Mr. Ibrahem/Phentolamine
Clinical data
Trade namesRegitine, Oraverse
AHFS/Drugs.comMonograph
Routes of
administration
intravenous (IV) or intramuscular (IM)
Drug classAlpha blocker[1]
Legal status
Legal status
Pharmacokinetic data
MetabolismLiver
Onset of actionIV < 2min; IM < 20 min[1]
Elimination half-life19 minutes
Duration of actionIV up to 30 min; IM up to 4 hrs[1]
Identifiers
  • 3-[(4,5-Dihydro-1H-imidazol-2-ylmethyl)(4-methylphenyl)amino]phenol
Chemical and physical data
FormulaC17H19N3O
Molar mass281.359 g·mol−1
3D model (JSmol)
  • Oc3cc(N(c1ccc(cc1)C)CC/2=N/CCN\2)ccc3
  • InChI=1S/C17H19N3O/c1-13-5-7-14(8-6-13)20(12-17-18-9-10-19-17)15-3-2-4-16(21)11-15/h2-8,11,21H,9-10,12H2,1H3,(H,18,19) checkY
  • Key:MRBDMNSDAVCSSF-UHFFFAOYSA-N checkY
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Phentolamine, sold under the brand name Regitine among others, is a medication used to treat high blood pressure in pheochromocytoma, following norepinephrine entry into soft tissues, and hypertensive emergencies.[1][2] It is given by injection.[1] When injected into a vein effects occur within 2 minutes and last up to 30 minutes.[1]

Common side effects include abdominal pain, nausea, diarrhea, flushing, stuffy nose, and low blood pressure with standing.[1] Other side effects may include myocardial infarction and priapism.[1] Safety in pregnancy is unclear.[3] It is a alpha blocker.[1]

Phentolamine was approved for medical use in the United States in 1952.[1] In the United States it costs about 460 USD per dose as of 2021.[4] In the United Kingdom it is available together with aviptadil for the treatment of erectile dysfunction.[5]

References edit

  1. ^ a b c d e f g h i j k l m "Phentolamine Monograph for Professionals". Drugs.com. Archived from the original on 21 January 2021. Retrieved 28 October 2021.
  2. ^ a b "DailyMed - PHENTOLAMINE MESYLATE injection". dailymed.nlm.nih.gov. Archived from the original on 28 October 2021. Retrieved 28 October 2021.
  3. ^ "Phentolamine Use During Pregnancy". Drugs.com. Archived from the original on 27 October 2020. Retrieved 28 October 2021.
  4. ^ "Phentolamine Prices, Coupons & Patient Assistance Programs". Drugs.com. Retrieved 28 October 2021.
  5. ^ BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 866. ISBN 978-0857114105.