Oxybuprocaine: Difference between revisions
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{{ | {{Drugbox | ||
| Watchedfields = changed | |||
| verifiedrevid = 462267348 | |||
| IUPAC_name = 2-diethylaminoethyl 4-amino-3-butoxy-benzoate | | IUPAC_name = 2-diethylaminoethyl 4-amino-3-butoxy-benzoate | ||
| image = Oxybuprocaine. | | image =Oxybuprocaine.png | ||
<!--Clinical data--> | |||
| tradename = Novesin(e) | |||
| Drugs.com = {{drugs.com|international|oxybuprocaine}} | |||
| pregnancy_AU = D | |||
| legal_status = | |||
| routes_of_administration = Topical | |||
<!--Pharmacokinetic data--> | |||
| bioavailability = | |||
| protein_bound = | |||
| metabolism = [[Esterase]]s in blood plasma and liver | |||
| elimination_half-life = | |||
<!--Identifiers--> | |||
| CASNo_Ref = {{cascite|correct|CAS}} | |||
| CAS_number_Ref = {{cascite|correct|??}} | |||
| CAS_number = 99-43-4 | | CAS_number = 99-43-4 | ||
| ATC_prefix = D04 | | ATC_prefix = D04 | ||
| ATC_suffix = AB03 | | ATC_suffix = AB03 | ||
| ATC_supplemental = {{ATC|S01|HA02}} | | ATC_supplemental = {{ATC|S01|HA02}} | ||
| PubChem = 4633 | | PubChem = 4633 | ||
| DrugBank = | | DrugBank_Ref = {{drugbankcite|correct|drugbank}} | ||
| C = 17 | H = | | DrugBank = DB00892 | ||
| molecular_weight = | | ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}} | ||
| | | ChemSpiderID = 4472 | ||
| | | UNII_Ref = {{fdacite|correct|FDA}} | ||
| | | UNII = AXQ0JYM303 | ||
| | | KEGG_Ref = {{keggcite|correct|kegg}} | ||
| | | KEGG = D08319 | ||
| | | ChEBI_Ref = {{ebicite|correct|EBI}} | ||
| | | ChEBI = 309594 | ||
| ChEMBL_Ref = {{ebicite|correct|EBI}} | |||
| ChEMBL = 1200 | |||
<!--Chemical data--> | |||
| C=17 | H=28 | N=2 | O=3 | |||
| molecular_weight = 308.41 g/mol | |||
| smiles = O=C(OCCN(CC)CC)c1cc(OCCCC)c(cc1)N | |||
| InChI = 1/C17H28N2O3/c1-4-7-11-21-16-13-14(8-9-15(16)18)17(20)22-12-10-19(5-2)6-3/h8-9,13H,4-7,10-12,18H2,1-3H3 | |||
| InChIKey = CMHHMUWAYWTMGS-UHFFFAOYAO | |||
| StdInChI_Ref = {{stdinchicite|correct|chemspider}} | |||
| StdInChI = 1S/C17H28N2O3/c1-4-7-11-21-16-13-14(8-9-15(16)18)17(20)22-12-10-19(5-2)6-3/h8-9,13H,4-7,10-12,18H2,1-3H3 | |||
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}} | |||
| StdInChIKey = CMHHMUWAYWTMGS-UHFFFAOYSA-N | |||
}} | }} | ||
__Notoc__ | |||
{{SI}} | {{SI}} | ||
{{CMG}} | |||
==Overview== | |||
'''Oxybuprocaine''' ([[International Nonproprietary Name|INN]]), also known as '''benoxinate''' or '''BNX''', is an ester-type [[local anesthetic]], which is used especially in [[ophthalmology]] and [[otolaryngology]]. Oxybuprocaine is sold by [[Novartis]] under the brand names '''Novesine''' or '''Novesin'''. | |||
Safety for use in pregnancy and lactation has not been established. | |||
== | == Uses == | ||
* In [[ophthalmology]] in order to numb the surface of the [[human eye|eye]] (the outermost layers of the [[cornea]] and [[conjunctiva]]) for the following purposes:<ref name="Drugs.com">Drugs.com: [http://www.drugs.com/uk/minims-oxybuprocaine-hydrochloride-0-4-917.html Minims Oxybuprocaine Hydrochloride 0.4%]</ref> | |||
** in order to perform a [[tonometry|contact/applanation tonometry]], | |||
** for small operations, | |||
** in order to remove small foreign objects from the uppermost layer of the cornea or conjunctiva; | |||
* in [[otolaryngology]] for numbing the [[mucous membrane]]s of the [[nostrils]] and [[pharynx]], for diagnostic purposes and small operations,<ref name="AustriaCodex">{{cite book|title=Austria-Codex|editor=Jasek, W|publisher=Österreichischer Apothekerverlag|location=Vienna|year=2007|edition=2007/2008|isbn=978-3-85200-181-4|language=German}}</ref> | |||
* for numbing the mucous membranes of [[bronchi]], for example in [[bronchoscopy]],<ref name="AustriaCodex" /> | |||
* and the [[oesophagus]], for example in [[intubation]].<ref name="AustriaCodex" /> | |||
== Pharmacokinetics == | |||
Anaesthesia starts with a latency of 30 to 50 seconds and lasts for about 10 to 30 minutes, depending on [[perfusion]]. The drug is metabolised by [[esterase]]s in blood plasma and liver.<ref name="AustriaCodex" /> | |||
== | == Adverse effects == | ||
