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Details

Stereochemistry RACEMIC
Molecular Formula C13H20N2O3S
Molecular Weight 284.374
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ARTICAINE

SMILES

CCCNC(C)C(=O)NC1=C(SC=C1C)C(=O)OC

InChI

InChIKey=QTGIAADRBBLJGA-UHFFFAOYSA-N
InChI=1S/C13H20N2O3S/c1-5-6-14-9(3)12(16)15-10-8(2)7-19-11(10)13(17)18-4/h7,9,14H,5-6H2,1-4H3,(H,15,16)

HIDE SMILES / InChI

Molecular Formula C13H20N2O3S
Molecular Weight 284.374
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

Articaine is a dental local anesthetic, which is the most widely used in a number of European countries and is available in many countries around the world. Articaine in combination with epinephrine under the brand name Septocaine is indicated for local, infiltrative, or conductive anesthesia in both simple and complex dental procedures. Local anesthetics block the generation and conduction of nerve impulses, presumably by increasing the threshold for electrical excitation in the nerve, by slowing the propagation of the nerve impulse, and by reducing the rate of rising of the action potential. In general, the progression of anesthesia is related to the diameter, myelination, and conduction velocity of the affected nerve fibers. Articaine blocks the actions on Na+ channels. Epinephrine is a vasoconstrictor added to articaine HCl to slow absorption into the general circulation and thus prolong maintenance of an active tissue concentration.

Originator

Curator's Comment: Articaine HC1 was synthesized by Rusching et al. in 1969 and was first marketed in Germany in 1969 with the name Carticaine

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
SEPTOCAINE

Approved Use

Articaine HCl and Epinephrine, an amide local anesthetic containing a vasoconstrictor, is indicated for local, infiltrative, or conductive anesthesia in both simple and complex dental procedures. Articaine HCl and Epinephrine, an amide local anesthetic containing a vasoconstrictor, is indicated for local, infiltrative, or conductive anesthesia in both simple and complex dental procedures.

Launch Date

2000
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
5.3 mg/mL
600 mg 1 times / day steady-state, epidural
dose: 600 mg
route of administration: Epidural
experiment type: STEADY-STATE
co-administered: EPINEPHRINE
ARTICAINE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
2037 ng/mL
476 mg single, intraoral submucosal injection
dose: 476 mg
route of administration: Intraoral Submucosal Injection
experiment type: SINGLE
co-administered: EPINEPHRINE
ARTICAINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
385 ng/mL
68 mg single, dental
dose: 68 mg
route of administration: Dental
experiment type: SINGLE
co-administered: EPINEPHRINE
ARTICAINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
900 ng/mL
204 mg single, dental
dose: 204 mg
route of administration: Dental
experiment type: SINGLE
co-administered: EPINEPHRINE
ARTICAINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
26.1 μM × h
600 mg 1 times / day steady-state, epidural
dose: 600 mg
route of administration: Epidural
experiment type: STEADY-STATE
co-administered: EPINEPHRINE
ARTICAINE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.19 h
600 mg 1 times / day steady-state, epidural
dose: 600 mg
route of administration: Epidural
experiment type: STEADY-STATE
co-administered: EPINEPHRINE
ARTICAINE plasma
Homo sapiens
population: UNKNOWN
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
43.8 min
476 mg single, intraoral submucosal injection
dose: 476 mg
route of administration: Intraoral Submucosal Injection
experiment type: SINGLE
co-administered: EPINEPHRINE
ARTICAINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
30%
ARTICAINE serum
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
7 mg/kg 1 times / day single, supraperiosteal injection
Recommended
Dose: 7 mg/kg, 1 times / day
Route: supraperiosteal injection
Route: single
Dose: 7 mg/kg, 1 times / day
Sources:
unhealthy, 33.7
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer



Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
yes [IC50 8.8 uM]
yes
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Articaine use in children among dental practitioners.
2009-02-04
A comparison of the anesthetic efficacy of articaine and lidocaine in patients with irreversible pulpitis.
2009-02
Plain articaine or prilocaine for spinal anaesthesia in day-case knee arthroscopy: a double-blind randomized trial.
2009-02
Comparison of anesthetic efficacy of 4% articaine and 2% lidocaine for maxillary buccal infiltration in patients with irreversible pulpitis.
2009-01
Regional anesthesia techniques for ambulatory orthopedic surgery.
2008-12
Comparison of hyperbaric and plain articaine in spinal anaesthesia for open inguinal hernia repair.
2008-12
Effects of low-intensity pulsed ultrasound on dental implant osseointegration: a preliminary report.
2008-10
Comparing anesthetic efficacy of articaine versus lidocaine as a supplemental buccal infiltration of the mandibular first molar after an inferior alveolar nerve block.
2008-09
[Feasibility of permanent maxillary tooth removal using articaine anesthesia without palatal injection].
2008-08
Efficacy of intraosseous injections of anesthetic in children and adolescents.
2008-08
Influence of local anesthethics with adrenalina 1:100.000 in basic vital constants during third molar surgery.
2008-07-01
A comparison of injection pain with articaine with adrenaline, prilocaine with phenylpressin and lidocaine with adrenaline.
2008-07-01
A comparison of the clinical anesthetic efficacy of 4% articaine and 0.5% bupivacaine (both with 1:200,000 epinephrine) for lower third molar removal.
2008-07
Anesthetic efficacy of the Gow-Gates injection and maxillary infiltration with articaine and lidocaine for irreversible pulpitis.
2008-06
The cardiovascular effect of local anesthesia with articaine plus 1:200,000 adrenalin versus lidocaine plus 1:100,000 adrenalin in medically compromised cardiac patients: a prospective, randomized, double blinded study.
2008-06
Articaine hydrochloride: a safe alternative to lignocaine?
2008-05
Articaine infiltration for anesthesia of mandibular first molars.
2008-05
Articaine interaction with DSPC bilayer: a 13C and 31P solid-state NMR study.
2008-04-23
A prospective, randomized, double-blind comparison of articaine and lidocaine for maxillary infiltrations.
2008-04
Comparison of 4% articaine and 0.5% levobupivacaine/2% lidocaine mixture for sub-Tenon's anaesthesia in phacoemulsification cataract surgery: a randomised controlled trial.
2008-04
Hemodynamic changes during the surgical removal of lower third molars.
2008-03
New Portland cement-based materials for endodontics mixed with articaine solution: a study of cellular response.
2008-01
An evaluation of buccal infiltrations and inferior alveolar nerve blocks in pulpal anesthesia for mandibular first molars.
2008-01
Spinal anaesthesia with articaine 5% vs bupivacaine 0.5% for day-case lower limb surgery: a double-blind randomized clinical trial.
2008-01
Analysis of the antimicrobial activity of local anaesthetics used for dental analgesia.
2008-01
Epinephrine concentration (1:100,000 or 1:200,000) does not affect the clinical efficacy of 4% articaine for lower third molar removal: a double-blind, randomized, crossover study.
2007-12
More about articaine.
2007-11
Efficacy of articaine.
2007-11
Effects of articaine on action potential characteristics and the underlying ion currents in canine ventricular myocytes.
2007-11
The anesthetic efficacy of articaine in buccal infiltration of mandibular posterior teeth.
2007-08
Articaine versus lidocaine: the author responds.
2007-06
[The influence of different local anaesthetics on the viability of preadipocytes].
2007-06
Articaine 4% with 1:200,000 epinephrine: an acceptable option for patients with long QT syndrome.
2007-05-22
Permanent nerve damage from inferior alveolar nerve blocks--an update to include articaine.
2007-04
Articaine vs. lidocaine.
2007-04
The effect of food composition on serum testosterone levels after oral administration of Andriol Testocaps.
2007-04
Comparison of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:100,000 epinephrine when used as a supplemental anesthetic.
2007-04
Comparative study of the anesthetic efficacy of 4% articaine versus 2% lidocaine in inferior alveolar nerve block during surgical extraction of impacted lower third molars.
2007-03-01
Is articaine the hypoallergenic anesthetic?
2007-02
Hemostatic and anesthetic efficacy of 4% articaine HCl with 1:200,000 epinephrine and 4% articaine HCl with 1:100,000 epinephrine when administered intraorally for periodontal surgery.
2007-02
Articaine: a new alternative in dental hygiene pain control.
2007
Local anesthetics: dentistry's most important drugs, clinical update 2006.
2006-12
Is permanent maxillary tooth removal without palatal injection possible?
2006-12
The anesthetic efficacy of 4 percent articaine 1:200,000 epinephrine: two controlled clinical trials.
2006-11
The pharmacokinetics and cardiovascular effects of high-dose articaine with 1:100,000 and 1:200,000 epinephrine.
2006-11
Selection of local anesthetics in dentistry: clinical impression versus scientific assessment.
2006
The ethics of adopting a new drug: articaine as an example.
2006
Articaine and paresthesia: epidemiological studies.
2006
[Local anesthesia failure problems in conservative dental therapy clinic].
2006
Cardiovascular Parameters during Submaximal Exercise following Submucous Administration of Articaine : A Comparison with Lidocaine and Placebo in Young Healthy Volunteers.
2003

