US2995489A - Method of obtaining preanesthetic sedation and drying with 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid - Google Patents
Method of obtaining preanesthetic sedation and drying with 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid Download PDFInfo
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- US2995489A US2995489A US671417A US67141757A US2995489A US 2995489 A US2995489 A US 2995489A US 671417 A US671417 A US 671417A US 67141757 A US67141757 A US 67141757A US 2995489 A US2995489 A US 2995489A
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- Prior art keywords
- diethylaminoethyl
- ethyl
- preanesthetic
- obtaining
- sedation
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- Expired - Lifetime
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- 238000000034 method Methods 0.000 title claims description 10
- 238000001035 drying Methods 0.000 title claims description 9
- 206010039897 Sedation Diseases 0.000 title claims description 8
- 230000036280 sedation Effects 0.000 title claims description 8
- JPSKYEDINNEHEB-UHFFFAOYSA-N 1-[2-(diethylamino)ethyl]-5-ethyl-5-phenyl-1,3-diazinane-2,4,6-trione Chemical compound O=C1N(CCN(CC)CC)C(=O)NC(=O)C1(CC)C1=CC=CC=C1 JPSKYEDINNEHEB-UHFFFAOYSA-N 0.000 title claims description 4
- 238000002695 general anesthesia Methods 0.000 claims description 8
- 230000001939 inductive effect Effects 0.000 claims description 7
- 150000003839 salts Chemical class 0.000 claims description 6
- 239000003937 drug carrier Substances 0.000 claims description 3
- 231100000252 nontoxic Toxicity 0.000 claims description 3
- 230000003000 nontoxic effect Effects 0.000 claims description 3
- 239000000243 solution Substances 0.000 description 14
- 150000001875 compounds Chemical class 0.000 description 9
- 239000002253 acid Substances 0.000 description 8
- 239000003814 drug Substances 0.000 description 8
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 8
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 6
- 229940079593 drug Drugs 0.000 description 6
- 239000007788 liquid Substances 0.000 description 6
- 239000000203 mixture Substances 0.000 description 6
- 239000004480 active ingredient Substances 0.000 description 5
- 239000002552 dosage form Substances 0.000 description 5
- 239000000829 suppository Substances 0.000 description 5
- 239000003708 ampul Substances 0.000 description 4
- 239000002775 capsule Substances 0.000 description 4
- 239000011149 active material Substances 0.000 description 3
- 230000000747 cardiac effect Effects 0.000 description 3
- 239000004615 ingredient Substances 0.000 description 3
- 238000002360 preparation method Methods 0.000 description 3
- 230000028327 secretion Effects 0.000 description 3
- FJKROLUGYXJWQN-UHFFFAOYSA-N 4-hydroxybenzoic acid Chemical compound OC(=O)C1=CC=C(O)C=C1 FJKROLUGYXJWQN-UHFFFAOYSA-N 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 2
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 2
- GQPLMRYTRLFLPF-UHFFFAOYSA-N Nitrous Oxide Chemical compound [O-][N+]#N GQPLMRYTRLFLPF-UHFFFAOYSA-N 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 229930006000 Sucrose Natural products 0.000 description 2
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 2
- 230000037005 anaesthesia Effects 0.000 description 2
- 210000001124 body fluid Anatomy 0.000 description 2
- 239000010839 body fluid Substances 0.000 description 2
- 239000001768 carboxy methyl cellulose Substances 0.000 description 2
- 239000000969 carrier Substances 0.000 description 2
- 238000013329 compounding Methods 0.000 description 2
- 239000007924 injection Substances 0.000 description 2
- 238000002347 injection Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 238000002483 medication Methods 0.000 description 2
- LXCFILQKKLGQFO-UHFFFAOYSA-N methylparaben Chemical compound COC(=O)C1=CC=C(O)C=C1 LXCFILQKKLGQFO-UHFFFAOYSA-N 0.000 description 2
