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Trimethobenzamide

From Wikipedia, the free encyclopedia
Antiemetic medication
Pharmaceutical compound
Trimethobenzamide
Clinical data
Trade namesTigan, Tebamide
AHFS/Drugs.comMonograph
MedlinePlusa682693
Routes of
administration
Oral, rectal,intramuscular
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability60-100%
Eliminationhalf-life7 to 9 hours (mean)
Excretionurine (30-50%), faeces
Identifiers
  • N-{[4-(2-dimethylaminoethoxy)phenyl]methyl}-
    3,4,5-trimethoxy-benzamide
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
ChEBI
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.004.848Edit this at Wikidata
Chemical and physical data
FormulaC21H28N2O5
Molar mass388.464 g·mol−1
3D model (JSmol)
  • O=C(c1cc(OC)c(OC)c(OC)c1)NCc2ccc(OCCN(C)C)cc2
  • InChI=1S/C21H28N2O5/c1-23(2)10-11-28-17-8-6-15(7-9-17)14-22-21(24)16-12-18(25-3)20(27-5)19(13-16)26-4/h6-9,12-13H,10-11,14H2,1-5H3,(H,22,24) checkY
  • Key:FEZBIKUBAYAZIU-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Trimethobenzamide (trade namesTebamide,Tigan) is anantiemetic used to preventnausea andvomiting.

Mechanism of action

[edit]

Trimethobenzamide is anantagonist of theD2 receptor.[1] It is believed to affect thechemoreceptor trigger zone (CTZ) of themedulla oblongata to suppressnausea andvomiting.

Side effects

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Possible side effects include drowsiness, dizziness, headache, muscle cramps, and blurred vision. More serious adverse effects include skin rash, tremors,parkinsonism, andjaundice.

Formulations

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Trimethobenzamide is marketed under the brand namesTebamide andTigan, manufactured byGlaxoSmithKline andKing Pharmaceuticals, respectively. It is available as oral capsules and injectable formulations.

Trimethobenzamide was also available as a rectalsuppository, but such formulations were banned by the U.S.Food and Drug Administration on April 6, 2007, due to unproven efficacy.[2]

Synthesis

[edit]
Trimethobenzamide synthesis:Hoffmann La Roche,U.S. patent 2,879,293 (1959).

Alkylation of the sodium salt ofp-hydroxybenzaldehyde (1) with 2-dimethylaminoethyl chloride affords the ether (2). Reductive amination of the aldehyde in the presence of ammonia gives diamine (3). Acylation of that product with 3,4,5-trimethoxybenzoyl chloride affords trimethobenzamide (4).

See also

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References

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  1. ^Smith HS, Cox LR, Smith BR (2012). "Dopamine receptor antagonists".Ann Palliat Med.1 (2):137–42.doi:10.3978/j.issn.2224-5820.2012.07.09.PMID 25841474.
  2. ^Waknine, Yael (April 6, 2007)."FDA Bans Suppositories With Trimethobenzamide".Medscape. Retrieved2007-04-06.[dead link]

External links

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