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amyl nitrite

 
Dictionary: amyl nitrite
 

n.

A volatile yellow liquid, C5H11NO2, formerly used in medicine as a vasodilator, but now replaced by other nitrates, such as nitroglycerin. It is used illicitly to induce euphoria and enhance sexual stimulation.


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Drug Info: Amyl Nitrite
 

Chemical formula:



Amyl Nitrite Inhalation vapour, solution

What is this medicine?

AMYL NITRITE is used to relieve chest pain caused by angina.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
• anemia
• glaucoma
• head injury, recent stroke, or bleeding in the brain
• low blood pressure
• an unusual or allergic reaction to amyl nitrite, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

This medicine is for inhalation. Do not take by mouth. Follow the directions on the prescription label. Use this medicine at the first sign of an angina attack (chest pain or tightness). Do not remove the woven covering on the glass ampule. Crush the ampule between the fingers and with the patient in a sitting position, pass in front of the nose several times for inhalation of the vapor. Remain in a sitting position after use. The dose may be repeated in 3 to 5 minutes if needed for pain relief. If there is still no relief after a second dose, seek medical attention. Do not use this medicine more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.


Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What may interact with this medicine?

Do not take this medicine with any of the following medications:
• medicines used to treat erectile dysfunction like sildenafil, tadalafil, and vardenafil

This medicine may also interact with the following medications:
• alcohol

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Check your heart rate and blood pressure regularly while you are using this medicine. Ask your doctor or health care professional what your heart rate and blood pressure should be and when you should contact him or her.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:
• bluish discoloration of lips, fingernails, or palms of hands
• fast, slow, or irregular heartbeat, palpitations, chest pain
• low blood pressure
• shortness of breath
• the feeling of extreme pressure in the head
• unusually weak or tired

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
• dizziness
• flushing of the face and neck
• headache

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of reach of children.

Store in the refrigerator between 2 and 8 degrees C (36 and 46 degrees F). The contents of the capsule are flammable. Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Last updated: 7/1/2002

Important Disclaimer: The drug information provided here is for educational purposes only. It is intended to supplement, not substitute for, the diagnosis, treatment and advice of a medical professional. This drug information does not cover all possible uses, precautions, side effects and interactions. It should not be construed to indicate that this or any drug is safe for you. Consult your medical professional for guidance before using any prescription or over the counter drugs.

 
Medical Dictionary: amyl nitrite
Top

n.

A volatile yellow liquid used as a vasodilator and as an antidote in cyanide poisoning.

 
Wikipedia: Amyl nitrite
Top
Amyl nitrite
Chemical structure of amyl nitrite
Ball-and-stick model of amyl nitrite
IUPAC name
Other names Isoamyl nitrite
Nitramyl
3-methyl-1-nitrosooxybutane
(3-methylbutyl) nitrite
Pentyl alcohol nitrite(ambiguous)
Nitrous acid, pentyl ester(ambiguous)
poppers (colloquial, street slang)
Identifiers
CAS number [110-46-3]
RTECS number NT0187500
SMILES
Properties
Molecular formula C5H11NO2
Molar mass 117.15 g mol−1
Appearance Colourless liquid
Density 0.872 g/cm3, liquid (25 °C)
Boiling point

99 °C

Solubility in water Low
Hazards
Main hazards vasodilator
Flash point 21 °C
Related compounds
Related compounds Nitroglycerine
Isopentanol
Butyl nitrite
Isobutyl nitrite
Ethyl nitrite


Methyl nitrite
Isopropyl nitrite
Cyclohexyl nitrite

Except where noted otherwise, data are given for
materials in their standard state
(at 25 °C, 100 kPa)

Infobox references

Amyl nitrite is the chemical compound with the formula C5H11ONO. A variety of isomers are known, but they all feature an amyl group attached to the nitrito functional group. The alkyl group is unreactive and the chemical and biological properties are mainly due to the nitrite group. Like other alkyl nitrites, amyl nitrite is bioactive in mammals, being a vasodilator which is the basis of its use as a prescription medicine. As an inhalant, it also has a psychoactive effect which has led to its recreational use.

Contents

Nomenclature

The term "amyl nitrite" encompasses several isomers. For example, a common form of amyl nitrite with the formula (CH3)2CHCH2CH2ONO may be more specifically referred to as isoamyl nitrite. When the amyl group is a linear or normal (n) alkyl group, the resulting amyl nitrite would have the structural formula CH3(CH2)4ONO.

