Ephedrine

ATC CodeC01CA26, C01CB01, R01AA03, R01AB05, R03CA02, S01FB02
CAS number299-42-3
PUB number9294
Drugbank IDDB01364
Empirical formulaC10H15NO
Molar mass (g·mol−1)165,24
Physical statesolid
Melting point (°C)38–40
Boiling point (°C)225
PKS value10.3

Basics

Ephedrine is a naturally occurring substance that occurs in plants of the genus seaweed. It exhibits sympathomimetic properties. It is still sometimes used to treat hypotension and against narcolepsy. In the past, ephedrine was used more widely, for example as an asthma drug, as a rhinitis remedy (decongestion of the nasal mucosa) and in ophthalmology. However, due to newer, more selective drugs, it is not as commonly prescribed today. Due to its structural similarity to the narcotic drug methamphetamine (crystal meth), the distribution of ephedrine is strictly regulated. This makes potential abuse more difficult.

Pharmacology

Pharmacodynamics

Ephedrine acts on adrenergic receptors in neurons in humans. It binds to alpha and beta adrenergic receptors. This increases heart rate and blood pressure and causes bronchodilation.

Pharmacokinetics
Die orale Bioverfügbarkeit von Ephedrin beträgt rund 88% und die maximale Konzentration im Blut wird nach ca. 2 Stunden erreicht. Die Plasmaproteinbindung beträgt rund 5-6%. Rund 60% der gegebenen Dosis werden unverändert über den Urin ausgeschieden. Der Rest wird in den Zellen der Leber abgebaut und ebenfalls über die Nieren ausgeschieden. Die Eliminationshalbwertszeit beträgt ungefähr 6 Stunden.

Wechselwirkungen

Ephedrin sollte keinesfalls gleichzeitig mit anderen Stoffen aus der Gruppe der Sympathomimetika oder MAO-Hemmern eingenommen werden. Dies kann zu lebensbedrohlichen Nebenwirkungen führen. Generell ist bei Arzneimitteln, die eine Wirkung auf adrenerge Rezeptoren haben (z.B: Antidepressiva), Vorsicht geboten. Eine gleichzeitige Einnahme wird generell nicht empfohlen.

Toxicity

Side effects

Side effects usually occur after administration of too high doses. Possible symptoms include anxiety, delirium, very high blood pressures and heart palpitations, hallucinations, sleep disturbances, respiratory distress and psychosis.

Toxicological data

LD50: 600 mg/kg (rat, oral)

Sources

Markus Falkenstätter, BSc

Markus Falkenstätter, BSc

Mag. pharm. Stefanie Lehenauer

Mag. pharm. Stefanie Lehenauer



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