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Lecture №25 Alkaloids indol’s derivatives, purine alkaloids and their salts; some synthetic analogues according to the biological action as substances of the medical drugs and components of the dosage forms. Ass. Medvid I. I. Indole - condensed system of pyrrole and benzene cycles which have two share atoms: Indole is a structural basis of physostigmine, strychnine, reserpine alkaloids. Group reaction on indole derivatives – Van-Urk’s reaction In the base of reaction is the process of electrophyllic substitution. Reagent p-dimethylaminobenzaldehyde. Reaction conducts at the presence of conc. H2SO4 and FeCl3 as oxidant. Derivatives of indole which have free 2 and 3 positions give this reaction. Reserpine gives this reaction by the opening of ring C in the presence of acids, as a result position 2 becomes free. Product of reaction can exist in 2 forms. Color of the reaction product depends on the chemical structure of primer compounds conditions of the reaction. Van-Urk’s reaction can be hold with another aldehyde. So, for reserpine solution of vanillin in chloride acid is used. Physostigmine salicylate (Physostigmini salicylas) Eserini salicylas CH3 H3C N H C O COOH O * N N CH3 CH3 OH Salicylate of ester of methylcarbaminic acid and eseroline or 5-methylcarbaminoiloxy-1,3,1’-trimethyl-2,3,2’,3’tetrahydropyrrole indole Physostigmine– the main alkaloid of calabaric beans (Faba calabarica) – poisonous seeds of West African plant Physostigma venenosus , Fabaceae Physical properties Physostigmine salicylate - brilliant colorless or almost colourless prismatic crystals. Soluble in water, easily soluble in alcohol, practically insoluble in ether. Aqueous solutions are unstable. It melts at about 182 °C, with decomposition Optic active compound. When heated with water easy hydrolyze and therefore its solutions for parenteral usage produce in aseptic introductions. On the air and light product paints in the red color – pharmacological inactive rubrezerine formed. Pharmacological action cased by the methylurethane group. Proserine - white crystalline powder with bitter taste. Very easily soluble in water, easily soluble in alcohol and chloroform, ether. Hygroscopic. Becomes pink on the light. Identification of Physostigmine salicylate 1. 2. 3. 4. 5. 6. Melting point, the specific rotation. Substance gives reaction to salicylates (2 reactions in SPU). Total Pharmacopeial reaction on alkaloids (with Dragendorff's reagent) After evaporation of the preparation with ammonium forms blue residue (physostigmine base), which is dissolved in ethanol with formation of a blue solution which after the acidification by СН3СООН becomes red. Drug solution in H2SO4 conc. gradually becomes yellow. Erdman and Frede reagents with medication give reddishyellow color, with HNO3 conc. – yellow color. 7. When heated with alkalis (and gradually when heated with water) physostigmine salycilate hydrolyzed and appears character odor methylamine: 8. At the heating with 0,1 % ninhydrine solution in conc. H2SO4 on the water bath at 60 0С during 10 min. And than after cooling solution have green fluorescence. Proserine gives blue fluorescence at this conditions. 9. At the gradually adding to the solution boric acid, 0,1 М solution of nitrate acid and sodium nitrite, after 1 min. add sodium hydroxide solution, violet color appears. Assay Physostigmine salicylate 1. Alkalimetriya, direct titration . The drug is dissolved in 2. 