Etamivan

Etamivan
Clinical data
Trade names	Analepticon
ATC code	R07AB04 (WHO) ;
Identifiers
	IUPAC name N,N-Diethyl-4-hydroxy-3-methoxybenzamide;
CAS Number	304-84-7 ;
PubChem CID	9363;
DrugBank	DB08989 ;
ChemSpider	8996 ;
UNII	M44O63YPV9;
KEGG	D04080 ;
CompTox Dashboard (EPA)	DTXSID3023007 ;
ECHA InfoCard	100.005.599
Chemical and physical data
Formula	C12H17NO3
Molar mass	223.272 g·mol−1
3D model (JSmol)	Interactive image;
	SMILES CCN(CC)C(=O)c1ccc(O)c(OC)c1;
	InChI InChI=1S/C12H17NO3/c1-4-13(5-2)12(15)9-6-7-10(14)11(8-9)16-3/h6-8,14H,4-5H2,1-3H3 ; Key:BQJODPIMMWWMFC-UHFFFAOYSA-N ;
	(what is this?) (verify)

Etamivan (INN, or ethamivan (USAN); trade names Analepticon, Emivan, and Vandid) is a respiratory stimulant drug^[1] related to nikethamide. It was mainly used in the treatment of barbiturate overdose^[2] and chronic obstructive pulmonary disease,^[3] but has now largely fallen into disuse.

Adverse effects which are common to the respiratory stimulant class include sneezing, coughing, and laryngospasm when infused too rapidly. More serious adverse events include muscle twitching, tremors, and convulsions. The dose to treat barbiturate intoxication or carbon dioxide narcosis in adults ranges from 0.5 mg/kg to 5.0 mg/kg, infused intravenously over several minutes. Epilepsy and the use of monoamine oxidase inhibitors or other adrenergic drugs are contraindications.^[4]

References

^ Hirsh K, Wang SC (May 1975). "Respiratory stimulant effects of ethamivan and picrotoxin". The Journal of Pharmacology and Experimental Therapeutics. 193 (2): 657–63. PMID 1173598.
^ Wheeldon PJ, Perry AW (July 1963). "The use of ethamivan in the treatment of barbiturate poisoning". Canadian Medical Association Journal. 89 (1): 20–2. PMC 1921664. PMID 14000228.
^ Sproule BJ, Jans RL, Breitkreutz H, Mahon W (December 1964). "Effects of ethamivan in patients with chronic respiratory disease". Canadian Medical Association Journal. 91 (23): 1203–8. PMC 1928498. PMID 14226094.
^ American Medical Association Dept of Drugs (1977). AMA Drug Evaluations (3rd ed.). Littleton, Mass.: Pub. Sciences Group. p. N-61. ISBN 978-0-88416-175-2. OCLC 1024170745.

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[pmid1173598-1] Hirsh K, Wang SC (May 1975). "Respiratory stimulant effects of ethamivan and picrotoxin". The Journal of Pharmacology and Experimental Therapeutics. 193 (2): 657–63. PMID 1173598.

[pmid14000228-2] Wheeldon PJ, Perry AW (July 1963). "The use of ethamivan in the treatment of barbiturate poisoning". Canadian Medical Association Journal. 89 (1): 20–2. PMC 1921664. PMID 14000228.

[pmid14226094-3] Sproule BJ, Jans RL, Breitkreutz H, Mahon W (December 1964). "Effects of ethamivan in patients with chronic respiratory disease". Canadian Medical Association Journal. 91 (23): 1203–8. PMC 1928498. PMID 14226094.

[4] American Medical Association Dept of Drugs (1977). AMA Drug Evaluations (3rd ed.). Littleton, Mass.: Pub. Sciences Group. p. N-61. ISBN 978-0-88416-175-2. OCLC 1024170745.

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