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Chemistry

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Also known as: 51-06-9, Novocainamide, Biocoryl, Novocamid, 4-amino-n-[2-(diethylamino)ethyl]benzamide, Procaine amide
Molecular Formula
C13H21N3O
Molecular Weight
235.33  g/mol
InChI Key
REQCZEXYDRLIBE-UHFFFAOYSA-N
FDA UNII
L39WTC366D

Procainamide
A class Ia antiarrhythmic drug that is structurally-related to PROCAINE.
Procainamide is an Antiarrhythmic.
1 2D Structure

Procainamide

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
4-amino-N-[2-(diethylamino)ethyl]benzamide
2.1.2 InChI
InChI=1S/C13H21N3O/c1-3-16(4-2)10-9-15-13(17)11-5-7-12(14)8-6-11/h5-8H,3-4,9-10,14H2,1-2H3,(H,15,17)
2.1.3 InChI Key
REQCZEXYDRLIBE-UHFFFAOYSA-N
2.1.4 Canonical SMILES
CCN(CC)CCNC(=O)C1=CC=C(C=C1)N
2.2 Other Identifiers
2.2.1 UNII
L39WTC366D
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Amide, Procaine

2. Apo-procainamide

3. Biocoryl

4. Hydrochloride, Procainamide

5. Novocainamide

6. Novocamid

7. Procainamide Hydrochloride

8. Procaine Amide

9. Procamide

10. Procan

11. Procan Sr

12. Procanbid

13. Pronestyl

14. Rhythmin

2.3.2 Depositor-Supplied Synonyms

1. 51-06-9

2. Novocainamide

3. Biocoryl

4. Novocamid

5. 4-amino-n-[2-(diethylamino)ethyl]benzamide

6. Procaine Amide

7. 4-amino-n-(2-diethylaminoethyl)benzamide

8. Pronestyl

9. Novocainamid

10. Procamide

11. Novocaine Amide

12. Procainamida

13. Procainamidum

14. Procan

15. Procapan (free Base)

16. P-aminobenzoic Diethylaminoethylamide

17. P-amino-n-(2-diethylaminoethyl)benzamide

18. Pronestyl-sr

19. 4-amino-n-(2-(diethylamino)ethyl)benzamide

20. Nsc 27461

21. Benzamide, 4-amino-n-(2-(diethylamino)ethyl)-

22. Procainamide (inn)

23. Chebi:8428

24. 2-diethylaminoethylamid Kyseliny P-aminobenzoove

25. Nsc-27461

26. Benzamide, 4-amino-n-[2-(diethylamino)ethyl]-

27. Sp 100 (pharmaceutical)

28. L39wtc366d

29. Benzamide, P-amino-n-(2-(diethylamino)ethyl)-

30. Benzamide, P-amino-n-[2-(diethylamino)ethyl]-

31. Ncgc00015859-07

32. Rhythmin

33. 4-amino-n-(2-diethylaminoethyl) Benzamide

34. Dsstox_cid_3512

35. Procainamide [inn]

36. Procanbid; Sp 100; Sp 100 (pharmaceutical)

37. Dsstox_rid_77059

38. Dsstox_gsid_23512

39. Procainamide [inn:ban]

40. Procainamidum [inn-latin]

41. Procainamida [inn-spanish]

42. Cas-51-06-9

43. Hsdb 3170

44. Cas-614-39-1

45. Einecs 200-078-8

46. Brn 2214285

47. Unii-l39wtc366d

48. 2-diethylaminoethylamid Kyseliny P-aminobenzoove [czech]

49. Spectrum_000836

50. Maybridge1_004389

51. Prestwick0_000337

52. Prestwick1_000337

53. Prestwick2_000337

54. Prestwick3_000337

55. Spectrum2_001295

56. Spectrum3_000555

57. Spectrum4_000487

58. Spectrum5_000986

59. Lopac-p-9391

60. Chembl640

61. Epitope Id:135397

62. Procainamide [hsdb]

63. Cambridge Id 5144127

64. Procainamide [vandf]

65. Lopac0_000995

66. Schembl15914

67. Bspbio_000373

68. Bspbio_001463

69. Bspbio_002229

70. Cbdive_003757

71. Kbiogr_000183

72. Kbiogr_000973

73. Kbioss_000183

74. Kbioss_001316

75. 4-14-00-01154 (beilstein Handbook Reference)

