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Chemistry

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Also known as: Phenylacetylurea, 63-98-9, Phenurone, Phenacetylurea, Cetylureum, Phenuron
Molecular Formula
C9H10N2O2
Molecular Weight
178.19  g/mol
InChI Key
XPFRXWCVYUEORT-UHFFFAOYSA-N
FDA UNII
PAI7J52V09

Phenacemide
Phenacemide is used to control certain seizures in the treatment of epilepsy. This medicine acts on the central nervous system (CNS) to reduce the number and severity of seizures.
1 2D Structure

Phenacemide

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
N-carbamoyl-2-phenylacetamide
2.1.2 InChI
InChI=1S/C9H10N2O2/c10-9(13)11-8(12)6-7-4-2-1-3-5-7/h1-5H,6H2,(H3,10,11,12,13)
2.1.3 InChI Key
XPFRXWCVYUEORT-UHFFFAOYSA-N
2.1.4 Canonical SMILES
C1=CC=C(C=C1)CC(=O)NC(=O)N
2.2 Other Identifiers
2.2.1 UNII
PAI7J52V09
2.3 Synonyms
2.3.1 MeSH Synonyms

1. (phenylacetyl)urea

2. Phenuron

2.3.2 Depositor-Supplied Synonyms

1. Phenylacetylurea

2. 63-98-9

3. Phenurone

4. Phenacetylurea

5. Cetylureum

6. Phenuron

7. N-carbamoyl-2-phenylacetamide

8. Fenacemid

9. Neophedan

10. Phenacalum

11. Phenacetur

12. Phenicarb

13. Phetylureum

14. Phacetur

15. Phenacetylcarbamide

16. Fenacetamide

17. Acetylureum

18. Carbanmide

19. Comitiadone

20. Epiclase

21. Fenacemide

22. Fenostenyl

23. Fenurone

24. Neophenal

25. Phenacereum

26. Phenarone

27. Phenutal

28. Phenyrit

29. Epheron

30. Felurea

31. Fenilep

32. Fenised

33. Fenural

34. Fenurea

35. Fenytan

36. Efron

37. (phenylacetyl)urea

38. Eferon

39. Fenacetil-karbamide

40. Phenylacetyluree

41. Carbamide Phenylacetate

42. Fenylacetylmocovina

43. Benzeneacetamide, N-(aminocarbonyl)-

44. Urea, (phenylacetyl)-

45. (2-phenylacetyl)urea

46. N-(aminocarbonyl)benzeneacetamide

47. A-1348

48. Nsc 39458

49. .alpha.-phenylacetylurea

50. Nsc-39458

51. Chebi:8049

52. Pai7j52v09

53. Phenacemidum

54. Phenacerum

55. Fenacemide [dcit]

56. Ncgc00094754-01

57. Fenacemida

58. Dsstox_cid_3442

59. Dsstox_rid_77032

60. Phenylacetyluree [french]

61. Dsstox_gsid_23442

62. Fenacemida [inn-spanish]

63. Phenacemidum [inn-latin]

64. Fenylacetylmocovina [czech]

65. Cas-63-98-9

66. Phenurone (tn)

67. Hsdb 3380

68. Phenacemide (jan/inn)

69. Einecs 200-570-2

70. Brn 2048735

71. Unii-pai7j52v09

72. Phenacemide [usp:inn:ban]

73. N-(aminocarbonyl)-2-phenylacetamide

74. N-(phenylacetyl)urea

75. Spectrum_000923

76. N-(phenylacetyl)urea #

77. Phenacemide [mi]

78. Spectrum2_001019

79. Spectrum3_000679

80. Spectrum4_000473

81. Spectrum5_001240

82. Phenacemide [inn]

83. Phenacemide [jan]

84. Wln: Zvmv1r

85. Phenacemide [hsdb]

86. Chembl918

87. Phenacemide [vandf]

88. Phenacemide [mart.]

89. Schembl35118

90. Bspbio_002377

91. Kbiogr_000946

92. Kbioss_001403

93. Phenacemide [who-dd]

94. 4-09-00-01636 (beilstein Handbook Reference)

