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Demecarium bromide

From Wikipedia, the free encyclopedia
(Redirected fromDemecarium)
Chemical compound
Not to be confused withDecamethonium.
Pharmaceutical compound
Demecarium bromide
Clinical data
Trade namesHumorsol
Routes of
administration
Topical (ophthalmic solution)
ATC code
Identifiers
  • Trimethyl-[3-[methyl-[10-[methyl-(3-trimethylammoniophenoxy)carbonyl-amino]decyl]carbamoyl]oxyphenyl]ammonium dibromide
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.000.274Edit this at Wikidata
Chemical and physical data
FormulaC32H52Br2N4O4
Molar mass716.600 g·mol−1
3D model (JSmol)
  • [Br-].[Br-].O=C(Oc1cccc(c1)[N+](C)(C)C)N(CCCCCCCCCCN(C(=O)Oc2cccc(c2)[N+](C)(C)C)C)C
  • InChI=1S/C32H52N4O4.2BrH/c1-33(31(37)39-29-21-17-19-27(25-29)35(3,4)5)23-15-13-11-9-10-12-14-16-24-34(2)32(38)40-30-22-18-20-28(26-30)36(6,7)8;;/h17-22,25-26H,9-16,23-24H2,1-8H3;2*1H/q+2;;/p-2 checkY
  • Key:YHKBUDZECQDYBR-UHFFFAOYSA-L checkY
 ☒NcheckY (what is this?)  (verify)

Demecarium bromide, trade nameHumorsol, is acarbamateparasympathomimetic drug that acts as anacetylcholinesterase inhibitor, and is used as aglaucoma medication. It is applied directly to the eye in order to reduce elevatedintraocular pressure associated withglaucoma.[1]

Demecarium causes constriction of the pupil (miosis), which improves the drainage of the fluid in the eye (aqueous humour).[2] As demecarium reversibly inhibitscholinesterase, it can be administered less frequently than other parasympathomimetic drugs, such ascarbachol.[3]

Commercially produced demecarium bromide solution, previously sold under the trade name Humorsol,[4] is no longer available,[3] although solutions of demecarium can becompounded.[5]

Use in dogs

[edit]

When administered with a topicalcorticosteroid, demecarium can delay the onset ofprimary glaucoma in dogs.[3] High doses of demecarium may causeorganophosphate toxicity, particularly if flea treatments containing organophosphates are administered at the same time.[3]

See also

[edit]

References

[edit]
  1. ^Jeske AH, ed. (2014)."Demecarium bromide".Mosby's dental drug reference (11th ed.). St. Louis, Missouri: Elsevier Mosby. p. 374.ISBN 978-0-323-16916-5.
  2. ^Stein HA, Stein RM, Freeman M (2012)."Demecarium bromide (Humorsol)".Ophthalmic dictionary and vocabulary builder for eye care professionals (4th ed.). New Delhi: Jaypee Brothers Medical. p. 103.ISBN 9789350253656.
  3. ^abcdMaggs DJ, Miller PE, Ofri R (2013)."Indirect-acting parasympathomimetic agents".Slatter's Fundamentals of Veterinary Ophthalmology (5th ed.). St. Louis, Missouri: Elsevier. p. 51.ISBN 978-1-4377-2367-0.
  4. ^Edmunds MW, Mayhew MS (2013).Pharmacology for the primary care provider (4th ed.). Elsevier Health Sciences. p. 174.ISBN 978-0-323-08790-2.
  5. ^Alario AF, Strong TD, Pizzirani S (November 2015). "Medical Treatment of Primary Canine Glaucoma".The Veterinary Clinics of North America. Small Animal Practice.45 (6):1235–59, vi.doi:10.1016/j.cvsm.2015.06.004.PMID 26319445.
Drugs used forglaucoma preparations andmiosis (S01E)
Sympathomimetics
Parasympathomimetics
muscarinic
muscarinic/nicotinic
acetylcholinesterase inhibitors
Carbonic anhydrase inhibitors/
(sulfonamides)
Beta blocking agents
Prostaglandin analogues (F)
Other agents
Enzyme
(modulators)
ChATTooltip Choline acetyltransferase
AChETooltip Acetylcholinesterase
BChETooltip Butyrylcholinesterase
Transporter
(modulators)
CHTTooltip Choline transporter
VAChTTooltip Vesicular acetylcholine transporter
Release
(modulators)
Inhibitors
Enhancers
Retrieved from "https://en.wikipedia.org/w/index.php?title=Demecarium_bromide&oldid=1243148275"
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