3. a mixture of ethanol and chloroform and titrated by 0,1 М NаОН to the pink color (indicator – phenolphthalein). Е = М.m. Acidimetry in non-aqueous medium. The drug is dissolved in a mixture of chloroform and conc. CH3COOH, titrated by 0,1 М НClО4. For determination of the end-point use potentiometry. Equivalent point is fixed by potentiometric method. Е = М.m./2. Complexonometry, reverse titration. As a stable titrant aceticacidic solution of bismuth nitrate is used in the presence of potassium iodide. Scheme of reaction: Product of the interaction is filtrated and an excess of reagent is titrated by 0,1 М sodium EDTA solution. Е = М.m. STORAGE and USAGE of Physostigmine salicylate In an airtight containers of dark glass, protected from light. Poison compound. Cholinesterase inhibitor, myotic mean (atropine antagonist). Used for the treatment of glaucoma as 0,25-1% eye drops. Introduce subcutaneous 0,1% 1,0 solution the neuromuscular diseases (Alzheimer's disease). H. d. – 0,0005 g, H. d. d. – 0,001 g. Synthetic substitute of physostigmine Proserine (Proserinum) Neostigmine methylsulfate* H3C + N C H3C O O N CH3 CH3 CH3 CH3SO4- N-(m-dimethylcarbamoiloxiphenyl)-N,N,Ntrimethylammonium methylsulfate Identification of proserine Reaction to methylsulfate-ion. If after heating the drug with HNO3 conc. add solution of BaCl2, white precipitate falls (BaSO4). 2. With a solution of iodine preparation forms brown sediment of periodide. 1. 3. At the heating of drug with alkali dissolution of urethane group takes place (mdimethylaminophenol formed, which is detected by the condensation with diazotative sulfanylic acid – cherry-red color (azo-dyes)): Assay The modified K'yeldal method. The drug is boiled in a K'yeldal flask with NaOH. Dimethylamine, which evaporates, distilled with water vapor in the receiver with a solution of boric acid. Metaborate and tetraborate of dimethylamine formed, which are titrated by 0,1 М solution of HCl (mixed indicator). Е = М.m. STORAGE and USAGE of proserine In an airtight containers of dark glass, protected from light. Poison compound. Substitute of physostigmine. Anticholinesterase, antimyasthenic mean. Curare antagonist drugs. Used for treatment of myasthenia, paralysis, neuritis, atony of intestine and urinary bladder, glaucoma, for stimulating labor activity as 0,25-1% as eye drops. Issue – tablets 0,015 g, amp. 0,05%-1,0. H. d., internally – 0,015 g, H. d. d., internally – 0,05 g; H. d. subcutaneous – 0,002 g, H. d. d. s/c – 0,006 g. Strychnine nitrate (Strychnini nitras) 1 2 6 A 3 4 5 O Cycles АВ, BD, ED – derivatives of indole. 18 Cycle А – aromatic and strychnine 17 E can be nitrated and halogenated. N 16 19 N19 – tertiary atom, has a base 15 7 F D B character and gives salts with 8 14 20 acids. N9 13 21 N9 – is in the lactam group, which C G 10 12 22 may be disclosed by the 11 23 O interaction with alcohol solution * HNO3 of KOH with formation of carboxyl and secondary aminogroups. Strychnine can be found with brucine in the seeds of tropical plant Strychnos Nux Vomica (emetic nut) Reserpine (Reserpinum) N H3CO N H OCH3 H3COOC O OCH3 C OCH3 O OCH3 11,17-dimethoxy-16-carbmethoxy-18(3’,4’,5’,trimethoxibenzoyloxy)-alloyohimban Reserpine molecule contains indole (АВ), dihydroquinolysidine (СD), partially hydrogenated 3-carbolynic (АВС), hydrogenated isoquinoline (ED) cycles. 6 9 10 8 A 11 12 B 13 5 7 1 C 2 N H 3 4 N 21 D 14 Alloyohiban 20 19 15 E Àë î é î õ³ì áàí 16 17 18 Reserpine contains in the roots of the plant Rauwolfia serpentina Benth Physical properties Strychnine nitrate - a colorless brilliant crystals with very bitter taste. Difficultly soluble in water and alcohol, easily soluble in boiling water, practically insoluble in ether. Reserpine - colorless, white or slightly yellow, small crystals or crystalline powder with melting point 261265°С. Insoluble in water, soluble in chloroform, acetone, pyridine and ether, darkening slowly on the exposure to light. Optic active compound. At the heating with acids or alkalis hydrolysis takes place (reserpinic acid, methanol, trimethoxybenzoic acid form). Identification of strychnine nitrate 1. Pharmacopeial reaction on alkaloids. 2. Solution of the drug in H2SO4 conc. + crystal of K2Cr2O7 – formed the blue-violet strips which pass into the red and lilac-green. 3. Vitali-Moren’s reaction. At the interaction with HNO3 conc. drug becomes yellow (as opposed to brucine, which becomes blood-red) by nitration of benzene cycle А; after the evaporation of reaction product the residue gives with alcohol solution of КОН formed red-violet color. 