SR) is a derivative of the local anesthetic agent procaine. Procainamide has a longer half-life, does not cause CNS toxicity at therapeutic plasma concentrations, and is effective orally. Procainamide is a particularly useful antiarrhythmic drug, effective in the treatment of supraventricular, ventricular, and digitalis-induced arrhythmias.
Mechanism of action
The chemical difference between procainamide and procaine lies in the replacement of the ester group with an amide group. The action of procainamide is qualitatively similar to the action of procaine. Its effect on the heart is identical to that of quinidine. As an antiarrhythmic, procainamide is preferred over procaine because unlike procaine, it is better absorbed when taken orally and it is more difficult for the esterases of the plasma to hydrolyze it, which results in long-lasting action.
Clinical Use
Procainamide is an effective antiarrhythmic agent when
given in sufficient doses at relatively short (3–4 hours)
dosage intervals. Procainamide is useful in the treatment
of premature atrial contractions, paroxysmal atrial tachycardia,
and atrial fibrillation of recent onset. Procainamide
is only moderately effective in converting atrial flutter or
chronic atrial fibrillation to sinus rhythm, although it has value in preventing recurrences of these arrhythmias
once they have been terminated by direct current (DC)
cardioversion.
Procainamide can decrease the occurrence of all
types of active ventricular dysrhythmias in patients with
acute myocardial infarction who are free from A-V dissociation,
serious ventricular failure, and cardiogenic
shock. About 90% of patients with ventricular premature
contractions and 80% of patients with ventricular
tachycardia respond to procainamide administration.
Although the spectrum of action and electrophysiological
effects of quinidine and procainamide are similar,
the relatively short duration of action of procainamide
has tended to restrict its use to patients who
are intolerant of or unresponsive to quinidine.
Side effects
Acute cardiovascular reactions to procainamide administration
include hypotension, A-V block, intraventricular
block, ventricular tachyarrhythmias, and complete
heart block. The drug dosage must be reduced or even
stopped if severe depression of conduction (severe prolongation
of the QRS interval) or repolarization (severe
prolongation of the QT interval) occurs.
Long-term drug use leads to increased antinuclear
antibody titers in more than 80% of patients; more than
30% of patients receiving long-term procainamide therapy
develop a clinical lupus erythematosus–like syndrome.
The symptoms may disappear within a few days
of cessation of procainamide therapy, although the tests
for antinuclear factor and lupus erythematosus cells
may remain positive for several months.
Procainamide, unlike procaine, has little potential to
produce CNS toxicity. Rarely, patients may be confused
or have hallucinations.
Drug interactions
The inherent anticholinergic properties of procainamide may interfere with the therapeutic effect of cholinergic agents. Patients receiving cimetidine and procainamide may exhibit signs of procainamide toxicity, as cimetidine inhibits the metabolism of procainamide. Simultaneous use of alcohol will increase the hepatic clearance of procainamide. Procainamide may enhance or prolong the neuromuscular blocking activity of the aminoglycosides with the potential of producing respiratory depression. The simultaneous administration of quinidine or amiodarone may increase the plasma concentration of procainamide.
Metabolism
Metabolites of procainamide include p-aminobenzoic acid and N-acetylprocainamide. Interestingly, the acetylated metabolite is also active as an antiarrhythmic. Its formation accounts for up to one-third of the administered dose and is catalyzed by the liver enzyme N-acetyl transferase. Because acetylation is strongly influenced by an individual's genetic background, marked variability in the amounts of this active metabolite may be observed from patient to patient. Renal excretion dominates, with approximately 90% of a dose excreted as unchanged drug and metabolites. The elimination half-life is approximately 3.5 hours. A substantial percentage (60–70%) of patients on procainamide show elevated levels of antinuclear antibodies after a few months. Of these patients, between 20 and 30% develop a drug-induced lupus syndrome if therapy is continued. These adverse effects, which are attributed to the aromatic amino group, are observed more frequently and more rapidly in “slow acetylators.” Usually, the symptoms associated with procainamide-induced lupus syndrome subside fairly rapidly after the drug is discontinued. These problems, however, have discouraged long-term procainamide therapy.
Precautions
Contraindications to procainamide are similar to those for quinidine. Because of its effects on A-V nodal and His-Purkinje conduction, procainamide should be administered with caution to patients with second-degree A-V block and bundle branch block. Procainamide should not be administered to patients who have shown procaine or procainamide hypersensitivity and should be used with caution in patients with bronchial asthma. Prolonged administration should be accompanied by hematological studies, since agranulocytosis may occur.
procainamide Preparation Products And Raw materials
Raw materials
Preparation Products
| Supplier | Tel | Country | ProdList | Advantage | Inquiry |
|---|---|---|---|---|---|
| A.J Chemicals | 91-9810153283 | New Delhi, India | 6124 | 58 | Inquiry |
| career henan chemical co | +86-0371-86658258 +8613203830695 | China | 29821 | 58 | Inquiry |
| Dideu Industries Group Limited | +86-29-89586680 +86-15129568250 | China | 23499 | 58 | Inquiry |
| Finetech Industry Limited | +86-27-87465837 +8618971612321 | China | 9640 | 58 | Inquiry |
| LEAPCHEM CO., LTD. | +86-852-30606658 | China | 43348 | 58 | Inquiry |
| Aladdin Scientific | +1-+1(833)-552-7181 | United States | 57511 | 58 | Inquiry |
| Wuhan Huangzhen Biochemical Co., Ltd | 13795480948 13795480948 | China | 4958 | 58 | Inquiry |
| Shanghai Aladdin Biochemical Technology Co.,Ltd. | +86-18521732826 | China | 48465 | 58 | Inquiry |
| RD International Technology Co., Limited | 18024082417 | China | 9268 | 58 | Inquiry |
| Shanghai Jizhi Biochemical Technology Co. Ltd. | 400-400-400-9004166 18616739031 | China | 52712 | 58 | Inquiry |
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