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Cyproheptadine Sale

(Synonyms: 塞庚啶) 目录号 : GC65565

Cyproheptadine HCl(Periactin) is a hydrochloride salt form of cyproheptadine which is a histamine receptor antagonist.

Cyproheptadine Chemical Structure

Cas No.:129-03-3

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5mg
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10mg
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产品描述

Cyproheptadine HCl(Periactin) is a hydrochloride salt form of cyproheptadine which is a histamine receptor antagonist.

Chemical Properties

Cas No. 129-03-3 SDF Download SDF
别名 塞庚啶
分子式 C21H21N 分子量 287.4
溶解度 储存条件 Store at -20°C
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1 mM 3.4795 mL 17.3974 mL 34.7947 mL
5 mM 0.6959 mL 3.4795 mL 6.9589 mL
10 mM 0.3479 mL 1.7397 mL 3.4795 mL
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Research Update

Cyproheptadine : a psychopharmacological treasure trove?

CNS Spectr 2022 Oct;27(5):533-535.PMID:33632345DOI:10.1017/S1092852921000250.

Cyproheptadine has a unique pharmacologic portfolio that speaks to the idea of a pluripotent molecule beyond an antiallergic agent which can expand its therapeutic potential to address a multitude of psychiatric indications. Here, authors touch on the topic with focused literature review of extant evidence.

Hyperthermia and Serotonin: The Quest for a "Better Cyproheptadine"

Int J Mol Sci 2022 Mar 20;23(6):3365.PMID:35328784DOI:10.3390/ijms23063365.

Fine temperature control is essential in homeothermic animals. Both hyper- and hypothermia can have deleterious effects. Multiple, efficient and partly redundant mechanisms of adjusting the body temperature to the value set by the internal thermostat exist. The neural circuitry of temperature control and the neurotransmitters involved are reviewed. The GABAergic inhibitory output from the brain thermostat in the preoptic area POA to subaltern neural circuitry of temperature control (Nucleus Raphe Dorsalis and Nucleus Raphe Pallidus) is a function of the balance between the (opposite) effects mediated by the transient receptor potential receptor TRPM2 and EP3 prostaglandin receptors. Activation of TRPM2-expressing neurons in POA favors hypothermia, while inhibition has the opposite effect. Conversely, EP3 receptors induce elevation in body temperature. Activation of EP3-expressing neurons in POA results in hyperthermia, while inhibition has the opposite effect. Agonists at TRPM2 and/or antagonists at EP3 could be beneficial in hyperthermia control. Activity of the neural circuitry of temperature control is modulated by a variety of 5-HT receptors. Based on the theoretical model presented the "ideal" antidote against serotonin syndrome hyperthermia appears to be an antagonist at the 5-HT receptor subtypes 2, 4 and 6 and an agonist at the receptor subtypes 1, 3 and 7. Very broadly speaking, such a profile translates in a sympatholytic effect. While a compound with such an ideal profile is presently not available, better matches than the conventional antidote Cyproheptadine (used off-label in severe serotonin syndrome cases) appear to be possible and need to be identified.

Cyproheptadine: A Potentially Effective Treatment for Functional Gastrointestinal Disorders in Children

Pediatr Ann 2017 Mar 1;46(3):e120-e125.PMID:28287686DOI:10.3928/19382359-20170213-01.

Functional gastrointestinal disorders (FGIDs) negatively affect children's quality of life and health care costs. It has been proposed that alteration of gut serotonin leads to gastrointestinal dysmotility, visceral hypersensitivity, altered gastrointestinal secretions, and brain-gut dysfunction. Cyproheptadine, a serotonin antagonist, has been shown to be a potentially effective and safe treatment option in children who meet the clinical criteria for FGIDs. Well-designed multicenter trials with long-term follow-up are needed to further investigate its efficacy. [Pediatr Ann. 2017;46(3):e120-e125.].

Effects of Cyproheptadine on Mitral Valve Remodeling and Regurgitation After Myocardial Infarction

J Am Coll Cardiol 2022 Aug 2;80(5):500-510.PMID:35902173DOI:10.1016/j.jacc.2022.05.025.

Background: Ischemic mitral regurgitation (MR) is primarily caused by left ventricle deformation, but leaflet thickening with fibrotic changes are also observed in the valve. Increased levels of 5-hydroxytryptamine (5-HT; ie, serotonin) are described after myocardial infarction (MI); 5-HT can induce valve fibrosis through the 5-HT type 2B receptor (5-HT2BR). Objectives: This study aims to test the hypothesis that post-MI treatment with Cyproheptadine (5-HT2BR antagonist) can prevent ischemic MR by reducing the effect of serotonin on mitral biology. Methods: Thirty-six sheep were divided into 2 groups: inferior MI and inferior MI treated with Cyproheptadine (0.5 mg/kg/d). Animals were followed for 90 days. Blood 5-HT, infarct size, left ventricular volume and function, MR fraction and mitral leaflet size were assessed. In a complementary in vitro study, valvular interstitial cells were exposed to pre-MI and post-MI serum collected from the experimental animals. Results: Increased 5-HT levels were observed after MI in nontreated animals, but not in the group treated with Cyproheptadine. Infarct size was similar in both groups (11 ± 3 g vs 9 ± 5 g; P = 0.414). At 90 days, MR fraction was 16% ± 7% in the MI group vs 2% ± 6% in the Cyproheptadine group (P = 0.0001). The increase in leaflet size following MI was larger in the Cyproheptadine group (+40% ± 9% vs +22% ± 12%; P = 0.001). Mitral interstitial cells overexpressed extracellular matrix genes when treated with post-MI serum, but not when exposed to post-MI serum collected from treated animals. Conclusions: Cyproheptadine given after inferior MI reduces post-MI 5-HT levels, prevents valvular fibrotic remodeling, is associated with larger increase in mitral valve size and less MR.

A Cyproheptadine fatality

J Anal Toxicol 1998 Jan-Feb;22(1):72-4.PMID:9491973DOI:10.1093/jat/22.1.72.

A 28-year-old man was found dead by his girlfriend. No anatomic cause of death was identified at autopsy. The heart-blood ethanol concentration was 0.09 g/dL. Comprehensive testing for abused and therapeutic drugs in the blood and urine identified Cyproheptadine, a serotonin and histamine antagonist. This was one of the medications prescribed for the girlfriend, who admitted that several tablets were missing from the vial. The heart blood contained 0.46 mg/L of Cyproheptadine. A review of the literature indicated that only trace amounts of parent drug are identified in the blood following therapeutic use of Cyproheptadine. Therefore, the medical examiner concluded that the cause of death in this case was ethanol and Cyproheptadine intoxication.