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Double-effect anesthetic

A technology for drugs and compounds, applied in the field of medicine, can solve problems such as inconvenience of use, and achieve the effect of reducing the number of administrations

Active Publication Date: 2013-06-05
FOURTH MILITARY MEDICAL UNIVERSITY
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] Clinically, remifentanil and propofol must be administered separately, which is inconvenient to use during surgery

Method used

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Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0021] Example 1 Synthesis of Compound 2

[0022]

[0023] 4.12 g (10 mmol) of remifentanil was added to 20 mL of water, and under stirring at room temperature, 50 mL of 10% NaOH was added dropwise and stirred for 1 h. The reaction solution was added to toluene with water to obtain a white solid, which was compound 1, and was directly sent to the next step without purification. 1.8 g (10 mmol) of propofol was dissolved in 50 mL of dichloromethane, 1.92 g (10 mmol) of EDC hydrochloride, 0.25 g (2 mmol) of DMAP, and compound 1 were added to the reaction solution and reacted at room temperature for 3 h. The reaction solution was poured into 50 mL of water, separated, the organic phase was dried over anhydrous magnesium sulfate, the solvent was removed under reduced pressure, and 2.4 g of the target product was obtained by column chromatography, with a total yield of 48%.

[0024] MS: 523.50 (ES + ), 1 H-NMR (400MHz, CDCl 3 ): 7.42-7.12(m,8H), 3.81(s,3H), 2.94(m,2H), 2.79-2...

Embodiment 2

[0025] Example 2 Synthesis of Compound 4

[0026]

[0027] Add 4.12 g (10 mmol) of remifentanil to 20 mL of water, add 50 mL of 10% NaOH dropwise under stirring at room temperature, and react at 100 °C for 4 h. The reaction solution was added to toluene with water to obtain a white solid, which was compound 3, which was directly sent to the next step without purification. 3.6 g (20 mmol) of propofol was dissolved in 50 mL of dichloromethane, 3.84 g (20 mmol) of EDC hydrochloride, 0.50 g (4 mmol) of DMAP, and compound 3 were added to the reaction solution and reacted at room temperature for 3 h. The reaction solution was poured into 50 mL of water, separated, the organic phase was dried over anhydrous magnesium sulfate, the solvent was removed under reduced pressure, and 2.3 g of the target product was obtained by column chromatography with a total yield of 35%.

[0028] MS: 669.53 (ES + ), 1 H-NMR (400MHz, CDCl 3 ): 7.40-7.11(m,11H), 2.98(m,4H), 2.79-2.70(m,6H), 2.45(t,...

Embodiment 3

[0029] Example 3: Pharmacodynamic studies

[0030] 1. Test material

[0031] Kunming mice, weighing 18-22 g, were provided by the Experimental Animal Center of the Fourth Military Medical University; Propofol (P) and remifentanil (R) were provided by Yichang Renfu Pharmaceutical Co., Ltd., and P-R were self-made; Mb -4a digital display constant temperature electric heating plate, Beijing Kewei Yongxing Instrument Co., Ltd.

[0032] 2. Test plan and results

[0033] (1) Analgesic effect:

[0034] The analgesic effect was evaluated by the hot plate method. The average value of the second pain response before the drug was used as the basic pain threshold, and the mice with the basic pain threshold within 10-30 s were used for the experiment. Sixty female mice with qualified pain threshold were randomly divided into the following 6 groups (n=10): (1) Negative control group: given normal saline (10ml / kg, i.v.); (2) Group P: given P (15mg / kg) 1 min before pain induction kg, i.v...

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Abstract

The invention discloses a double-effect anesthetic represented by a structural formula (I). With the anesthetic, frequencies of administration can be reduced, an anesthesia induction process is more convenient, and adverse reactions caused by single-agents can be reduced. The anesthetic provided by the invention is advantaged in fast effect, short duration, high anesthesia efficacy, high controllability during operation, and fast recovery after operation.

Description

technical field [0001] The invention relates to a novel anesthetic drug with dual effects of analgesia and sedation, which belongs to the technical field of medicine. Background technique [0002] At present, anesthesia and sedative anesthesia are used simultaneously for induction of anesthesia in surgery. In clinical practice, anesthesia and analgesics such as fentanyl and anesthesia and sedative propofol are often combined. Remifentanil is an ultra-short-acting opioid with fast onset of action, fast disappearance of effect, strong analgesic effect, but extremely weak sedative effect. Adverse reactions include cardiovascular depression, opioid central nervous system effects, respiratory depression, etc. Propofol is a short-acting phenolic alkanes drug with quick onset, short duration, rapid and stable recovery, but weak analgesic effect and insoluble in water. It is clinically used in the form of emulsion with poor stability. Adverse reactions include propofol infusion sy...

Claims

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Application Information

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Patent Type & Authority Patents(China)
IPC IPC(8): C07D211/66A61K31/4468A61P23/00A61P25/20A61P29/00
Inventor 熊利泽文爱东孙晓莉奚苗苗陈雷朱艳荣
Owner FOURTH MILITARY MEDICAL UNIVERSITY