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Pralidoxime information


Pralidoxime
Clinical data
Other names1-methylpyridine-6-carbaldehyde oxime
AHFS/Drugs.comMicromedex Detailed Consumer Information
Pregnancy
category
  • C
ATC code
  • V03AB04 (WHO)
Legal status
Legal status
  • In general: ℞ (Prescription only)
Identifiers
IUPAC name
  • 2-[(hydroxyimino)methyl]-1-methylpyridin-1-ium
CAS Number
  • 6735-59-7 checkY
PubChem CID
  • 6789253
IUPHAR/BPS
  • 4652
DrugBank
  • DB00733 checkY
ChemSpider
  • 5193737 checkY
UNII
  • P7MU9UTP52
KEGG
  • C07400 checkY
ChEBI
  • CHEBI:8354 checkY
ChEMBL
  • ChEMBL1420 checkY
CompTox Dashboard (EPA)
  • DTXSID1044144 Edit this at Wikidata
ECHA InfoCard100.027.080 Edit this at Wikidata
Chemical and physical data
FormulaC7H9N2O+
Molar mass137.162 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • ON=Cc1cccc[n+]1C
InChI
  • InChI=1S/C7H8N2O/c1-9-5-3-2-4-7(9)6-8-10/h2-6H,1H3/p+1 checkY
  • Key:JBKPUQTUERUYQE-UHFFFAOYSA-O checkY
  (verify)

Pralidoxime (2-pyridine aldoxime methyl chloride) or 2-PAM, usually as the chloride or iodide salts, belongs to a family of compounds called oximes that bind to organophosphate-inactivated acetylcholinesterase.[1] It is used to treat organophosphate poisoning[2] in conjunction with atropine and either diazepam or midazolam. It is a white solid.

  1. ^ Jokanović M, Stojiljković MP (December 2006). "Current understanding of the application of pyridinium oximes as cholinesterase reactivators in treatment of organophosphate poisoning". European Journal of Pharmacology. 553 (1–3): 10–7. doi:10.1016/j.ejphar.2006.09.054. PMID 17109842.
  2. ^ Jokanović M, Prostran M (2009). "Pyridinium oximes as cholinesterase reactivators. Structure-activity relationship and efficacy in the treatment of poisoning with organophosphorus compounds". Current Medicinal Chemistry. 16 (17): 2177–88. doi:10.2174/092986709788612729. PMID 19519385.

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Pralidoxime

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Pralidoxime (2-pyridine aldoxime methyl chloride) or 2-PAM, usually as the chloride or iodide salts, belongs to a family of compounds called oximes that...

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ATNAA

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be used in lieu of the Mark I NAAK. The ATNAA provides atropine and pralidoxime chloride in a single delivery system, although the two drugs are separate...

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Mark I NAAK

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dual-chamber autoinjector: Two anti-nerve agent drugs—atropine sulfate and pralidoxime chloride—each in injectable form, constitute the kit. The kits are only...

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Organophosphate poisoning

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organophosphate poisoning the primary treatments are atropine, oximes such as pralidoxime, and diazepam. General measures such as oxygen and intravenous fluids...

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Atropine

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atropinization is desirable. Atropine is often used in conjunction with the oxime pralidoxime chloride. Some of the nerve agents attack and destroy acetylcholinesterase...

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Oxime

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from the acetylcholinesterase molecule. Oxime nerve-agent antidotes are pralidoxime (also known as 2-PAM), obidoxime, methoxime, HI-6, Hlo-7, and TMB-4....

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Nerve agent

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of atropine administration is the clearing of bronchial secretions. Pralidoxime chloride (also known as 2-PAMCl) is the standard oxime used to treat...

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Anticholinergic

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and soman (atropine is favoured in conjunction with an oxime, usually pralidoxime) Anticholinergics generally have antisialagogue effects (decreasing saliva...

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Sarin

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been described. Treatment is typically with the antidotes atropine and pralidoxime. Atropine, an antagonist to muscarinic acetylcholine receptors, is given...

