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R-(-)-Flecainide Sale

(Synonyms: R-(-)-氟卡尼) 目录号 : GC44801

An antiarrhythmic agent

R-(-)-Flecainide Chemical Structure

Cas No.:99495-90-6

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500μg
¥2,552.00
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1mg
¥4,848.00
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产品描述

R-(-)-Flecainide is the (R) enantiomer of the antiarrhythmic agent flecainide . R-(-)-Flecainide prevents chloroform-induced ventricular fibrillation in mice (ED50 = 14.5 mg/kg). It also prevents ouabain-induced ectopic ventricular tachycardia in anesthetized dogs.

Chemical Properties

Cas No. 99495-90-6 SDF
别名 R-(-)-氟卡尼
Canonical SMILES O=C(NC[C@H]1CCCCN1)C2=C(OCC(F)(F)F)C=CC(OCC(F)(F)F)=C2
分子式 C17H20F6N2O3 分子量 414.3
溶解度 Ethanol: soluble,Methanol: soluble 储存条件 Store at -20°C
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1 mM 2.4137 mL 12.0685 mL 24.1371 mL
5 mM 0.4827 mL 2.4137 mL 4.8274 mL
10 mM 0.2414 mL 1.2069 mL 2.4137 mL
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Research Update

Flecainide enantiomers: disposition in human subjects and electrophysiologic actions in vitro

Clin Pharmacol Ther 1989 Nov;46(5):584-90.PMID:2510963DOI:10.1038/clpt.1989.189.

The antiarrhythmic agent flecainide is administered as a racemate. The disposition of the individual enantiomers and their electrophysiologic actions are unknown. We therefore determined through plasma levels of S-(+)-flecainide and R-(-)-Flecainide in 13 patients who were receiving long-term oral flecainide therapy. In addition, the effects of the enantiomers on action potential characteristics in canine cardiac Purkinje fibers were assessed. Plasma concentrations of R-(-)flecainide were significantly higher than those of the S-(+)-enantiomer (-/+ ratio, 1.10 +/- 0.13,mean +/- SD; range, 0.89 to 1.32, p less than 0.01), suggesting that the drug undergoes enantioselective disposition. In the in vitro experiments, both enantiomers reduced phase 0 action potential Vmax (an index of the fast inward sodium current) and shortened action potential duration at 50% and 90% repolarization, but no differences between the enantiomers were detected. The time constants for development of Vmax depression were significantly longer for S-(+)-flecainide (13.4 +/- 1.5 seconds) compared with R-(-)-Flecainide (8.9 +/- 0.6 seconds, p less than 0.001). Thus, although S-(+)-flecainide and R-(-)-Flecainide undergo modest enantioselective disposition, they exert similar electrophysiologic effects. These studies have provided no evidence to indicate that administration of a single enantiomer, rather that the racemic drug, would offer any advantage.

Stereoselective genetically-determined interaction between chronic flecainide and quinidine in patients with arrhythmias

Br J Clin Pharmacol 1992 Mar;33(3):275-80.PMID:1576047DOI:10.1111/j.1365-2125.1992.tb04035.x.

1. Recent reports have indicated a role for the P450IID6 polymorphism in the stereoselective disposition of single doses of the antiarrhythmic flecainide. 2. In this study, we evaluated the effects of adding low dose quinidine, a potent inhibitor of P450IID6, to chronic flecainide therapy in patients with arrhythmias. 3. In five extensive metabolizer patients, quinidine significantly reduced the clearance of R-(-)-Flecainide, from 395 +/- 121 (s.d.) to 335 +/- 88 ml min-1. This change was attributable to a decrease in metabolic clearance, was accompanied by decreased formation of the two major metabolites of flecainide and was not observed in a poor metabolizer subject. The renal clearance of R-(-)-Flecainide rose significantly. 4. Quinidine did not alter the clearance of S-(+)-flecainide. 5. The pharmacologic effects of flecainide therapy (QRS widening, % arrhythmia suppression) were slightly, but not significantly, increased. 6. In extensive metabolizer patients receiving chronic flecainide, increased plasma concentrations will develop if P450IID6 is inhibited.