U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C20H29N3O2.ClH
Molecular Weight 379.924
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of DIBUCAINE HYDROCHLORIDE

SMILES

Cl.CCCCOC1=CC(C(=O)NCCN(CC)CC)=C2C=CC=CC2=N1

InChI

InChIKey=IVHBBMHQKZBJEU-UHFFFAOYSA-N
InChI=1S/C20H29N3O2.ClH/c1-4-7-14-25-19-15-17(16-10-8-9-11-18(16)22-19)20(24)21-12-13-23(5-2)6-3;/h8-11,15H,4-7,12-14H2,1-3H3,(H,21,24);1H

HIDE SMILES / InChI

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C20H29N3O2
Molecular Weight 343.4632
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Dibucaine is used as a local anesthetic for surface anesthesia. It is one of the most potent and toxic of the long-acting local anesthetics and its parenteral use is restricted to spinal anesthesia. Dibucaine is used to temporarily relieve pain and itching due to: hemorrhoids or other anorectal disorders, sunburn, minor burns, minor cuts; scrapes, insect bites, minor skin irritation. This drug acts via blocking of nerve impulses by decreasing the neuronal membrane's permeability to sodium ions through sodium channel blocking. This reversibly stabilizes the membrane and inhibits depolarization, resulting in the failure of a propagated action potential and subsequent conduction blockade.

CNS Activity

Curator's Comment: small amounts of drug likely cross the blood-brain barrier because dibucaine is neurotoxic at higher concentrations in patients

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Nupercainal

Approved Use

temporarily relieves pain and itching due to: - hemorrhoids or other anorectal disorders - sunburn - minor burns - minor cuts- scrapes - insect bites - minor skin irritation
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
23 ng/mL
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
DIBUCAINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
208 ng × h/mL
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
DIBUCAINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
11 h
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
DIBUCAINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Nitric oxide production by the vacuolar-type (H+)-ATPase inhibitors bafilomycin A1 and concanamycin A and its possible role in apoptosis in RAW 264.7 cells.
2006-11
Overexpression of RGPR-p117 enhances regucalcin gene promoter activity in cloned normal rat kidney proximal tubular epithelial cells: involvement of TTGGC motif.
2006-10-01
Involvement of nuclear factor I-A1 in the regulation of regucalcin gene promoter activity in cloned normal rat kidney proximal tubular epithelial cells.
2006-10
Verapamil, a Ca2+ channel inhibitor acts as a local anesthetic and induces the sigma E dependent extra-cytoplasmic stress response in E. coli.
2006-10
Inhibition of scratching behavior associated with allergic dermatitis in mice by tacrolimus, but not by dexamethasone.
2006-09-28
Effects of dibucaine on the endocytic/exocytic pathways in Trypanosoma cruzi.
2006-09
Regulatory effect of exogenous regucalcin on cell function in osteoblastic MC3T3-E1 cells: involvement of intracellular signaling factor.
2006-08
Supramolecular binding of protonated amines to a receptor microgel in aqueous medium.
2006-06-21
Divergence paresis without positional headache: an unusual presentation of cerebrospinal fluid hypovolemia after spinal anesthesia.
2006-06
[Butyrylcholinesterase deficiency: how to analyse the cholinesterase activity in small children?].
2006-06
Effect of various formulation variables on the encapsulation and stability of dibucaine base in multilamellar vesicles.
2006-02-08
Toxicity of polymyxins: a systematic review of the evidence from old and recent studies.
2006-02
False positives and false negatives with a cocaine-specific field test and modification of test protocol to reduce false decision.
2005-12-20
[Anogenital dermatoses--allergic and irritative causative factors. Analysis of IVDK data and review of the literature].
2005-12
Overexpression of RGPR-p117 enhances regucalcin gene expression in cloned normal rat kidney proximal tubular epithelial cells.
2005-12
Pseudocholinesterase polymorphism in an Irish population.
2005-11
Overexpression of regucalcin suppresses cell proliferation in cloned rat hepatoma H4-II-E cells: involvement of intracellular signaling factors and cell cycle-related genes.
2005-08-15
Activation of calcium-independent phospholipase A (iPLA) in brain mitochondria and release of apoptogenic factors by BAX and truncated BID.
2005-08
Prescription pattern for treatment of hemorrhoids under the universal coverage policy of Thailand.
2005-07
Hormonal regulation on regucalcin mRNA expression in cloned normal rat kidney proximal tubular epithelial NRK52E cells.
2005-06-01
Cinchocaine hydrochloride determination by atomic absorption spectrometry and spectrophotometry.
2005-05
Wetting of surfactant solutions by alkanes.
2005-03
Genotyping the butyrylcholinesterase in patients with prolonged neuromuscular block after succinylcholine.
2005-03
Rapid accurate mass desorption electrospray ionisation tandem mass spectrometry of pharmaceutical samples.
2005
Cd2+ versus Ca2+-produced mitochondrial membrane permeabilization: a proposed direct participation of respiratory complexes I and III.
2004-12-07
Role of albumin in osteoblastic cells: enhancement of cell proliferation and suppression of alkaline phosphatase activity.
2004-12
Microfabricated fractal branching networks.
2004-11-01
Protective actions of various local anesthetics against the membrane dysfunction produced by in vitro ischemia in rat hippocampal CA1 neurons.
2004-11
Overexpression of regucalcin suppresses cell death and apoptosis in cloned rat hepatoma H4-II-E cells induced by lipopolysaccharide, PD 98059, dibucaine, or Bay K 8644.
2004-10-15
Preferential partitioning of uncharged local anesthetics into the surface-adsorbed film.
2004-10-10
[Allergy to formaldehyde].
2004-09
[Glucose attenuating local anesthetic-induced hemolysis].
2004-09
A new look at the hemolytic effect of local anesthetics, considering their real membrane/water partitioning at pH 7.4.
2004-08-01
Local anaesthetics--Nupercaine and Amethcaine.
2004-08
Randomized, double-blind trial comparing topical nitroglycerine with xylocaine and Proctosedyl in idiopathic chronic anal fissure.
2004-07-15
Evaluation of antipruritic effects of several agents on scratching behavior by NC/Nga mice.
2004-07-14
Apoptotic-like mitochondrial events associated to phosphatidylserine exposure in blood platelets induced by local anaesthetics.
2004-07
Effect of the glycosphingolipid, GM1 on localization of dibucaine in phospholipid vesicles: a fluorescence study.
2004-07
Some amphiphilic cations block the mitochondrial apoptosis-induced channel, MAC.
2004-06-18
Interaction of serotonin1A receptors from bovine hippocampus with tertiary amine local anesthetics.
2004-06
Probing the mechanism of drug/lipid membrane interactions using Biacore.
2004-05-15
Ethnic differences in the frequency of distribution of serum cholinesterase activity in the Iranian population.
2004-05
Quantitative evaluation of the effects of mitochondrial permeability transition pore modifiers on accumulation of calcium phosphate: comparison of rat liver and brain mitochondria.
2004-04-01
[Cauda equina syndrome following intrathecal dibucaine].
2004-04
Possible mechanism of irreversible nerve injury caused by local anesthetics: detergent properties of local anesthetics and membrane disruption.
2004-04
Anesthesiology, the birth of pharmacogenetics and Werner Kalow.
2004-03
[What we can learn from a case of medical malpractice].
2004-02
p-Bromophenacyl bromide prevents cumene hydroperoxide-induced mitochondrial permeability transition by inhibiting pyridine nucleotide oxidation.
2004
An improvement in segregation of human butyrylcholinesterase phenotypes having the fluoride-resistant variants.
2003-12
[Ionic strength influences hemolytic action of dibucaine hydrochloride].
2003-11
Patents

