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Dipivefrin (hydrochloride)

(Synonyms: 盐酸地匹福林,Dipivefrine hydrochloride) 目录号 : GC43476

A prodrug of epinephrine

Dipivefrin (hydrochloride) Chemical Structure

Cas No.:64019-93-8

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25mg
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50mg
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100mg
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产品描述

Dipivefrin is a prodrug of epinephrine that is hydrolyzed by cholinesterase and other esterases in the cornea to epinephrine. It reduces the density of cultured bovine primary trabecular meshwork cells (IC50 = 115 µM). Additionally, it induces an elongated, fibroblast-like morphology and disrupts the actin cytoskeleton in bovine primary trabecular meshwork cells when used at a concentration of 103 µM. In cultured bovine corneal endothelial cells, dipivefrin (28 µM) enhances calcium signaling and induces cytotoxicity. Dipivefrin also suppresses primary human corneal keratinocyte proliferation when used at a concentration of 280 µM. Formulations containing dipivefrin have been used alone and in combination with β-adrenergic receptor antagonists for the treatment of glaucoma.

Chemical Properties

Cas No. 64019-93-8 SDF
别名 盐酸地匹福林,Dipivefrine hydrochloride
Canonical SMILES O=C(C(C)(C)C)OC1=C(OC(C(C)(C)C)=O)C=C(C(CNC)O)C=C1.Cl
分子式 C19H29NO5•HCl 分子量 387.9
溶解度 DMF: 33 mg/ml,DMSO: 33 mg/ml,Ethanol: 33 mg/ml,PBS (pH 7.2): 10 mg/ml 储存条件 Store at -20°C
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1 mM 2.578 mL 12.8899 mL 25.7798 mL
5 mM 0.5156 mL 2.578 mL 5.156 mL
10 mM 0.2578 mL 1.289 mL 2.578 mL
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Research Update

Dipivefrin: current concepts

Aust J Ophthalmol 1980 May;8(2):147-50.PMID:7004425DOI:10.1111/j.1442-9071.1980.tb01673.x.

Pro-drugs are agents that require biotransformation prior to exhibiting pharmacologic activity. Dipivefrin (dipivalyl epinephrine or DPE) is an epinephrine pro-drug produced by the addition of two pivalic acid groups to the parent compound. This creates a more lipophilic molecule which penetrates the cornea more readily than epinephrine. Enzymes in ocular tissues convert Dipivefrin into its active form, epinephrine. In concentrations approximately one-tenth that of epinephrine, topically applied Dipivefrin therefore produces: (1) similar intra-ocular concentrations of epinephrine; (2) similar reductions in intra-ocular pressure (IOP); (3) similar degrees of mydriasis; and (4) fewer extraocular and systemic side effects. For reasons that are discussed, Dipivefrin should probably not be used in conjunction with anticholinesterases. Dipivefrin offers the same risk of cystoid macular oedema as does epinephrine. Dipivefrin is a safe, effective, and well-tolerated alternative to epinephrine in the treatment of elevated IOP. It is particularly useful for patients who cannot tolerate epinephrine.

A combination of levobunolol and Dipivefrin for the treatment of glaucoma

Arch Ophthalmol 1988 Jul;106(7):904-7.PMID:3291837DOI:10.1001/archopht.1988.01060140050022.

This double-masked prospective study compared the ocular hypotensive efficacy and the safety of 0.5% and 1% levobunolol hydrochloride with 0.5% timolol maleate when each was administered topically twice daily in combination with 0.1% Dipivefrin hydrochloride. Forty-three patients whose intraocular pressure was previously controlled by concomitant treatment with timolol and Dipivefrin were randomly assigned to receive 0.5% or 1% levobunolol and 0.1% Dipivefrin, or to continue to receive 0.5% timolol and 0.1% Dipivefrin for three months. In the groups receiving levobunolol and Dipivefrin concurrently, continued intraocular pressure control was achieved equal to that attained with timolol and Dipivefrin before study entry. We concluded that concomitant treatment with levobunolol and Dipivefrin is equal in both efficacy and safety to concomitant treatment with timolol and Dipivefrin.

Thermoresponsive sol-gel improves ocular bioavailability of Dipivefrin hydrochloride and potentially reduces the elevated intraocular pressure in vivo

Saudi Pharm J 2020 Aug;28(8):1019-1029.PMID:32792847DOI:10.1016/j.jsps.2020.07.001.

