Description
Buy Mephentermine Cas 100-92-5
Mephentermine, sold under the brand name
Wyamine among others, is a
sympathomimetic medication which was previously used in the treatment of
low blood pressure but is mostly no longer marketed.
[6][5][4][7][8] It is used by
injection into a vein or
muscle,
by inhalation, and
by mouth.
[4][5]
Side effects of mephentermine include
dry mouth,
sedation,
reflex bradycardia,
arrhythmias, and
hypertension.
[4] Mephentermine
induces the release of norepinephrine and dopamine and is described as an indirectly acting sympathomimetic and
psychostimulant.
[4] Its sympathomimetic effects are mediated by indirect activation of
α- and
β-adrenergic receptors.
[5] Chemically, it is a
substituted phenethylamine and
amphetamine and is closely related to
phentermine and
methamphetamine.
[4][9][1]
Mephentermine was first described and introduced for medical use by 1952.
[10] It was discontinued in the
United States between 2000 and 2004.
[2][7] The medication appears to remain available only in
India.
[4][7][8] Misuse of mephentermine for
recreational and
performance-enhancing purposes has been increasingly encountered in modern times, especially in India.
[11][4]
Medical uses
For maintenance of blood pressure in hypotensive states, the dose for adults is 30 to 45
mg as a single dose, repeated as necessary or followed by intravenous infusion of 0.1% mephentermine in 5% dextrose, with the rate and duration of administration depending on the patient's response.
[citation needed]
For hypotension secondary to spinal anesthesia in obstetric patients, the dose for adults is 15
mg as a single dose, repeated if needed. The maximum dose 30
mg.
[citation needed]
Mephentermine has also been used as a
decongestant.
[6][5]
Mephentermine is available in the form of 15 and 30
mg/mL
solutions for
intravenous infusion or
intramuscular injection and in the form of 10
mg
oral tablets.
[4] It has also been available in the form of
inhalers.
[5]
Contraindications
Low blood pressure caused by
phenothiazines,
hypertension, and
pheochromocytoma.
[citation needed]
Patients receiving
monoamine oxidase inhibitors.
[citation needed]
For shock due to loss of blood or fluid, give fluid replacement therapy primarily, cardiovascular disease, hypertension,
hyperthyroidism, chronic illnesses, lactation, pregnancy, skin dryness. headache.
[citation needed]
Side effects
The most common
side effects of mephentermine are drowsiness, incoherence, hallucinations, convulsions, slow heart rate (
reflex bradycardia). Fear, anxiety, restlessness, tremor, insomnia, confusion, irritability, and psychosis. Nausea, vomiting, reduced appetite, urinary retention, dyspnea, weakness, and neck pain.
[citation needed]
Potentially fatal reactions are due to atrioventricular block, central nervous system stimulation, cerebral hemorrhage, pulmonary edema, and ventricular arrhythmias.
[citation needed]
Interactions
Mephentermine antagonizes effect of agents that lower blood pressure. Severe hypertension may occur with monoamine oxidase inhibitors and possibly
tricyclic antidepressants. Additive vasoconstricting effects occur with
ergot alkaloids, and
oxytocin.
[citation needed]
Potentially fatal drug interactions are the risk of abnormal heart rhythm in people undergoing anesthesia with
cyclopropane and
halothane.
[citation needed]
Pharmacology
Pharmacodynamics
Mephentermine is thought to act as a
norepinephrine–dopamine releasing agent.
[4] It is described as an indirectly acting
sympathomimetic,
cardiac stimulant,
adrenergic,
vasoconstrictor,
antihypotensive agent, and
psychostimulant.
[1][2][8][4] Its sympathomimetic effects are mediated by indirect activation of
α- and
β-adrenergic receptors.
[5][6]
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