4. Van-Urk’s reaction (on indole cycles). With 1% vanillin in glycerol in the presence of H2SO4 dil. Pink-violet color appears. 5. Reaction on nitrate ions NO3–-: а) SPU. The interaction with nitrobenzene in the presence of sulfate acid Quantity of substance, listed in a separate article, add to the mixture of 0,1 ml of nitrobenzol R and 0,2 ml of sulfate acid R and after 5 min. cooled in ice water. Continuing to cool slowly and while stirring add 5 ml of water R, 5 ml of sodium hydroxide concentrated solution R NaOH, 5 ml of acetone R, shake and put for standing; the apper layer becomes dark purple. b) SPU, N. Not discolors potassium permanganate The solution of the substance, acidified by acid sulfate diluted R H2SO4, not discolors solution of 1 g/l potassium permanganate R (difference of nitrite ). с) Not pharmacopeial reaction. Interaction with iron (ІІ) sulfate FeSO4 in the medium of conc. H2SO4; brown ring is formed (FeSO4NO) (on the clock glass ): 2 Strychnine•НNO3 + 6FeSO4 + 4H2SO4 = 2NO + 3Fe2(SO4)3 + (Strychnine)2•Н2SO4 + 4H2O NO + Fe2+ + SO42– [Fe(NO)]SO4 d) Unpharmacopeial reaction. Interaction with diphenylamine in acidic medium. (conc. H2SO4), formed an bright blue organic dye: 2 NH H2SO4 + NO2 NH NH H2SO4 diphenylbenzidine + N N HSO4 H Sulfimmonium salt of diphenylbenzidine (blue dye) Identification of reserpine 1. Specific optical rotation (6 assymetric carbon atoms). 2. UV-spectroscopy (chromophor groups – indole and trimethoxybenzoatic acid – 2 maximum of absorption on UV-spectrum). 3. Reactions of indole cycle. With chloric water – purple, with KMnO4 – dark lilac, with vanillin in the presence of HCl - pink, with Н2О2 – yellowlilac color. 4. Water solutions of reserpine in UV-light – blue fluorescence. 5. Alcohol solution of the preparation + H2SO4 + NaNO2 – green fluorescence. 6. With Frede reagent – red color, which goes to the blue. 7. On ester groups: а) alkali hydrolysis; б) hydroxame sample. 8. Van-Urk’s reaction. With pdimethylaminobenzaldehyde + H2SO4 + СН3СООН – green coloring that goes into the red. With vanillin in chloride acid – pink color. Assay Strychnine nitrate – Alkalimetry, direct titration. Titration of the drug in alcohol-chloroform solution of 0,1 М NaOH (phenolphthalein indicator). Е = М.m. Specific additive - brucine. Reserpine – Acidimetry in non-aqueous medium. Hatch is titrated in the medium of anhydrous СН3СООН by 0,1 М solution HClO4 (indicator crystal violet) to the appearance of green color. Е = М.m. Storage, usage Reserpine Strychnine nitrate In airtight containers, in a dark In airtight containers. place. Powder - poisonous Poison compound. substance. Neuroleptic , treatment of CNS stimulant, tonic hypertension. Included in mean. tablets: Adelphane (0.1 mg of Issue - amp. 0,1%-1,0. reserpine,10 mg of dihydralasine), Adelphan – H. d. s/c – 0,002 g; H. d. d. s/c – 0,005 g. esidrex (Triresid) (Adelfane + 10 mg of dichlorothiazide), Adelphane – esidrex -К (Triresid К)(0,6 g of КСl), Crystepin, Neocrystepin. Raunatine–the amount of Rauwolfia alkaloids. Alkaloids, purine derivatives Purine –condensed system of pyrimidine and imidazol If in the core of purine hydrogen atoms in the pyrimidine nucleus replaced by hydroxyl groups, we will get xantine : Caffeine is contained in coffee beans (Coffea arabica), tea leaves (Thea sinensis), cola (Cola acuminata) Pharmacology Caffeine stimulates the central nervous system first at the higher levels, resulting in increased alertness and wakefulness, faster and clearer flow of thought, increased focus, and better general body coordination, and later at the spinal cord level at higher doses. Once inside the body, it has a complex chemistry, and acts through several mechanisms as described below. Metabolism and half-life Theophylline first was isolated from tea leaves (Thea sinensis) Theobromine is extracted from cocoa beans (Theobroma cacao) Three natural alkaloids, derivatives xantine: caffeine, theophylline, theobromine: Extracted from semi-synthetic uric acid, guanine and urea. Very convenient is the