Stereochemistry | RACEMIC |
Molecular Formula | C10H13NO3.ClH |
Molecular Weight | 231.676 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.CC(N)(CC1=CC=C(O)C=C1)C(O)=O
InChI
InChIKey=BVYZLEHNLQKCHO-UHFFFAOYSA-N
InChI=1S/C10H13NO3.ClH/c1-10(11,9(13)14)6-7-2-4-8(12)5-3-7;/h2-5,12H,6,11H2,1H3,(H,13,14);1H
Molecular Formula | ClH |
Molecular Weight | 36.461 |
Charge | 0 |
Count |
MOL RATIO
1 MOL RATIO (average) |
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C10H13NO3 |
Molecular Weight | 195.2151 |
Charge | 0 |
Count |
MOL RATIO
1 MOL RATIO (average) |
Stereochemistry | RACEMIC |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Optical Activity | ( + / - ) |
Racemetirosine is an orally active inhibitor of the enzyme tyrosine 3-monooxygenase, and consequently of the synthesis of catecholamine. At dosages of 600 to 3500mg daily, it is effective in controlling the hypertensive episodes and symptoms of catecholamine excess in phaeochromocytoma during preparation for surgery. Oral Racemetirosine is well absorbed and absorption appears constant in each individual over a wide dosage range. The drug is largely excreted via the kidneys, but extrarenal elimination has not been studied. Case reports on the clinical use of Racemetirosine in phaeochromocytoma indicate that the drug controls hypertension and symptoms of catecholamine excess in most patients during preparation for surgical removal of a tumor. In some cases, the addition of Racemetirosine to phenoxybenzamine plus propranolol has resulted in adequate control of symptoms previously unresponsive to the adrenergic blocking regimen. Drowsiness and sedation have been the most frequently reported side effects of Racemetirosine treatment.
Originator
Approval Year
PubMed
Patents
Sample Use Guides
The initial dose in adults and children 12 years of age and older is 250mg 4 times daily. This may be increased by 250 or 500mg daily to a maximum of 4g daily in divided doses, but the individual dose should be titrated by monitoring clinical symptoms and urinary catecholamine excretion.
Route of Administration:
Oral
Human mixed synoviocytes were incubated under hypoxic and normoxic conditions for 24 h with specific tyrosine hydroxylase (TH) cofactors BH4 (6R-5,6,7,8-tetrahydrobiopterin dihydrochloride), bivalent iron (Fe2+ sulfate heptahydrate), α-methyl-para-tyrosine (αmpT; a competitive TH blocker), monoaminooxidase (MAO) inhibitor bifemelane hydrochloric acid (HCL) and catechol-O-methyltransferase (COMT) inhibitor OR-486 Supernatant was collected and concentrations of interleukin (IL)-6, IL-8 and tumour necrosis factor (TNF) were determined by ELISA or Luminex technology. For catecholamine determination high pressure liquid chromatography (HPLC) was performed. Expression of TH was analysed by immunocytochemistry in chamber slides and via western blotting.