Difference between revisions of "Moricizine"
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Latest revision as of 15:50, 19 September 2010
File:Moricizin.svg | |
Systematic (IUPAC) name | |
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ethyl [10-(3-morpholin-4-ylpropanoyl)-10H-phenothiazin-2-yl]carbamate | |
Clinical data | |
Pregnancy category |
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Pharmacokinetic data | |
Bioavailability | 38% |
Protein binding | 95% |
Biological half-life | 3-4 hours (healthy volunteers), 6-13 hours (cardiac disease) |
Identifiers | |
CAS Number | 31883-05-3 |
ATC code | none |
PubChem | CID 34633 |
DrugBank | APRD01124 |
Chemical data | |
Formula | C22H25N3O4S |
Molar mass | 427.518 g/mol[[Script error: No such module "String".]] |
(verify) |
Moricizine is a phenothiazine derivative with Vaughan Williams class Ic antiarrhythmic properties. It undergoes extensive first-pass metabolism, has a bioavailability of 34-38 percent, and is 95 percent bound to plasma proteins. Moricizine is extensively metabolized and may have pharmacologically active metabolites. A recent clinical study has shown that moricizine is slightly less effective than encainide or flecainide in suppressing ventricular premature depolarizations[citation needed]. Compared with disopyramide and quinidine, moricizine was equally or more effective in suppressing ventricular premature depolarizations, couplets, and nonsustained ventricular tachycardia[citation needed]. Further studies are needed comparing moricizine with other class 1 agents in the treatment of life-threatening arrhythmias; available data suggest that moricizine is comparable with these agents in the treatment of ventricular tachycardias and fibrillation. Moricizine appears to have a low incidence of serious adverse effects compared with other antiarrhythmics. This combination of apparently similar efficacy with a decreased incidence of adverse effects makes moricizine a worthwhile addition to currently available antiarrhythmic agents.
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