Corbadrine Explained

Corbadrine, sold under the brand name Neo-Cobefrine and also known as levonordefrin and α-methylnorepinephrine, is a catecholamine sympathomimetic used as a topical nasal decongestant and vasoconstrictor in dentistry in the United States.[1] [2] [3] It is usually used in a pre-mixed solution with local anesthetics, such as mepivacaine.[4]

The drug acts as a non-selective agonist of the α1-, α2-, and β-adrenergic receptors.[5] [6] [7] It is said to have preferential activity at the α2-adrenergic receptor.

Corbadrine is also a metabolite of the antihypertensive drug methyldopa and lays a role in its pharmacology and effects.[8]

Pharmacology

Pharmacokinetics

Corbadrine is metabolized primarily by catechol O-methyltransferase (COMT).

Chemistry

Corbadrine, also known as 3,4,β-trihydroxy-α-methylphenethylamine or as 3,4,β-trihydroxyamphetamine, as well as α-methylnorepinephrine or (–)-3,4-dihydroxynorephedrine, is a substituted phenethylamine and amphetamine derivative.

Analogues of corbadrine include α-methyldopamine, dioxifedrine (3,4-dihydroxyephedrine; α-methylepinephrine), dioxethedrin (3,4-dihydroxy-N-ethylnorephedrine; α-methyl-N-ethylnorepinephrine), and hydroxyamphetamine (4-hydroxyamphetamine; α-methyltyramine).

Society and culture

Names

Corbadrine is the generic name of the drug and its . It is also known as levonordefrin, which is its . Synonyms of corbadrine include α-methylnorepinephrine and (–)-3,4-dihydroxynorephedrine.[9] The drug has been sold under the brand name Neo-Cobefrine.

Notes and References

  1. Book: Elks, J. . The Dictionary of Drugs: Chemical Data: Chemical Data, Structures and Bibliographies . Springer US . 2014 . 978-1-4757-2085-3 . 30 August 2024 . 55.
  2. Book: Morton I, Morton IK, Hall JM . Concise Dictionary of Pharmacological Agents: Properties and Synonyms. 31 October 1999. Springer Science & Business Media. 978-0-7514-0499-9. 164–.
  3. Book: Index Nominum 2000: International Drug Directory. January 2000. Taylor & Francis. 978-3-88763-075-1. 275–.
  4. Web site: DailyMed — Search results for levonordefrin. DailyMed. 20 February 2016.
  5. Book: Logothetis, D.D. . Local Anesthesia for the Dental Hygienist . Elsevier Health Sciences . 2016 . 978-0-323-43050-0 . 30 August 2024 . 46.
  6. Book: Abraham, Donald J. . Burger's Medicinal Chemistry and Drug Discovery . Wiley . 15 January 2003 . 978-0-471-26694-5 . 10.1002/0471266949.bmc093 .
  7. Naftalin LW, Yagiela JA . Vasoconstrictors: indications and precautions . Dent Clin North Am . 46 . 4 . 733–746, ix . October 2002 . 12436828 . 10.1016/s0011-8532(02)00021-6 .
  8. Sjoerdsma A, Vendsalu A, Engelman K . Studies on the Metabolism and Mechanism of Action of Methyldopa . Circulation . 28 . 4 . 492–502 . October 1963 . 14068757 . 10.1161/01.CIR.28.4.492 . free .
  9. Web site: Levonordefrin . PubChem . 30 August 2024.