Details
Stereochemistry | ACHIRAL |
Molecular Formula | C17H19N3O.ClH |
Molecular Weight | 317.813 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.CC1=CC=C(C=C1)N(CC2=NCCN2)C3=CC(O)=CC=C3
InChI
InChIKey=TUEJFGFQYKDAPM-UHFFFAOYSA-N
InChI=1S/C17H19N3O.ClH/c1-13-5-7-14(8-6-13)20(12-17-18-9-10-19-17)15-3-2-4-16(21)11-15;/h2-8,11,21H,9-10,12H2,1H3,(H,18,19);1H
DescriptionCurator's Comment: description was created based on several sources, including
https://www.drugbank.ca/drugs/DB00692 | https://www.drugs.com/pro/phentolamine.html | http://reference.medscape.com/drug/regitine-oraverse-phentolamine-342392 | https://www.ncbi.nlm.nih.gov/pubmed/26180030
Curator's Comment: description was created based on several sources, including
https://www.drugbank.ca/drugs/DB00692 | https://www.drugs.com/pro/phentolamine.html | http://reference.medscape.com/drug/regitine-oraverse-phentolamine-342392 | https://www.ncbi.nlm.nih.gov/pubmed/26180030
Phentolamine (trade name Regitine) is a reversible nonselective α-adrenergic antagonist used for the control of hypertensive emergencies, most notably due to pheochromocytoma. Phentolamine produces its therapeutic actions by competitively blocking alpha-adrenergic receptors (primarily excitatory responses of smooth muscle and exocrine glands), leading to a muscle relaxation and a widening of the blood vessels. This widening of the blood vessels results in a lowering of blood pressure. The action of phentolamine on the alpha-adrenergic receptors is relatively transient and the blocking effect is incomplete. The drug is more effective in antagonizing responses to circulating epinephrine and/or norepinephrine than in antagonizing responses to mediator released at the adrenergic nerve ending. Phentolamine also stimulates β-adrenergic receptors and produces a positive inotropic and chronotropic effect on the heart and increases cardiac output. Phentolamine is indicated for the prevention or control of hypertensive episodes that may occur in a patient with pheochromocytoma as a result of stress or manipulation during preoperative preparation and surgical excision. Phentolamine is indicated for the prevention or treatment of dermal necrosis and sloughing following intravenous administration or extravasation of norepinephrine. Phentolamine is also indicated for the diagnosis of pheochromocytoma by the Phentolamine blocking test. Acute and prolonged hypotensive episodes, tachycardia, and cardiac arrhythmias have been reported. In addition, weakness, dizziness, flushing, orthostatic hypotension, nasal stuffiness, nausea, vomiting, and diarrhea may occur.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2095203 Sources: https://www.ncbi.nlm.nih.gov/pubmed/6124636 |
3.7 nM [Kd] | ||
Target ID: CHEMBL2094251 Sources: https://www.ncbi.nlm.nih.gov/pubmed/2886664 |
16.6 nM [Kd] | ||
Target ID: CHEMBL2095158 Sources: https://www.ncbi.nlm.nih.gov/pubmed/6330361 |
5.0 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | REGITINE Approved UsePhentolamine Mesylate for Injection is indicated for the prevention or control of hypertensive episodes that may occur in a patient with pheochromocytoma as a result of stress or manipulation during preoperative preparation and surgical excision. Phentolamine Mesylate for Injection is indicated for the prevention or treatment of dermal necrosis and sloughing following intravenous administration or extravasation of norepinephrine. Phentolamine Mesylate for Injection is also indicated for the diagnosis of pheochromocytoma by the phentolamine blocking test. Launch Date1952 |
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Primary | REGITINE Approved UsePhentolamine Mesylate for Injection is indicated for the prevention or control of hypertensive episodes that may occur in a patient with pheochromocytoma as a result of stress or manipulation during preoperative preparation and surgical excision. Phentolamine Mesylate for Injection is indicated for the prevention or treatment of dermal necrosis and sloughing following intravenous administration or extravasation of norepinephrine. Phentolamine Mesylate for Injection is also indicated for the diagnosis of pheochromocytoma by the phentolamine blocking test. Launch Date1952 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
67.05 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24452521 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
PHENTOLAMINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
197.59 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24452521 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
PHENTOLAMINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3.32 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24452521 |
60 mg single, oral dose: 60 mg route of administration: Oral experiment type: SINGLE co-administered: |
PHENTOLAMINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Disc. AE: Rhinitis, Vomiting... AEs leading to discontinuation/dose reduction: Rhinitis Sources: Page: p.268Vomiting Nausea Diarrhea Headache Dizziness Tachycardia |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Disc. AE: Dyspnea, Tachycardia... AEs leading to discontinuation/dose reduction: Dyspnea (0.84%) Sources: Page: S51Tachycardia (0.84%) Epistaxis (0.84%) Cephalgia (0.84%) Flushing (serious, 0.84%) Chest pain (serious, 0.84%) Shortness of breath (serious, 0.84%) Tachycardia (serious, 0.84%) |