When used excessively, oxybuprocaine like any other topical anesthetic used in the eye and on mucous membranes (like for example [[tetracaine]], [[proxymetacaine]] and [[proparacaine]]) can cause irritation, [[hypersensitivity]], [[anaphylaxis]], irreversible corneal damage and even complete destruction of the cornea.<ref name="Drugs.com" /><ref>{{cite pmid|17967152}}</ref> (Excessive use means several times a day during several days or even weeks.) | |||
Oxybuprocaine | == Interactions == | ||
Oxybuprocaine is incompatible with [[silver]] and [[mercury (element)|mercury]] salts, as well as [[Base (chemistry)|basic substances]]. It also reduces the antimicrobial action of [[sulfonamide (medicine)|sulfonamide]]s.<ref name="AustriaCodex" /> | |||
==See also== | ==See also== | ||
*[[Topical anesthetic]] | *[[Topical anesthetic]] | ||
==References== | |||
{{reflist|2}} | |||
{{Antipruritics}} | {{Antipruritics}} | ||
[[Category: | [[Category:Otorhinolaryngology]] | ||
[[Category:Local anesthetics]] | [[Category:Local anesthetics]] | ||
[[Category:Benzoates]] | |||
[[ | [[Category:Anilines]] | ||
[[Category:Drug]] | |||
[[Category:Phenol ethers]] |
Latest revision as of 15:27, 13 April 2015
Clinical data | |
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Trade names | Novesin(e) |
AHFS/Drugs.com | International Drug Names |
Pregnancy category |
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Routes of administration | Topical |
ATC code | |
Pharmacokinetic data | |
Metabolism | Esterases in blood plasma and liver |
Identifiers | |
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CAS Number | |
PubChem CID | |
DrugBank | |
ChemSpider | |
UNII | |
KEGG | |
ChEBI | |
ChEMBL | |
E number | {{#property:P628}} |
ECHA InfoCard | {{#property:P2566}}Lua error in Module:EditAtWikidata at line 36: attempt to index field 'wikibase' (a nil value). |
Chemical and physical data | |
Formula | C17H28N2O3 |
Molar mass | 308.41 g/mol |
3D model (JSmol) | |
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(verify) |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Oxybuprocaine (INN), also known as benoxinate or BNX, is an ester-type local anesthetic, which is used especially in ophthalmology and otolaryngology. Oxybuprocaine is sold by Novartis under the brand names Novesine or Novesin.
Safety for use in pregnancy and lactation has not been established.
Uses
- In ophthalmology in order to numb the surface of the eye (the outermost layers of the cornea and conjunctiva) for the following purposes:[1]
- in order to perform a contact/applanation tonometry,
- for small operations,
- in order to remove small foreign objects from the uppermost layer of the cornea or conjunctiva;
- in otolaryngology for numbing the mucous membranes of the nostrils and pharynx, for diagnostic purposes and small operations,[2]
- for numbing the mucous membranes of bronchi, for example in bronchoscopy,[2]
- and the oesophagus, for example in intubation.[2]
Pharmacokinetics
Anaesthesia starts with a latency of 30 to 50 seconds and lasts for about 10 to 30 minutes, depending on perfusion. The drug is metabolised by esterases in blood plasma and liver.[2]
Adverse effects
When used excessively, oxybuprocaine like any other topical anesthetic used in the eye and on mucous membranes (like for example tetracaine, proxymetacaine and proparacaine) can cause irritation, hypersensitivity, anaphylaxis, irreversible corneal damage and even complete destruction of the cornea.[1][3] (Excessive use means several times a day during several days or even weeks.)
Interactions
Oxybuprocaine is incompatible with silver and mercury salts, as well as basic substances. It also reduces the antimicrobial action of sulfonamides.[2]
See also
References
- ↑ 1.0 1.1 Drugs.com: Minims Oxybuprocaine Hydrochloride 0.4%
- ↑ 2.0 2.1 2.2 2.3 2.4 Jasek, W, ed. (2007). Austria-Codex (in German) (2007/2008 ed.). Vienna: Österreichischer Apothekerverlag. ISBN 978-3-85200-181-4.
- ↑ PMID 17967152 (PMID 17967152)
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- Pages with script errors
- CS1 maint: Unrecognized language
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- E number from Wikidata
- ECHA InfoCard ID from Wikidata
- Chemical articles with unknown parameter in Infobox drug
- Drugs with no legal status
- Drugboxes which contain changes to watched fields
- Otorhinolaryngology
- Local anesthetics
- Benzoates
- Anilines
- Drug
- Phenol ethers