- BQJCRHHNABKAKU-KBQPJGBKSA-N morphine Chemical compound O([C@H]1[C@H](C=C[C@H]23)O)C4=C5[C@@]12CCN(C)[C@@H]3CC5=CC=C4O BQJCRHHNABKAKU-KBQPJGBKSA-N 0.000 description 2
- 230000003533 narcotic effect Effects 0.000 description 2
- 230000003204 osmotic effect Effects 0.000 description 2
- 239000000843 powder Substances 0.000 description 2
- QELSKZZBTMNZEB-UHFFFAOYSA-N propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 2
- 230000011514 reflex Effects 0.000 description 2
- 210000002345 respiratory system Anatomy 0.000 description 2
- 210000003079 salivary gland Anatomy 0.000 description 2
- 239000008223 sterile water Substances 0.000 description 2
- 239000005720 sucrose Substances 0.000 description 2
- NGNBDVOYPDDBFK-UHFFFAOYSA-N 2-[2,4-di(pentan-2-yl)phenoxy]acetyl chloride Chemical class CCCC(C)C1=CC=C(OCC(Cl)=O)C(C(C)CCC)=C1 NGNBDVOYPDDBFK-UHFFFAOYSA-N 0.000 description 1
- QCQCHGYLTSGIGX-GHXANHINSA-N 4-[[(3ar,5ar,5br,7ar,9s,11ar,11br,13as)-5a,5b,8,8,11a-pentamethyl-3a-[(5-methylpyridine-3-carbonyl)amino]-2-oxo-1-propan-2-yl-4,5,6,7,7a,9,10,11,11b,12,13,13a-dodecahydro-3h-cyclopenta[a]chrysen-9-yl]oxy]-2,2-dimethyl-4-oxobutanoic acid Chemical compound N([C@@]12CC[C@@]3(C)[C@]4(C)CC[C@H]5C(C)(C)[C@@H](OC(=O)CC(C)(C)C(O)=O)CC[C@]5(C)[C@H]4CC[C@@H]3C1=C(C(C2)=O)C(C)C)C(=O)C1=CN=CC(C)=C1 QCQCHGYLTSGIGX-GHXANHINSA-N 0.000 description 1
- 229940090248 4-hydroxybenzoic acid Drugs 0.000 description 1
- USSIQXCVUWKGNF-UHFFFAOYSA-N 6-(dimethylamino)-4,4-diphenylheptan-3-one Chemical compound C=1C=CC=CC=1C(CC(C)N(C)C)(C(=O)CC)C1=CC=CC=C1 USSIQXCVUWKGNF-UHFFFAOYSA-N 0.000 description 1
- 229930000680 A04AD01 - Scopolamine Natural products 0.000 description 1
- 206010001497 Agitation Diseases 0.000 description 1
- 241000167854 Bourreria succulenta Species 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 229920002261 Corn starch Polymers 0.000 description 1
- VGGSQFUCUMXWEO-UHFFFAOYSA-N Ethene Chemical compound C=C VGGSQFUCUMXWEO-UHFFFAOYSA-N 0.000 description 1
- 239000005977 Ethylene Substances 0.000 description 1
- STECJAGHUSJQJN-GAUPFVANSA-N Hyoscine Natural products C1([C@H](CO)C(=O)OC2C[C@@H]3N([C@H](C2)[C@@H]2[C@H]3O2)C)=CC=CC=C1 STECJAGHUSJQJN-GAUPFVANSA-N 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- 235000010643 Leucaena leucocephala Nutrition 0.000 description 1
- 240000007472 Leucaena leucocephala Species 0.000 description 1
- XADCESSVHJOZHK-UHFFFAOYSA-N Meperidine Chemical compound C=1C=CC=CC=1C1(C(=O)OCC)CCN(C)CC1 XADCESSVHJOZHK-UHFFFAOYSA-N 0.000 description 1
- STECJAGHUSJQJN-UHFFFAOYSA-N N-Methyl-scopolamin Natural products C1C(C2C3O2)N(C)C3CC1OC(=O)C(CO)C1=CC=CC=C1 STECJAGHUSJQJN-UHFFFAOYSA-N 0.000 description 1
- 229920002472 Starch Polymers 0.000 description 1
- 240000006474 Theobroma bicolor Species 0.000 description 1
- DPXJVFZANSGRMM-UHFFFAOYSA-N acetic acid;2,3,4,5,6-pentahydroxyhexanal;sodium Chemical compound [Na].CC(O)=O.OCC(O)C(O)C(O)C(O)C=O DPXJVFZANSGRMM-UHFFFAOYSA-N 0.000 description 1
- 239000002671 adjuvant Substances 0.000 description 1
- 229940035674 anesthetics Drugs 0.000 description 1
- 230000000769 anti-sialagogic effect Effects 0.000 description 1
- 230000002763 arrhythmic effect Effects 0.000 description 1
- 229940125717 barbiturate Drugs 0.000 description 1
- HNYOPLTXPVRDBG-UHFFFAOYSA-N barbituric acid Chemical compound O=C1CC(=O)NC(=O)N1 HNYOPLTXPVRDBG-UHFFFAOYSA-N 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000009835 boiling Methods 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 238000006243 chemical reaction Methods 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 235000019693 cherries Nutrition 0.000 description 1
- 239000008120 corn starch Substances 0.000 description 1
- 229940099112 cornstarch Drugs 0.000 description 1
- -1 diethylaminoethyl side chain Chemical group 0.000 description 1
