Novocaine
Brand names,
Novocaine
Analogs
Novocaine
Brand Names Mixture
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Chemical_Formula
C13H21N3O
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RX_link
http://www.rxlist.com/cgi/generic3/procain.htm
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fda sheet
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msds (material safety sheet)
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Synthesis Reference
Shannon SK et al., J Comb Chem. 2003 Nov-Dec;5(6):860-8
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Molecular Weight
235.325 g/mol
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Melting Point
165-169 oC
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H2O Solubility
5050 mg/L
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State
Solid
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LogP
1.282
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Dosage Forms
Capsule; Liquid; Solution; Tablet (extended-release)
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Indication
For the treatment of life-threatening ventricular arrhythmias.
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Pharmacology
Procainamide is an agent indicated for production of local or regional anesthesia and in the treatment of ventricular tachycardia occurring during cardiac manipulation, such as surgery or catheterization, or which may occur during acute myocardial infarction, digitalis toxicity, or other cardiac diseases. The mode of action of the antiarrhythmic effect of Procainamide appears to be similar to that of procaine and quinidine. Ventricular excitability is depressed and the stimulation threshold of the ventricle is increased during diastole. The sinoatrial node is, however, unaffected.
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Absorption
75 to 95%
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side effects and Toxicity
LD50=95 mg/kg (rat, IV); LD50=312 mg/kg (mouse, oral); LD50=103 mg/kg (mouse, IV); LD50=250 mg/kg (rabbit, IV)
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Patient Information
The patient should be encouraged to disclose any past history of drug sensitivity, especially to procaine or other
local anesthetic agents, or aspirin, and to report any history of kidney disease, congestive heart failure,
myasthenia gravis, liver disease or lupus erythematosus.
The patient should be counseled to report any symptoms of arthralgia, myalgia, fever, chills, skin rash, easy
bruising, sore throat or sore mouth, infections, dark urine or icterus, wheezing, muscular weakness, chest or
abdominal pain, palpitations, nausea, vomiting, anorexia, diarrhea, hallucinations, dizziness or depression.
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Organisms Affected
Humans and other mammals