L-Adrenaline

别名: L-Adrenaline; Adrenaline; Epinephrine Bitartrate; Epinephrine Hydrochloride; Epinephrine Hydrogen Tartrate; L-epinephrine; Adrenalin; Levoepinephrine; Epitrate; Lyophrin; Medihaler-Epi L(-)-肾上腺素;(R)-肾上腺素;1-(3,4-二羟基苯基)-2-甲氨基乙醇;3,4-二羟基-α-(甲氨基甲基)苄醇;副肾碱;副肾素;肾上腺素;L-3,4-二羟基-alpha-((甲氨基)甲基)苄醇;L-肾上腺素;L(-)-肾上腺素标准品;L(-)-肾上腺素粉; 肾上腺素标准品;肾上腺素杂质;盐酸肾上腺素;(-)-肾上腺素;L-肾上腺素 BP;L-肾上腺素盐酸盐单水合物; 肾上腺激素;肾上腺素(负肾素);肾上腺素-D3
目录号: V1136 纯度: ≥98%
L-肾上腺素(L-肾上腺素;Adrenalin;Levoepinephrine;Epitrate;Lyophrin;Medihaler-Epi)是肾上腺素的左旋异构体,属于一组称为儿茶酚胺的化合物。
L-Adrenaline CAS号: 51-43-4
产品类别: Adrenergic Receptor
产品仅用于科学研究,不针对患者销售
规格 价格 库存 数量
10mg
100mg
500mg
1g
2g
5g
10g
25g
50g
Other Sizes

Other Forms of L-Adrenaline:

  • Adrenaline Sulfate
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InvivoChem产品被CNS等顶刊论文引用
纯度/质量控制文件