- 239000012153 distilled water Substances 0.000 description 1
- 150000002148 esters Chemical class 0.000 description 1
- 238000000855 fermentation Methods 0.000 description 1
- 230000004151 fermentation Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000007903 gelatin capsule Substances 0.000 description 1
- 239000003193 general anesthetic agent Substances 0.000 description 1
- 235000011187 glycerol Nutrition 0.000 description 1
- 230000005764 inhibitory process Effects 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000002844 melting Methods 0.000 description 1
- 230000008018 melting Effects 0.000 description 1
- 229960001797 methadone Drugs 0.000 description 1
- 229960005181 morphine Drugs 0.000 description 1
- 229910052757 nitrogen Inorganic materials 0.000 description 1
- 125000004433 nitrogen atom Chemical group N* 0.000 description 1
- 239000001272 nitrous oxide Substances 0.000 description 1
- 229960000482 pethidine Drugs 0.000 description 1
- 239000003186 pharmaceutical solution Substances 0.000 description 1
- 239000007971 pharmaceutical suspension Substances 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 230000033764 rhythmic process Effects 0.000 description 1
- 210000003296 saliva Anatomy 0.000 description 1
- STECJAGHUSJQJN-FWXGHANASA-N scopolamine Chemical compound C1([C@@H](CO)C(=O)O[C@H]2C[C@@H]3N([C@H](C2)[C@@H]2[C@H]3O2)C)=CC=CC=C1 STECJAGHUSJQJN-FWXGHANASA-N 0.000 description 1
- 229960002646 scopolamine Drugs 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 235000019812 sodium carboxymethyl cellulose Nutrition 0.000 description 1
- 229920001027 sodium carboxymethylcellulose Polymers 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 239000008107 starch Substances 0.000 description 1
- 235000019698 starch Nutrition 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 239000000375 suspending agent Substances 0.000 description 1
- 239000000725 suspension Substances 0.000 description 1
- 230000009747 swallowing Effects 0.000 description 1
- 239000003826 tablet Substances 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 239000001993 wax Substances 0.000 description 1
- 238000005303 weighing Methods 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07D—HETEROCYCLIC COMPOUNDS
- C07D239/00—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings
- C07D239/02—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings
- C07D239/24—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings having three or more double bonds between ring members or between ring members and non-ring members
- C07D239/28—Heterocyclic compounds containing 1,3-diazine or hydrogenated 1,3-diazine rings not condensed with other rings having three or more double bonds between ring members or between ring members and non-ring members with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, directly attached to ring carbon atoms
- C07D239/46—Two or more oxygen, sulphur or nitrogen atoms
- C07D239/60—Three or more oxygen or sulfur atoms
- C07D239/62—Barbituric acids
Definitions
- the invention relates to the compound, I-(Z-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid, in dosage unit form suitable for use as a preanesthetic composition.
- the compound 1-(2-diethylaminoethyl)-5- ethyl-S-phenylbarbituric acid and hydrochloride has the following structural formula:
- a preanesthetic medicament Among the desirable actions of a preanesthetic medicament are the counteracting of respiratory irregularities, cardiac irregularities and excessive flow of mucous and saliva. In general, such medication makes anesthesia more safe and comfortable for the patient and more etficient for the surgeon. Further usfulness resides in raising the patients threshold of reflex exitability to allow the use of inhalant anesthetics such as ethylene and nitrous oxide.