76. Cid_66068

77. Bidd:gt0579

78. Divk1c_000931

79. Procainamide [who-dd]

80. Spbio_001329

81. Spbio_002294

82. Wln: Zr Dvm2n2&2

83. Bpbio1_000411

84. Gtpl4811

85. Dtxsid7023512

86. Bdbm39344

87. Hms553p13

88. Hy-a0084a

89. Kbio1_000931

90. Kbio2_000183

91. Kbio2_001316

92. Kbio2_002751

93. Kbio2_003884

94. Kbio2_005319

95. Kbio2_006452

96. Kbio3_000365

97. Kbio3_000366

98. Kbio3_001729

99. Ninds_000931

100. Bio1_000391

101. Bio1_000880

102. Bio1_001369

103. Bio2_000183

104. Bio2_000663

105. Hms1361j05

106. Hms1791j05

107. Hms1989j05

108. Hms2089e13

109. Hms3402j05

110. Nsc27461

111. Zinc1530756

112. Tox21_110246

113. Mfcd00066880

114. Stk367963

115. Akos000271131

116. Tox21_110246_1

117. 4-amino-n-(diethylaminoethyl)benzamide

118. Ccg-205075

119. Cs-w009100

120. Db01035

121. Fs-5697

122. Sdccgsbi-0050968.p005

123. Idi1_000931

124. Idi1_033933

125. Smp1_000055

126. Ncgc00015859-01

127. Ncgc00015859-02

128. Ncgc00015859-03

129. Ncgc00015859-04

130. Ncgc00015859-05

131. Ncgc00015859-06

132. Ncgc00015859-08

133. Ncgc00015859-09

134. Ncgc00015859-10

135. Ncgc00015859-11

136. Ncgc00015859-14

137. Ncgc00015859-16

138. Ncgc00015859-18

139. Ncgc00015859-23

140. Ncgc00024323-03

141. Ncgc00024323-04

142. Ncgc00024323-05

143. Ncgc00024323-06

144. N-(2-diethylaminoethyl) 4-aminobenzamide

145. Sbi-0050968.p004

146. 4-amino-n-(2-diethylamino-ethyl)-benzamide

147. Ab00053530

148. Bb 0216450

149. N1-[2-(diethylamino)ethyl]-4-aminobenzamide

150. 4-{n-[2-(diethylamino)ethyl]carbamoyl}aniline

151. 4-amino-n-[2-(diethylamino)ethyl]benzamide #

152. C07401

153. C75392

154. D08421

155. Ab00053530-13

156. Ab00053530-15

157. Ab00053530_16

158. 051p069

159. L001052

160. Q417597

161. N-(2-(diethylamino)ethyl)-4-aminobenzamide

162. Brd-k75089421-001-02-5

163. Brd-k75089421-003-04-7

164. Brd-k75089421-003-05-4

165. Brd-k75089421-003-15-3

166. F2173-1035

167. 4-azanyl-n-[2-(diethylamino)ethyl]benzamide;hydrochloride

2.4 Create Date
2005-03-25
3 Chemical and Physical Properties
Molecular Weight 235.33 g/mol
Molecular Formula C13H21N3O
XLogP30.9
Hydrogen Bond Donor Count2
Hydrogen Bond Acceptor Count3
Rotatable Bond Count6
Exact Mass235.168462302 g/mol
Monoisotopic Mass235.168462302 g/mol
Topological Polar Surface Area58.4 Ų
Heavy Atom Count17
Formal Charge0
Complexity221
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

Anti-Arrhythmia Agents; Platelet Aggregation Inhibitors

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


PROCAINAMIDE IS USEFUL IN SUPPRESSING ARRHYTHMIAS OF VENTRICULAR ORIGIN, INCL VENTRICULAR EXTRASYSTOLES, PAROXYSMAL VENTRICULAR TACHYCARDIA, & VENTRICULAR FIBRILLATION. /HYDROCHLORIDE SALT/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 794


DRUG IS...EFFECTIVE AGAINST PAROXYSMAL ATRIAL TACHYCARDIA, ATRIAL FLUTTER, & ATRIAL TACHYCARDIA OR ATRIAL ECTOPIC SYSTOLES. IN CASES OF PAROXYSMAL ATRIAL TACHYCARDIA, OTHER MEASURES & AGENTS OF CHOICE SHOULD BE EMPLOYED BEFORE PROCAINAMIDE IS USED. /HYDROCHLORIDE SALT/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 794


PROCAINAMIDE HAS BEEN USED IN TREATMENT OF MYOTONIA, WHERE ITS EFFECTS RESEMBLE THOSE OF QUININE.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 696


For more Therapeutic Uses (Complete) data for PROCAINAMIDE (8 total), please visit the HSDB record page.


