CAS: 298-46-4
MF: C15H12N2O
Appearance: white solid
Overview |
Carbamazepine (CBZ) is a medication primarily used to treat epilepsy and trigeminal neuralgia. It belongs to the class of drugs known as antiepileptic drugs (AEDs). While initially developed for epilepsy, it has also found applications in the treatment of psychiatric disorders, particularly manic depressive psychosis. Studies have demonstrated the efficacy of CBZ in managing acute manic and depressive symptoms in bipolar disorder, as well as in prophylaxis. However, long-term prophylactic efficacy can vary, with some concerns about tolerance development. CBZ has also shown potential for treating unipolar depression, aggressive agitation in demented patients, super-sensitivity psychosis, and alcohol and benzodiazepine withdrawal syndromes. It has been explored in panic disorders, but the results are mixed. |
Cautions |
Patients with a history of hepatic porphyrias. Patients with a history of bone marrow depression. Patients with atrioventricular block. Patients with a history of haematological reactions to other drugs. Patients with susceptibility to angle- closure glaucoma. Patients with skin reactions. Patients with cardiac disease. Patients with absence and myoclonic seizures. |
Originator |
Tegretol,Geigy,W. Germany,1964 |
Uses |
Carbamazepine (CBZ) is a versatile medication used for various medical conditions:
CBZ should be administered at appropriate dosages tailored to each condition, and it is generally well-tolerated with few psychiatric side effects reported. However, cognitive issues, particularly at high doses, may occur occasionally. It's important to consider drug interactions, as CBZ can affect the plasma concentrations of various other drugs, both increasing and decreasing their levels. |
Brand name |
Carbatrol (Shire); Epitol (Teva); Equetro (Shire); Tegretol (Novartis); Teril (Taro). |
Therapeutic Function |
Analgesic, Anticonvulsant |
Biochem/physiol Actions |
Anticonvulsant; ligand for the GABAA receptor benzodiazepine modulatory site. Sodium channel inhibitor. |
Toxicity evaluation |
Environmental exposure occurs via direct release into water or via vaporization into the air. It is susceptible to photolysis and is thought to have a half-life of roughly 63 days in lake water in vitro. However, when dissolved and exposed to direct photolysis, it has a half-life of approximately 1 day. |
InChI:InChI=1/C15H12N2O/c16-15(18)17-13-7-3-1-5-11(13)9-10-12-6-2-4-8-14(12)17/h1-10H,(H2,16,18)
Improved synthetic methods are reported ...
Carbamazepine, an antiepileptic drug, is commonly found in sewage treatment plant (STP) effluents, contributing to pharmaceutical residues in surface waters. High concentrations of Carbamazepine have been detected in surface waters, raising environmental concerns. The solids retention time (SRT) is a crucial factor in STP design, affecting microorganism growth and effluent quality. Lab-scale studies investigated how SRT influences Carbamazepine removal, with results validated on full-scale STPs.
The value of catalytic dehydrogenation o...
N-(2,2,2-trichloroacetyl)-5H-dibenz[b,f]azepine
carbamazepin
dibenzoazepine
Conditions | Yield |
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With sodium carbonate; In water; Reagent/catalyst;
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C25H18N4O7
carbamazepin
dibenzoazepine
Conditions | Yield |
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Multi-step reaction with 3 steps
1.1: dicyclohexyl-carbodiimide / tetrahydrofuran; dichloromethane / 6 h / 0 °C / Inert atmosphere
2.1: methylhydrazine / tetrahydrofuran / -80 °C / Inert atmosphere
2.2: 24 h / 20 °C
3.1: 25 °C / pH 3 / aq. buffer
With dicyclohexyl-carbodiimide; methylhydrazine; In tetrahydrofuran; dichloromethane;
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