- preanesthetic medications comprise a mixture of a narcotic such as morphine, meperidine, methadone or a barbiturate with an anti-sialogogue such as atrophine and scopolamine, that is, an agent which inhibits secretions of the respiratory tract and the salivary glands.
- a narcotic such as morphine, meperidine, methadone or a barbiturate
- an anti-sialogogue such as atrophine and scopolamine
- a further object is to prepare said dosage forms in solid and liquid carriers suitable for oral, suppository and injectable administration.
- the compound 1-(2-diethyaminoethyl)-5-ethyl-S-phenylbarbituric acid possesses properties which makes it highly desirable as a preanesthctic medicament.
- the compound causes inhibition of respiratory tract secretions and salivary gland secretion. It exhibits a further action in counteracting cardiac arrhythmic, that is, it maintains normal cardiac rhythm. This latter condition is often disrupted in the subsequent state of general anesthesia. Furthermore, it is expected that it will reduce reflex excitability and apprehension.
- the effective clinical dose for adults ranges from about 10 mg. per day upwardly when injected directly into the circulatory body fluids of the patient. In children, the dosage ranges are correspondingly lower according to age and weight of the child.
- This drug may be adnun- Patented Aug. 8, 1961 istered by hypodermic syringe in the form of a sterile water solution of said compound prepared to the desired concentration.
- the compound can be made available n said fresh solution form or in powder form present in capsules or vials and other carriers which allow easy conversion to the solution form.
- the drug may be also administered orally in the form of tablets, capsules, powder or in a flavored, liquid form.
- a suppository form for rectal administration can also be prepared by combining the drug with appropriate waxes.
- a preferred form of oral administration is 10 mg. scored tablets which will provide the minimum dose for children and will provide, in multiples, amounts up to the maximum dose.
- the minimum dose for children and will provide, in multiples, amounts up to the maximum dose.
- l-(2-diethylaminoethyl)-5-ethyl-5-phenthe active material with or without its adjuvant materials may be placed in a soft or hard gelatin capsule and administered in capsule form.
- a solution dose form is made.
- the solubility of the active compound, while limited, is still sufiicient to prepare a dosage level suitable for therapeutic administration.
- a solution dosage form can contain from about 2 ing/cc. to 5 mg./cc. of active ingredient (10 to 25/mg. per teaspoon).
- a liquid pharmaceutical dosage form of greater concentration may also be prepared by compounding the active material with suspending agents such as acacia or carboxymethylcellulose along with the usual flavoring materials. Such a liquid preparation is particularly suitable for children and infirm persons who have difficulty swallowing a tablet or capsule.
- Sterile, isotonic, liquid forms are prepared for injection into the body by placing the desired amount of active ingredient into sterile water, adjusting the osmotic tension to coincide with the osmotic tension of body fluids, sealing said solution in an ampoule and sterilizing said ampoule.
- the ampoules are sterilized in an autoclave at 121 C. at 10 lbs. pressure for 20 minutes. Immediately thereafter the ampoules are removed and cooled in running water.
- the prepared ampoulcs contain a 2% solution of l-(2-diethyluminoethyl)-5-ethyl-5- phenylbarbituric acid which is suitable for introduction into the body by injection.
- EXAMPLE II The compound, 1 (Z-diethylaminoethyl)-5-ethyl-5- phenyl-barbituric acid hydrochloride (L33 lbs.), is mixed with 37.33 lbs. of lactose and passed through a 30-mesh screen. A starch paste is prepared using 1.05 lbs. of cornstarch and 5.98 lbs. of distilled water. This prior mixture I EXAMPLE III A pharmaceutical suspension of 1-(2-diethylaminoethyl)--ethyI-S-phenylbarbituric acid is prepared by combining the following ingredients:
- the foregoing liquid preparation provides a concentration of active ingredient at a level of 50 mgJcc. of which about 20 mg./cc. is in solution and the remainder in suspension.
- Asep'toform M and P are trade names for esters of p-hydroxybenzoic acid which prevent fermentation and mold formation.
- the foregoing preparation provides a concentration of the active ingredient, 1-(Z-diethylaminoethyl)-5-ethyl-5- phenylbarbituric acid, at a level of 2 mg./cc. or mg./teaspoon.