95. Divk1c_000320

96. Spectrum1500472

97. Spbio_001177

98. Gtpl7265

99. Zinc1916

100. Dtxsid6023442

101. Hms500p22

102. Kbio1_000320

103. Kbio2_001403

104. Kbio2_003971

105. Kbio2_006539

106. Kbio3_001597

107. Phenacemide [orange Book]

108. Ninds_000320

109. Hms1920f16

110. Hms2091n16

111. Pharmakon1600-01500472

112. Nsc39458

113. Tox21_111325

114. Ccg-40237

115. Mfcd00007948

116. Nsc757266

117. Akos009156469

118. Tox21_111325_1

119. Db01121

120. Nsc-757266

121. Idi1_000320

122. Ncgc00094754-02

123. Ncgc00094754-03

124. Ncgc00094754-05

125. Sbi-0051478.p003

126. Db-054589

127. Ft-0631283

128. C07428

129. D00504

130. Ab00052068_02

131. 063p989

132. Sr-05000001694

133. Q3742404

134. Sr-05000001694-1

135. 1-[(c-hydroxycarbonimidoyl)imino]-2-phenylethan-1-ol

136. Brd-k40905133-001-02-3

137. Brd-k40905133-001-03-1

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 178.19 g/mol
Molecular Formula C9H10N2O2
XLogP30.9
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count2
Rotatable Bond Count2
Exact Mass178.074227566 g/mol
Monoisotopic Mass178.074227566 g/mol
Topological Polar Surface Area72.2 Ų
Heavy Atom Count13
Formal Charge0
Complexity198
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Therapeutic Uses

Anticonvulsants

National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)


PHENACEMIDE SHOULD BE USED ONLY IN THERAPY OF TEMPORAL LOBE EPILEPSY REFRACTORY TO OTHER AGENTS, IN ASSOCIATION WITH OTHER DRUGS, & ONLY IF ADEQUATE SUPERVISION & MONITORING ARE POSSIBLE.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 218


PHENACEMIDE IS EFFECTIVE ANTICONVULSANT THAT MAY BE USEFUL IN...GENERALIZED TONIC-CLONIC, ABSENCE, & MIXED SEIZURES.

American Medical Association, AMA Department of Drugs, AMA Drug Evaluations. 3rd ed. Littleton, Massachusetts: PSG Publishing Co., Inc., 1977., p. 470


MEDICATION (VET): ANTICONVULSANT. USE/D/ IN CHOREA & VARIOUS EPILEPTIFORM CONVULSIVE DISORDERS OF DOGS USUALLY IN COMBINATION WITH SMALL DOSES OF PHENOBARBITAL.

Rossoff, I.S. Handbook of Veterinary Drugs. New York: Springer Publishing Company, 1974., p. 436


For more Therapeutic Uses (Complete) data for PHENACEMIDE (6 total), please visit the HSDB record page.


4.2 Drug Warning

Phenacemide has produced hepatitis and jaundice which have proceeded to fatal liver necrosis. Severe bone marrow depression, including fatalities resulting from aplastic anemia or agranulocytosis has also occurred in association with phenacemide therapy. Leukopenia (leukocyte count of 4000/cu mm or less) has been the most commonly observed effect.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 97. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1997 (Plus Supplements)., p. 1639


Phenacemide has also produced acute psychoses, often with suicidal tendencies. Phenacemide-induced psychological disturbances subside promptly when the drug is discontinued. Some authorities believe that phenacemide merely exacerbates or intensifies previously existing personality disorders.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 97. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1997 (Plus Supplements)., p. 1640


Phenacemide has occasionally produced nephritis characterized by marked albuminuria. A substantial increase in serum creatinine concentration in the absence of elevated BUN or any other evidence of renal disease may also occur in some patients receiving phenacemide.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 97. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1997 (Plus Supplements)., p. 1640


Other adverse reactions which have occurred during phenacemide therapy are anorexia and weight loss, drowsiness, fatigue, dizziness, insomnia, headache, paresthesia, fever, muscle pain, palpitations, and rashes.

McEvoy, G.K. (ed.). American Hospital Formulary Service - Drug Information 97. Bethesda, MD: American Society of Health-System Pharmacists, Inc. 1997 (Plus Supplements)., p. 1640


For more Drug Warnings (Complete) data for PHENACEMIDE (12 total), please visit the HSDB record page.