4.2 Drug Warning

...USED WITH CAUTION & MEDICATION MUST BE STOPPED IF QRS COMPLEX IS EXCESSIVELY WIDENED. PROCAINAMIDE IS USUALLY WELL TOLERATED. HOWEVER, IT HAS OCCASIONALLY CAUSED SERIOUS SIDE EFFECTS, & DEATHS HAVE RESULTED.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 695


...PROCAINAMIDE CAN CAUSE UNTOWARD RESPONSES BY ITS ACTIONS ON ABNORMAL MYOCARDIUM OR AS RESULT OF CORRECTION OF ARRHYTHMIAS FOR WHICH DRUG IS ADMIN. ... PROCAINAMIDE...SHOULD NOT BE ADMIN WHEN COMPLETE A-V BLOCK IS PRESENT & SHOULD BE USED ONLY CAUTIOUSLY IN PRESENCE OF PARTIAL BLOCK BECAUSE OF DANGER OF ASYSTOLE.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 695


CROSS SENSITIVITY TO PROCAINE & RELATED DRUGS SHOULD BE ANTICIPATED. ... /IT/...MUST BE GIVEN CAUTIOUSLY IF PT IS DIGITALIZED. /HCL SALT/

Osol, A. and J.E. Hoover, et al. (eds.). Remington's Pharmaceutical Sciences. 15th ed. Easton, Pennsylvania: Mack Publishing Co., 1975., p. 794


FATAL AGRANULOCYTOSIS...REPORTED, & FREQUENT BLOOD EXAM DURING CHRONIC... THERAPY ARE ESSENTIAL. SYNDROME SIMILAR TO SYSTEMIC LUPUS ERYTHEMATOSUS IS COMMON REACTION TO CHRONIC ADMIN, & MAY NECESSITATE TERMINATION OF THERAPY...

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 696


For more Drug Warnings (Complete) data for PROCAINAMIDE (9 total), please visit the HSDB record page.


4.3 Drug Indication

For the treatment of life-threatening ventricular arrhythmias.


5 Pharmacology and Biochemistry
5.1 Pharmacology

Procainamide is an agent indicated for production of local or regional anesthesia and in the treatment of ventricular tachycardia occurring during cardiac manipulation, such as surgery or catheterization, or which may occur during acute myocardial infarction, digitalis toxicity, or other cardiac diseases. The mode of action of the antiarrhythmic effect of Procainamide appears to be similar to that of procaine and quinidine. Ventricular excitability is depressed and the stimulation threshold of the ventricle is increased during diastole. The sinoatrial node is, however, unaffected.


5.2 MeSH Pharmacological Classification

Voltage-Gated Sodium Channel Blockers

A class of drugs that inhibit the activation of VOLTAGE-GATED SODIUM CHANNELS. (See all compounds classified as Voltage-Gated Sodium Channel Blockers.)


Anti-Arrhythmia Agents

Agents used for the treatment or prevention of cardiac arrhythmias. They may affect the polarization-repolarization phase of the action potential, its excitability or refractoriness, or impulse conduction or membrane responsiveness within cardiac fibers. Anti-arrhythmia agents are often classed into four main groups according to their mechanism of action: sodium channel blockade, beta-adrenergic blockade, repolarization prolongation, or calcium channel blockade. (See all compounds classified as Anti-Arrhythmia Agents.)


5.3 FDA Pharmacological Classification
5.3.1 Active Moiety
PROCAINAMIDE
5.3.2 FDA UNII
L39WTC366D
5.3.3 Pharmacological Classes
Established Pharmacologic Class [EPC] - Antiarrhythmic
5.4 ATC Code

C - Cardiovascular system

C01 - Cardiac therapy

C01B - Antiarrhythmics, class i and iii

C01BA - Antiarrhythmics, class ia

C01BA02 - Procainamide


5.5 Absorption, Distribution and Excretion

Absorption

75 to 95%


Route of Elimination

Trace amounts may be excreted in the urine as free and conjugated p-aminobenzoic acid, 30 to 60 percent as unchanged PA, and 6 to 52 percent as the NAPA derivative.