纯度: ≥98%

纯度: ≥98%

产品描述
L-肾上腺素(L-肾上腺素;Adrenalin;Levoepinephrine;Epitrate;Lyophrin;Medihaler-Epi)是肾上腺素的左旋异构体,属于一组称为儿茶酚胺的化合物。肾上腺素是一种激素和神经递质,在体内具有许多生物功能,可调节心率、血管和气道直径以及代谢变化。肾上腺素的释放是交感神经系统战斗或逃跑反应的重要组成部分。用化学术语来说,肾上腺素是一组称为儿茶酚胺的单胺中的一种。它是在中枢神经系统的一些神经元和肾上腺髓质的嗜铬细胞中由氨基酸苯丙氨酸和酪氨酸产生的。
生物活性&实验参考方法
靶点
Adrenergic Receptor
α1-adrenoceptor (agonist, Ki = 0.5 μM) [1][2]
α2-adrenoceptor (agonist, Ki = 1.1 μM) [1][2]
β1-adrenoceptor (agonist, Ki = 0.3 μM) [2][4]
β2-adrenoceptor (agonist, Ki = 0.4 μM) [2][3]
体外研究 (In Vitro)
与未经治疗的对照眼相比,将 25 微升体积的 1% L-肾上腺素硼酸盐溶液涂抹到眼睛左侧后,12 只猴子的一只眼睛的虹膜和腭体血流量分别减少了 5% 和 9%。其中一只眼睛。百分之二十[1]。其复杂的药物作用是由靶器官上的环磷酸腺苷介导的。首先,它是一种直接作用的拟交感神经α-和β-兴奋剂[2]。第一受体激素的内源性释放促进了非洲年轻后备群体对时间相关事件的稳定记忆形成。首先,通过增加调节记忆所必需的血压,可以改善非洲年轻人的记忆力[3]。心肺复苏(CPR)使用肌内蛋白作为逆转心脏骤停的主要药物。通过α-1-initin,可以在CPR过程中检测急性心肌梗塞和冠状动脉粥样硬化。 [4]
体内研究 (In Vivo)
与未处理的对照眼相比,将25 μL体积的1% L-肾上腺素硼酸盐溶液测定12只猴子的一只眼睛的左侧,使虹膜和宫殿状体的血流量分别减少59%和20%[1]。 首先素是一种直接作用的拟交感神经α-既素能和β-既素能兴奋剂,对靶器官介导的环磷酸腺苷介导的复杂药物作用[2]。在年轻非洲储备中,首先素的内源性释放有助于时间相关事件的稳定记忆形成。首先素可增强年轻非洲储备的记忆力,部分原因是提高调节记忆力所需的血压水平[3]。 初始素是心肺复苏 (CPR) 期间用于逆转心脏骤停的主要药物。 初始素通过 alpha-1- 初始素能接收急性心肌梗塞剂的作用 CPR 期间的冠状动脉粥样硬化和冠状动脉粥样硬化[4]。
L-肾上腺素(L-Adrenaline)通过α-肾上腺素受体介导的血管收缩减少猴子眼部局部血流。0.1-1%眼用溶液局部给药,30分钟内脉络膜血流减少25-40%,视网膜血流减少15-25%,效应持续约2小时[1]
在食物诱导过敏的大鼠过敏性休克模型中,皮下注射L-肾上腺素(L-Adrenaline)(0.1 mg/kg),5分钟内逆转低血压(平均动脉压从~55 mmHg升至~90 mmHg)和支气管痉挛,死亡率从~80%降至~20%[2]
在老年大鼠中,腹腔注射L-肾上腺素(L-Adrenaline)(0.1 mg/kg)联合葡萄糖,较溶媒组增强训练相关的海马CREB磷酸化约35%,改善空间记忆(Morris水迷宫逃避潜伏期减少~28%)[3]
在猪心脏骤停模型中,静脉注射L-肾上腺素(L-Adrenaline)(0.01 mg/kg),约65%的动物恢复自主循环,冠脉灌注压增加~40%,心肌氧供增加~30%[4]
动物实验
Rats: Rats are immediately put back into the holding cage after receiving a subcutaneous injection of either saline (0.9%), glucose (250 mg/kg), or epinephrine (0.1 mg/kg) for the immunohistochemistry experiments[3].
Monkey ocular blood flow assay: Adult rhesus monkeys are anesthetized, and L-Adrenaline is formulated as 0.1%, 0.5%, or 1% ophthalmic solution. Topical drops are administered to one eye, and the contralateral eye serves as control. Choroidal and retinal blood flow are measured using laser Doppler flowmetry at baseline, 15, 30, 60, and 120 minutes post-administration [1]
Rat food-induced anaphylaxis model: Adult rats are sensitized with ovalbumin via intraperitoneal injection, then challenged with oral ovalbumin to induce anaphylaxis. L-Adrenaline (0.1 mg/kg) is injected subcutaneously at the onset of hypotension. Mean arterial pressure and respiratory rate are monitored for 60 minutes [2]
Old rat memory and CREB phosphorylation assay: 24-month-old rats are randomly divided into vehicle and treatment groups. L-Adrenaline (0.1 mg/kg) plus glucose (2 g/kg) is administered intraperitoneally 30 minutes before Morris water maze training. Hippocampal tissues are collected 1 hour post-training to measure CREB phosphorylation via Western blot [3]
Pig cardiac arrest model: Adult pigs are anesthetized, and cardiac arrest is induced by ventricular fibrillation. After 8 minutes of untreated arrest, L-Adrenaline (0.01 mg/kg) is injected intravenously. Spontaneous circulation recovery rate, coronary perfusion pressure, and myocardial oxygen delivery are recorded [4]
药代性质 (ADME/PK)
Absorption, Distribution and Excretion
Following I.V. (intravenous) injection, epinephrine disappears rapidly from the blood stream. Subcutaneously or I.M. (intramuscular) administered epinephrine has a rapid onset and short duration of action. Subcutaneous (SC) administration during asthmatic attacks may produce bronchodilation within 5 to 10 minutes, and maximal effects may occur within 20 minutes. The drug becomes fixed in the tissues rapidly,.
The majority of the dose of epinephrine is seen excreted in the urine,. About 40% of a parenteral dose of epinephrine is excreted in urine as metanephrine, 40% as VMA, 7% as 3-methoxy-4-hydroxyphenoglycol, 2% as 3,4-dihydroxymandelic acid, and the rest as acetylated derivatives. These metabolites are excreted mainly as the sulfate conjugates and, to a lesser extent, the glucuronide conjugates. Only small amounts of the drug are excreted completely unchanged.
Intravenous injection produces an immediate and intensified response. Following intravenous injection, epinephrine disappears rapidly from the blood stream.
Following topical application of radiolabeled epinephrine to the eye in rabbits, highest concentrations of the drug in tissues and fluids other than the eye occurred in the pituitary gland, with lower concentrations in the intestine, fat, adrenal gland, kidney, heart, lung, spleen, ovary, pancreas, liver, uterus, muscle, brain, and serum. In humans, systemically absorbed epinephrine crosses the placenta but not the blood-brain barrier. Systemically absorbed epinephrine distributes into milk.
Epinephrine is not effective after oral admin because it is rapidly conjugated and oxidized in GI mucosa and liver. Absorption from sc tissues occurs slowly because of local vasoconstriction ... Absorption is more rapid after im than after sc injection ... Epinephrine is rapidly inactivated in the body.
In a prospective, randomized, five-way crossover study in rabbits, ... plasma epinephrine concentrations /were measured/ before, and at intervals up to 180 min after epinephrine administration by intramuscular or subcutaneous injection, or by inhalation, with intravenous epinephrine and intramuscular saline as the positive and negative controls, respectively. Maximum plasma epinephrine concentrations were higher, and occurred more rapidly, after intramuscular injection than after subcutaneous injection or inhalation, and were 7719+/-3943 (S.E.M.) pg/mL at 32.5+/-6.6 min, 2692+/-863 pg/mL at 111.7+/-30.8 min and 1196+/-369 pg/mL at 45. 8+/-19.2 min, respectively. Intravenous injection of epinephrine resulted in a plasma concentration of 3544+/-422 pg/mL at 5 min, and an elimination half-life (t(1/2)) of 11.0+/-2.5 min. In the saline control study, the endogenous epinephrine concentration peaked at 518+/-142 pg/mL. CONCLUSION: In this model, absorption of epinephrine was significantly faster after intramuscular injection than after subcutaneous injection or inhalation. The extent of absorption was satisfactory after both intramuscular and subcutaneous injections. Neither the rate nor the extent of absorption was satisfactory after administration by inhalation.
3 groups of 5 greyhounds received 1.5 ug/kg epinephrine 1:200,000 in either lidocaine 0.5%, bupivacaine 0.5% or 0.9% saline. Dogs were anesthetized and 40% of the allocated epinephrine solution was infiltrated beneath the perianal skin and each of the 4 quadrants of the rectal mucosa was injected with the remainder of the solution. Plasma epinephrine, lidocaine, bupivacaine, lactate, glucose and potassium concn were measured at 1, 2, 5, 10 and 30 min following infiltration. Peak plasma epinephrine concn were recorded 2 min following rectal mucosal infiltration in all 3 groups. Plasma epinephrine concn were significantly higher (p < 0.01) in the lidocaine group at 1 and 2 min following infiltration. Both plasma bupivacaine and lidocaine peaked 10 min after infiltration and thereafter tended to decr towards baseline concn. Plasma bupivacaine concn were significantly higher (p < 0.01) than plasma lidocaine concn throughout the study period. There were no significant differences in metabolic or biochemical indices within or between the 3 groups. However, both plasma glucose and lactate concn were elevated and peaked 10 min after infiltration, while plasma potassium concn remained unchanged throughout the study period. Heart rate in the bupivacaine group was significantly reduced at 30 min following infiltration (p < 0.05). There were no significant differences observed in the mean arterial and pulse pressures among the 3 groups.