4.3 Drug Indication

Used to control certain seizures in the treatment of epilepsy.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Phenacemide is a ureal anticonvulsant indicated for control of severe epilepsy, particularly mixed forms of complex partial (psychomotor or temporal lobe) seizures, refractory to other anticonvulsants. Phenacemide elevates the threshold for minimal electroshock convulsions and abolishes the tonic phase of maximal electroshock seizures. It also prevents or modifies seizures induced by pentylenetetrazol or other convulsants.


5.2 ATC Code

N - Nervous system

N03 - Antiepileptics

N03A - Antiepileptics

N03AX - Other antiepileptics

N03AX07 - Phenacemide


5.3 Absorption, Distribution and Excretion

Absorption

Almost completely absorbed.


PHENACEMIDE IS ALMOST COMPLETELY ABSORBED FROM GI TRACT. ... UNCHANGED DRUG IS NOT EXCRETED IN URINE... PLASMA CONCN ASSOCIATED WITH EFFICACY & SAFETY HAVE NOT BEEN ESTABLISHED.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 218


COMPARISON OF EXCRETION OF (14)C-PHENACETYLUREA IN DIFFERENT SPECIES SHOWED DIFFERENCES IN BIOTRANSFORMATION. AFTER ORAL DOSE, RATS EXCRETED 63% OF (14)C IN 48-HR URINE, GUINEA-PIGS 56%, RABBITS 87%, & MICE 62%.

The Chemical Society. Foreign Compound Metabolism in Mammals. Volume 1: A Review of the Literature Published Between 1960 and 1969. London: The Chemical Society, 1970., p. 54


5.4 Metabolism/Metabolites

Metabolized in the liver by hepatic microsomal enzymes, where it is inactivated by p-hydroxylation.


BIOTRANSFORMATION OF PHENACETYLUREA IN RABBITS GAVE PHENYLACETIC ACID & PHENACETURIC ACID BY HYDROLYSIS OF UREIDO-GROUP, & 4-HYDROXYPHENACETYLUREA & 3-METHOXY-4-HYDROXYPHENACETYLUREA BY SUCCESSIVE RING-HYDROXYLATION & METHYLATION OF PHENOLIC HYDROXY-GROUP. PHENACETYLUREA N-GLUCURONIDE...DID NOT APPEAR TO BE FORMED...

The Chemical Society. Foreign Compound Metabolism in Mammals. Volume 1: A Review of the Literature Published Between 1960 and 1969. London: The Chemical Society, 1970., p. 178


BIOTRANSFORMATION BY HEPATIC MICROSOMAL ENZYMES INCL INACTIVATION BY PARAHYDROXYLATION OF PHENYL SUBSTITUENT; RING CLOSURE TO FORM HYDANTOIN DOES NOT OCCUR.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 218


5.5 Biological Half-Life

22-25 hours.


In one study using 1 control subject and 3 epileptic patients, the half-life of phenacemide was demonstrated to be 22 to 25 hours.

USP Convention. USPDI - Drug Information for the Health Care Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc., 1997. (Plus Updates)., p. 2315


5.6 Mechanism of Action

Phenacemide binds to and blocks neuronal sodium channels or voltage sensitive calcium channels. This blocks or suppresses neuronal depolarization and hypersynchronization. Hypersynchronization is what often causes seizures.


IT ACTS BOTH TO INCR THRESHOLD FOR CONVULSIVE STIMULI REACHING CNS AS WELL AS PREVENTING SPREAD OF SEIZURE DISCHARGE FROM INITIATING FOCI.

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 1016


...HAS BROAD SPECTRUM OF ANTICONVULSANT ACTIVITY IN EXPTL ANIMALS. IN NONTOXIC DOSES, IT ABOLISHES TONIC EXTENSOR PHASE OF MAX ELECTROSHOCK SEIZURES, ELEVATES THRESHOLD FOR ELECTROSHOCK CONVULSIONS IN NORMAL & HYPONATREMIC ANIMALS, & PREVENTS OR MODIFIES PENTYLENETETRAZOL SEIZURES...

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 218


The mechanism of action in humans has not been established. However, in animals, at doses well below those causing neurological signs, phenacemide elevates the threshold for minimal electroshock convulsions and abolishes the tonic phase of maximal electroshock seizures. It also prevents or modified seizures induced by pentylenetetrazol or other convulsants.

USP Convention. USPDI - Drug Information for the Health Care Professional. 17th ed. Volume I. Rockville, MD: Convention, Inc., 1997. (Plus Updates)., p. 2315


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