- a pharmaceutical suppository of I-(Z-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid is prepared by melting 300 grams of spermacetti, U.S.P., and 695 grams of theobroma oil, U.S.P. The mixture is cooled to 50 C. and then 5 grams of 1-(2-diethylaminoethyl)-5-ethyl- S-phenyl-barbituric acid is added. The combined mixture 40 126, 132, 141 and 145.
- the method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 10 mg. of a water-soluble salt of I-(Z-diethylaminoethyl -5-ethyl-5-phenylbarbituric acid.
- the method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 10 mg. of a water-soluble salt of 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid andv a non-toxic pharmaceutical carrier.
- the method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, about .150 mg. of a water-soluble salt of 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid.
- the method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 10 mg. of 1-(Z-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid hydrochloride.
- the method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, about 100 mg. of l-(Z-diethylaminoethyl)-5.-ethyl-5-phenylbarbituric acid hydrochloride.
- the method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 100-150 mg.'ot I-(Z-diethylaminoethyl)-5-ethyl-5- phenylbarbituric acid hydrochloride and a non-toxic pharmaceutical carrier.
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- Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
Description
United States Patent 2,995,489 METHOD OF OBTAINING PREANESTHETIC SE- DATION AND DRYING WITH 1-(2-DIETHYL- AMINOETHYL)-5-ETHYL 5 PHENYLBARBITU- RIC ACID John L. Schmidt, Highland Park, Ill., assignor to Abbott fitillioratorles, North Chicago, 111., a corporation bf 01s No Drawing. Filed July 12, 1957, Ser. No. 671,417 6 Claims. (Cl. 161-52) This invention relates to a new article of manufacture and to methods of compounding and using the same. More particularly, the invention relates to the compound, I-(Z-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid, in dosage unit form suitable for use as a preanesthetic composition. The compound 1-(2-diethylaminoethyl)-5- ethyl-S-phenylbarbituric acid and hydrochloride has the following structural formula:
It is a white, crystalline, hydrochloride salt which is soluble in water to a concentration of at least 2%. Solutions of this salt are stable at room temperature and begin to decompose only when subjected to prolonged boiling. The diethylaminoethyl side chain in the l-position provides the possibility for forming acid salts through the basic nitrogen atom in said side chain.
Among the desirable actions of a preanesthetic medicament are the counteracting of respiratory irregularities, cardiac irregularities and excessive flow of mucous and saliva. In general, such medication makes anesthesia more safe and comfortable for the patient and more etficient for the surgeon. Further usfulness resides in raising the patients threshold of reflex exitability to allow the use of inhalant anesthetics such as ethylene and nitrous oxide.
Most preanesthetic medications comprise a mixture of a narcotic such as morphine, meperidine, methadone or a barbiturate with an anti-sialogogue such as atrophine and scopolamine, that is, an agent which inhibits secretions of the respiratory tract and the salivary glands. The use of such mixtures, however, is accompanied by objectionable features such as diffuse pharmacological efiects on the entire organism and the other disadvantages associated with narcotic usage.
It is the object of this invention to provide in dosage unit forms a single compound possessing all the properties desirable in preanesthetic medications.
A further object is to prepare said dosage forms in solid and liquid carriers suitable for oral, suppository and injectable administration.
It has now been found that the compound, 1-(2-diethyaminoethyl)-5-ethyl-S-phenylbarbituric acid possesses properties which makes it highly desirable as a preanesthctic medicament. The compound causes inhibition of respiratory tract secretions and salivary gland secretion. It exhibits a further action in counteracting cardiac arrhythmic, that is, it maintains normal cardiac rhythm. This latter condition is often disrupted in the subsequent state of general anesthesia. Furthermore, it is expected that it will reduce reflex excitability and apprehension.
The effective clinical dose for adults ranges from about 10 mg. per day upwardly when injected directly into the circulatory body fluids of the patient. In children, the dosage ranges are correspondingly lower according to age and weight of the child. This drug may be adnun- Patented Aug. 8, 1961 istered by hypodermic syringe in the form of a sterile water solution of said compound prepared to the desired concentration. The compound can be made available n said fresh solution form or in powder form present in capsules or vials and other carriers which allow easy conversion to the solution form. The drug may be also administered orally in the form of tablets, capsules, powder or in a flavored, liquid form. A suppository form for rectal administration can also be prepared by combining the drug with appropriate waxes.
