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Flutemazepam

From Wikipedia, the free encyclopedia
Chemical compound
Pharmaceutical compound
Flutemazepam
Legal status
Legal status
Identifiers
  • 7-chloro-5-(2-fluorophenyl)-3-hydroxy-1-methyl-3H-1,4-benzodiazepin-2-one
CAS Number
PubChemCID
ChemSpider
UNII
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.052.612Edit this at Wikidata
Chemical and physical data
FormulaC16H12ClFN2O2
Molar mass318.73 g·mol−1
3D model (JSmol)
  • FC1=CC=CC=C1C2=NC(C(N(C)C3=C2C=C(C=C3)Cl)=O)O
  • InChI=1S/C16H12ClFN2O2/c1-20-13-7-6-9(17)8-11(13)14(19-15(21)16(20)22)10-4-2-3-5-12(10)18/h2-8,15,21H,1H3 checkY
  • Key:RMFYWNFETXNTIQ-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Flutemazepam was initially first synthesized in 1965,[1] but was not further described until a team at Stabilimenti Chimici Farmaceutici Riuniti SpA in the mid-1970s.[2][3] It is a short-acting (9–25 hr elimination half-life) fluorinated analogue oftemazepam that has powerfulhypnotic,sedative,amnesiac,anxiolytic,anticonvulsant andskeletal muscle relaxant properties. Flutemazepam has been shown to have similar pharmacological properties to temazepam, but with more powerful sedative-hypnotic and anxiolytic properties. It has been found to be effective for the treatment of the most severe states of anxiety,panic attacks and insomnia. Furthermore, it is potent with 1 mg of flutemazepam being equivalent to 10 mg of diazepam.[4][5][6][7] Flutemazepam is highly effective for acute psychotic states, especiallystimulant psychosis, violent behaviour, and aggression.[8]

It was first synthesized and described in 1965 byLeo Sternbach.[1] In a test which compared a series of 3-fluorobenzodiazepine compounds in 1976, one of which was the 3-hydroxy benzodiazepine, flutemazepam. There were nine compounds tested (all nine were3-fluorobenzodiazepines) including, a well known compound known asN-Desalkyl-3-hydroxyflurazepam, or also callednorflurazepam ). Flutemazepam was the most potent: 20x more potent than temazepam, 10x more potent than diazepam and nitrazepam, and roughly equipotent to a related 3-hydroxy benzodiazepine,lorazepam. Equipotent to another fluorinated analogue (ofnitrazepam), flunitrazepam. Via oral administration, 1 mg flutemazepam is equivalent to 10 mg diazepam. Of the nine compounds, flutemazepam was the most rapid-acting compound of the series via oral administration, with noticeable sedative-hypnotic effects beginning 10-15 minutes post-ingestion. At equipotent doses, it was the most active and effective anxiolytic, myorelaxant, tranquilizer, sedative-hypnotic, and anti-convulsive agent at doses as low as 0.5–1 mg range. It had motor-impairing, amnesic, ataxia, and loss of balance as side effects (1–5%), the highest in the series.[9]

See also

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References

[edit]
  1. ^ab"PubChem Compound Summary for CID 40344, Flutemazepam". National Center for Biotechnology Information (2022). Retrieved30 July 2022.
  2. ^GB 1431282, "Benzodiazepine Compounds for Therapeutical Use", issued 7 April 1976, assigned to Schiapparelli Farma SpA 
  3. ^"Flutemazepam".PubChem. National Library of Medicine. Retrieved2022-03-31.
  4. ^"Flutemazepam".US Biologic. United States Biological. Retrieved22 July 2022.
  5. ^"Temazepam Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing - WebMD".www.webmd.com. Retrieved2022-03-31.
  6. ^"flutemazepam". psychotropics.dk. Retrieved11 February 2009.
  7. ^Morton IK, Hall JM (1999).Concise Dictionary of Pharmacological Agents. Springer.ISBN 978-0-7514-0499-9.
  8. ^Esmailian M, Ahmadi O, Taheri M, Zamani M (September 2015)."Comparison of haloperidol and midazolam in restless management of patients referred to the Emergency Department: A double-blinded, randomized clinical trial".Journal of Research in Medical Sciences.20 (9):844–849.doi:10.1002/14651858.CD003079.pub4.PMC 6486117.PMID 29219171.
  9. ^Bingham, EM."Process for the preparation of 3-fluorobenzodiazepines".Google Patents. US Patent US4120856A. Retrieved30 July 2022.
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