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Details

Stereochemistry ACHIRAL
Molecular Formula C12H18N2O
Molecular Weight 206.2841
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of NORLIDOCAINE

SMILES

CCNCC(=O)NC1=C(C)C=CC=C1C

InChI

InChIKey=WRMRXPASUROZGT-UHFFFAOYSA-N
InChI=1S/C12H18N2O/c1-4-13-8-11(15)14-12-9(2)6-5-7-10(12)3/h5-7,13H,4,8H2,1-3H3,(H,14,15)

HIDE SMILES / InChI

Molecular Formula C12H18N2O
Molecular Weight 206.2841
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Norlidocaine (monoethylglycinexylidide, MEGX) is the major metabolite of lidocaine. The lidocaine metabolites formed on the first pass, which include MEGX and GX, have additive central nervous system (CNS) toxicity to lidocaine itself, making oral administration unacceptable. Monoethylglycinexylidide (MEGX) also has local anesthetic activity. It contributes to central nervous system (CNS) toxicity in some patients treated with lidocaine. Lidocaine is eliminated mainly by biotransfomation to monoethylglycinexylidide. MEGX has pharmacologic activity. MEGX has an antiarrhythmic potency of the same order as lidocaine in vitro in a guinea pig atrium model and is about half as potent in vivo in dogs.

Approval Year

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
PubMed

PubMed

TitleDatePubMed
Assessment of hepatic function in cystic fibrosis by lidocaine metabolism.
2001 Apr
Long-term follow up of chronic hepatitis C patients after alpha-interferon treatment: a functional study.
2001 Apr
The MEGX test: a tool for the real-time assessment of hepatic function.
2001 Apr
Impairment of cytochrome P-450-dependent liver activity in cirrhotic patients with Helicobacter pylori infection.
2001 Dec
Could local anesthesia while breast-feeding be harmful to infants?
2001 Feb
A preliminary evaluation of the discriminative power of the monoethylglycinexylidide formation test after intravenous and oral administration of lidocaine.
2001 Jun
The effects of norepinephrine and prostaglandin E1 on pharmacokinetics of lidocaine in isolated perfused rat liver.
2001 Mar 23
Influence of prophylactic use of pentoxifylline on postoperative organ function in elderly cardiac surgery patients.
2001 May
Epinephrine does not reduce the plasma concentration of lidocaine during continuous epidural infusion in children.
2002 Aug-Sep
Correlation between midazolam and lignocaine pharmacokinetics and MEGX formation in healthy volunteers.
2002 Feb
Lidocaine elimination in patients with liver cirrhosis.
2002 Jul-Aug
Monitoring of liver metabolic function during interferon-alpha therapy and its relationship to treatment outcome in chronic hepatitis C patients.
2002 May-Jun
Pharmacokinetics of lidocaine delivered from a transmucosal patch in children.
2002 Summer
Effect of the CYP3A4 inhibitor erythromycin on the pharmacokinetics of lignocaine and its pharmacologically active metabolites in subjects with normal and impaired liver function.
2003 Jan
Validity and clinical utility of the aspartate aminotransferase-alanine aminotransferase ratio in assessing disease severity and prognosis in patients with hepatitis C virus-related chronic liver disease.
2003 Jan 27
N-acetylcysteine decreases lactate signal intensities in liver tissue and improves liver function in septic shock patients, as shown by magnetic resonance spectroscopy: extended case report.
2004 Apr
Splanchnic oxygen transport, hepatic function and gastrointestinal barrier after normothermic cardiopulmonary bypass.
2004 Jul
Liquid chromatographic method for the determination of lidocaine and monoethylglycine xylidide in human serum containing various concentrations of bilirubin for the assessment of liver function.
2004 Jun 5
Effect of itraconazole on the pharmacokinetics of inhaled lidocaine.
2004 Sep
Development of a protocol for cryopreservation of hepatocytes for use in bioartificial liver systems.
2004 Spring
Double-compartment cell culture apparatus: construction and biochemical evaluation for bioartificial liver support.
2006
Effect of fluvoxamine and erythromycin on the pharmacokinetics of oral lidocaine.
2006 Aug
Lidocaine metabolism in isolated perfused liver from streptozotocin-induced diabetic rats.
2006 Aug
Differential effect of chronic renal failure on the pharmacokinetics of lidocaine in patients receiving and not receiving hemodialysis.
2006 Dec
Splanchnic organ injury during coronary surgery with or without cardiopulmonary bypass: a randomized, controlled trial.
2006 Jan
Prognostic value of quantitative liver function tests in viral cirrhosis: a prospective study.
2006 Jul
Safety of occluded 4% liposomal lidocaine cream.
2006 Jul-Aug
[Evaluation of the liver reserve using lidocaine test on experimental liver injuries in rats].
2006 Jun
Determination of lidocaine and its two N-desethylated metabolites in dog and horse plasma by high-performance liquid chromatography combined with electrospray ionization tandem mass spectrometry.
2007 Jun 1
Patents

Sample Use Guides

In Vivo Use Guide
Unknown
Route of Administration: Unknown
In Vitro Use Guide
XYL was identified by GC/MS as a major metabolite in human liver slices from five individual donors after incubation with either LIDO (100 uM) or its deethylated metabolite, monoethylglycinexylidide (MEGX; 100 uM).
Substance Class Chemical
Created
by admin
on Fri Dec 15 17:43:56 GMT 2023
Edited
by admin
on Fri Dec 15 17:43:56 GMT 2023
Record UNII
D8Q99HC770
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
NORLIDOCAINE
Common Name English
MONOETHYLGLYCYLXYLIDIDE
Common Name English
LIDOCAINE HYDROCHLORIDE IMPURITY D [EP IMPURITY]
Common Name English
ACETAMIDE, N-(2,6-DIMETHYLPHENYL)-2-(ETHYLAMINO)-
Systematic Name English
LIDOCAINE IMPURITY D [EP IMPURITY]
Common Name English
N-(2,6-DIMETHYLPHENYL)-2-(ETHYLAMINO)ACETAMIDE
Systematic Name English
MONOETHYLGLYCINEXYLIDIDE
Common Name English
N-(N-ETHYLGLYCYL)-2,6-XYLIDINE
Systematic Name English
2-(ETHYLAMINO)-2',6'-ACETOXYLIDIDE
Common Name English
MEGX
Common Name English
L-86
Code English
N-ETHYLGLYCINEXYLIDIDE
Common Name English
Code System Code Type Description
EVMPD
SUB33486
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
CAS
7728-40-7
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
EPA CompTox
DTXSID60228006
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
MESH
C001173
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
SMS_ID
100000127440
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
CHEBI
55524
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
PUBCHEM
24415
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
FDA UNII
D8Q99HC770
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
CHEBI
222828
Created by admin on Fri Dec 15 17:43:56 GMT 2023 , Edited by admin on Fri Dec 15 17:43:56 GMT 2023
PRIMARY
Related Record Type Details
BINDER->LIGAND
Related Record Type Details
PARENT -> METABOLITE LESS ACTIVE
PARENT -> METABOLITE ACTIVE
MAJOR
PLASMA
Related Record Type Details
PARENT -> IMPURITY
UNSPECIFIED
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
PARENT -> IMPURITY
UNSPECIFIED
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP