| Title:  Pentamidine CAS Registry Number:  100-33-4 CAS Name:  4,4¢-[1,5-Pentanediylbis(oxy)]bisbenzenecarboximidamide Additional Names:  4,4¢-(pentamethylenedioxy)dibenzamidine;  4,4¢-diamidino-a,w-diphenoxypentane Molecular Formula:  C19H24N4O2 Molecular Weight:  340.42 Percent Composition:  C 67.04%, H 7.11%, N 16.46%, O 9.40% Literature References:  Prepn:  A. J. Ewins, GB 507565 (1939); J. N. Ashley et al., J. Chem. Soc. 1942, 103; of isethionate:  G. Newbery, A. P. T. Easson, US 2394003 (1946 to May & Baker).  Trypanocidal activity:  E. M. Lourie, W. Yorke, Ann. Trop. Med. Parasitol. 33, 289 (1939).  Preliminary pharmacological studies in animals:  R. Wien, ibid. 37, 1 (1943).  Activity in fibrinolytic systems:  J. D. Geratz, Thromb. Diath. Haemorrh. 29, 154 (1973).  Pharmacodynamics in men and mice:  T. P. Waalkes et al., Clin. Pharmacol. Ther. 11, 505 (1970).  In vitro activity against Pneumocystis carinii:  E. L. Pesanti, C. Cox, Infect. Immun. 34, 908 (1981).  Uptake and distribution of aerosolized form in animals:  R. J. Debs et al., Am. Rev. Respir. Dis. 135, 731 (1987).  In vivo efficacy of aerosolized form in rats:  eidem, Antimicrob. Agents Chemother. 31, 37 (1987).  Determn in plasma, urine and tissues:  T. P. Waalkes, V. T. DeVita, J. Lab. Clin. Med. 75, 871 (1970); by HPLC:  C. M. Dickinson et al., J. Chromatogr. 345, 91 (1985).  Preliminary clinical evaluation in P. carinii pneumonia:  V. T. DeVita et al., N. Engl. J. Med. 280, 287 (1968).  Comparison with sulfamethoxazole-trimethoprim mixture in P. carinii pneumonia in AIDS:  J. M. Wharton et al., Ann. Intern. Med. 105, 37 (1986).  Early review of pharmacology, mode of action and clinical applications:  E. B. Schoenbach, E. M. Greenspan, Medicine 27, 327-377 (1948).  Review:  S. Drake et al., Clin. Pharm. 4, 507-516 (1985); M. Sands et al., Rev. Infect. Dis. 7, 625-634 (1985); of activity, pharmacokinetics and therapeutic use:  K. L. Goa, D. M. Campoli-Richards, Drugs 33, 242-258 (1987). Properties:  Crystallizes as colorless plates from water.  Dec 186°.   Derivative Type:  Dihydrochloride  CAS Registry Number:  50357-45-4 Molecular Formula:  C19H24N4O2.2HCl Molecular Weight:  413.34 Percent Composition:  C 55.21%, H 6.34%, N 13.55%, O 7.74%, Cl 17.15% Properties:  Fine needles from dil HCl, mp 232-234°.  LD50 in mice (mg/g):  0.028 i.v.; 0.064 s.c. (Wein). Melting point:  mp 232-234° Toxicity data:  LD50 in mice (mg/g):  0.028 i.v.; 0.064 s.c. (Wein)   Derivative Type:  Isethionate  CAS Registry Number:  140-64-7 Manufacturers' Codes:  M & B 800;  RP-2512 Trademarks:  NebuPent (Astellas);  Pentacarinat (Sanofi-Aventis);  Pentam (Astellas) Molecular Formula:  C19H24N4O2.2C2H6O4S Properties:  Hygroscopic, very bitter crystals, mp ~180°.  Slight butyric odor.  Sol in water (~1 in 10 at 25°, ~1 in 4 at 100°); sol in glycerol, more readily on warming; slightly sol in alcohol.  Insol in ether, acetone, chloroform, liq petr.  pH of a 5% w/v soln in water:  4.5 to 6.5. Melting point:  mp ~180°   Derivative Type:  Dimethanesulfonate  CAS Registry Number:  6823-79-6 Additional Names:  Pentamidine mesylate Molecular Formula:  C19H24N4O2.2CH3SO3H Properties:  White powder.   Therap-Cat:  Antiprotozoal (Trypanosoma, Leishmania); antipneumocystic. Therap-Cat-Vet:  Antiprotozoal (Babesia, Leishmania). Keywords:  Antipneumocystic; Antiprotozoal (Leishmania); Antiprotozoal (Trypanosoma).  |