136310-93-5 Usage
Description
Tiotropium bromide, also known as Spiriva, is a long-acting inhaled muscarinic antagonist used for the maintenance treatment of airflow obstruction in patients with chronic obstructive pulmonary disease (COPD). It is a white solid that binds to M1, M2, and M3 muscarinic acetylcholine receptors, decreasing acetylcholine-induced contraction of the trachea and providing bronchodilation.
Uses
1. Used in Pharmaceutical Industry:
Tiotropium bromide is used as a muscarinic receptor antagonist for the treatment of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema. It provides effective bronchodilation that is maintained over 24 hours, significantly improves lung function as measured by FEV1 (+11-12%), and shows a progressive reduction in dyspnea.
2. Used in Respiratory Medicine:
Tiotropium bromide is used as a bronchodilator for patients with COPD. It offers superior bronchodilatation and symptomatic improvements when compared to twice daily salmeterol in COPD patients.
3. Used in Drug Resistance:
Tiotropium bromide is used as a selectively selective choline drug to combat resistance in the treatment of COPD.
4. Used in Asthma Treatment:
Tiotropium bromide is used as an anti-asthmatic agent to help manage and alleviate asthma symptoms.
5. Used in Long-term COPD Management:
Tiotropium bromide is used in long-term studies to reduce exacerbations of COPD patients and improve their quality of life. It has been shown to produce greater and more sustained bronchodilation than ipratropium bromide.
Note: The provided materials do not mention the use of Glycerol, so the usage of Glycerol cannot be listed based on the given information.
Originator
Boehringer lngelheim (Germany)
Pharmacokinetics
Tiotropium is administered as a dry powder via inhalation using a
HandiHaler, in which is placed the drug, contained in a green capsule. Patients should be
cautioned not to be confused and take the medication orally. Systemic distribution following oral
inhalation is minimal, essentially because of its hydrophilic character. If swallowed, only
approximately 14% of the dose is eliminated in the urine, with the remainder being found in the
feces. Inhaled tiotropium has a 30-minute onset of action but a much longer duration of action
than ipratropium (24 versus <4 hours, respectively). Tiotropium is metabolized by both CYP3A4
and CYP2D6, followed by glutathione conjugation to a variety of metabolites. Only a very small amount is nonenzymatically hydrolyzed to inactive products.
Clinical Use
Tiotropium is the dithienyl derivative of N-methyl scopolamine, a quaternary analogue of naturally
occurring scopolamine in Atropa belladonna. It is indicated primarily for the relief of
bronchospasms associated with COPD and can be considered to be a site-specific, local
medication to the lung.
Side effects
Tiotropium has an adverse reaction
profile similar to that of ipratropium, with dry mouth being the most common adverse effect;
however, blurred vision, tachycardia, urinary difficulty, headache precipitation, and exacerbation
of narrow-angle glaucoma have been reported.
Synthesis
At least two synthetic paths have been
disclosed in the patent and literature. The synthesis
of tiotropium is depicted in the scheme. Tropenol
hydrochloride 209 was first neutralized with ammonia in
toluene and then the free base was reacted with methyl di-(2-
thienyl)glycolate (210) in the presence of sodium hydride to
furnish desired tropenol ester 211 in 83% yield. The
vanadium-catalyzed oxidation of tropenol ester 211 using
hydrogen peroxide-urea complex gave epoxide 212, which
was converted into its quaternary salt 25 with methyl
bromide. The last two steps were carried out in a one-pot
process in 88%yield.
Check Digit Verification of cas no
The CAS Registry Mumber 136310-93-5 includes 9 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 6 digits, 1,3,6,3,1 and 0 respectively; the second part has 2 digits, 9 and 3 respectively.
Calculate Digit Verification of CAS Registry Number 136310-93:
(8*1)+(7*3)+(6*6)+(5*3)+(4*1)+(3*0)+(2*9)+(1*3)=105
105 % 10 = 5
So 136310-93-5 is a valid CAS Registry Number.