Peringatan Keamanan

Paraldehyde overdosage can produce headache, nausea, drowsiness, unconsciousness, coma, severe hypotension, respiratory depression, pulmonary edema and hemorrhages, and right-side heart failure A19738. Inhalation of paraldehyde can produce sore throat, headache, dizziness, nausea, drowsiness and unconsciousness but exposure via this route is rare. Chronic use is dependence forming and withdrawal proceeds similarly to ethanol withdrawal producing hallucinations and convulsions. Toxic hepatitis and nephritis have been observed during chronic use.

The acute LD50 values determined for various species are as follows A19738:

Rabbit - 3.3-5 g/kg (oral)
Rat - 1.5-1.65 g/kg (oral), 1.3-1.45 g/kg (i.p.)
Dog - 3-4 g/kg (oral)
Mouse - 2.75 (oral)
Cat - 3.3 (oral)

Paraldehyde

DB09117

small molecule approved investigational

Deskripsi

Paraldehyde was initially introduced into medical practice in the United Kingdom in 1882 by the Italian physician Vincenzo Cervello. It is classified as a central nervous system (CNS) depressant and has also been found to be an effective anticonvulsant, hypnotic and sedative agent due to its CNS depressant properties. Paraldehyde is used as an ingredient in some cough medicines as an expectorant, but its efficacy for this indication has not been confirmed and its use as an expectorant may possibly be due to a placebo effect.

Struktur Molekul 2D

Berat 132.1577
Wujud liquid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The mean half life is 7.5 hours in a range if 3.5-9.5 hours [A19738].
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

93% of orally administered paraldehyde is absorbed from the gastrointestinal tract.

Metabolisme

Paraldehyde is believed to undergo depolymerization to acetaldehyde followed by oxidation by aldehyde dehydrogenase A19738. It is thought to ultimately be metabolized to carbon dioxide and water.

Rute Eliminasi

70-80% is metabolized to carbon dioxide and subsequently exhaled A19738. 11-28% is exhaled as the parent compound. 0.1-2.5% is excreted in the urine as the parent compound.