5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Disc. AE: Myocardial infarction, Cerebrovascular spasm... AEs leading to discontinuation/dose reduction: Myocardial infarction Sources: Cerebrovascular spasm Cerebral vascular occlusion Hypotension |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Diarrhea | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Dizziness | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Headache | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Nausea | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Rhinitis | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Tachycardia | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Vomiting | Disc. AE | 80 mg 10 times / month multiple, oral Highest studied dose Dose: 80 mg, 10 times / month Route: oral Route: multiple Dose: 80 mg, 10 times / month Sources: Page: p.268 |
unhealthy, 26–83 n = 691 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 26–83 Sex: M Population Size: 691 Sources: Page: p.268 |
Cephalgia | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Dyspnea | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Epistaxis | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Tachycardia | 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Chest pain | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Flushing | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Shortness of breath | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Tachycardia | serious, 0.84% Disc. AE |
40 mg 1 times / day multiple, oral Studied dose Dose: 40 mg, 1 times / day Route: oral Route: multiple Dose: 40 mg, 1 times / day Sources: Page: S51 |
unhealthy, 28–80 n = 119 Health Status: unhealthy Condition: Erectile dysfunction Age Group: 28–80 Sex: M Population Size: 119 Sources: Page: S51 |
Cerebral vascular occlusion | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Cerebrovascular spasm | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Hypotension | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
Myocardial infarction | Disc. AE | 5 mg single, intravenous|intramuscular Recommended Dose: 5 mg Route: intravenous|intramuscular Route: single Dose: 5 mg Sources: |
unhealthy Health Status: unhealthy Condition: Pheochromocytoma Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Positive phentolamine test in hypertension induced by a nasal decongestant. | 1969 Apr 17 |
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Effects of phentolamine, dihydroergocristine and isoxsuprine on the blood pressure and heart rate in normotensive, hypotensive and hypertensive rats. | 1975 |
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Evidence for separate peptide sequences related to the lipolytic and magnesium-accumulating activities of ACTH. Analogy with adrenergic receptors. | 1977 Apr |
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[Effect of several neuroleptic, adreno-, sympatho- and cholinolytic substances on the development of experimental cerebral edema induced by nicotine]. | 1977 May-Jun |
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Central action of narcotic analgesics. Part III. The role of endogenous noradrenaline in hyperactivity induced by morphine or fentanyl in mice. | 1978 Jul-Aug |
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DDT-induced myoclonus: serotonin and alpha noradrenergic interaction. | 1979 Feb |
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Effects of pretreatment with 6-hydroxydopamine or noradrenergic receptor blockers on the clonidine-induced distruption of conditioned avoidance responding. | 1979 Sep 1 |
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Noradrenergic influences on sound-induced seizures. | 1980 Aug |
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Noninvasive assessment of load reduction in chronic congestive heart failure patients. | 1981 Aug |
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Pharmacological characterisation of the alpha-adrenoceptors responsible for a decrease of blood pressure in the nucleus tractus solitarii of the rat. | 1981 Sep |
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Contribution of alpha-adrenoceptor activation to the pathogenesis of norepinephrine cardiomyopathy. | 1983 Apr |
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A nonhuman primate model for evaluating the potential of antihypertensive drugs to cause orthostatic hypotension. | 1983 May |
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[Hemodynamic and respiratory effects of phentolamine in pulmonary hypertension secondary to chronic obstructive syndrome]. | 1985 Jan 19 |
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Ventricular tachycardia induced by clonidine withdrawal. | 1985 Jun |
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Hypertension after epidural meperidine. | 1985 Nov |
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Sympathetic mechanisms in poststenotic myocardial ischemia. | 1986 |
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Propranolol antagonizes hypotension induced by alpha-blockers but not by sodium nitroprusside or methacholine. | 1989 Feb |
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An improved vasoactive drug combination for a pharmacological erection program. | 1991 Dec |
|
A lethal complication of papaverine-induced priapism. | 1991 Jan |
|
Pharmacological characteristics of alpha 2-adrenergic receptors: comparison of pharmacologically defined subtypes with subtypes identified by molecular cloning. | 1992 Jul |
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Use of phentolamine for cocaine-induced myocardial ischemia. | 1992 Jul 30 |
|
Presynaptic alpha 2-autoreceptors in brain cortex: alpha 2D in the rat and alpha 2A in the rabbit. | 1993 Jul |
|
Sodium bicarbonate alleviates penile pain induced by intracavernous injections for erectile dysfunction. | 1993 May |
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The involvement of noradrenaline, 5-hydroxytryptamine and acetylcholine in imipramine-induced seizures in mice. | 1993 Oct 15 |
