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Benzalkonium chloride (Alkyldimethylbenzylammonium chloride) Sale

(Synonyms: 苯扎氯铵; Alkyldimethylbenzylammonium chloride) 目录号 : GC33931

Benzalkonium chloride, a detergent and preservative found in health care and household products, is an established irritant.

Benzalkonium chloride (Alkyldimethylbenzylammonium chloride) Chemical Structure

Cas No.:8001-54-5

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产品描述

Benzalkonium chloride, a detergent and preservative found in health care and household products, is an established irritant.

Chemical Properties

Cas No. 8001-54-5 SDF
别名 苯扎氯铵; Alkyldimethylbenzylammonium chloride
Canonical SMILES C[N+](C[(CH2)nCH3])(C)CC1=CC=CC=C1.[Cl-].[n=].[6 -16]
分子式 C6H5CH2N(CH3)2RCl (R=C8H17 to C18H37) 分子量 368.04
溶解度 DMSO : 50 mg/mL ;Water : ≥ 20 mg/mL 储存条件 Store at -20°C
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1 mg 5 mg 10 mg
1 mM 2.7171 mL 13.5855 mL 27.171 mL
5 mM 0.5434 mL 2.7171 mL 5.4342 mL
10 mM 0.2717 mL 1.3585 mL 2.7171 mL
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Research Update

Ocular Benzalkonium chloride exposure: problems and solutions

Eye (Lond) 2022 Feb;36(2):361-368.PMID:34262161DOI:10.1038/s41433-021-01668-x.

Preservatives in multidose formulations of topical ophthalmic medications are crucial for maintaining sterility but can be toxic to the ocular surface. Benzalkonium chloride (BAK)-used in approximately 70% of ophthalmic formulations-is well known to cause cytotoxic damage to conjunctival and corneal epithelial cells, resulting in signs and symptoms of ocular surface disease (OSD) including ocular surface staining, increased tear break-up time, and higher OSD symptom scores. These adverse effects are more problematic with chronic exposure, as in lifetime therapy for glaucoma, but can also manifest after exposure as brief as seven days. Multiple strategies are available to minimize or eliminate BAK exposure, among them alternative preservatives, preservative-free formulations including sustained release drug delivery platforms, and non-pharmacological therapies for common eye diseases and conditions. In this paper, we review the cytotoxic and clinical effects of BAK on the ocular surface and discuss existing and emerging options for ocular disease management that can minimize or eliminate BAK exposure.

[Effects of Benzalkonium chloride in Ophthalmic Eyedrop Medications on Corneal Epithelium]

Yakugaku Zasshi 2021;141(1):35-39.PMID:33390445DOI:10.1248/yakushi.20-00177-1.

Eyedrops often contain additives other than active pharmaceutical ingredients, such as preservatives. The most frequently used preservative is Benzalkonium chloride (BAC). When the ocular surface is exposed to eyedrops, the active pharmaceutical ingredients and additives can cause corneal epithelial disorder. Particularly in clinical settings, there is great interest in corneal epithelial disorders resulting from the use of glaucoma eyedrops, which is inevitable when instilled for a long period of time after the onset of disease. At the authors' institute, glaucoma is treated with consideration of reducing corneal epithelial disorder while ensuring the effect of lowering intraocular pressure by the appropriate choice of eyedrops. In this review, we show the examples of the retrospective studies. Sodium hyaluronate eyedrops are prescribed for corneal epithelial disorders such as superficial punctate keratitis associated with dry eye. Prescribable concentrations of sodium hyaluronate in Japan are 0.1% or 0.3%, and the 0.3% formulation does not contain BAC. The authors' study showed that 0.3% sodium hyaluronate pretreatment reduced the cytotoxicity of BAC in cultured corneal epithelial cells, whereas an in vivo study in mice showed that a 0.3% sodium hyaluronate instillation was suggested and that the drug may enhance the cytotoxicity of separately administered BAC. It is suggested that sodium hyaluronate prolonged the retention of BAC on the ocular surface. However, there have been no reports of this problem in the clinical setting. It is important for ophthalmologists to understand the properties of additives other than the active pharmaceutical ingredients in eyedrops.

