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词条 Paraldehyde
释义

  1. Stereochemistry

  2. Reactions

  3. Medical applications

     As a hypnotic/sedative  As anti-seizure  Administration 

  4. Industrial applications

  5. References

  6. External links

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| Verifiedfields = changed
| Watchedfields = changed
| verifiedrevid = 464197327
| Name = Paraldehyde
| ImageFile1 = Paraldehyde structure.svg
| ImageSize1 = 115
| ImageAlt1 = Skeletal formula
| IUPACName = 2,4,6-Trimethyl-1,3,5-trioxane
| SystematicName = 2,4,6-Trimethyl-1,3,5-trioxane
| OtherNames =
| Section1 = {{Chembox Identifiers
| Abbreviations =
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = S6M3YBG8QA
| InChI = 1/C6H12O3/c1-4-7-5(2)9-6(3)8-4/h4-6H,1-3H3
| InChIKey = SQYNKIJPMDEDEG-UHFFFAOYAO
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| StdInChI =1S/C6H12O3/c1-4-7-5(2)9-6(3)8-4/h4-6H,1-3H3
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| StdInChIKey = SQYNKIJPMDEDEG-UHFFFAOYSA-N
| CASNo = 123-63-7
| CASNo_Ref = {{cascite|correct|CAS}}
| EINECS = 204-639-8
| PubChem = 31264
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 21106173
| ChEMBL_Ref = {{ebicite|changed|EBI}}
| ChEMBL = 1410743
| SMILES = CC1OC(C)OC(C)O1
| RTECS =
| MeSHName = Paraldehyde
| ChEBI_Ref = {{ebicite|correct|EBI}}
| ChEBI = 27909
| KEGG_Ref = {{keggcite|changed|kegg}}
| KEGG = D00705
| Section2 = {{Chembox Properties
| C=6 | H=12 | O=3
| Appearance =
| Density = 0.996 g/cm3
| MeltingPtC = 12
| MeltingPt_ref = [1]
| BoilingPtC = 124
| BoilingPt_ref = [1]
| Solubility = soluble 10% vv at 25 Deg.
| SolubleOther =
| Solvent =
| LogP =
| VaporPressure =
| HenryConstant =
| AtmosphericOHRateConstant =
| pKa =
| pKb =
| MagSus = -86.2·10−6 cm3/mol
| Section6 = {{Chembox Pharmacology
| ATCCode_prefix = N05
| ATCCode_suffix = CC05
| Bioavail =
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| HalfLife =
| ProteinBound =
| Excretion =
| Legal_status =
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| Legal_AU =
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| Section7 = {{Chembox Hazards
| ExternalSDS = External MSDS
| EUClass = {{Hazchem Xn}} {{Hazchem C}}
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| NFPA-F =
| NFPA-R =
| NFPA-S =
| RPhrases = {{R10}} {{R20}} {{R21}} {{R22}} {{R34}} {{R45}}
| SPhrases =
| RSPhrases =
| FlashPt =
| AutoignitionPt =
| ExploLimits =
| LD50 =
| LC50 =
| PEL =
}}

Paraldehyde is the cyclic trimer of acetaldehyde molecules.[2] Formally, it is a derivative of 1,3,5-trioxane. The corresponding tetramer is metaldehyde. A colourless liquid, it is sparingly soluble in water and highly soluble in ethanol. Paraldehyde slowly oxidizes in air, turning brown and producing an odour of acetic acid. It quickly reacts with most plastics and rubber.

Paraldehyde was first observed in 1835 by the German chemist Justus Liebig; its empirical formula was determined in 1838 by Liebig's student Hermann Fehling.[3][4] Paraldehyde was first synthesized in 1848 by the German chemist Valentin Hermann Weidenbusch (1821–1893), another student of Liebig; he obtained paraldehyde by treating acetaldehyde with acid (either sulfuric or nitric acid).[5][6] It has uses in industry and medicine.

Stereochemistry

Theoretically, four stereoisomeric structures are possible. The structures (1) and (2) are known as cis- and trans-paraldehyde. The structures (3) (a conformer of (2)) and (4) (a conformer of (1)) don't exist for steric reasons.[7][8]

Reactions

Heated with catalytic amounts of acid, it depolymerizes back to acetaldehyde:[9][10]

C3H12O3 → 3CH3CHO

Since paraldehyde has better handling characteristics, it may be used indirectly or directly as a synthetic equivalent of anhydrous acetaldehyde (b.p. 20 °C). For example, it is used as-is in the synthesis of bromal (tribromoacetaldehyde):[11]

C3H12O3 + 9 Br2 → 3 CBr3CHO + 9 HBr

Medical applications

Paraldehyde was introduced into clinical practice in the UK by the Italian physician Vincenzo Cervello (1854–1918) in 1882.[12][13][14]

It is a central nervous system depressant and was soon found to be an effective anticonvulsant, hypnotic and sedative. It was included in some cough medicines as an expectorant (though there is no known mechanism for this function beyond the placebo effect).