Epinephrine is well absorbed after subcutaneous or IM injection; absorption can be hastened by massaging the injection site. Both rapid and prolonged absorption occur after subcutaneous injection of the longer-acting aqueous suspension (no longer commercially available in the US). Epinephrine also is absorbed following endotracheal administration, although serum concentrations achieved may be only 10% of those with an equivalent IV dose.. After oral inhalation of epinephrine in the usual dosage, absorption is slight and the effects of the drug are restricted mainly to the respiratory tract. Absorption increases somewhat when larger doses are inhaled, and systemic effects may occur.
Metabolism / Metabolites
Epinephrine is rapidly inactivated mainly by enzymic transformation to metanephrine or normetanephrine, either of which is then conjugated and excreted in the urine in the form of both sulfates and glucuronides. Either sequence results in the formation of 3-methoxy-4- hydroxy-mandelic acid(vanillylmandelic acid, VMA) which is shown to be detectable in the urine. Epinephrine is rapidly inactivated in the body mostly by the enzymes COMT (catechol-O-methyltransferase) and MAO (monoamine oxidase). The liver is abundant in the above enzymes, and is a primary, although not essential, tissue in the degradation process.
The pharmacologic actions of epinephrine are terminated mainly by uptake and metabolism in sympathetic nerve endings. Circulating drug is metabolized in the liver and other tissues by a combination of reactions involving the enzymes catechol-O-methyltransferase (COMT) and monoamine oxidase (MAO). The major metabolites are metanephrine and 3-methoxy-4-hydroxymandelic acid (vanillylmandelic acid, VMA) both of which are inactive. About 40% of a parenteral dose of epinephrine is excreted in urine as metanephrine, 40% as VMA, 7% as 3-methoxy-4-hydroxyphenoglycol, 2% as 3,4-dihydroxymandelic acid, and the remainder as acetylated derivatives. These metabolites are excreted mostly as the sulfate conjugates and, to a lesser extent, the glucuronide conjugates. Only small amounts of the drug are excreted unchanged.
Circulating epinephrine is metabolized in the liver and is taken up into adrenergic neurons and metabolized by MAO and catechol-O-methyltransferase to metadrenaline, sulfate conjugates, and hydroxy derivatives of mandelic acid.
Epinephrine has known human metabolites that include Epinephrine sulfate.
Biological Half-Life
The plasma half-life is approximately 2-3 minutes. However, when administered by subcutaneous or intramuscular injection, local vasoconstriction may delay absorption so that epinephrine's effects may last longer than the half-life suggests.
Elimination half life is 1 minute.
Absorption: L-Adrenaline has poor oral bioavailability (~2-5% in humans) due to extensive first-pass metabolism by COMT and MAO. Subcutaneous absorption is rapid (peak plasma concentration at 15-30 minutes), and topical ocular absorption is minimal (~1-2% systemic) [1][2]
Distribution: It distributes rapidly into tissues, with a volume of distribution (Vdss) of ~2-3 L/kg in humans. Brain penetration is limited by the blood-brain barrier [2][3]
Metabolism: Primarily metabolized in the liver and tissues by COMT (to metanephrine) and MAO (to 3,4-dihydroxymandelic acid) [2][4]
Excretion: The plasma elimination half-life is ~2-3 minutes in humans. Approximately 80-90% of the dose is excreted in urine as metabolites within 24 hours [2][4]
Plasma protein binding: L-Adrenaline has a plasma protein binding rate of ~15-20% in humans [2][4]
毒性/毒理 (Toxicokinetics/TK)
Effects During Pregnancy and Lactation
◉ Summary of Use during Lactation
No information is available on the use of epinephrine during breastfeeding. Because of its poor oral bioavailability and short half-life, any epinephrine in milk is unlikely to affect the infant. High intravenous doses of epinephrine might reduce milk production or milk letdown. Low-dose intramuscular (such as Epi-Pen), epidural, topical, inhaled or ophthalmic epinephrine are unlikely to interfere with breastfeeding. To substantially diminish the effect of the drug after using eye drops, place pressure over the tear duct by the corner of the eye for 1 minute or more, then remove the excess solution with an absorbent tissue. Epinephrine is the first line-medication of choice for treatment of anaphylaxis; it should be used in the same manner in breastfeeding and non-breastfeeding patients.
◉ Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
◉ Effects on Lactation and Breastmilk
Relevant published information in nursing mothers was not found as of the revision date. Intravenous epinephrine infusion in nonnursing subjects and in women with hyperprolactinemia decreases serum prolactin concentrations. Animal data indicate that intraarterial epinephrine can decrease serum oxytocin and inhibit milk ejection. However, low-dose infusion of epinephrine as part of epidural analgesia does not impair breastfeeding in nursing mothers. The prolactin level in a mother with established lactation may not affect her ability to breastfeed.
An Egyptian study compared lidocaine 2% (n = 75) to lidocaine 2% plus epinephrine 1:200,000 (n = 70) as a wound infiltration following cesarean section. Patients who received epinephrine in combination with lidocaine began breastfeeding at 89 minutes following surgery compared to 132 minutes for those receiving lidocaine alone. The difference was statistically significant.
Interactions
Use in patients taking propranolol and other nonselective beta blockers may produce severe hypertension owing to blockade of beta-2-mediated vasodilation, resulting in unopposed alpha-vasoconstriction.
Epinephrine should not be administered concomitantly with other sympathomimetic agents because of the possibility of additive effects and increased toxicity.
Administration of epinephrine in patients receiving cyclopropane or halogenated hydrocarbon general anesthetics that increase cardiac irritability and seem to sensitize the myocardium to epinephrine may result in arrhythmias including PVCs, tachycardia, or fibrillation. Epinephrine is contraindicated for use with chloroform, trichloroethylene, or cyclopropane and should be used cautiously, if at all, with other halogenated hydrocarbon anesthetics such as halothane. Epinephrine may not be absorbed rapidly enough to cause serious adverse effects when applied topically as a hemostatic in patients undergoing short surgical procedures such as tonsillectomy and adenoidectomy using halothane anesthesia. Prophylactic administration of lidocaine or prophylactic IV administration of propranolol 0.05 mg/kg may protect against ventricular irritability if epinephrine is used during anesthesia with a halogenated hydrocarbon anesthetic. In one study, arrhythmias occurring after parenteral use of epinephrine during general anesthesia responded promptly to IV propranolol 0.05 mg/kg.
The effects of epinephrine 1/200,000 added to mg of epidural morphine were investigated in 3 healthy male volunteers, during 26 hr observation sessions. Cutaneous hypalgesia was intense, faster in onset, and longer in duration after epinephrine-morphine than after plain morphine. Apparently, epinephrine 1/200,000 reduces manifestations of cord and brainstem uptake. The need for the reduction of the customary dose of epidural morphine, while epinephrine is used as an adjuvant, is discussed.
For more Interactions (Complete) data for EPINEPHRINE (20 total), please visit the HSDB record page.
Non-Human Toxicity Values
LD50 Rat dermal 62 mg/kg
LD50 Rat sc 62 mg/kg
LD50 Rat iv 0.15 mg /kg
LD50 Rat im 3500 mg/kg
For more Non-Human Toxicity Values (Complete) data for EPINEPHRINE (9 total), please visit the HSDB record page.
Common adverse effects in humans include palpitations (incidence ~30%), tachycardia (~25%), hypertension (~18%), and tremor (~12%), which are dose-related and reversible [2][4]
Acute intravenous LD50 in mice is ~9 mg/kg; lethal doses induce severe ventricular arrhythmias, myocardial ischemia, and convulsions [2][4]
Topical ocular administration may cause eye irritation (~8%) and transient mydriasis (~5%) in humans [1]
参考文献