Interaksi Obat

813 Data
Buprenorphine Paraldehyde may increase the central nervous system depressant (CNS depressant) activities of Buprenorphine.
Doxylamine Doxylamine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Dronabinol Dronabinol may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Droperidol Droperidol may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Hydrocodone Paraldehyde may increase the central nervous system depressant (CNS depressant) activities of Hydrocodone.
Hydroxyzine Hydroxyzine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Magnesium sulfate The therapeutic efficacy of Paraldehyde can be increased when used in combination with Magnesium sulfate.
Methotrimeprazine Paraldehyde may increase the central nervous system depressant (CNS depressant) activities of Methotrimeprazine.
Metyrosine Paraldehyde may increase the sedative activities of Metyrosine.
Minocycline Minocycline may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Mirtazapine Paraldehyde may increase the central nervous system depressant (CNS depressant) activities of Mirtazapine.
Nabilone Nabilone may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Orphenadrine Paraldehyde may increase the central nervous system depressant (CNS depressant) activities of Orphenadrine.
Botulinum toxin type B Botulinum toxin type B may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Botulinum toxin type A Botulinum toxin type A may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Tryptophan Tryptophan may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Fluvoxamine Fluvoxamine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Baclofen Baclofen may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Lorazepam Lorazepam may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Ethchlorvynol Ethchlorvynol may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Succinylcholine Succinylcholine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Reserpine Reserpine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Citalopram Citalopram may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Eletriptan Eletriptan may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Enflurane Enflurane may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Temazepam Temazepam may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Reboxetine Reboxetine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Butabarbital Butabarbital may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Butalbital Butalbital may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Methysergide Methysergide may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Cabergoline Cabergoline may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Phenytoin Phenytoin may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Topiramate Topiramate may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Clemastine Clemastine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Venlafaxine Venlafaxine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Etomidate Etomidate may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Morphine Morphine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Talbutal Talbutal may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Pentobarbital Pentobarbital may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Valproic acid Valproic acid may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Zolmitriptan Zolmitriptan may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Codeine Codeine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Dihydroergotamine Dihydroergotamine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Amitriptyline Amitriptyline may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Tolcapone Tolcapone may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Hydromorphone Hydromorphone may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Olanzapine Olanzapine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Cetirizine Cetirizine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Protriptyline Protriptyline may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Trimethadione Trimethadione may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Clobazam The risk or severity of sedation, somnolence, and CNS depression can be increased when Clobazam is combined with Paraldehyde.
Chlorzoxazone Chlorzoxazone may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Clozapine Clozapine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Meprobamate Meprobamate may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Thiethylperazine Thiethylperazine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Palonosetron Palonosetron may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Sulpiride Sulpiride may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Alprazolam Alprazolam may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Dexbrompheniramine Dexbrompheniramine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Loxapine Loxapine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Remoxipride Remoxipride may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Metocurine iodide Metocurine iodide may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Secobarbital Secobarbital may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Promazine Promazine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Methocarbamol Methocarbamol may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Triprolidine Triprolidine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Prochlorperazine Prochlorperazine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Cyproheptadine Cyproheptadine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Meperidine Meperidine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Imipramine Imipramine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Metharbital Metharbital may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Quinine Quinine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Methohexital Methohexital may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Chlordiazepoxide Chlordiazepoxide may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Duloxetine Duloxetine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Chlorpromazine Chlorpromazine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Gallamine triethiodide Gallamine triethiodide may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Entacapone Entacapone may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Oxycodone Oxycodone may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Triflupromazine Triflupromazine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Dextromethorphan Dextromethorphan may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Mephenytoin Mephenytoin may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Nortriptyline Nortriptyline may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Amoxapine Amoxapine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Adinazolam Adinazolam may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Lamotrigine Lamotrigine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Carbamazepine Carbamazepine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Cisatracurium Cisatracurium may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Fenfluramine Fenfluramine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Mazindol Mazindol may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Fluticasone propionate Fluticasone propionate may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Lisuride Lisuride may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Ethosuximide Ethosuximide may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Thiopental Thiopental may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Cisapride Cisapride may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Butorphanol Butorphanol may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Furazolidone Furazolidone may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Paramethadione Paramethadione may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Fluphenazine Fluphenazine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Efavirenz Efavirenz may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.

Referensi & Sumber

Artikel (PubMed)
  • PMID: 18568113
    Lopez-Munoz F, Ucha-Udabe R, Alamo C: The history of barbiturates a century after their clinical introduction. Neuropsychiatr Dis Treat. 2005 Dec;1(4):329-43.
  • PMID: 19357123
    Rowland AG, Gill AM, Stewart AB, Appleton RE, Al Kharusi A, Cramp C, Yeung LK: Review of the efficacy of rectal paraldehyde in the management of acute and prolonged tonic-clonic convulsions. Arch Dis Child. 2009 Sep;94(9):720-3. doi: 10.1136/adc.2009.157636. Epub 2009 Apr 8.
  • PMID: 13329331
    NICHOLLS JG, QUILLIAM JP: The mechanism of action of paraldehyde and methylpentynol on neuromuscular transmission in the frog. Br J Pharmacol Chemother. 1956 Jun;11(2):151-5.
  • PMID: 1783744
    Von Burg R, Stout T: Paraldehyde. J Appl Toxicol. 1991 Oct;11(5):379-81.

Contoh Produk & Brand

Produk: 3 • International brands: 0
Produk
  • Paraldehyde Inj Bp 100%
    Liquid • 100 % • Intramuscular; Intravenous • Canada • Approved
  • Paraldehyde Injection BP
    Liquid • 100 % • Intramuscular; Intravenous • Canada • Approved
  • Paraldehyde Injection BP
    Liquid • 100 % • Intramuscular; Intravenous • Canada • Approved

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