Difference between revisions of "Bretylium"
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Latest revision as of 15:39, 19 September 2010
File:Bretylium.svg | |
Systematic (IUPAC) name | |
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N-(2-bromobenzyl)-N,N-dimethylethanaminium | |
Clinical data | |
Pregnancy category | |
Routes of administration | IV, IM |
Legal status | |
Legal status |
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Pharmacokinetic data | |
Bioavailability | NA |
Protein binding | NA |
Metabolism | None |
Biological half-life | 7-8 hours |
Excretion | Renal |
Identifiers | |
CAS Number | 59-41-6 |
ATC code | C01BD02 (WHO) |
PubChem | CID 2431 |
DrugBank | APRD00830 |
ChemSpider | 2337 |
Chemical data | |
Formula | C11H17BrNScript error: No such module "String". |
Molar mass | 243.163 g/mol[[Script error: No such module "String".]] |
Script error: No such module "collapsible list". | |
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Bretylium (also bretylium tosylate) is an antiarrhythmic agent.[1] It blocks the release of noradrenaline from nerve terminals. In effect, it decreases output from the peripheral sympathetic nervous system. The dose is 5-10 mg/kg and side effects are hypertension followed by hypotension and ventricular ectopy.
It was patented in 1978 by Marvin Bacaner at the University of Minnesota.[2]
Uses
It is used in emergency medicine, cardiology, & other specialties for the acute management of ventricular tachycardia & ventricular fibrillation. [3]
It is contraindicated in patients with AV (atrioventricular) heart block or digoxin toxicity.
Bretylium is only used in an ICU setting and should not be used elsewhere due to its dramatic actions and its predominant side effect of hypotension.
References
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- ↑ Lua error in package.lua at line 80: module 'Module:Citation/CS1/Suggestions' not found.
- ↑ "University of Minnesota: Scholars Walk". Retrieved 2008-09-23.
- ↑ "ACS". Retrieved 2008-09-23.
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- Antiarrhythmic agents
- Potassium channel blockers
- Quaternary ammonium compounds
- Organobromides
- Cardiovascular system drug stubs