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Chlorpyrifos

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doses of pralidoxime rather than lower doses. A subsequent double-blind RCT, that treated patients who self-poisoned, found no benefit of pralidoxime, including...

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ATC code V03

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version. V03AB01 Ipecacuanha V03AB02 Nalorphine V03AB03 Edetates V03AB04 Pralidoxime V03AB05 Prednisolone and promethazine V03AB06 Thiosulfate V03AB08 Sodium...

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Asoxime chloride

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oxime used in the treatment of organophosphate poisoning. Obidoxime Pralidoxime Cochran R, Kalisiak J, Küçükkilinç T, Radic Z, Garcia E, Zhang L, et al...

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Arene substitution pattern

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substitutions on a pyridine ring, while the cation of pralidoxime is an ortho isomer. niacin nicotinamide pralidoxime Descriptor (chemistry) Isomer Structural isomerism...

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Trimedoxime bromide

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treatment of organophosphate poisoning It is chemically related to asoxime, pralidoxime, and obidoxime. Dhuguru J, Zviagin E, Skouta R (January 2022). "FDA-Approved...

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Tetrahydrocannabinol

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BW284C51 TMTFA 3152 CT Reactivators: Asoxime chloride Methoxime Obidoxime Pralidoxime Trimedoxime bromide BChETooltip Butyrylcholinesterase Inhibitors: Affinine...

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Novichok

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atropine is most often administered along with a Hagedorn oxime such as pralidoxime, obidoxime, TMB-4, or HI-6, which reactivates acetylcholinesterase which...

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List of United States Marine Corps individual equipment

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consists of a pair of autoinjectors containing atropine sulfate and pralidoxime chloride for first aid against nerve agents, and are due to be replaced...

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Autoinjector

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chemical warfare agents. In the U.S. military, atropine and 2-PAM-Cl (pralidoxime chloride) are used for first aid ("buddy aid" or "self aid") against...

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Caffeine

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BW284C51 TMTFA 3152 CT Reactivators: Asoxime chloride Methoxime Obidoxime Pralidoxime Trimedoxime bromide BChETooltip Butyrylcholinesterase Inhibitors: Affinine...

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Prodrug

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chloramphenicol succinate, dipivefrin, fosphenytoin, lisdexamfetamine, pralidoxime Type IIC Therapeutic target tissues/cells ADEPTs, GDEPTs, VDEPTs...

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PAM

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computational biology Positive allosteric modulator, in pharmacology Pralidoxime, 2-PAM, or pyridine aldoximine methiodide; an acetylcholinesterase inhibitor...

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Dichlofenthion

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involved. Pralidoxime is often administered in conjunction with atropine to enhance the treatment of organophosphate poisoning. Limitations of Pralidoxime According...

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Cholinesterase

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and the nerve gases sarin and VX). One counteracting medication is pralidoxime. The so-called nerve gases and many substances used in insecticides have...

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Carbamate poisoning

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antidote to counteract the effects of carbamates on the nervous system. Pralidoxime, another antidote, can be considered to reactivate inhibited acetylcholinesterase...

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Acetylcholine

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BW284C51 TMTFA 3152 CT Reactivators: Asoxime chloride Methoxime Obidoxime Pralidoxime Trimedoxime bromide BChETooltip Butyrylcholinesterase Inhibitors: Affinine...

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Choline

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BW284C51 TMTFA 3152 CT Reactivators: Asoxime chloride Methoxime Obidoxime Pralidoxime Trimedoxime bromide BChETooltip Butyrylcholinesterase Inhibitors: Affinine...

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Botulinum toxin

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suggests that nerve exposure (simulated by injection of atropine and pralidoxime) will increase mortality by enhancing botulinum toxin's mechanism of...

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Obidoxime

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nitrogen atom located in the histidine residue. Oximes such as obidoxime, pralidoxime and asoxime (HI-6) are used to restore enzyme functionality. They have...

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