Amyl nitrite is often confused with amyl nitrate, a substance with a different chemical composition and different properties.

Synthesis and reactions

Alkyl nitrites are prepared by the reaction of alcohols with nitrous acid:[1]

C5H11OH + HONO → C5H11ONO + H2O

The reaction is called esterification. Synthesis of alkyl nitrites is generally straightforward and can be accomplished in home laboratories. A common procedure includes the dropwise addition of concentrated sulfuric acid to a cooled mixture of an aqueous sodium nitrite solution and an alcohol. The intermediately formed stoichiometric mixture of nitrous and nitric oxide then converts the alcohol to the alkyl nitrite, which, due to its low density, will form an upper layer that can be easily decanted from the reaction mixture.

Isoamyl nitrite decomposes in the presence of base to give nitrite salts and the isoamyl alcohol:

C5H11ONO + NaOH → C5H11OH + NaNO2

Amyl nitrite, like other alkyl nitrites, reacts with carbanions to give oximes.[2]

Physiological effects

Amyl nitrite, in common with other alkyl nitrites,[3] is a potent vasodilator, i.e. it expands blood vessels, resulting in lowering of the blood pressure. Alkyl nitrites function as a source of nitric oxide, which signals for relaxation of the involuntary muscles. Physical effects include decrease in blood pressure, headache, flushing of the face, increased heart rate, dizziness, and relaxation of involuntary muscles, especially the blood vessel walls and the anal sphincter. There are no withdrawal symptoms. Overdose symptoms include nausea, emesis (vomiting), hypotension, hypoventilation, dyspnea (shortness of breath), and syncope (fainting). The effects set in very quickly, typically within a few seconds and disappearing soon after (within a minute).

It induces the formation of methemoglobin, which sequesters cyanide as non-toxic cyanomethemoglobin.[4]

Applications

Amyl nitrite is employed medically to treat heart diseases such as angina and also to treat cyanide poisoning.[5] It is also used as an inhalant drug that induces a brief euphoria; whilst already intoxicated with stimulant drugs such as cocaine or ecstasy, the euphoric state intensifies and lasts for several minutes longer. Once some stimulative drugs wear off, a common side effect is a period of depression or anxiety, colloquially called a "comedown"; amyl nitrite is sometimes used to "come up" again in order to stop these adverse effects. This drug is often used to obtain an erection with rather rapid onset. This effect, combined with its dissociative effects, makes it an attractive but risky recreational drug (see poppers).[6]

References

  1. ^ Noyes, W. A. “n-Butyl Nitrite” Organic Syntheses, Collected Volume 2, p.108 (1943). [1] (PDF)
  2. ^ Chen, Y. K.; Jeon, S.-J; Walsh, P. J.; Nugent, W. A. “(2S)-(-)-3-exo-(Morpholino)isoborneol ((-)-MIB)” Organic Syntheses, Volume 82, pp. 87 (2005). [2] (PDF)
  3. ^ Nickerson, Mark, John O Parker, Thomas P Lowry, and Edward W Swenson. Isobutyl Nitrite and Related Compounds. 1st ed. San Francisco: Pharmex, Ltd, 1979. [3]PDF
  4. ^ Vale, J. A. (2001). "Cyanide Antidotes: from Amyl Nitrite to Hydroxocobalamin - Which Antidote is Best?". Toxicology 168 (1): 37–38. 
  5. ^ Cheng, L.; Goodwin, C. A.; Schully, M. F.; Kakkar, V. V.; Claeson, G. (1965). "The Effects of Nitroglycerin and Amyl Nitrite on Arteriolar and Venous Tone in the Human Forearm". Circulation 3 (2): 755. 
  6. ^ AJ Giannini, AE Slaby, MC Giannini. The Handbook of Overdose and Detoxification Emergencies. New Hyde Park, NY. Medical Examination Publishing Co., 1982, pp.48-50.

External links

  • Abstract for an article in the Journal of Chemical Education (1996, volume 73, page 1127) by Richard A. Kjonaas on the use of the word "amyl".

 
 

 

Copyrights:

Dictionary. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2007, 2000 by Houghton Mifflin Company. Updated in 2007. Published by Houghton Mifflin Company. All rights reserved.  Read more
Drug Info. Gold Standard. Copyright © 2008 by Gold Standard. All rights reserved.  Read more
Medical Dictionary. The American Heritage® Stedman's Medical Dictionary Copyright © 2002, 2001, 1995 by Houghton Mifflin Company Read more
Wikipedia. This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Amyl nitrite" Read more