2006
DOI: 10.1021/ed083p1816
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Chemical Aspects of Local and Regional Anesthesia

Abstract: The chemistry that underlies the development of local and regional anesthesia is explored. Starting from the first medicinal use of cocaine as a topical anesthetic in 1884, the gradual advancement of knowledge and practice until today is presented. In so far as possible, the original synthesis of each agent is included. Emphasis is placed upon the importance of acidity constants and lipophilic versus hydrophilic character in interpreting what affect a particular compound has upon biological processes. Two exam… Show more

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Cited by 2 publications
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“…Local anesthetics, which reversibly block nerve impulses, can be divided into two main groups, esters (e.g., cocaine, benzocaine, procaine, tetracaine) and amides (e.g., lidocaine, prilocaine, bupivacaine), by the functional group that connects the hydrophobic group (generally an aromatic ring) and the hydrophilic group (frequently a secondary or tertiary amine group). 4 Side effects of local anesthetics are common; a metabolite of benzocaine is p-amino benzoic acid, which is associated with allergic reactions, and a breakdown product of prilocaine, o-toluidine, can produce methemoglobinemia. Also, prilocaine has been reported to induce apoptosis in osteoblastic cells.…”
Section: ' Project Descriptionmentioning
confidence: 99%
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“…Local anesthetics, which reversibly block nerve impulses, can be divided into two main groups, esters (e.g., cocaine, benzocaine, procaine, tetracaine) and amides (e.g., lidocaine, prilocaine, bupivacaine), by the functional group that connects the hydrophobic group (generally an aromatic ring) and the hydrophilic group (frequently a secondary or tertiary amine group). 4 Side effects of local anesthetics are common; a metabolite of benzocaine is p-amino benzoic acid, which is associated with allergic reactions, and a breakdown product of prilocaine, o-toluidine, can produce methemoglobinemia. Also, prilocaine has been reported to induce apoptosis in osteoblastic cells.…”
Section: ' Project Descriptionmentioning
confidence: 99%
“…The multistep divergent synthesis of two local anesthetics, prilocaine hydrochloride ( 5 ) and benzocaine ( 8 ), with a common initial three-step reaction sequence starting from toluene is described as an example project (Scheme ). Local anesthetics, which reversibly block nerve impulses, can be divided into two main groups, esters (e.g., cocaine, benzocaine, procaine, tetracaine) and amides (e.g., lidocaine, prilocaine, bupivacaine), by the functional group that connects the hydrophobic group (generally an aromatic ring) and the hydrophilic group (frequently a secondary or tertiary amine group) . Side effects of local anesthetics are common; a metabolite of benzocaine is p -amino benzoic acid, which is associated with allergic reactions, and a breakdown product of prilocaine, o -toluidine, can produce methemoglobinemia.…”
Section: Project Descriptionmentioning
confidence: 99%