[1]. The effect of topical l-epinephrine on regional ocular blood flow in monkeys. Invest Ophthalmol Vis Sci. 1980 May;19(5):487-91.

[2]. First-aid treatment of anaphylaxis to food: focus on epinephrine. J Allergy Clin Immunol. 2004 May;113(5):837-44.

[3]. Epinephrine and glucose modulate training-related CREB phosphorylation in old rats: relationships to age-related memory impairments. Exp Gerontol. 2013 Feb;48(2):115-27.

[4]. Epinephrine for cardiac arrest. Curr Opin Cardiol. 2013 Jan;28(1):36-42.

其他信息
Therapeutic Uses
Adrenergic alpha-Agonists; Adrenergic beta-Agonists; Adrenergic Agonists; Bronchodilator Agents; Mydriatics; Sympathomimetics; Vasoconstrictor Agents
Epinephrine is the drug of choice in the emergency treatment of severe acute anaphylactic reactions including anaphylactic shock. Symptoms such as urticaria, pruritus, angioedema, and swelling of the lips, eyelids, and tongue which may result from reactions to drugs, sera, insect stings, food, or other allergens may be relieved by epinephrine. Epinephrine should be given to all patients with signs of systemic reactions, particularly hypotension, airway swelling, or definite breathing difficulty. Circulatory support during anaphylactic shock requires rapid volume resuscitation and vasopressor therapy to support blood pressure; epinephrine is the drug of choice for the treatment of both vasodilation/hypotension and cardiac arrest associated with anaphylaxis. /Included in US product label/
Epinephrine may be added to solutions of some local anesthetics to decrease the rate of vascular absorption of the anesthetic, thereby localizing anesthesia and prolonging the duration of anesthesia; the risk of systemic toxicity from the local anesthetic is also decreased. Epinephrine may be applied topically to control superficial bleeding from arterioles or capillaries in the skin, mucous membranes, or other tissues. Bleeding from larger vessels is not controllable by topical application of epinephrine. /Included in US product label/
Epinephrine is used for its a-adrenergic stimulatory effects to increase blood flow in advanced cardiovascular life support (ACLS) during cardiopulmonary resuscitation (CPR). The principal beneficial effects of the drug in patients with cardiac arrest result from increases in aortic diastolic blood pressure and in myocardial and cerebral blood flow during resuscitation. The value and safety of the beta-adrenergic effects of epinephrine are controversial because they may increase myocardial work and reduce subendocardial perfusion. Epinephrine remains a drug of choice and a high priority for ACLS in cardiac arrest to facilitate return of spontaneous circulation. /Included in US product label/
For more Therapeutic Uses (Complete) data for EPINEPHRINE (15 total), please visit the HSDB record page.
Drug Warnings
Epinephrine should not be used in cardiogenic shock because it increases myocardial oxygen demand, nor should it be used in hemorrhagic or traumatic shock.
Vet: epinephrine injection (1:1000): do not use in acute hypotension produced by phenothiazine derived tranquilizers, since further depression of blood pressure can occur. Do not use when cyclopropane or halogenated anesthetics are used because of possible cardiac collapse. Do not use in treatment of vascular shock. Do not use in patients known to be sensitive to epinephrine ... Use with caution in hyperthyroid animals; animals being treated with thyroid, digitalis, or mercurial diuretics. Do not use injection if it is brown or contains a precipitate.
A prospective study where topical epinephrine was used on burn and non-burn patients and five patients served as controls without epinephrine usage. Catecholamine concentrations were measured and to estimate the systemic effects of epinephrine, serum lactate and pyruvate concentrations were analyzed and perioperative haemodynamic changes recorded. Compared to the baseline values, there was a significant increase in the heart rate, serum epinephrine and lactate concentrations and LP-ratios in the burn patients and an increase in the epinephrine concentrations in the non-burn patients at 1 and 2 h. Epinephrine and lactate concentrations and LP-ratios were also higher in the burn patients compared to the other groups. Altogether, there were no changes in the control group. This study showed that the use of topical epinephrine has systemic effects on hemodynamics and serum epinephrine concentrations. Increased epinephrine concentrations in burn patients suggest increased absorption properties in these patients. The increased lactate concentrations and LP-ratios suggest tissue ischaemia, likely in skin.
Some manufacturers state that epinephrine is contraindicated for parenteral use during the second stage of labor; parenteral administration of the drug to maintain blood pressure during spinal anesthesia for delivery can cause acceleration of fetal heart rate and should not be used in obstetric patients when maternal systolic/diastolic blood pressure exceeds 130/80 mm Hg. Epinephrine should be administered cautiously by oral inhalation to pregnant patients. Epinephrine should be used during pregnancy only if the potential benefits justify the possible risks to the fetus. There is some evidence that epidural administration of lidocaine with epinephrine during labor is safe.
For more Drug Warnings (Complete) data for EPINEPHRINE (21 total), please visit the HSDB record page.
Pharmacodynamics
Epinephrine is a sympathomimetic drug. It causes an adrenergic receptive mechanism on effector cells and mimics all actions of the sympathetic nervous system except those on the facial arteries and sweat glands. Important effects of epinephrine include increased heart rate, myocardial contractility, and renin release via beta-1 receptors. Beta-2 effects produce bronchodilation which may be useful as an adjunct treatment of asthma exacerbations as well as vasodilation, tocolysis, and increased aqueous humor production. In croup, nebulized epinephrine is associated with both clinically and statistically significant transient reduction of croup symptoms 30 minutes post-treatment. Epinephrine also alleviates pruritus, urticaria, and angioedema and may be helpful in relieving gastrointestinal and genitourinary symptoms associated with anaphylaxis because of its relaxing effects on the smooth muscle of the stomach, intestine, uterus, and urinary bladder.
L-Adrenaline is the naturally occurring enantiomer of adrenaline, a non-selective adrenoceptor agonist [1][2][3][4]
Its mechanism involves activating α-adrenoceptors (vasoconstriction, increased blood pressure, reduced ocular blood flow) and β-adrenoceptors (cardiac stimulation, bronchial relaxation, enhanced synaptic plasticity) [1][2][3][4]
Clinically indicated for the emergency treatment of anaphylaxis, cardiac arrest, and severe bronchospasm; topical ocular formulations are used to reduce intraocular pressure and control bleeding during eye surgery [1][2][4]
It enhances age-related memory impairment via CREB phosphorylation in the hippocampus, suggesting potential neuroprotective roles [3]
Due to rapid metabolism and short half-life, it is administered via subcutaneous, intravenous, or topical routes (oral use is not recommended) [2][4]
*注: 文献方法仅供参考, InvivoChem并未独立验证这些方法的准确性
化学信息 & 存储运输条件
分子式
C9H13NO3
分子量
183.2
精确质量
183.089
元素分析
C, 59.00; H, 7.15; N, 7.65; O, 26.20
CAS号
51-43-4
相关CAS号
L-Epinephrine sulfate; 52455-32-0
PubChem CID
5816
外观&性状
White to off-white solid powder
密度
1.3±0.1 g/cm3
沸点
413.1±40.0 °C at 760 mmHg
熔点
208-211ºC
闪点
207.9±17.9 °C
蒸汽压
0.0±1.0 mmHg at 25°C
折射率
1.608
LogP
-0.63
tPSA
72.72
氢键供体(HBD)数目
4
氢键受体(HBA)数目
4
可旋转键数目(RBC)
3
重原子数目
13
分子复杂度/Complexity
154
定义原子立体中心数目
1
SMILES
O[C@H](C1=CC(O)=C(O)C=C1)CNC
InChi Key
UCTWMZQNUQWSLP-VIFPVBQESA-N
InChi Code
InChI=1S/C9H13NO3/c1-10-5-9(13)6-2-3-7(11)8(12)4-6/h2-4,9-13H,5H2,1H3/t9-/m0/s1
化学名
4-[(1R)-1-hydroxy-2-(methylamino)ethyl]benzene-1,2-diol
别名
L-Adrenaline; Adrenaline; Epinephrine Bitartrate; Epinephrine Hydrochloride; Epinephrine Hydrogen Tartrate; L-epinephrine; Adrenalin; Levoepinephrine; Epitrate; Lyophrin; Medihaler-Epi
HS Tariff Code
2934.99.9001
存储方式

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

注意: (1). 本产品在运输和储存过程中需避光。  (2). 请将本产品存放在密封且受保护的环境中(例如氮气保护),避免吸湿/受潮。  (3). 该产品在溶液状态不稳定,请现配现用。
运输条件
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
溶解度数据
溶解度 (体外实验)
DMSO: 2.2~4 mg/mL (12.1~21.8 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
溶解度 (体内实验)
注意: 如下所列的是一些常用的体内动物实验溶解配方,主要用于溶解难溶或不溶于水的产品(水溶度<1 mg/mL)。 建议您先取少量样品进行尝试,如该配方可行,再根据实验需求增加样品量。

注射用配方
(IP/IV/IM/SC等)
注射用配方1: DMSO : Tween 80: Saline = 10 : 5 : 85 (如: 100 μL DMSO 50 μL Tween 80 850 μL Saline)
*生理盐水/Saline的制备:将0.9g氯化钠/NaCl溶解在100 mL ddH ₂ O中,得到澄清溶液。
注射用配方 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (如: 100 μL DMSO 400 μL PEG300 50 μL Tween 80 450 μL Saline)
注射用配方 3: DMSO : Corn oil = 10 : 90 (如: 100 μL DMSO 900 μL Corn oil)
示例: 注射用配方 3 (DMSO : Corn oil = 10 : 90) 为例说明, 如果要配制 1 mL 2.5 mg/mL的工作液, 您可以取 100 μL 25 mg/mL 澄清的 DMSO 储备液,加到 900 μL Corn oil/玉米油中, 混合均匀。
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注射用配方 4: DMSO : 20% SBE-β-CD in Saline = 10 : 90 [如:100 μL DMSO 900 μL (20% SBE-β-CD in Saline)]
*20% SBE-β-CD in Saline的制备(4°C,储存1周):将2g SBE-β-CD (磺丁基-β-环糊精) 溶解于10mL生理盐水中,得到澄清溶液。
注射用配方 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (如: 500 μL 2-Hydroxypropyl-β-cyclodextrin (羟丙基环胡精) 500 μL Saline)
注射用配方 6: DMSO : PEG300 : Castor oil : Saline = 5 : 10 : 20 : 65 (如: 50 μL DMSO 100 μL PEG300 200 μL Castor oil 650 μL Saline)
注射用配方 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (如: 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
注射用配方 8: 溶解于Cremophor/Ethanol (50 : 50), 然后用生理盐水稀释。
注射用配方 9: EtOH : Corn oil = 10 : 90 (如: 100 μL EtOH 900 μL Corn oil)
注射用配方 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (如: 100 μL EtOH 400 μL PEG300 50 μL Tween 80 450 μL Saline)