A preferred form of oral administration is 10 mg. scored tablets which will provide the minimum dose for children and will provide, in multiples, amounts up to the maximum dose. In one of the preferred forms, the
active ingredient, l-(2-diethylaminoethyl)-5-ethyl-5-phenthe active material with or without its adjuvant materials may be placed in a soft or hard gelatin capsule and administered in capsule form.
In another embodiment of the invention, a solution dose form is made. The solubility of the active compound, while limited, is still sufiicient to prepare a dosage level suitable for therapeutic administration. A solution dosage form can contain from about 2 ing/cc. to 5 mg./cc. of active ingredient (10 to 25/mg. per teaspoon). A liquid pharmaceutical dosage form of greater concentration may also be prepared by compounding the active material with suspending agents such as acacia or carboxymethylcellulose along with the usual flavoring materials. Such a liquid preparation is particularly suitable for children and infirm persons who have difficulty swallowing a tablet or capsule.
Sterile, isotonic, liquid forms are prepared for injection into the body by placing the desired amount of active ingredient into sterile water, adjusting the osmotic tension to coincide with the osmotic tension of body fluids, sealing said solution in an ampoule and sterilizing said ampoule.
The following examples illustrate preferred embodiments of the dosage forms, but it should be understood that they are not meant to restrict the dosage forms to the ingredients and proportions named thereinf EXAMPLE I A solution of I-(Z-diethylaminoethyl)-5-ethyl-5-phenyl-barbituric acid hydrochloride is prepared byadding 20 mg. of said l-(Z-diethylaminoethyl)-5-ethyl-S-phenylbarbituric acid to each cc. of water. The solution is made isotonic to physiological fluids by adding sodium chloride and thereafter the solution is filtered. From this solution, a 10 cc. aliquot is placed in an ampoule and the ampoule is then sealed. The ampoules are sterilized in an autoclave at 121 C. at 10 lbs. pressure for 20 minutes. Immediately thereafter the ampoules are removed and cooled in running water. The prepared ampoulcs contain a 2% solution of l-(2-diethyluminoethyl)-5-ethyl-5- phenylbarbituric acid which is suitable for introduction into the body by injection.
EXAMPLE II The compound, 1 (Z-diethylaminoethyl)-5-ethyl-5- phenyl-barbituric acid hydrochloride (L33 lbs.), is mixed with 37.33 lbs. of lactose and passed through a 30-mesh screen. A starch paste is prepared using 1.05 lbs. of cornstarch and 5.98 lbs. of distilled water. This prior mixture I EXAMPLE III A pharmaceutical suspension of 1-(2-diethylaminoethyl)--ethyI-S-phenylbarbituric acid is prepared by combining the following ingredients:
l-(2-diethylaminoethyl )-5-phenylbarbituric acid hydrochloride grams 50 Sodium carboxymethylcellulose, medium viscosity grams 8.0 Sucrose do. 100 Aseptoform M do 1.5 Aseptoform P do 0.15 F.D.&C. Green #1 do 0.05 Imitation cherry cc 0.75
Water, deionized, q.s.;'1000.0 Co.
The foregoing liquid preparation provides a concentration of active ingredient at a level of 50 mgJcc. of which about 20 mg./cc. is in solution and the remainder in suspension.
Asep'toform M and P are trade names for esters of p-hydroxybenzoic acid which prevent fermentation and mold formation.
EXAMPLE IV 1-(Z-dielhylaminoethyl)-5-ethyI-S-phenylbarbituric in solution dose form acid A pharmaceutical solution of 1-(2-diethylaminoethyl)- 5-ethyl-S-phenylbarbituric acid is prepared by combining the following ingredients:
l-(Z-diethylaminoethyl)-5-ethyl-S-phenylbarbituric acid hydrochloride "grams" 2.0 Sucrose "do-.." 200.0 Glycerin -cc 150.0 Aseptoform M grams 1.5 Aseptoform P do 0.15 F.D.&C. Orange #1 do.. 0.05 Imitation orange aroma ..cc.... 0.02 Oil orange cc 0.5
Water, Ilco, q.s., 1000.0 cc.
The foregoing preparation provides a concentration of the active ingredient, 1-(Z-diethylaminoethyl)-5-ethyl-5- phenylbarbituric acid, at a level of 2 mg./cc. or mg./teaspoon.