Benzalkonium chloride and glaucoma

J Ocul Pharmacol Ther 2014 Mar-Apr;30(2-3):163-9.PMID:24205938DOI:10.1089/jop.2013.0174.

Glaucoma patients routinely take multiple medications, with multiple daily doses, for years or even decades. Benzalkonium chloride (BAK) is the most common preservative in glaucoma medications. BAK has been detected in the trabecular meshwork (TM), corneal endothelium, lens, and retina after topical drop installation and may accumulate in those tissues. There is evidence that BAK causes corneal and conjunctival toxicity, including cell loss, disruption of tight junctions, apoptosis and preapoptosis, cytoskeleton changes, and immunoinflammatory reactions. These same effects have been reported in cultured human TM cells exposed to concentrations of BAK found in common glaucoma drugs and in the TM of primary open-angle glaucoma donor eyes. It is possible that a relationship exists between chronic exposure to BAK and glaucoma. The hypothesis that BAK causes/worsens glaucoma is being tested experimentally in an animal model that closely reflects human physiology.

Pulmonary Toxicity of Benzalkonium chloride

J Aerosol Med Pulm Drug Deliv 2018 Feb;31(1):1-17.PMID:28683210DOI:10.1089/jamp.2017.1390.

The available toxicity data of Benzalkonium chloride (BKC) clearly shows that it is toxic; however, the weight of evidence favors the view that at doses encountered in nasally and orally inhaled pharmaceutical preparations it is well tolerated. The adverse toxicological data predominantly come from in vitro and animal studies in which doses and exposure periods employed were excessive in relation to the clinical doses and their posology and, therefore, not directly applicable to the clinic. The conflict between the in vitro and animal data and the clinical experience can be reconciled by understanding some of the physicochemical properties of BKC, the nasal and respiratory tract microenvironments, the doses used, and the posology.

Impact of Benzalkonium chloride, benzethonium chloride and chloroxylenol on bacterial antimicrobial resistance

J Appl Microbiol 2022 Dec;133(6):3322-3346.PMID:35882500DOI:10.1111/jam.15739.

This review examined 3655 articles on Benzalkonium chloride (BKC), benzethonium chloride (BZT) and chloroxylenol (CHO) aiming to understand their impact on antimicrobial resistance. Following the application of inclusion/exclusion criteria, only 230 articles were retained for analysis; 212 concerned BKC, with only 18 for CHO and BZT. Seventy-eight percent of studies used MIC to measure BKC efficacy. Very few studies defined the term 'resistance' and 85% of studies defined 'resistance' as <10-fold increase (40% as low as 2-fold) in MIC. Only a few in vitro studies reported on formulated products and when they did, products performed better. In vitro studies looking at the impact of BKC exposure on bacterial resistance used either a stepwise training protocol or exposure to constant BKC concentrations. In these, BKC exposure resulted in elevated MIC or/and MBC, often associated with efflux, and at time, a change in antibiotic susceptibility profile. The clinical relevance of these findings was, however, neither reported nor addressed. Of note, several studies reported that bacterial strains with an elevated MIC or MBC remained susceptible to the in-use BKC concentration. BKC exposure was shown to reduce bacterial diversity in complex microbial microcosms, although the clinical significance of such a change has not been established. The impact of BKC exposure on the dissemination of resistant genes (notably efflux) remains speculative, although it manifests that clinical, veterinary and food isolates with elevated BKC MIC carried multiple efflux pump genes. The correlation between BKC usage and gene carriage, maintenance and dissemination has also not been established. The lack of clinical interpretation and significance in these studies does not allow to establish with certainty the role of BKC on AMR in practice. The limited literature and BZT and CHO do not allow to conclude that these will impact negatively on emerging bacterial resistance in practice.