The present study involves the development of Dipivefrin hydrochloride (DV) containing Poloxamers (P407 and P188)-Carbopol-934 (CP) based thermoresponsive-gels for the management of elevated intraocular pressure (IOP). Optimal formulation was evaluated for gelation temperature (Tgel), physicochemical and viscoelastic properties, in-vitro gel dissolution and drug release studies. The in-vivo safety, precorneal retention, ocular pharmacokinetics and efficacy in reducing IOP were also evaluated. Tgel of DV-containing thermoresponsive-gels were between 35.1 and 38.9 °C and it was Poloxamers and CP concentrations dependent. The optimal formulation (F8), composed of 20% P407, 5% P188 and 0.15% CP (w/v), had a Tgel of 35 °C. Its viscosity indicated good flow at room temperature and ability to convert to gel at ocular temperature and the rheology studies revealed favorable characteristics for its ocular use. In precorneal retention experiment, F8 indicated significantly higher area under concentrations curves as compared to DV-aqueous suspension (DV-AqS). In-vivo ocular pharmacokinetics indicated a significant improvement in ophthalmic bioavailability of epinephrine (active form of DV). F8 was non-irritant to the eyes and showed a successful, continuous and superior ability to reduce IOP compared to DV-AqS in rabbits. In conclusion, our developed system could be an appropriate substitute to the conventional DV eye preparations in the management of elevated IOP.

Effects of Dipivefrin and pilocarpine on pupil diameter, automated perimetry and LogMAR acuity

Graefes Arch Clin Exp Ophthalmol 1999 Feb;237(2):117-24.PMID:9987628DOI:10.1007/s004170050206.

Background: A study was carried out to ascertain, in ophthalmologically normal subjects, the short-term effects of Dipivefrin hydrochloride 0.1% on visual performance and make comparisons with pilocarpine. Methods: Twelve normal volunteers aged 20-26 years attended on three occasions. One eye, randomly selected, received one drop of either pilocarpine 2%, Dipivefrin or saline 0.9%. High- and low-contrast LogMAR acuity at 6 m and pupil diameter (measured by infra-red pupillometry) were recorded at baseline (T0) and at intervals up to 90 min following instillation of drops. Program 30-2 of the Humphrey Visual Field Analyzer (HFA) was run at T0 and at 60 min after treatment instillation (T60). Saline was always instilled at visit 1, to allow for learning effects. On visits 2 and 3 either pilocarpine or Dipivefrin was randomly instilled into the treated eye. Results: Pilocarpine significantly worsened the field global indices mean deviation (P < 0.001) and pattern standard deviation (P < 0.01) compared with T0. There was no significant change with Dipivefrin. A significant (P = 0.01) pupil dilation from 5.44 mm (SD 0.79) at T0 to 6.19 mm (SD 1.09) at T90 occurred with Dipivefrin. Pilocarpine caused significant miosis. No significant changes in LogMAR values were found with Dipivefrin. Pilocarpine significantly (P < 0.01) increased LogMAR values (i.e. reduced acuity) compared with Dipivefrin. At T30 the mean increase in LogMAR was 0.76 (SD 0.30) for high and 0.83 (SD 0.11) for low contrast. By T90 recovery of acuity was virtually complete. Conclusions: In normals Dipivefrin causes mydriasis but does not affect the central visual field global indices (as assessed by STATPAC), or high- and low-contrast LogMAR acuity. Pilocarpine adversely affects the visual field and both measures of acuity. Knowledge of these effects is of value in glaucoma therapy and when monitoring the progression of visual loss.

Enzymatic and nonenzymatic hydrolysis of D,L-dipivefrin

Arch Ophthalmol 1984 Mar;102(3):457-60.PMID:6703997DOI:10.1001/archopht.1984.01040030371041.

D,L-dipivefrin hydrochloride was administered bilaterally to rabbit eyes five or 150 minutes after unilateral application of a cholinesterase inhibitor. Aqueous humor levels of D,L-epinephrine, measured 30 minutes later by high-performance liquid chromatography, were not significantly different in the two eyes. Nonenzymatic conversion of D,L-dipivefrin to D,L-epinephrine was measured in tissue-free (pH 7.4) solutions; after three hours less than 1% of D,L-dipivefrin became D,L-epinephrine. Homogenates of corneal epithelium were 16 times more effective in converting D,L-dipivefrin to D,L-epinephrine than after heat-inactivation. The ocular hypotension produced by 0.25% D,L-dipivefrin eyedrops was unaffected by prior administration of 0.25% echothiophate iodide eyedrops provided the D,L-dipivefrin was administered after the echothiophate-induced ocular hypertensive phase. It was concluded that D,L-dipivefrin was converted to D,L-epinephrine in vivo primarily by enzymatic hydrolysis and that cholinesterase inhibitors did not affect this conversion.