Paraldehyde was the last injection given to Edith Alice Morrell in 1950 by the suspected serial killer John Bodkin Adams. He was tried for her murder but acquitted.

As a hypnotic/sedative

It was commonly used to induce sleep in sufferers from delirium tremens but has been replaced by other drugs in this regard. It is one of the safest hypnotics and was regularly given at bedtime in psychiatric hospitals and geriatric wards up to the 1960s. Up to 30% of the dose is excreted via the lungs (the rest via the liver). This contributes to a strong unpleasant odour on the breath.

As anti-seizure

It has been used in the treatment of convulsions.[15]

Today, paraldehyde is sometimes used to treat status epilepticus. Unlike diazepam and other benzodiazepines, it does not suppress breathing at therapeutic doses and so is safer when no resuscitation facilities exist or when the patient's breathing is already compromised.[16] This makes it a useful emergency medication for parents and other caretakers of children with epilepsy. Since the dose margin between the anticonvulsant and hypnotic effect is small, paraldehyde treatment usually results in sleep.

Administration

{{Refimprove section||date=June 2015}}

Generic paraldehyde is available in 5 mL sealed glass ampoules. Production in the US has been discontinued, but it was previously marketed as Paral.

Paraldehyde has been given orally, rectally, intravenously and by intramuscular injection. It reacts with rubber and plastic which limits the time it may safely be kept in contact with some syringes or tubing before administration.

  • Injection. Intramuscular injection can be very painful and lead to sterile abscesses, nerve damage, and tissue necrosis. Intravenous administration can lead to pulmonary edema, circulatory collapse and other complications.
  • Oral. Paraldehyde has a hot burning taste and can upset the stomach. It is often mixed with milk or fruit juice in a glass cup and stirred with a metal spoon.
  • Rectal. It may be mixed 1 part paraldehyde with 9 parts saline or, alternatively, with an equal mixture of peanut or olive oil.
{{Clear}}

Industrial applications

Paraldehyde is used in resin manufacture, as a preservative, MEP and in other processes as a solvent.

It has been used in the generation of aldehyde fuchsin.[17]

