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QuickView for Disopyramide (compound)


PubChem
Name: Disopyramide
PubChem Compound ID: 156294
Description: A class I anti-arrhythmic agent (one that interferes directly with the depolarization of the cardiac membrane and thus serves as a membrane-stabilizing agent) with a depressant action on the heart similar to that of guanidine. It also possesses some anticholinergic and local anesthetic properties.
Molecular formula: C21H29N3O
Molecular weight: 339.475 g/mol
Synonyms:
74464-83-8; Lopac-D-7644; NCGC00015358-02; Lopac-D-6035; CAS-671200; NCGC00015358-01; 2-Pyridineacetamide, alpha-(2-(bis(1-methylethyl)amino)ethyl)-alpha-phenyl-, (R)-; NCGC00016985-01
DrugBank
Identification
Name: Disopyramide
Name (isomeric): DB00280
Drug Type: small molecule
Description: A class I anti-arrhythmic agent (one that interferes directly with the depolarization of the cardiac membrane and thus serves as a membrane-stabilizing agent) with a depressant action on the heart similar to that of guanidine. It also possesses some anticholinergic and local anesthetic properties.
Synonyms:
Disopyramidum [INN-Latin]; Disopyramide Phosphate; Disopyramide Free Base; Disopiramida [INN-Spanish]
Brand: Norpace, Isorythm, Rythmodan P, Rythmodan, Xi-Disopyramide, Rythmodan-La, Ritmodan, Searle 703, Lispine, Dicorantil, Norpace CR
Category: Antiarrhythmic Agents, Anti-Arrhythmia Agents
CAS number: 3737-09-5
Pharmacology
Indication: For the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia, ventricular pre-excitation and cardiac dysrhythmias. It is a Class Ia antiarrhythmic drug.
Pharmacology:
Disopyramide is an antiarrhythmic drug indicated for the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia that are life-threatening. In man, Disopyramide at therapeutic plasma levels shortens the sinus node recovery time, lengthens the effective refractory period of the atrium, and has a minimal effect on t...
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Mechanism of Action:
Disopyramide is a Type 1A antiarrhythmic drug (ie, similar to procainamide and quinidine). It inhibits the fast sodium channels. In animal studies Disopyramide decreases the rate of diastolic depolarization (phase 4) in cells with augmented automaticity, decreases the upstroke velocity (phase 0) and increases the action potential duration of normal...
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Absorption: Nearly complete
Protein binding: 50%-65%
Biotransformation: Hepatic
Route of elimination: In healthy men, about 50% of a given dose of disopyramide is excreted in the urine as the unchanged drug, about 20% as the mono-N-dealkylated metabolite and 10% as the other metabolites.
Half Life: 6.7 hours (range 4-10 hours)
Toxicity: LD50=580 mg/kg in rats
Affected organisms: Humans and other mammals
Interactions
Food interaction:
Avoid alcohol.
Take without regard to meals.
Drug interaction:
MephenytoinThe hydantoin decreases the effect of disopyramide
GrepafloxacinIncreased risk of cardiotoxicity and arrhythmias
ErythromycinIncreased risk of cardiotoxicity and arrhythmias
NadololThe beta-blocker, nadolol, may increase the toxicity of disopyramide.
TimololThe beta-blocker, timolol, may increase the toxicity of disopyramide.
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