52-53-9 Usage
Chemical Description
Verapamil is a calcium channel blocker that has been shown to increase the cellular accumulation of vincristine.
Uses
Different sources of media describe the Uses of 52-53-9 differently. You can refer to the following data:
1. Vasodilator (coronary).
2. Verapamil is primarily used as an antiarrythmic for treating ventricular
arrhythmias; however, currently it is being forced out gradually by adenosine.
3. Verapamil is used for preventing angina pectoris attacks, arterial hypertension, and treating
and preventing supraventricular arrhythmia (paroxysmal supraventricular tachycardia,
atrial fibrillation, atrial flutter, extrasystole).
Definition
ChEBI: A tertiary amino compound that is 3,4-dimethoxyphenylethylamine in which the hydrogens attached to the nitrogen are replaced by a methyl group and a 4-cyano-4-(3,4-dimethoxyphenyl)-5-methylhexyl group.
General Description
Verapamil, 5-[. Hemodynamically, verapamil causesa change in the preload, afterload, contractility, heart rate,and coronary blood flow. The drug reduces systemic vascularresistance and mean blood pressure, with minor effectson cardiac output.Verapamil is a synthetic compound possessing slightstructural similarity to papaverine. It can be separated intoits optically active isomers, of which the levorotatory enantiomeris the most potent. It is absorbed rapidly after oraladministration. The drug is metabolized quickly and, as aresult, has low bioavailability. The liver is the main siteof first-pass metabolism, forming several products. Thepreferential metabolic step involves N-dealkylation, followedby O-demethylation, and subsequent conjugation ofthe product before elimination. The metabolites have no significantbiological activity. Verapamil has an eliminationhalf-life of approximately 5 hours.
Mechanism of action
Verapamil is used as an antiarrythmic drug in treating supraventricular arrythmia such as
paroxysmal atrial tachycardia, and for controlling atrial fibrillation. By blocking entrance
of Ca2+ in the cell, verapamil exhibits a negative inotropic effect, and therefore it cannot
be combined with β-adrenoblockers or cynidine since that would lead to an increased
inotropic effect.
Clinical Use
Verapamil (Isoptin, Covera), in addition to its use as an
antiarrhythmic agent, has been employed extensively in
the management of variant (Prinzmetal’s) angina and
effort-induced angina pectoris. It selectively inhibits the voltage-gated calcium
channel that is vital for action potential genesis in slowresponse
myocytes, such as those found in the sinoatrial
and A-V nodes.
Verapamil is useful for slowing the ventricular response
to atrial tachyarrhythmias, such as atrial flutter and fibrillation.
Verapamil is also effective in arrhythmias supported
by enhanced automaticity, such as ectopic atrial
tachycardia and idiopathic left ventricular tachycardia.
Side effects
Orally administered verapamil is well tolerated by most
patients. Most complaints are of constipation and gastric
discomfort. Other complaints include vertigo,
headache, nervousness, and pruritus.
Synthesis
Verapamil, 5-[(3,4-dimethoxyphenethyl)methylamino]-2-(3,4-dimethoxyphenyl)
isopropylvaleronitrile (19.3.15), is synthesized by a scheme using 3,4-
dimethoxyphenylacetonitrile as the initial substance. The synthesis of the final product
(19.3.15) is accomplished by alkylating 2-(3.4-dimethoxyphenyl)-3-methylbutyronitrile
(19.3.11) with N-[2-(3,4-dimethoxyphenyl)-ethyl]-N-3-(chloropropyl)-N-methylamine
(19.3.14). The initial 2-(3.4-dimethoxyphenyl)-3-methylbutyronitrile (19.3.11) is synthesized
by alkylating 3,4-dimethoxyphenylacetonitrile with isopropyl chloride in the
presence of sodium amide. The alkylating agent, N-[2-(3,4-dimethoxyphenyl)-ethyl]-N-3-
(chloropropyl)-N-methylamine (19.3.14), is also synthesized from 3,4-dimethoxyphenylacetonitrile
followed by reduction into 3,4-dimethoxyphenylethylamine (19.3.12), with
subsequent methylation into N-methyl-N-3,4-dimethoxyphenylethylamine (19.3.13).