Sample Use Guides

For dental injection by submucosal infiltration or nerve block. For infiltration: 0.5-2.5 mL (20-100 mg articaine HCl). For nerve block: 0.5-3.4 mL (20-136 mg articaine HCl). For oral surgery: 1.0-5.1 mL (40-204 mg articaine HCl). Maximum recommended dosages: Adults: 7 mg/kg (0.175 mL/kg); Children 4-16 years: 7 mg/kg (0.175 mL/kg), depending on the age, weight and magnitude of the operation.
Route of Administration: Other
It was investigated the ability of local anaesthetics to inhibit reactive oxygen and nitrogen species generated by either stimulated human leucocytes or cell-free systems using luminol chemiluminescence (CL). Prilocaine inhibited formyl-methionyl-leucyl-phenylalanine (FMLP) - induced CL in leucocytes (94+/-1%, at 1 mM), whereas articaine showed an activation (59+/-7%) at high concentration (1 mM) and inhibition (13+/-6%) at low concentration (0.1 mM). In cell-free experiments, prilocaine (22+/-6%, at 1 mM) and articaine (85+/-1%, at 1 mM) caused concentration-dependent inhibition in xanthine-xanthine oxidase-induced CL. Although articaine had no effect on H2O2-induced CL, prilocaine significantly attenuated the H2O2 signal (97+/-0.3%, at 1 mM). Prilocaine (99+/-0.04%, 1 mM) and articaine (70+/-6%, 1 mM) markedly inhibited HOCl-induced CL, whereas these drugs had no effect on FeSO4-induced CL. Articaine inhibited peroxynitrite CL (63+/-6%, 1 mM), but prilocaine did not produce any depression on this signal.
Substance Class Chemical
Created
by admin
on Wed Apr 02 09:38:16 GMT 2025
Edited
by admin
on Wed Apr 02 09:38:16 GMT 2025
Record UNII
D3SQ406G9X
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CARTICAINE
MI  
Preferred Name English
ARTICAINE
INN   USP-RS   VANDF   WHO-DD  
INN  
Official Name English
HOE 045
Code English
40-045
Code English
ARTICAINE [USP-RS]
Common Name English
2-THIOPHENECARBOXYLIC ACID, 4-METHYL-3-((1-OXO-2-(PROPYLAMINO)PROPYL)AMINO)-, METHYL ESTER
Common Name English
Articaine [WHO-DD]
Common Name English
METHYL 4-METHYL-3-(2-(PROPYLAMINO)PROPIONAMIDO)-2-THIOPHENECARBOXYLATE
Systematic Name English
articaine [INN]
Common Name English
SEPTOCAINE
Brand Name English
CARTICAINE [MI]
Common Name English
40 045
Code English
ARTICAINE [VANDF]
Common Name English
Classification Tree Code System Code
NDF-RT N0000175682
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
WHO-VATC QN01BB08
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
NDF-RT N0000175976
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
NDF-RT N0000007681
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
NCI_THESAURUS C245
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
WHO-ATC N01BB58
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
WHO-ATC N01BB08
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
WHO-VATC QN01BB58
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
Code System Code Type Description
LACTMED
Articaine
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
PUBCHEM
32170
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
DRUG BANK
DB09009
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
MERCK INDEX
m3139
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY Merck Index
DAILYMED
D3SQ406G9X
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
ChEMBL
CHEMBL1093
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
SMS_ID
100000086625
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
WIKIPEDIA
ARTICAINE
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
CAS
23964-58-1
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
EPA CompTox
DTXSID7048536
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
INN
3193
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
FDA UNII
D3SQ406G9X
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
NCI_THESAURUS
C72173
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
RS_ITEM_NUM
1042907
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
RXCUI
592464
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY RxNorm
MESH
D002355
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
EVMPD
SUB05577MIG
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
DRUG CENTRAL
3070
Created by admin on Wed Apr 02 09:38:16 GMT 2025 , Edited by admin on Wed Apr 02 09:38:16 GMT 2025
PRIMARY
Related Record Type Details
ENANTIOMER -> RACEMATE
SALT/SOLVATE -> PARENT
ENANTIOMER -> RACEMATE
Related Record Type Details
METABOLITE -> PARENT
FECAL; PLASMA; URINE
METABOLITE -> PARENT
MAJOR
FECAL; PLASMA; URINE
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ACTIVE MOIETY