H1-antagonists with classical structure :Ethylene diamine derivatives - i. Tripelennamine (Pyribenzamine HCl) ii. Pyrilamine (Mepyramine, Anthisan) iii. Thonzylamine (Resistab) - Synthesis and Drug Profile
Metabolism of ethylene diamine derivatives: These antihistaminic drugs undergo N-demethylation and subsequent deamination. In addition, some compounds produce quaternary N-glucuronide as urinary metabolites, a process that occurs to some extend in many relatively unhindered tertiary aliphatic amines among the antihistamines and also in other liphophilic tertiary aliphatic amine drugs.
Synthesis
Properties and uses: It is a white, crystalline powder, soluble in
water, freely soluble in alcohol and ether, but insoluble in chloroform or benzene.
Tripelennamine is the first ethylenediamine developed in the American
laboratories; it appears to be effective as diphenhydramine and may have the
advantage of fewer and less severe side reactions. Drowsiness may occur and may
impair the ability to perform tasks requiring alertness. The concurrent use of
alcoholic beverage should be avoided. It is used in the treatment of allergic
rhinitis, allergic conjunctivitis, angioedema, dermagraphism, and anaphylactic
reactions.
Dose: Usual dose is 25–50 mg for adults consumed orally four to six
times a day.
Synthesis
Properties and uses: Mepyramine maleate is a white or slightly
yellowish crystalline powder, soluble in water and in ethanol. Pyrilamine
differs structurally from tripelennamine having a methoxy group in the para
position of the benzyl radical. It differs from its more toxic and less potent
precursor phenbenzamine (antergan) having a 2-pyridyl group on the nitrogen
atom in the place of a phenyl group. Clinically, pyrilamine and tripelennamine
are considered to be among the less potent antihistamines. It is used as an
antihistaminic agent with a low incidence of sedative effects; it is also used
as an antiemetic.
Assay: Dissolve the sample in anhydrous acetic acid and titrate against
0.1 M perchloric acid. Determine the end point potentiometrically.
Dose: Usual dose is 25–50 mg for adults taken orally three to four
times per day.
Dosage forms: Mepyramine tablets B.P.
Synthesis
Properties and uses: It is recommended for use with streptomycin in
exudative human tuberculosis. It is used in treating the symptoms of diseases,
such as hay fever, utricaria, and other mild allergic conditions.
Dose: Usual dose is 50 mg for adults consumed orally up to four times
a day.
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