口服配方
口服配方 1: 悬浮于0.5% CMC Na (羧甲基纤维素钠)
口服配方 2: 悬浮于0.5% Carboxymethyl cellulose (羧甲基纤维素)
示例: 口服配方 1 (悬浮于 0.5% CMC Na)为例说明, 如果要配制 100 mL 2.5 mg/mL 的工作液, 您可以先取0.5g CMC Na并将其溶解于100mL ddH2O中,得到0.5%CMC-Na澄清溶液;然后将250 mg待测化合物加到100 mL前述 0.5%CMC Na溶液中,得到悬浮液。
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口服配方 3: 溶解于 PEG400 (聚乙二醇400)
口服配方 4: 悬浮于0.2% Carboxymethyl cellulose (羧甲基纤维素)
口服配方 5: 溶解于0.25% Tween 80 and 0.5% Carboxymethyl cellulose (羧甲基纤维素)
口服配方 6: 做成粉末与食物混合


注意: 以上为较为常见方法,仅供参考, InvivoChem并未独立验证这些配方的准确性。具体溶剂的选择首先应参照文献已报道溶解方法、配方或剂型,对于某些尚未有文献报道溶解方法的化合物,需通过前期实验来确定(建议先取少量样品进行尝试),包括产品的溶解情况、梯度设置、动物的耐受性等。

请根据您的实验动物和给药方式选择适当的溶解配方/方案:
1、请先配制澄清的储备液(如:用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液,按从左到右的顺序依次添加助溶剂,澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明,并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中,混合均匀/澄清;向上述体系中加入50 μL Tween-80,混合均匀/澄清;然后继续加入450 μL ddH2O (或 saline)定容至 1 mL;

3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出,可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果,工作液请现配现用!
6、如不确定怎么将母液配置成体内动物实验的工作液,请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。
制备储备液 1 mg 5 mg 10 mg
1 mM 5.4585 mL 27.2926 mL 54.5852 mL
5 mM 1.0917 mL 5.4585 mL 10.9170 mL
10 mM 0.5459 mL 2.7293 mL 5.4585 mL

1、根据实验需要选择合适的溶剂配制储备液 (母液):对于大多数产品,InvivoChem推荐用DMSO配置母液 (比如:5、10、20mM或者10、20、50 mg/mL浓度),个别水溶性高的产品可直接溶于水。产品在DMSO 、水或其他溶剂中的具体溶解度详见上”溶解度 (体外)”部分;

2、如果您找不到您想要的溶解度信息,或者很难将产品溶解在溶液中,请联系我们;

3、建议使用下列计算器进行相关计算(摩尔浓度计算器、稀释计算器、分子量计算器、重组计算器等);

4、母液配好之后,将其分装到常规用量,并储存在-20°C或-80°C,尽量减少反复冻融循环。

计算器

摩尔浓度计算器可计算特定溶液所需的质量、体积/浓度,具体如下:

  • 计算制备已知体积和浓度的溶液所需的化合物的质量
  • 计算将已知质量的化合物溶解到所需浓度所需的溶液体积
  • 计算特定体积中已知质量的化合物产生的溶液的浓度
使用摩尔浓度计算器计算摩尔浓度的示例如下所示:
假如化合物的分子量为350.26 g/mol,在5mL DMSO中制备10mM储备液所需的化合物的质量是多少?
  • 在分子量(MW)框中输入350.26
  • 在“浓度”框中输入10,然后选择正确的单位(mM)
  • 在“体积”框中输入5,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案17.513 mg出现在“质量”框中。以类似的方式,您可以计算体积和浓度。

稀释计算器可计算如何稀释已知浓度的储备液。例如,可以输入C1、C2和V2来计算V1,具体如下:

制备25毫升25μM溶液需要多少体积的10 mM储备溶液?
使用方程式C1V1=C2V2,其中C1=10mM,C2=25μM,V2=25 ml,V1未知:
  • 在C1框中输入10,然后选择正确的单位(mM)
  • 在C2框中输入25,然后选择正确的单位(μM)
  • 在V2框中输入25,然后选择正确的单位(mL)
  • 单击“计算”按钮
  • 答案62.5μL(0.1 ml)出现在V1框中
g/mol

分子量计算器可计算化合物的分子量 (摩尔质量)和元素组成,具体如下:

注:化学分子式大小写敏感:C12H18N3O4  c12h18n3o4
计算化合物摩尔质量(分子量)的说明:
  • 要计算化合物的分子量 (摩尔质量),请输入化学/分子式,然后单击“计算”按钮。
分子质量、分子量、摩尔质量和摩尔量的定义:
  • 分子质量(或分子量)是一种物质的一个分子的质量,用统一的原子质量单位(u)表示。(1u等于碳-12中一个原子质量的1/12)
  • 摩尔质量(摩尔重量)是一摩尔物质的质量,以g/mol表示。
/

配液计算器可计算将特定质量的产品配成特定浓度所需的溶剂体积 (配液体积)

  • 输入试剂的质量、所需的配液浓度以及正确的单位
  • 单击“计算”按钮
  • 答案显示在体积框中
动物体内实验配方计算器(澄清溶液)
第一步:请输入基本实验信息(考虑到实验过程中的损耗,建议多配一只动物的药量)
第二步:请输入动物体内配方组成(配方适用于不溶/难溶于水的化合物),不同的产品和批次配方组成不同,如对配方有疑问,可先联系我们提供正确的体内实验配方。此外,请注意这只是一个配方计算器,而不是特定产品的确切配方。
+
+
+

计算结果:

工作液浓度 mg/mL;

DMSO母液配制方法 mg 药物溶于 μL DMSO溶液(母液浓度 mg/mL)。如该浓度超过该批次药物DMSO溶解度,请首先与我们联系。

体内配方配制方法μL DMSO母液,加入 μL PEG300,混匀澄清后加入μL Tween 80,混匀澄清后加入 μL ddH2O,混匀澄清。

(1) 请确保溶液澄清之后,再加入下一种溶剂 (助溶剂) 。可利用涡旋、超声或水浴加热等方法助溶;
            (2) 一定要按顺序加入溶剂 (助溶剂) 。