Sample Use Guides

If possible clean the affected area with mild soap and warm water and rinse thoroughly. Gently dry by patting or blotting with toilet tissue or a soft cloth before applying. Adults and children 12 and over - apply externally to the affected area up to 3 to 4 times a day. Children under 2 - 12 years of age - ask a doctor
Route of Administration: Topical
In Vitro Use Guide
Exposure of spinal nerves to dibucaine reduces the quantity of 3H-proteins, which is transported to a ligature by 72% at 0.5 mM and by greater than 90% at a 1 mM concentration; since 1 mM tetracaine reduces it by 64%, dibucaine is approximately twice as potent as tetracaine at inhibiting transport.
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:47:25 GMT 2025
Edited
by admin
on Mon Mar 31 18:47:25 GMT 2025
Record UNII
Z97702A5DG
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CINCHOCAINE HYDROCHLORIDE
EP   MART.   WHO-DD  
Preferred Name English
DIBUCAINE HYDROCHLORIDE
GREEN BOOK   MI   ORANGE BOOK   USP   USP-RS  
Common Name English
2-Butoxy-N-[2-(diethylamino]ethyl]cinchoninamide monohydrochloride
Systematic Name English
DIBUCAINE HYDROCHLORIDE [USP-RS]
Common Name English
CINCHOCAINE HYDROCHLORIDE [MART.]
Common Name English
DIBUCAINE HYDROCHLORIDE [USP MONOGRAPH]
Common Name English
DIBUCAINE HYDROCHLORIDE [MI]
Common Name English
NUPERCAINE
Brand Name English
2-BUTOXY-N-(2-(DIETHYLAMINO)ETHYL)CINCHONINAMIDE HYDROCHLORIDE
Systematic Name English
CINCHOCAINE HYDROCHLORIDE [EP MONOGRAPH]
Common Name English
2-BUTOXY-N-(2-(DIETHYLAMINO)ETHYL)-4-QUINOLINECARBOXAMIDE HYDROCHLORIDE
Systematic Name English
2-BUTOXY-N-(2-DIETHYLAMINOETHYL)CINCHONINAMIDE HYDROCHLORIDE
Systematic Name English
4-QUINOLINECARBOXAMIDE, 2-BUTOXY-N-(2-(DIETHYLAMINO)ETHYL)-, MONOHYDROCHLORIDE
Common Name English
DIBUCAINE HYDROCHLORIDE [ORANGE BOOK]
Common Name English
DIBUCAINE HYDROCHLORIDE [GREEN BOOK]
Common Name English
DIBUCAINE HYDROCHLORIDE [JAN]
Common Name English
DIBUCAINE HCL
Common Name English
NSC-756724
Code English
Cinchocaine hydrochloride [WHO-DD]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C245
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
CFR 21 CFR 522.900
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
CFR 21 CFR 346.10
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
Code System Code Type Description
RS_ITEM_NUM
1187003
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
EVMPD
SUB01302MIG
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
MERCK INDEX
m4306
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY Merck Index
EPA CompTox
DTXSID80976471
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
DAILYMED
Z97702A5DG
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
NSC
756724
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
CHEBI
59735
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
DRUG BANK
DBSALT000639
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
PUBCHEM
6078
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
ECHA (EC/EINECS)
200-498-1
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
ChEMBL
CHEMBL1086
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
RXCUI
235402
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY RxNorm
CAS
61-12-1
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
SMS_ID
100000092133
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
FDA UNII
Z97702A5DG
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
NCI_THESAURUS
C65375
Created by admin on Mon Mar 31 18:47:25 GMT 2025 , Edited by admin on Mon Mar 31 18:47:25 GMT 2025
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
Related Record Type Details
ACTIVE MOIETY