Racephedrine Explained

Width:200px
Tradename:Efetonina; Ephoxamine
Class:Norepinephrine releasing agent
Sympathomimetic; Bronchodilator; Psychostimulant
Cas Number:90-81-3
Pubchem:5032
Drugbank:DB14752
Chemspiderid:4856
Unii:03VRY66076
Kegg:C22822
Chembl:279157
Synonyms:Racemic ephedrine; (±)-Ephedrine; dl-Ephedrine; (1RS,2SR)-Ephedrine
Iupac Name:2-(methylamino)-1-phenylpropan-1-ol
C:10
H:15
N:1
O:1
Smiles:CC(C(C1=CC=CC=C1)O)NC
Stdinchi:1S/C10H15NO/c1-8(11-2)10(12)9-6-4-3-5-7-9/h3-8,10-12H,1-2H3
Stdinchikey:KWGRBVOPPLSCSI-UHFFFAOYSA-N

Racephedrine, also known as racemic ephedrine and sold under the brand names Efetonina and Ephoxamine among others, is the racemic form of ephedrine which has been used as a bronchodilator to treat asthma.[1] [2] [3] [4] [5] More specifically, it is a racemic mixture of (1R,2S)- and (1S,2R)-enantiomers. Conversely, ephedrine is the enantiopure (1R,2S)-enantiomer. Racephedrine has been marketed for medical use in Italy. Like ephedrine, racephedrine is a releasing agent of norepinephrine and to a much lesser extent of dopamine. Both ephedrine enantiomers are active in this regard, but ephedrine ((1R,2S)-ephedrine) has greater potency than (1S,2R)-ephedrine.

Monoamine release by ephedrine and related agents (nM)[6] [7]
Compound data-sort-type="number" !data-sort-type="number" !data-sort-type="number" !Ref
Dextroamphetamine (S(+)-amphetamine) 6.6–7.2 5.8–24.8 698–1765 [8] [9]
12.4 18.5 2366 [10]
Ephedrine ((–)-ephedrine; (1R,2S)-ephedrine) 43.1–72.4 236–1350 >10000
(+)-Ephedrine ((1S,2R)-ephedrine) 218 2104 >10000
Dextromethamphetamine (S(+)-methamphetamine) 12.3–13.8 8.5–24.5 736–1291.7 [11]
Levomethamphetamine (R(–)-methamphetamine) 28.5 416 4640
(+)-Phenylpropanolamine ((+)-norephedrine) 42.1 302 >10000
(–)-Phenylpropanolamine ((–)-norephedrine) 137 1371 >10000
Cathine ((+)-norpseudoephedrine) 15.0 68.3 >10000
30.1 294 >10000
4092 9125 >10000
Pseudoephedrine ((+)-pseudoephedrine) 224 1988 >10000
The smaller the value, the more strongly the substance releases the neurotransmitter. See also Monoamine releasing agent § Activity profiles for a larger table with more compounds.

Racephedrine has been used in a variety of combination drugs with other agents, including theophylline, aminophylline, oxtriphylline, phenobarbital, pentobarbital, pyrilamine, phenacetin, salicylamide, ascorbic acid, and opium, among others.[12] Brand names of these combination preparations have included Amiphedrin, Amodrine, Amodrine E C, Asphamal-D, Asthmadrin, Cenamal, Cholarace, Phedrahist, Respirol, Salidin, Synate-M, and Synophedal.

See also

Notes and References

  1. Book: Schweizerischer Apotheker-Verein . Index Nominum 2000: International Drug Directory . Medpharm Scientific Publishers . 2000 . 978-3-88763-075-1 . 30 August 2024 . 390.
  2. Web site: Racephedrine: Uses, Interactions, Mechanism of Action . DrugBank Online . 31 December 1995 . 30 August 2024.
  3. Web site: Racephedrine . PubChem . 30 August 2024.
  4. Tapay NJ . A racephedrine-phenyltoloxamine-containing compound (Ephoxamine) in the treatment of bronchial asthma . Curr Ther Res Clin Exp . 3 . 305–312 . July 1961 . 13775237 .
  5. Dubois de Montreynaud JM, Kochman S, Charreire J, Fondeville D, Houlon JP, Doco . [Delayed-action effect of a racephedrine, theophylline and phenobarbital combination on asthma. Study on 100 cases] . French . Therapie . 23 . 4 . 987–994 . 1968 . 5744603 .
  6. Rothman RB, Baumann MH . Monoamine transporters and psychostimulant drugs . Eur. J. Pharmacol. . 479 . 1–3 . 23–40 . 2003 . 14612135 . 10.1016/j.ejphar.2003.08.054.
  7. Rothman RB, Baumann MH . Therapeutic potential of monoamine transporter substrates . Curr Top Med Chem . 6 . 17 . 1845–1859 . 2006 . 17017961 . 10.2174/156802606778249766 .
  8. Rothman RB, Baumann MH, Dersch CM, Romero DV, Rice KC, Carroll FI, Partilla JS . Amphetamine-type central nervous system stimulants release norepinephrine more potently than they release dopamine and serotonin . Synapse . 39 . 1 . 32–41 . January 2001 . 11071707 . 10.1002/1098-2396(20010101)39:1<32::AID-SYN5>3.0.CO;2-3 .
  9. Baumann MH, Partilla JS, Lehner KR, Thorndike EB, Hoffman AF, Holy M, Rothman RB, Goldberg SR, Lupica CR, Sitte HH, Brandt SD, Tella SR, Cozzi NV, Schindler CW . Powerful cocaine-like actions of 3,4-methylenedioxypyrovalerone (MDPV), a principal constituent of psychoactive 'bath salts' products . Neuropsychopharmacology . 38 . 4 . 552–562 . 2013 . 23072836 . 3572453 . 10.1038/npp.2012.204 .
  10. Rothman RB, Vu N, Partilla JS, Roth BL, Hufeisen SJ, Compton-Toth BA, Birkes J, Young R, Glennon RA . In vitro characterization of ephedrine-related stereoisomers at biogenic amine transporters and the receptorome reveals selective actions as norepinephrine transporter substrates . J Pharmacol Exp Ther . 307 . 1 . 138–145 . October 2003 . 12954796 . 10.1124/jpet.103.053975 .
  11. Baumann MH, Ayestas MA, Partilla JS, Sink JR, Shulgin AT, Daley PF, Brandt SD, Rothman RB, Ruoho AE, Cozzi NV . The designer methcathinone analogs, mephedrone and methylone, are substrates for monoamine transporters in brain tissue . Neuropsychopharmacology . 37 . 5 . 1192–203 . April 2012 . 22169943 . 3306880 . 10.1038/npp.2011.304 .
  12. Book: Project Label: Alphabetical Listing by Drug Product . Department of Justice, Drug Enforcement Administration, Office of Compliance and Regulatory Affairs, Regulatory Support Division, Information Systems Section . 1979 . 2024-08-31 . 235.