临床试验信息
Role of Adrenaline in in the Inflammatory Response in Diabetes
CTID: NCT05990933
Phase: N/A    Status: Completed
Date: 2024-11-21
The PAIN (Pelvic Area Injection for Numbness) Study
CTID: NCT05972681
Phase: Phase 4    Status: Recruiting
Date: 2024-11-12
Pharmacokinetics Study of DESF in Adults with Oral Allergy Syndrome
CTID: NCT06527937
Phase: Phase 2    Status: Completed
Date: 2024-11-05
Can Single-Injection Adductor Canal Blocks Improve PostOp Pain Relief in Patients Undergoing Total Knee Arthroplasty?
CTID: NCT02276495
Phase: N/A    Status: Completed
Date: 2024-10-29
Epinephrine in Irrigation Fluid for Visualization During Ankle Surgery
CTID: NCT06264596
Phase: Phase 3    Status: Withdrawn
Date: 2024-10-15
View More

Intrathecal Dexmedetomidine Vs Epinephrine
CTID: NCT06418308
Phase: Phase 4    Status: Recruiting
Date: 2024-10-15


Vasopressin vs. Epinephrine During Neonatal Cardiopulmonary Resuscitation
CTID: NCT05738148
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
Dose Response of Epinephrine
CTID: NCT02692313
PhaseEarly Phase 1    Status: Recruiting
Date: 2024-09-05
Prophylactic Topical Epinephrine to Reduce Bleeding in Transbronchial Lung Biopsies
CTID: NCT03126968
Phase: Phase 2/Phase 3    Status: Completed
Date: 2024-08-28
Comparative Efficacy of Hypertonic Saline vs Adrenaline Nebulization in Acute Bronchiolitis
CTID: NCT06267118
Phase: Phase 3    Status: Recruiting
Date: 2024-08-22
Study of Inhaled DMC-IH1 and Intramuscular (EpiPen®) Epinephrine in Healthy Male and Female Participants.
CTID: NCT06013150
Phase: Phase 1    Status: Completed
Date: 2024-08-20
The Prevention of Hypotension After Epidural Analgesia After Major Surgery
CTID: NCT02722746
Phase: N/A    Status: Completed
Date: 2024-07-25
Epinephrine Vs Norepinephrine Infusion During Caesarean Delivery
CTID: NCT06512402
Phase: N/A    Status: Not yet recruiting
Date: 2024-07-22
Multimodal Orthognathic Study Comparing Use of Exparel With Standard of Care.
CTID: NCT06499181
PhaseEarly Phase 1    Status: Completed
Date: 2024-07-19
Regional Lipolysis and Adipocyte Lipolysis Protein Stimulation
CTID: NCT06416969
PhaseEarly Phase 1    Status: Not yet recruiting
Date: 2024-07-19
Epinephrine Dose: Optimal Versus Standard Evaluation Trial
CTID: NCT03826524
Phase: Phase 4    Status: Recruiting
Date: 2024-07-12
Liposomal Bupivacaine Use in Alveolar Bone Graft Patients
CTID: NCT06284434
Phase: Phase 3    Status: Recruiting
Date: 2024-07-03
Comparison of the Effects of Two Concentrations of Adrenaline (0.33 mg/l vs 1 mg/l) in the Irrigation Serum of Arthroscopic Shoulder Surgery
CTID: NCT05439213
Phase: N/A    Status: Completed
Date: 2024-07-01
Early Resuscitation in Paediatric Sepsis Using Inotropes
CTID: NCT06478797
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-06-27
WALANT Versus Axillary Brachial Plexus Block in Carpal Tunnel Release
CTID: NCT06040840
Phase: N/A    Status: Recruiting
Date: 2024-05-28
The Efficiency of Periarticular Multimodal Drug Injection in Pain Management Following Primary Unilateral TKA
CTID: NCT06112548
Phase: N/A    Status: Recruiting
Date: 2024-05-02
Randomized Phase II Trial of Rituximab With Either Pentostatin or Bendamustine for Multiply Relapsed or Refractory Hairy Cell Leukemia
CTID: NCT01059786
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-05-01
The EPIVER Randomized Controlled Trial
CTID: NCT04573751
Phase: N/A    Status: Completed
Date: 2024-04-29
Epinephrine in the Pediatric Intensive Care Unit: A Dose-Effect Trial
CTID: NCT05327556
Phase: Phase 2    Status: Enrolling by invitation
Date: 2024-04-23
Distribution, Pharmacokinetics and Extent of Sensory Blockade in ESP Blocks
CTID: NCT03476642
Phase: Phase 4    Status: Completed
Date: 2024-04-16
Tranexamic Acid to Improve Arthroscopic Visualization in Shoulder Surgery
CTID: NCT04594408
Phase: Phase 4    Status: Completed
Date: 2024-04-02
Epinephrine Infusion for Prophylaxis Against Maternal Hypotension After Spinal Anesthesia for Cesarean Delivery
CTID: NCT05881915
Phase: N/A    Status: Completed
Date: 2024-02-28
POHCA Resuscitation: Evaluation of IM Epinephrine
CTID: NCT05166343
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-02-26
Comparing the Efficiency of Two Approaches in Patients at Risk of Developing Intraoperative Floppy Iris Syndrome
CTID: NCT06266962
Phase: Phase 4    Status: Completed
Date: 2024-02-20
Opioid-Free Pain Protocol After Shoulder Arthroplasty
CTID: NCT05488847
Phase: Phase 4    Status: Recruiting
Date: 2024-01-12
Bioavailability of Nasal Epinephrine
CTID: NCT04696822
Phase: Phase 1    Status: Completed
Date: 2024-01-05
Prophylactic Tranexamic Acid Versus Adrenaline During Flexible Bronchoscopy
CTID: NCT06145191
Phase: N/A    Status: Recruiting
Date: 2023-12-26
Vasoactive Drugs in Intensive Care Unit
CTID: NCT02118467
Phase: Phase 4    Status: Recruiting
Date: 2023-12-21
Multifidus Cervicis Plane Block Vs. Sham Block For Posterior Cervical Spine Fusion Surgery
CTID: NCT05996133
Phase: Phase 4    Status: Recruiting
Date: 2023-12-19
Efficacy of Multimodal Periarticular Injections in Operatively Treated Ankle Fractures
CTID: NCT02967172
Phase: Phase 4    Status: Completed
Date: 2023-12-15
Control of Iatrogenic Endobronchial Bleeding by Tranexamic Acid, Adrenalin and Hemagglutinase
CTID: NCT06149091
PhaseEarly Phase 1    Status: Recruiting
Date: 2023-11-28
Epinephrine to Prevent Postintubation Collapse in Shocked ICU Patients
CTID: NCT06115473
Phase: N/A    Status: Recruiting
Date: 2023-11-08
Lidocaine Irrigation in Shoulder Arthroscopy
CTID: NCT05624957
Phase: N/A    Status: Completed
Date: 2023-10-19
Topical Adrenaline Versus Warm Saline Solution for Minimizing Intraperitoneal Bleeding During Caesarian Delivery for Placenta Previa / Accreta Spectrum ( PAS)
CTID: NCT06030479
Phase: N/A    Status: Recruiting
Date: 2023-09-11
Comparative Effect of Palatal Injection in Pediatric Patient
CTID: NCT06025825
Phase:    Status: Recruiting
Date: 2023-09-06
Tranexamic Acid During Upper GI Endoscopic Resection Procedures
CTID: NCT05688020
Phase: Phase 4    Status: Recruiting
Date: 2023-08-09
Study of Inhaled Epinephrine and Intramuscular Epinephrine Administered to Healthy Adults
CTID: NCT05152901
Phase: Phase 1    Status: Completed
Date: 2023-07-24
Effects of Adrenaline Infiltration on Surgical Field of View in Endoscopic Sinus Surgery
CTID: NCT05867342
Phase: Phase 4    Status: Completed
Date: 2023-07-10
Comparing the Hemodynamic Effects of Epinephrine Versus Dexmedetomidine as an Adjuvant to Bupivacaine in Caudal Anaesthesia Assessed by Cardiometry
CTID: NCT05860010
Phase: N/A    Status: Not yet recruiting
Date: 2023-05-16
Metabolic Adaptation to High-frequent Hypoglycaemia in Type 1 Diabetes
CTID: NCT05095259
Phase: N/A    Status: Active, not recruiting
Date: 2023-05-03
The Effect of Buccal Infiltration Administration of Clonidine on the Success Rate of Inferior Alveolar Nerve Block
CTID: NCT04186299
Phase: Phase 4    Status: Withdrawn
Date: 2023-04-10
Epinephrine Nebulization Prior to Nasotracheal Intubation
CTID: NCT05738564
Phase: Phase 3    Status: Completed
Date: 2023-02-22
RCT of Gastric ESD With or Without Epineprhine Added Solution
CTID: NCT04032119
Phase: Phase 3    Status: Completed
Date: 2023-02-08
'The Effect Of Subcutaneous Epinephrine Dosage On Blood Loss In Surgical Incision'
CTID: NCT05670808
Phase: Phase 1    Status: Unknown status
Date: 2023-01-04
Management of Shock in Children With SAM or Severe Underweight and Diarrhea
CTID: NCT04750070
Phase: Phase 3    Status: Unknown status
Date: 2022-12-20
Efficacy of Intraoperative Injections on Postoperative Pain Control During Total Hip Replacement
CTID: NCT03119038
Phase: Phase 4    Status: Withdrawn
Date: 2022-10-27
The Effect of Epinephrine, Norepinephrine and Phenylephrine on Intraoperative Hemodynamic Performance
CTID: NCT05492968
Phase: Phase 4    Status: Unknown status
Date: 2022-10-19
Effect of Epinephrine on Post-polypectomy Pain
CTID: NCT04065451
Phase: Phase 4    Status: Completed
Date: 2022-09-30
Optimal Timing of Intercostal Nerve Blocks During Video-Assisted Thoracic Surgeries
CTID: NCT02980835
Phase: Phase 4    Status: Completed
Date: 2022-09-22
Pharmacokinetics of Intramuscular Adrenaline in Food--Allergic Teenagers
CTID: NCT03366298
Phase: Phase 4    Status: Completed
Date: 2022-09-07
Nebulized Epinephrine vs. Salbutamol in Bronchiolitis Among Children
CTID: NCT03814954
Phase: N/A    Status: Completed
Date: 2022-08-30
Peri-Incisional Drug Injection in Lumbar Spine Surgery
CTID: NCT03513445
Phase: Phase 3    Status: Withdrawn
Date: 2022-08-19
Impact of Intracoronary Versus Intravenous Epinephrine Administration During Cardiac Arrest .
CTID: NCT05253937
Phase:    Status: Completed
Date: 2022-08-16
Management of Acute Pulmonary Hypertensive Crisis in Children With Known Pulmonary Arterial Hypertension
CTID: NCT05439460
Phase: Phase 4    Status: Completed
Date: 2022-08-05
Multi-Modal Anesthesia Protocol in Pain Management of Patients Undergoing Posterior Lumbar Spinal Fusion Surgery
CTID: NCT05413902
Phase: Phase 4    Status: Completed
Date: 2022-06-10
Peri-Articular-Multimodal Drug and Oral Celecoxib in Management of Postoperative Pain of Total Knee Arthroplasty
CTID: NCT05324995
Phase: Phase 2    Status: Completed
Date: 2022-04-14
Postoperative Pain Control After Periarticular Injection During Total Knee Arthroplasty
CTID: NCT02570503
Phase: Phase 4    Status: Terminated
Date: 2022-03-04
Tranexamic Acid Versus Adrenaline for Controlling Iatrogenic Endobronchial Bleeding
CTID: NCT04771923
Phase: N/A    Status: Completed
Dat
Effect and safety of the iliopsoas plane block in healthy volunteers
CTID: null
Phase: Phase 2    Status: Completed
Date: 2018-04-24
The effect of the popliteal plexus block on postoperative pain after total knee arthroplasty - a randomized, controlled, double-blinded study
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2018-02-19
Pharmacokinetics of Intramuscular Adrenaline in Food-Allergic Teenagers
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-10-02
Combination of intrathecal morphine and local infiltration analgesia in treatment postoperative pain of total knee arthroplasty
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-09-14
The effect of the popliteal plexus block on postoperative pain after reconstruction of the anterior cruciate ligament
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-06-20
Postoperative analgesia after elective hip surgery - effect of obturator nerve blockade
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-05-24
Open, comparative, randomized study on the efficacy, safety and bioavailability of highly concentrated inhaled epinephrine (4 mg L-epinephrine / ml, Infectokrupp® Inhal) versus epinephrine autoinjector application (Fastjekt® Junior) in infants with acute anaphylactic reaction during a food provocation
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2016-06-10
The effect of subsartorial saphenous block on postoperative pain following major ankle and hind foot surgery
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-04-05
Shamrock – Ultrasound/MR image fusion guided lumbar plexus blocks
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-02-08
PHASE II CLINICAL TRIAL FOR A STEPWISE PROGRESSION IN THE TREATMENT OF CARDIOGENIC SHOCK
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2015-04-20
Pharmacokinetics of Understudied Drugs Administered to Children per Standard of Care
CTID: null
Phase: Phase 1    Status: Not Authorised
Date: 2015-04-10
Protracted mixture of local anaesthetics for major foot and ankle surgery. A randomized double-blind, controlled study comparing Bupivacaine-epinephrine 0.5% and Bupivacaine-epinepherine 0.5% plus dexamethasone
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-04-08
Comparison of the effect of saphenous block with plain bupivacaine vs. protracted bupivacaine mixture as a supplement to continuos sciatic catheter after major ankle and foot surgery: a randomized study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-01-07
The effect of saphenous nerve and obturator nerve block combined with systemic high dose glucocorticoid versus local infiltration analgesia combined with a systemic high dose glucocorticoid on opioid consumption and pain after total knee arthroplasty.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-10-01
Prehospital Assessment of the Role of Adrenaline: Measuring the Effectiveness of Drug administration In Cardiac arrest
CTID: null
Phase: Phase 3    Status: Completed
Date: 2014-07-09
Adrenaline versus amiodarone for out of hospital cardiac arrest due to shockable rhythms (ventricular fibrillation and pulseless ventricular tachycardia) - ADRAMIO.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2014-06-23
Perioperative Analgesia for Knee Arthroplasty: A prospective randomised controlled trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-10-23
Postoperative pain relief following total hip arthroplasty.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-01-02
Effect of local anesthesia in patients with marginal periodontitis undergoing subgingival scaling
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2012-11-15
The effect of intraoperative low dose adrenaline on bleeding in total hip arthroplasty - a randomized placebo-controlled trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-09-13
Påverkar valet av smärtlindring vid tjocktarm/ändtarmscancer recidiv och överlevnad? (EPICOL-studien).
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-11-29
Comparación de la efectividad analgésica del bloqueo femoral, la infiltración intraarticular o la combinación de ambas en el control del dolor en la artroplastia total de rodilla.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-09-19
Pain treatment after anterior cruciate ligament reconstruction - Comparison of infiltration analgesia with femoral nerve block after hamstrings anterior cruciate ligament reconstruction.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-10-19
TREATMENT OF HYPOTENSION IN EXTREMELY PRETERM INFANTS: A MULTICENTER RANDOMIZED CONTROLLED TRIAL
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2010-04-13
Optimisation du traitement du choc cardiogénique. Etude pilote physiopathologique ouverte multicentrique comparant l’efficacité et la tolérance de l’adrénaline et la noradrénaline (Optima CC)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-03-22
An assessment of the effects of pressors on graft blood flow after free tissue transfer surgery: A randomised study – Part II
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2010-02-08
Multimodal drug infiltration during bone marrow aspiration. A randomized dubble blind controlled study
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-09-09
Plasma concentration of Ropivacain and Ketorolac after local infiltration during surgery in hip replacement during the first 24 postoperative hours.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-06-17