method of extraction of caffeine and theobromine from xantine, which can be extracted from uric acid (waste poultry farms) and guanine (fish flakes, waste of paper): Synthesis of caffeine and theophyllin by method Hmelevskiy - Abramova( firs was synthesed by Traube in1900 year). Caffeine Medications • Caffeine (Соffеіnuт) , Caffeine monohydrate (Соffеіnuт monohydricum) (SPhU) • Caffeine-sodium benzoate (Coffeinumnatrii benzoas) O O O C H3C N H3C N N CH3 O O N N N CH3 1,3,7-Trimethyl-3,7-dihydro- 1Hpurine-2,6-dione 1,3,7-trimethylxantine CH3 * N CH3 N ONa Physical properties Caffeine - White or almost Caffeine-sodiume white, crystalline powder or benzoate – white powder, silky crystals, sublimes readily. odorless, bitter taste. Moderately soluble Easily soluble in water, slightly soluble in ethanol. in water, freely soluble in Contains 38-40% caffeine. boiling water, slightly soluble in ethanol and ether. Soluble in Extracted by the mixing and evaporation to the dry state the concentrated solutions of of aqueous solutions alkali benzoate or salicylates. containing equimolar Very weak base, forms quantity of caffeine and unstable salts with acids by sodium benzoate. nitrogen in position 9. General Pharmacopeial reaction - a reaction on xantines (Murexide reaction or reaction on purine alkaloids): Identification of caffeine 1. 2. 3. 4. 5. 6. By the physico-chemical constants: melting point, IRspectroscopy. With potassium iodide in iodine in the presence of HCl dil.brown precipitate formed(periodide С8Н10N4О2•J2•HJ), which dissolves in NaOH dil. solution at the neutralization. Murexide sample. Unpharmacopoeial reaction - with 1% solution of tannin – white precipitate dissolved in excess of reagent. With HgCl2 – white crystalline sediment, which is a complex compound with the following content C5H10N4O2· HgCl2. With acetylacetone and dimethylaminobenzaldehyde. Solution of the substance in a mixture of acetylacetone and dil. NaOH heated in a water bath, cooled, than add solution of dimethylaminobenzaldehyde and heat again, cool and add water appears an intense blue color: Caffeine monohydrate gives all reactions on caffeine after a preliminary drying at 100-105 ° C. Identification of caffeine-sodium benzoate 1. Caffeine identify by: a) melting temperature (234-237 ° C) after extraction by chloroform from alkaline solution; b) Murexide sample; c) reaction with 1% solution of tannin; d) reaction with iodine solution; 2. Sodium benzoate identify by: e) the reaction with solution of iron (III) chloride pink-yellow sediment; f) the sodium cation paints the flame in yellow color. Assay Caffeine 1. 2. 3. Acidimetry in non-aqueous medium in a mixture of acetic 1. acid anhydrous, acetic anhydride and toluene, a direct titration. Potentiometric indication, the control 2. experiment (Е=М.m). Iodometry, reverse titration, indicator - starch (Е=М.m/4). Cerimetry, reverce titration, with iodometric ending. An excess of cerium is neutralized by potassium iodide solution. Sodium thiosulfate used as titrant. (Е=М.m/4). Caffeine-sodium benzoate Caffeine content is determined by iodometric method (Е=М.m/4). ). In the dry matter it should be 38,0 - 40,0 %. Sodium is determined in the presence of mixed indicator (methyl orange solution and methylene blue at a ratio of 1:1) and ether (for the extraction of benzoic acid, available in the titration) (Е=М.m). Sodium benzoate in the dry matter must be not less than 58,0 % and not more than 62,0 %. Cerimetric determination of caffeine O H 3C O N O N N CH3 + 4 Ce(SO4)2 + 3 H2O N H 2N C N H CH3 + O CH3 O H3C N + + 2 Ce2(SO4)3 + 2 H2SO4 O N O CH3 2 Ce(SO4)2 + 2 KI I2 + K2SO4 + Ce2(SO4)3 I2 + 2 Na2S2O3 2 NaI + Na2S4O6 Storage, Usage Caffeine In a dry, dark place. Central nervous system stimulant, cardiotonic mean, at the angiospasms; enuresis in children; stimulant of mental and physical disability, poisoning with drugs. Produced as powder. Caffeine monohydrate is part of the tablets: Theophedrine, Cytramone, Cytropak, Askofene, Cofficyll, Cophetamine, Benalgin, Coldrex, Solpadein, Panadolекстра. Apply