References

1. ^{{cite web|url=http://msds.chem.ox.ac.uk/TR/2,4,6-trimethyl-1,3,5-trioxane.html |title=Oxford MSDS |publisher=Msds.chem.ox.ac.uk |date= |accessdate=2013-11-29}}
2. ^{{cite journal|last1=Wankhede|first1=N N|last2=Wankhede|first2=D S|last3=Lande|first3=M K|last4=Arbad|first4=B R|title=Densities and ultrasonic velocities of bina ry mixtures of 2,4,6-trimethyl-1,3,5- trioxane + n -alcohols at 298.15, 303.15 and 308.15 K|journal=Indian Journal of Chemical Technology|date=March 2006|volume=13|pages=149–155|accessdate=}}
3. ^Liebig, Justus (1835) [https://babel.hathitrust.org/cgi/pt?id=uva.x002457901;view=1up;seq=523 "Ueber die Producte der Oxydation des Alkohols"] (On the products of the oxidation of ethanol), Annalen der Chemie, 14 : 133–167; see especially p. 141.
4. ^Fehling, H. (1838) [https://babel.hathitrust.org/cgi/pt?id=uva.x002457908;view=1up;seq=331 "Ueber zwei dem Aldehyd isomere Verbindungen"] (On two compounds that are isomeric to acetaldehyde), Annalen der Chemie, 27 : 319–322; see pp. 321–322.
5. ^Weidenbusch, H. (1848) [https://babel.hathitrust.org/cgi/pt?id=chi.47401598;view=1up;seq=584 "Ueber einige Producte der Einwirkung von Alkalien und Säuren auf den Aldehyd"] (On some products of the reaction of alkalies and acids with acetaldehyde), Annalen der Chemie, 66 : 152-165; see pp. 155–158.
6. ^Paraldehyde was first synthesized by Weidenbusch in 1848* (Editorial staff) (April 15, 1885) "The action of paraldehyde," The Therapeutic Gazette, 9 : 247-250; [https://books.google.com/books?id=bzWgAAAAMAAJ&pg=PA247#v=onepage&q&f=false see p. 247.]* See also: Henry Watts, Matthew Moncrieff Pattison Muir, and Henry Forster Morley, Watts' Dictionary of Chemistry, rev'd, vol. 1 (London, England: Longmans, Green, and Co., 1905), [https://books.google.com/books?id=dNznAAAAMAAJ&pg=PA106#v=onepage&q&f=false p. 106.]For biographical information about Valentin Hermann Weidenbusch, see: * Neill Busse, Der Meister und seine Schüler: Das Netzwerk Justus Liebigs und seiner Studenten [The Master and His Disciples: The network of Justus Liebig and his students] (Hildesheim, Germany: Georg Olms Verlag, 2015); for Weidenbusch's dates, [https://books.google.com/books?id=PY9KCwAAQBAJ&pg=PA274#v=onepage&q&f=false see p. 274.] * See also: Joseph S. Fruton (March 1988) "The Liebig research group: A reappraisal," Proceedings of the American Philosophical Society, 132 (1) : 1–66; see p. 59.* See also: Deutsche Biographische Enzyklopädie (German Biographical Encyclopedia), p. 1154.
7. ^Kewley, R.: Microwave spectrum of paraldehyde in Can. J. Chem. 48 (1970), 852–855
8. ^Carpenter, D.C., Brockway, L.O.: The Electron Diffration Study of Paraldehyde in J. Am. Chem. Soc. 58 (1936), 1270–1273
9. ^{{OrgSynth | author = Kendall, E. C.; McKenzie, B. F. | title = dl-Alanine | collvol = 1 | collvolpages = 21 | year = 1941 | prep = cv1p0021}}
10. ^{{OrgSynth | title = Methyl isopropyl carbinol | collvol = 2 | collvolpages = 406 | year = 1943 | author = Nathan L. Drake and Giles B. Cooke | prep = cv2p0406}}
11. ^{{OrgSynth | author = F. A. Long and J. W. Howard | title = Bromal | collvol = 2 | collvolpages = 87 | prep = cv2p0087}}
12. ^{{cite journal |vauthors=López-Muñoz F, Ucha-Udabe R, Alamo C |title=The history of barbiturates a century after their clinical introduction |journal=Neuropsychiatric Disease and Treatment |volume=1 |issue=4 |pages=329–43 |date=December 2005 |pmid=18568113 |pmc=2424120 |doi= |url=}}
13. ^See: * Cervello, Vincenzo (1883) [https://babel.hathitrust.org/cgi/pt?id=hvd.32044103019659;view=1up;seq=191 "Sull'azione fisiologica della paraldeide e contributo allo studio del cloralio idrato"] (On the physiological action of paraldehyde and contribution to the study of chloral hydrate), Archivio per le Scienze Mediche, 6 (12) : 177–214.* Cervello, Vincenzo (1884) [https://books.google.com/books?id=GRNLAAAAYAAJ&pg=PA113#v=onepage&q&f=false "Recherches cliniques et physiologiques sur la paraldehyde"] (Clinical and physiological investigations into paraldehyde), Archives italiennes de biologie, 6 : 113–134.
14. ^For biographical information about Vencenzo Cervello, see: Dizionario Biografico (in Italian)
15. ^{{cite journal |vauthors=Townend W, Mackway-Jones K |title=Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. Phenytoin or paraldehyde as the second drug for convulsions in children |journal=Emergency Medicine Journal |volume=19 |issue=1 |page=50 |date=January 2002 |pmid=11777879 |pmc=1725762 |doi= 10.1136/emj.19.1.50|url=}}
16. ^{{cite journal|vauthors=Norris E, Marzouk O, Nunn A, McIntyre J, Choonara I | title = Respiratory depression in children receiving diazepam for acute seizures: a prospective study | journal = Dev Med Child Neurol | volume = 41 | issue = 5 | pages = 340–3 | year = 1999 | pmid = 10378761 | url = http://journals.cambridge.org/production/action/cjoGetFulltext?fulltextid=2316 | doi = 10.1017/S0012162299000742}}
17. ^{{cite journal |author=Nettleton GS |title=The role of paraldehyde in the rapid preparation of aldehyde fuchsin |journal=Journal of Histochemistry and Cytochemistry |volume=30 |issue=2 |pages=175–8 |date=February 1982 |pmid=6174561 |doi= 10.1177/30.2.6174561|url=http://www.jhc.org/cgi/pmidlookup?view=long&pmid=6174561}}

External links

{{commons category}}
  • Paraldehyde Injection B.P Data Sheet
  • [https://www.drugs.com/cons/Paraldehyde.html Drugs.com: Paraldehyde]
  • [https://archive.is/20121209054102/http://www.chemicalland21.com/arokorhi/industrialchem/solalc/PARALDEHYDE.htm Paraldehyde Chemical Data]
{{Anticonvulsants}}{{Hypnotics and sedatives}}{{GABAAR PAMs}}

5 : Acetals|Anticonvulsants|Hypnotics|Solvents|GABAA receptor positive allosteric modulators

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