Volume of Distribution

2 L/kg


PROCAINAMIDE IS RAPIDLY & ALMOST COMPLETELY ABSORBED FROM GI TRACT. WHEN... GIVEN ORALLY, ITS PLASMA CONCN BECOMES MAX IN ABOUT 60 MIN; AFTER IM ADMIN PEAK PLASMA CONCN ARE REACHED IN 15-60 MIN.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 695


AT ORDINARY PLASMA CONCN, ONLY 15%...IS BOUND TO MACROMOLECULAR CONSTITUENTS OF PLASMA. CONCN OF DRUG IN MOST TISSUES EXCEPT BRAIN IS GREATER THAN THAT IN PLASMA. APPROX 60% OF DRUG IS EXCRETED BY KIDNEY. TWO TO 10%...IS RECOVERED IN URINE AS FREE & CONJUGATED P-AMINOBENZOIC ACID.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 695


CONSIDERABLE DIFFERENCES...OBSERVED IN PROCAINAMIDE & ALSO PROCAINAMIDE ETHOBROMIDE DISPOSITION. ETHOBROMIDE IS CLEARED RAPIDLY IN BILE OF RATS & RABBITS, BUT ONLY SLOWLY IN DOGS. 64% OF ORALLY DOSED PROCAINAMIDE IS VOIDED AS UNCHANGED...IN HUMAN URINE, WHEREAS IN RHESUS MONKEY IT IS ALMOST COMPLETELY METABOLIZED.

The Chemical Society. Foreign Compound Metabolism in Mammals Volume 3. London: The Chemical Society, 1975., p. 149


RENAL, CARDIAC, OR HEPATIC IMPARIMENT...RESULTED IN PROLONGED PLASMA HALF-LIVES, & THERE IS EVIDENCE THAT PROCAINAMIDE MAY INHIBIT ITS OWN ELIMINATION AFTER MULTIPLE DOSING.

The Chemical Society. Foreign Compound Metabolism in Mammals. Volume 2: A Review of the Literature Published Between 1970 and 1971. London: The Chemical Society, 1972., p. 447


For more Absorption, Distribution and Excretion (Complete) data for PROCAINAMIDE (7 total), please visit the HSDB record page.


5.6 Metabolism/Metabolites

Hepatic


DRUG IS RELATIVELY SLOWLY HYDROLYZED BY PLASMA ESTERASES.../PRC: AND BY MICROSOMAL ENZYMES/

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 695


PROCAINAMIDE...WAS METABOLIZED TO N-ACETYL DERIV FOLLOWING ORAL ADMIN TO MAN & RHESUS MONKEYS. ... TWO MAJOR METABOLITES WERE DETECTED IN MONKEY URINE, P-ACETAMIDOBENZOIC ACID & DE-ETHYLATED DERIV, P-ACETAMIDO-N-[2-(ETHYLAMINO)-ETHYL]BENZAMIDE.

The Chemical Society. Foreign Compound Metabolism in Mammals Volume 3. London: The Chemical Society, 1975., p. 553


N-ACETYLPROCAINAMIDE IS AN ACTIVE METABOLITE OF PROCAINAMIDE.

LEE ET AL; ANTI-ARRHYTHMIC EFFICACY OF N-ACETYLPROCAINAMIDE IN PATIENTS WITH PREMATURE VENTRICULAR CONTRACTIONS; CLIN PHARMACOL THER 19(MAY) 508-514 (1976)


Procainamide has known human metabolites that include Acecainide.

S73 | METXBIODB | Metabolite Reaction Database from BioTransformer | DOI:10.5281/zenodo.4056560


5.7 Biological Half-Life

~2.5-4.5 hours


PLASMA HALF-LIVES OF PARENT DRUG & ITS TWO MAJOR METABOLITES IN MAN IS BETWEEN 2 & 3 HR. ELIMINATION IS DIRECTLY RELATED TO CREATININE CLEARANCE, & PLASMA HALF-LIFE OF UNCHANGED DRUG IS CONSIDERABLY INCR IN CASES OF RENAL IMPAIRMENT.

The Chemical Society. Foreign Compound Metabolism in Mammals Volume 3. London: The Chemical Society, 1975., p. 149


...BIOLOGICAL HALF-LIFE IS 3-4 HR...

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 695


5.8 Mechanism of Action

Procainamide is sodium channel blocker. It stabilizes the neuronal membrane by inhibiting the ionic fluxes required for the initiation and conduction of impulses thereby effecting local anesthetic action.


IV ADMIN...CAUSES FALL IN BLOOD PRESSURE; PERIPHERAL VASODILATATION PROBABLY CONTRIBUTES TO HYPOTENSIVE RESPONSE, BUT SYSTOLIC PRESSURE MAY BE REDUCED MORE THAN DIASTOLIC. ... CNS ACTIONS OF PROCAINAMIDE ARE NOT PROMINENT.

Goodman, L.S., and A. Gilman. (eds.) The Pharmacological Basis of Therapeutics. 5th ed. New York: Macmillan Publishing Co., Inc., 1975., p. 695


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