in doses by 0,05-0,1 g as CNS stimulant. Caffeine-sodium benzoate In a dry, dark place. Central nervous system stimulant, cardiotonic mean. Thanks to the solubility in water used in the form of injection solutions. Issue - powder, tablets 0,1 and 0,2 g, 0,075 g (for children); 10% і 20% solutions in amp. by 1,02,0 ml. Included in the tablets: Anaprylline, Pentalgin. • Theobromine Theobrominum (SPhU) • Theophylline monohydrate Theophyllinum monohydricum (SPhU) O O HN N CH3 H3C N NH * H 2O O N CH3 N O N N CH3 1,3-Dimethyl-3,7- dihydro-1Н3,7-Dimethyl-3,7- dihydropurine-2,6-dione 1Н-purine-2,6-dione, or monohydrate, or monohydrate 3,7- dimethylxantine of 1,3- dimethylxantine Properties Theobromine Theophylline White crystalline powder, White crystalline powder. with bitter taste. very Sightly soluble in water, slightly soluble in water, ethanol and chloroform; easily soluble in hot water; ethanol ,ether and soluble in dil. Solutions of chloroform; slightly acids and alkalis. soluble in hot water; easily in dil. Solutions of alkalis and acids. Theobromine and theophylline - amphoteric compounds with a predominance of acidic properties (by moving the hydrogen atom at the nitrogen atom in position 1 or 7). Identification of theobromine 1. 2. 3. IR-spectrophotometry. Dissolve the substance in ammonium solution at the heating. After cooling add silver nitrate solution – solution must still be colorless. After the boiling during few minutes white precipitate formed. Reaction on xantines (murexide sample). At the oxidation of theobromine 3-methylalloxane and methylurea formed. Ammonium salt of dimethylpuepuric acid formed as a result of murexide reaction: 4. Unpharmacopoeial reactions Reaction of the sodium salt of theobromine, obtained by the interaction of alkali with an excess of preparation, with cobalt (II)chloride solution – intense violet color appears, which quickly disappears, grey-blue precipitate: 5. The reaction of theobromine sodium salt with silver nitrate formed a dense gelatin mass (silver salt), which is thinning by heating to 80° С and solidifies again at the cooling. 6. With HgCl2 – white crystalline precipitate. Identification of theophylline 1. 2. 3. Determination of the melting temperature alter the drying. IR spectrophotometry. Theophylline in the alkali medium decomposes to teophyllidine, which can be identified by the reaction of azojoining with diazonium salts, red color azo-dye formed. 4. 5. Determination of the water by semimicromethod (К. Fisher) (8-9,5 %). Reaction on xantines (murexide sample). At the oxidation of theophylline 1,3-dimethylalloxane and urea. Ammonium salt of tetramethylpuepuric acid forme as a result of murexide reaction: 2. The reaction of theobromine sodium salt obtained by the interaction of alkali with an excess of drug, with a solution of cobalt (II) chloride - formed white with pink tinge precipitate of cobalt salt. 3. With HgCl2 –white crystalline precipitate. With alkali solution of sodium nitroprusside green color formed dissappears at the adding an excess of acid. 4. 5. The reaction of theobromine sodium salt with silver nirate formed a dense gelatin mass. 6. Theophylline with 2,6-dichloroqiunonechloroimide in borate buffer solution (рН 8,5) gives intense blue merocyanic dye: Assay Theophylline and Theobromine Alkalimetry by the substituent (indirect alkalimetry). Indicator – phenolphthalein (theobromine) or Bromothymol blue (theophylline). Е = М.m. Storage, usage Theobromine In airtight containers, place protected from light. Stimulates the activity of the heart, somewhat expands the coronary vessels and bronchi, shows diuretic effect. Issue - powder and tablets by 0,25 g. Included in tablets: Theminal (with amidopyrine and Phenobarbital), Theodibaverine (with papaverine and dibazole), Theoephedrine. Theophylline In airtight containers, place protected from light. Non-selective phosphodiesterase inhibitor (xanthine); treatment of reversible airways obstruction. Broncholitic, cardiotonic and diuretic