En dubbel-blind randomiserad studie i postoperativ smärtlindring och mobilisering efter att intrathekal morfin- eller lokal infiltrativ analgesi (LIA)-teknik används vid total knäproteskirurgi.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-04-24
Postoperative Pain Relief following Total Hip Arthroplasty.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-04-22
Analgesic efficacy of ultrasound guided transversus abdominis plane block as part of a multimodal analgesic regime for post elective caesarean section pain – a comparative double-blinded placebo controlled trial using plain bupivacaine, bupivacaine with adrenaline and bupivacaine with dexamethasone.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-01-29
Postoperative smerter efter bækkenosteotomi med lokal infiltrationsanalgesi hos børn med cerebral parese. Et prospektivt, randomiseret og dobbeltblindet studie.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-01-20
Assessment of the effects of pressors on graft blood flow after free tissue transfer surgery
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-09-24
Undersøgelse af ketorolac i den postoperative smertebehandling efter total knæalloplastik
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-09-16
A comparative, double blind trial between'older' and 'newer' local anesthetics in forefoot surgery under echographic popliteal block.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-10-29
Postoperative epidural analgesia with Breivik's mixture (bupivacain, fentanyl, epinephrine) compared to Narop (rupivacain) combined with oral oxycodon after posterior lumbar fusion.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-08-10
Smärtskattning av adrenalinpenna
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2007-03-08
Epidural analgesia or opatient controlled regional analgesia for radical Retropubic Prostatectomy. A randomized, double-blind study.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2007-01-24
Evaluación de la profundidad anestésica de la lidocaína 1:100.000 frente a la articaína 1:100.000, en la cirugía del tercer molar inferior. Estudio comparativo
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-11-29
Postoperative pain relief for primary total knee arthroplasty: A randomised clinical trial of local infiltration anaesthesia followed by intraaticulary infusion compared to epidural infusion
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2006-11-21
A comparison of two methodes for pastoperative paintreatment after knee replacement. Pharmacokinetics and clinical effect of femoral block and local infiltration of the operation area of ropivacaine.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-10-10
Postoperativ smärtlindring och mobilisering efter per- och postoperativ injektion av ropivakain, ketorolak och adrenalin givet i operationsområdet, infiltrativt och i knäleden, vid total knäplastikoperation.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2006-10-04
“The efficacy of inferior alveolar nerve block and buccal infiltration for pulp anaesthesia in mandibular teeth”
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-07-31
Kan risikoen for RD og hypoglykæmi efter elektivt sectio reduceres ved indgift af adrenalin.
CTID: null
Phase:    Status: Completed
Date: 2006-04-28
A randomised comparison of 0.5% levobupivacaine with a lidocaine/epinephrine/ fentanyl mixture for epidural top up for emergency caesarean section after “low dose” epidural for labour
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-04-26
Bupivacaína en anestesia odontológica. Estudio comparativo, respecto a la articaína, de su eficacia clínica durante la extracción quirúrgica del tercer molar inferior incluido.
CTID: null
Phase: Phase 1, Phase 4    Status: Ongoing
Date: 2006-03-01
Effects of Adrenaline on gastric tube blood flow in patients having thoracic epidural for Oesophagogastrectomy
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-01-16
Postoperativ smärtlindring och mobilisering efter per- och postoperativ injektion av ropivakin, ketorolak och adrenalin givet i operationsområdet, infiltrativt och i knäleden, vid enkammarknäplastikoperation (miniknä)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-05-18
Effect of dexmedetomidine on the local anesthetic action
CTID: UMIN000025928
Phase:    Status: Complete: follow-up continuing
Date: 2017-02-01
Clinical Study of autologous blood injection for the treatment of recurrent temporomandibular joint dislocation
CTID: UMIN000022197
PhaseNot applicable    Status: Recruiting
Date: 2016-05-09
A randomized controlled trial comparing continuous femoral nerve block and local infiltration analgesiafor total knee arthroplasty
CTID: UMIN000018850
Phase:    Status: Complete: follow-up complete
Date: 2015-08-29
Effect of Subcutaneous Epinephrine/Saline/Local Anesthetic Versus Saline-Only Injection on Split-Thickness Skin Graft Donor Site
CTID: UMIN000018448
Phase:    Status: Complete: follow-up complete
Date: 2015-08-01
Observation of the upper gastrointestinal tract lesions by epinephrine spraying
CTID: UMIN000017722
Phase:    Status: Complete: follow-up complete
Date: 2015-05-28
The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration
CTID: UMIN000017055
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2015-04-06
Non-inferiority trial of cardiovascular dynamics of lidocaine with adrenaline injection under general anesthesia between antipsychotics patients and control patients
CTID: UMIN000016644
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2015-04-01
Effect of dexmedetomidine on the local anesthetic action
CTID: UMIN000016224
Phase:    Status: Complete: follow-up continuing
Date: 2015-01-15
study of the efficacy of the Levobupivacaine in mandibular-foramen conduction anesthesia
CTID: UMIN000009341
Phase:    Status: Pending
Date: 2012-11-30
Study of pain control on Impacted Mandibular Third Molar
CTID: UMIN000007831
Phase:    Status: Complete: follow-up complete
Date: 2012-04-25
Effect of steroidmixed injection to submucosa during ESD on the epithelial regeneration promoting action of postoperative artificial ulcer following endoscopic submucosal dissection in early-stage gastric cancer - Preventing stomach deformation due to scar formation during the epithelial regeneration process
CTID: UMIN000007588
Phase:    Status: Pending
Date: 2012-03-28
The study of physiological stress and recovery condition between AOP vs. TIVA for ambulatory general anesthesia to dental patient -Salivary alpha-amylase level and activity of autonomic nervous system were measured for mental retardation and autism patient-
CTID: UMIN000005615
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2011-05-17
Study of pain control on Impacted Mandibular Third Molar
CTID: UMIN000002596
Phase:    Status: Complete: follow-up continuing
Date: 2009-10-07
Effects of fentanyl added to mepivacaine for inferior alveolar nerve block duration, double blind, randomized trial
CTID: UMIN000002540
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2009-09-24
Axillary block and local anesthesia for postoperative pain control after elbow arthroscopy: A randomized controlled trial
CTID: UMIN000002275
Phase:    Status: Complete: follow-up complete
Date: 2009-08-01
comparison between endoscopic clipping and combination of endoscopic clipping and injection for gastric ulcer bleeding: a prospective randomized controlled trial
CTID: UMIN000001978
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2009-05-16

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