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QuickView for Demecarium (compound)


PubChem
Name: demecarium bromide
PubChem Compound ID: 5965
Molecular formula: C32H52Br2N4O4
Molecular weight: 716.588 g/mol
Synonyms:
Ammonium, (m-hydroxyphenyl)trimethyl-, bromide, decamethylenebis(methylcarbamate); Humorsol (TN); BC 48; Bromuro de demecario [INN-Spanish]; Visumiotic; Tonilen; Ammonium, (m-hydroxyphenyl)trimethyl-, bromide, decamethylenebis(methylcarbamate) (2:1); 56-94-0; Demecarii bromidum [INN-Latin]; N,N'-Bis(3-trimethylammoniumphenoxycarbonyl)-N,N'-dimethyldecamethylenediamine dibromide.
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DrugBank
Identification
Name: demecarium bromide
Name (isomeric): DB00944
Drug Type: small molecule
Synonyms:
Demecarium bromide
Category: Miotics, Cholinergic Agents
CAS number: 56-94-0
Pharmacology
Indication: For the topical treatment of chronic open-angle glaucoma.
Pharmacology:
Demecarium is a long-acting cholinesterase inhibitor and potent miotic. Because of its toxicity, it should be reserved for use in patients with open-angle glaucoma or other chronic glaucomas not satisfactorily controlled with the short-acting miotics and other agents. Application of demecarium to the eye produces intense miosis and ciliary muscle c...
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Mechanism of Action:
Demecarium is an indirect-acting parasympathomimetic agent, also known as a cholinesterase inhibitor and anticholinesterase. Cholinesterase inhibitors prolong the effect of acetylcholine, which is released at the neuroeffector junction of parasympathetic postganglion nerves, by inactivating the cholinesterases that break it down. Demecarium inactiv...
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Toxicity: The oral LD50 is 2.96 mg/kg in the mouse. Symptoms of overdose include nausea, vomiting, abdominal cramps, diarrhea, urinary incontinence, salivation, sweating, difficulty in breathing, bradycardia, or cardiac irregularities.
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
TacrineThe acetylcholinesterase inhibitor, Tacrine, may increase the adverse/toxic effects of Demcarium, a cholinergic agonist. Monitor for increased cholinergic effects and toxicity.

Targets