mean with moderate influence on the stagnation phenomena in the cardiac and renal origin organs. Issue – powder and tablets by 0,1 and 0,3 g; amp. 2%-5,0; candles by 0,2 g. Teopek, Theotard, Neophylline, Euphylline. Included in tablets: Theoephedrine. Pentoxifylline (Pentoxifyllinium) Agapurine, Pentyline, Trental A synthetic analogue of theobromine O O H3C C C H2 C H2 C H2 C H2 O N N N CH3 N CH3 3,7-dimethyl-1-(5’-oxohexyl)-3,7-dihydro-7Н-purine2,6-dion or 1-(5’-oxohexyl)-theobromine Identification of pentoxifylline Temperature of melting IR-spectroscopy TLC Reaction on xantines Formation of azo-dye (look theophylline) Assay pentoxifylline Acidimetry in non-aqueous media in a mixture of anhydrous acetic acid and acetic anhydride, direct titration. Potentiometric indication. (Е=М.m). Usage of pentoxifylline Has a vasodilator effect, improves tissue oxygen supply, decreases thrombosis aggregation and reduces blood viscosity. Apply at the peripheral circulatory disorders, atherosclerotic disorders, ischemic condition after heart attack, in ophthalmology, at the hearing disorders. Issue – tablets of 0,1 g, ampoules of 2%-5,0. Adopt inside by 0,2 g 3 times daily after meals. In the acute disorders of peripheral or cerebral circulation injected 0,1 g intravenous in 250-500 ml of NaCl or 5% glucose solution. Synthetic analogues of theophylline Theophylline-ethylenediamine (Theophyllinum et ethylenediaminum) (SPhU), Euphylline (Euphyllinum), Aminophilline O H3C N NH H2C NH2 H 2C NH2 * O N N CH3 Theophylline with 1,2-ethylenediamine White, sometimes with yellowish crystalline powder with slight ammonia odor. On the air absorbs carbon dioxide, thus decreasing its solubility. Soluble in water, aqueous solutions have an alkaline reaction. Identification of euphylline 1. Theophylline is identified after the separation by HCl of ethylenediamine according to SPhU: а) By the melting temperature of theophylline (269 - 274°С) after HCl acidification to рН 4-5; b) IR-spectroscopy; c) Reaction of azojoining (look theophylline); d) murexide sample. 2. Ethylenediamine can be confirmed by the following reactions: а) determination of the melting temperature of the product of reaction with benzoyl in alkali medium (dibenzoylethylenediamine) (SPhU): H2C NH2 H2C NH2 + 2 C Cl O C - 2 HCl O N H C C N H2 H2 H C O b) with a solution of copper (II) sulfate a bright purple color forms : H2C NH2 2 H2C + CuSO4 H2C NH2 NH2 Cu SO4 H2C NH2 2 c) with 2,4-dinitrochlorobenzene –yellow precipitate Assay Euphylline 1. Ethylenediamine can be determined by acidimetry, indicator –methyl orange. Е = М.m./2. H2C NH2 H2C NH2 + 2HCl H2C NH2 * 2 HCl H2C NH2 Ethylenediamine in euphylline should be 13,5—15 % in the dry matter. 2. Theophylline can be determined by alkalimetry by substituent 1 after drying in a drying cabinet at 25-130 °С to the disappearance of amine odor. The content of waterless theophylline in euphylline should be 84- 87,4 %. Storage, usage of euphylline Given the ability to absorb carbon dioxide, stored in a well corked filled to the end container, protected from the effects of light and moisture. Antispasmodic, bronchodilatin, diuretic mean. At the bronchial asthma and bronchospasm, hypertension, cardiac asthma, to improve blood circulation to the brain, decreasing the intraperitoneal pressure and brain edema in ischemic stroke. Used oral by 0,15g after food, i/v (2,4% solutions by 5,0) and i/m (24 % solution by 1 ml). Diprophylline (Diprophyllinum) O OH H 3C O N N N CH3 7-(2',3'-Dioxipropyl)theophylline N C H2 C H CH2OH Less toxic than theophylline. Used for treatment of coronary spasm, cardiac and bronchial asthma, hypertension. Issue – tablets by 0,2 g; amp. 10%-5,0; candles by 0,5 g. Xantinole nicotinate (Xantinoli nicotinas) Complamine, Theonicol O OH H3C O N N N N C H2 C H C H2 N COOH CH3 * CH2CH2OH N CH3 7-[2’-oxi-3’-(N'-methyl-β- Used to improve peripheral oxiethylamino)-propyl]- and cerebral circulation theophylline nicotinate Issue – tablets by 0,15 g; amp. 15%-2,0 і 10,0. Thank you for attention!