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Propacetamol

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Propacetamol
Systematic (IUPAC) name
4-(acetamido)phenyl N,N-diethylglycinate
Clinical data
AHFS/Drugs.com International Drug Names
Pregnancy cat.  ?
Legal status  ?
Routes IV[1][2]
Pharmacokinetic data
Half-life 2.4 hours [1]
Excretion Renal
Identifiers
CAS number 66532-85-2
ATC code N02BE05
PubChem CID 68865
UNII 5CHW4JMR82 YesY
Chemical data
Formula C14H2N2O3 
Mol. mass 264.3202 g/mol
 YesY (what is this?)  (verify)

Propacetamol is a prodrug form of paracetamol which is formed from esterification of paracetamol, and the carboxylic acid Diethylglycin. This has the advantage of making it more water soluble. It is used in post-operative care and is delivered by I.V..[2] It is given if the patient is unable to take oral or rectally delivered paracetamol and non-steroidal anti-inflammatory drugs are contraindicated. The onset of analgaesia from propacetamol is more rapid than paracetamol given orally.[3] 2g of propacetamol are equivalent to 1g of paracetamol.[4]

[edit] See also

[edit] References

  1. ^ a b Bannwarth B, Netter P, Lapicque F, Gillet P, Péré P, Boccard E, Royer RJ, Gaucher A (1992). "Plasma and cerebrospinal fluid concentrations of paracetamol after a single intravenous dose of propacetamol". Br J Clin Pharmacol 34 (1): 79–81. PMC 1381380. PMID 1633071. http://www.pubmedcentral.nih.gov/articlerender.fcgi?tool=pmcentrez&artid=1381380. 
  2. ^ a b Binhas M, Decailliot F, Rezaiguia-Delclaux S, Suen P, Dumerat M, François V, Combes X, Duvaldestin P (2004). "Comparative effect of intraoperative propacetamol versus placebo on morphine consumption after elective reduction mammoplasty under remifentanil-based anesthesia: a randomized control trial [ISRCTN71723173"]. BMC Anesthesiol 4: 6. doi:10.1186/1471-2253-4-6. PMC 520811. PMID 15367329. http://www.biomedcentral.com/1471-2253/4/6. Retrieved 2008-04-01. 
  3. ^ Moller PL, Sindet-Pedersen S, Petersen CT, Juhl GI, Dillenschneider A, Skoglund LA (2005). "Onset of acetaminophen analgesia: comparison of oral and intravenous routes after third molar surgery". Br J Anaesth 94 (5): 642–8. doi:10.1093/bja/aei109. PMID 15790675. http://bja.oxfordjournals.org/cgi/pmidlookup?view=long&pmid=15790675. Retrieved 2008-04-04. 
  4. ^ Flouvat B, Leneveu A, Fitoussi S, Delhotal-Landes B, Gendron A (2004). "Bioequivalence study comparing a new paracetamol solution for injection and propacetamol after single intravenous infusion in healthy subjects". Int J Clin Pharmacol Ther 42 (1): 50–7. PMID 14756388. 


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