Next, the resulting N-[2-(3,4-dimethoxyphenyl)-ethyl] -N-methylamine (19.3.12) is
alkylated by 1-chloro-3-bromopropane into the desired N-[2-(3,4-dimethoxyphenyl)-
ethyl]-N-3-(chloropropyl)-N-methylamine (19.3.14), which is alkylated by 2-(3.4-
dimethoxyphenyl)-3-methylbutyronitrile (19.3.11) to give the final product, verapamil(19.3.15).
Precautions
Verapamil must be used with extreme caution or not at
all in patients who are receiving -adrenoceptor blocking
agents. Normally, the negative chronotropic effect of
verapamil will in part be overcome by an increase in reflex
sympathetic tone. The latter is be prevented by simultaneous
administration of a β-adrenoceptor blocking
agent, which exaggerates the depressant effects of verapamil on heart rate, A-V node conduction, and
myocardial contractility. The use of verapamil in children
less than 1 year of age is controversial.
Check Digit Verification of cas no
The CAS Registry Mumber 52-53-9 includes 5 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 2 digits, 5 and 2 respectively; the second part has 2 digits, 5 and 3 respectively.
Calculate Digit Verification of CAS Registry Number 52-53:
(4*5)+(3*2)+(2*5)+(1*3)=39
39 % 10 = 9
So 52-53-9 is a valid CAS Registry Number.
InChI:InChI=1/C27H37N2O4/c1-20(2)27(19-28,22-10-12-24(31-5)26(18-22)33-7)14-8-15-29(3)16-13-21-9-11-23(30-4)25(17-21)32-6/h9-12,17-18,20H,7-8,13-16H2,1-6H3
52-53-9Relevant articles and documents
A PROCESS FOR THE PREPARATION OF VERAPAMIL HYDROCHLORIDE
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Page/Page column 10, (2016/12/01)
The present invention relates to a process for the preparation of 5-(3,4-dimethoxyphenylethyl) methyl-amino-2-(3,4-dimethoxyphenyl)-2-isopropyl valeronitrile, which is known as Verapamil. The present invention also relates to a process for improving the purity of verapamil and therefore of its hydrochloride represented as the compound of formula I, by efficient removal of the impurities formed, affording a product of purity greater than 99 %. The process of the present invention is simple, efficient, cost-effective and industrially feasible.
THERAPY FOR COMPLICATIONS OF DIABETES
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, (2009/07/02)
A method for enhancing glycemic control and/or insulin sensitivity in a human subject having diabetic nephropathy and/or metabolic syndrome comprises administering to the subject a selective endothelin A (ETA) receptor antagonist in a glycemic control and/or insulin sensitivity enhancing effective amount. A method for treating a complex of comorbidities in an elderly diabetic human subject comprises administering to the subject a selective ETA receptor antagonist in combination or as adjunctive therapy with at least one additional agent that is (i) other than a selective ETA receptor antagonist and (ii) effective in treatment of diabetes and/or at least one of said comorbidities other than hypertension. A therapeutic combination useful in such a method comprises a selective ETA receptor antagonist and at least one antidiabetic, anti-obesity or antidyslipidemic agent other than a selective ETA receptor antagonist.
Method for treating resistant hypertension
-
, (2008/06/13)
A method is provided for lowering blood pressure in a patient having clinically diagnosed resistant hypertension. The method comprises administering darusentan to the patient adjunctively with a baseline antihypertensive regimen that comprises administration of at least one diuretic and at least two antihypertensive drugs selected from at least two of (a) ACE inhibitors and angiotensin II receptor blockers, (b) beta-adrenergic receptor blockers and (c) calcium channel blockers. The darusentan is orally administered at a dose and frequency effective, in combination with the baseline regimen, to provide a reduction of at least about 3 mmHg in one or more blood pressure parameters selected from trough sitting systolic, trough sitting diastolic, 24-hour ambulatory systolic, 24-hour ambulatory diastolic, maximum diurnal systolic and maximum diurnal diastolic blood pressures.