Milrinone drug data and news

Milrinone drug data, resources, and news articles (when available). Onconews.org provides news on cancer research. This section, which includes profiles on medicines that may or not be cancer-related is in beta form. If things run smoothly we will be releasing a new format late in the summer of 2006.

Generic name Milrinone
Brand Names/Synonyms Corotrop; Corotrope; Milrila; