右旋安非他命

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右旋安非他命
INN Dexamfetamine
系统(IUPAC)命名名称
(2S)-1-phenylpropan-2-amine
临床数据
Drugs.comMonograph
MedlinePlusa605027
医疗法规
妊娠分级
  • AU: B3
  • US: C (不排除有风险的可能)
依赖性生理依赖:无
精神依赖:中
成瘾性
给药途径口服
合法状态
合法状态
药代动力学数据
生物利用度Oral 75–100%[1]
蛋白结合度15–40%
代谢CYP2D6多巴胺β羟化酶[2]FMO3
开始出现药效IR服用:0.5至1.5小时[3][4]
XR服用:1.5至2小时[5][6]
生物半衰期9至11小时[7]
不同的PH值:8至31小时
作用时间IR服用:3至7小时[5][8]
XR服用:12小时[5][6][8]
排泄肾(45%);[9]取决于尿液的pH值
识别信息
CAS注册号51-64-9  ✓
ATC代码N06BA02
PubChemCID 5826
IUPHAR/BPS2147
DrugBankDB01576 ✓
ChemSpider5621 ✓
UNIITZ47U051FI ✓
KEGGD03740 ✓
ChEBICHEBI:4469 ✓
ChEMBLCHEMBL612 ✓
化学信息
化学式C9H13N
摩尔质量135.20622
物理性质
密度0.913 g/cm3
沸点201.5 °C(394.7 °F)
水溶液20 mg/mL (20 °C)

右旋安非他命(英语:Dextroamphetamine[注 1]是强力中枢神经兴奋剂,也是苯丙胺(“安非他命”) 的对映异构体,是注意缺陷多动障碍(ADHD)和发作性嗜睡病的处方药。[10]此外,它也被用作提升运动员能力的兴奋剂,也是一种益智药,同时人们在享乐时也将其用作春药产生欣快感的药。此外,空军也将右旋安非他命广泛用作“抗睡丸”,在诸如夜间轰炸之类的容易疲倦的任务中使用。第二次世界大战期间,该药物也被用来治疗疲倦。

脚注

  1. 其他英文名称:dexamphetamineAAN)、dexamfetamine国际非专利药品名称BAN)、(S)-amphetamine(+)-amphetamineD-amphetamine

参考资料

  1. Dextromphetamine. DrugBank. [2013-11-05].  |section=被忽略 (帮助)
  2. Lemke TL, Williams DA, Roche VF, Zito W. Foye's Principles of Medicinal Chemistry 7th. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. 2013: 648. ISBN 1609133455. Alternatively, direct oxidation of amphetamine by DA β-hydroxylase can afford norephedrine. 
  3. Green-Hernandez, Carol; Singleton, Joanne K.; Aronzon, Daniel Z. Primary Care Pediatrics. Lippincott Williams & Wilkins. 2001-01-01: 243. ISBN 9780781720083.  |quote = Table 21.2 Medications for ADHD ... D-amphetamine ... Onset: 30 min.
  4. Dexedrine, ProCentra(dextroamphetamine) dosing, indications, interactions, adverse effects, and more. reference.medscape.com. [2015-10-04]. Onset of action: 1–1.5 hr 
  5. 5.0 5.1 5.2 Millichap JG. Chapter 9: Medications for ADHD. Millichap JG (编). Attention Deficit Hyperactivity Disorder Handbook: A Physician's Guide to ADHD 2nd. New York, USA: Springer. 2010: 112. ISBN 9781441913968.
    Table 9.2 Dextroamphetamine formulations of stimulant medication
    Dexedrine [Peak:2–3 h] [Duration:5–6 h] ...
    Adderall [Peak:2–3 h] [Duration:5–7 h]
    Dexedrine spansules [Peak:7–8 h] [Duration:12 h] ...
    Adderall XR [Peak:7–8 h] [Duration:12 h]
    Vyvanse [Peak:3–4 h] [Duration:12 h]
     
  6. 6.0 6.1 Brams M, Mao AR, Doyle RL. Onset of efficacy of long-acting psychostimulants in pediatric attention-deficit/hyperactivity disorder. Postgrad. Med. 2008-09, 120 (3): 69–88. PMID 18824827. doi:10.3810/pgm.2008.09.1909. Onset of efficacy was earliest for d-MPH-ER at 0.5 hours, followed by d, l-MPH-LA at 1 to 2 hours, MCD at 1.5 hours, d, l-MPH-OR at 1 to 2 hours, MAS-XR at 1.5 to 2 hours, MTS at 2 hours, and LDX at approximately 2 hours. ... MAS-XR, and LDX have a long duration of action at 12 hours postdose 
  7. Adderall IR Prescribing Information (PDF). United States Food and Drug Administration. Teva Pharmaceuticals USA, Inc.: 1–6. 2015-10 [2016-05-18]. 
  8. 8.0 8.1 Mignot EJ. A practical guide to the therapy of narcolepsy and hypersomnia syndromes. Neurotherapeutics. 2012-10, 9 (4): 739–752. PMC 3480574可免费查阅. PMID 23065655. doi:10.1007/s13311-012-0150-9. 
  9. dextrostat (dextroamphetamine sulfate) tablet [Shire US Inc.]. DailyMed. Wayne, PA: Shire US Inc. 2006-08 [2013-11-08]. 
  10. Dexedrine Prescribing Information (PDF). United States Food and Drug Administration. Amedra Pharmaceuticals LLC: 1–7. 2015-02 [2015-09-04].