EXAMPLE V A pharmaceutical suppository of I-(Z-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid is prepared by melting 300 grams of spermacetti, U.S.P., and 695 grams of theobroma oil, U.S.P. The mixture is cooled to 50 C. and then 5 grams of 1-(2-diethylaminoethyl)-5-ethyl- S-phenyl-barbituric acid is added. The combined mixture 40 126, 132, 141 and 145.
is stirred to a state of uniformity and then delivered to individual molds and chilled. The molds yield suppositories weighing 2 grams, which melt at 50 C. Each suppository contains 10 mg. of active material.
Others may practice the invention in any of the numerous ways which will be suggested by this disclosure to one skilled in the art. All such practice of the invention is considered to be a part hereof provided it falls within the scope of the appended claims.
' lclaim:
1. The method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 10 mg. of a water-soluble salt of I-(Z-diethylaminoethyl -5-ethyl-5-phenylbarbituric acid.
2. The method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 10 mg. of a water-soluble salt of 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid andv a non-toxic pharmaceutical carrier.
3. The method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, about .150 mg. of a water-soluble salt of 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid.
4. The method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 10 mg. of 1-(Z-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid hydrochloride.
5. The method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, about 100 mg. of l-(Z-diethylaminoethyl)-5.-ethyl-5-phenylbarbituric acid hydrochloride.
6. The method of obtaining preanesthetic sedation and drying conditions which comprises administering to a human, prior to inducing general anesthesia, at least about 100-150 mg.'ot I-(Z-diethylaminoethyl)-5-ethyl-5- phenylbarbituric acid hydrochloride and a non-toxic pharmaceutical carrier.
References Cited in the file. of this patent UNITED STATES PATENTS Olinger Apr. 15, 1958 OTHER REFERENCES Dripps: Introduction to Anesthesia, W. B. Saunders Co., Phila., Pa., 1957, pp. 9-16.
Trochimowski: Arch. Chemiji I Framac l (Poland),
vol. 2, 1934, pp. 1-8.
Claims (1)
- 2. THE METHOD OF OBTAINING PREANESTHETIC SEDATION AND DRYING CONDITIONS WHICH COMPRISES ADMINISTERING TO A HUMAN, PRIOR TO INDUCING GENERAL ANESTHESIA, AT LEAST ABOUT 10 MG. OF A WATER-SOLUBLE SALT OF 1-(2-DIETHYLAMINOETHYL)-5-ETHYL-5-PHENYLBARBITURIC ACID AND A NON-TOXIC PHARMACEUTICAL CARRIER.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US671417A US2995489A (en) | 1957-07-12 | 1957-07-12 | Method of obtaining preanesthetic sedation and drying with 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US671417A US2995489A (en) | 1957-07-12 | 1957-07-12 | Method of obtaining preanesthetic sedation and drying with 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| US2995489A true US2995489A (en) | 1961-08-08 |
Family
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| US671417A Expired - Lifetime US2995489A (en) | 1957-07-12 | 1957-07-12 | Method of obtaining preanesthetic sedation and drying with 1-(2-diethylaminoethyl)-5-ethyl-5-phenylbarbituric acid |
Country Status (1)
| Country | Link |
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| US (1) | US2995489A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3150137A (en) * | 1964-09-22 | Carbamate derivative of s-hydroxy- | ||
| US3335184A (en) * | 1963-07-26 | 1967-08-08 | Exploitations Chimi & Pharm | Ortho-diisopropylaminoethoxybutyrophenone and hydrochloride thereof |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2830930A (en) * | 1955-08-08 | 1958-04-15 | Jr Allen M Olinger | Parenteral dental local anesthetic solutions containing an alkantheline |
-
1957
- 1957-07-12 US US671417A patent/US2995489A/en not_active Expired - Lifetime
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US2830930A (en) * | 1955-08-08 | 1958-04-15 | Jr Allen M Olinger | Parenteral dental local anesthetic solutions containing an alkantheline |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3150137A (en) * | 1964-09-22 | Carbamate derivative of s-hydroxy- | ||
| US3335184A (en) * | 1963-07-26 | 1967-08-08 | Exploitations Chimi & Pharm | Ortho-diisopropylaminoethoxybutyrophenone and hydrochloride thereof |
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