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Reasons for high drop-out rate with self-injection therapy for impotence. | 1994 Sep |
|
Effects of chronic NO synthase inhibition in rats on renin-angiotensin system and sympathetic nervous system. | 1995 Jun |
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Involvement of the sympathetic postganglionic neuron in capsaicin-induced secondary hyperalgesia in the rat. | 1995 Mar |
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Contribution of peripheral alpha 1A-adrenoceptors to pain induced by formalin or by alpha-methyl-5-hydroxytryptamine plus noradrenaline. | 1996 Apr 22 |
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Cocaine-associated myocardial infarction. | 1996 Aug |
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Neural mechanism of pressor action of nitric oxide synthase inhibitor in anesthetized monkeys. | 1996 Sep |
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[The vasodilation and its mechanism of C-type natriuretic peptide]. | 2001 May |
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Technical aspects of harvesting the radial artery with the harmonic scalpel. | 2003 |
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Effects of intravenous dobutamine on coronary vasomotion in humans. | 2003 Nov 5 |
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Chromatography studies on bio-affinity of nine ligands of alpha1-adrenoceptor to alpha1D subtypes overexpressed in cell membrane. | 2004 Aug |
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[Lessons learned from anesthetic management of pheochromocytoma resection: a report of three cases]. | 2004 Dec |
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Phentolamine bioequivalence study. | 2004 Jan |
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Carvedilol selectively inhibits oscillatory intracellular calcium changes evoked by human alpha1D- and alpha1B-adrenergic receptors. | 2004 Sep 1 |
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Enhancement of PAI-1 mRNA in cardiovascular cells after kainate injection is mediated through the sympathetic nervous system. | 2005 May |
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Sympathetic neurotransmission in the rat testicular capsule: functional characterization and identification of mRNA encoding alpha1-adrenoceptor subtypes. | 2006 Aug 14 |
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Evaluation and management of the patient who has cocaine-associated chest pain. | 2006 Feb |
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Phentolamine therapy for cocaine-association acute coronary syndrome (CAACS). | 2006 Sep |
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[Effect of morphine chloride on contractility of small intestinal muscle in vitro or in vivo and its mechanisms]. | 2008 May |
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A new homogeneous high-throughput screening assay for profiling compound activity on the human ether-a-go-go-related gene channel. | 2009 Nov 1 |
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Local and systemic toxicity of intraoral submucosal injections of phentolamine mesylate (OraVerse). | 2009 Winter |
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Limited clinical value of bacterial cocaine esterase in cocaine toxicity. | 2010 May |
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Phentolamine mesylate for accelerating recovery from lip and tongue anesthesia. | 2010 Oct |
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Cell membrane chromatography competitive binding analysis for characterization of α1A adrenoreceptor binding interactions. | 2011 Jul |
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Profiling of a prescription drug library for potential renal drug-drug interactions mediated by the organic cation transporter 2. | 2011 Jul 14 |
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Insights into the mechanisms mediating hyperglycemic and stressogenic outcomes in rats treated with monocrotophos, an organophosphorus insecticide. | 2012 Mar 29 |
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Palmitate increases the susceptibility of cells to drug-induced toxicity: an in vitro method to identify drugs with potential contraindications in patients with metabolic disease. | 2012 Oct |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/pro/phentolamine.html
Prevention or control of hypertensive episodes in the patient with pheochromo-cytoma. For preoperative reduction of elevated blood pressure, 5 mg of Phentolamine mesylate (1 mg for children) is injected intravenously or intramuscularly 1 or 2 hours before surgery, and repeated if necessary.
During surgery, Phentolamine mesylate (5 mg for adults, 1 mg for children) is administered intravenously as indicated, to help prevent or control paroxysms of hypertension, tachycardia, respiratory depression, convulsions, or other effects of epinephrine intoxication.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26180030
Cancer cell lines, PC-3, DU-145, NCI/ADR-RES, and SKOV3 were used for activity evaluation. Cells were seeded in 96-well plates. After 24 hr,
cells were fixed with 10% trichloroacetic acid (TCA) representing cell population at time zero (T0). After additional incubation of 0.1% DMSO or phentolamine for 48 hr, cells were fixed with 10% TCA and SRB at 0.4% (w/v) in 1% acetic acid was added to stain cells. Unbound SRB was washed out. SRB bound cells were solubilized with 10mM Trizma base.
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C29713
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PRIMARY | Merck Index |
ACTIVE MOIETY
SUBSTANCE RECORD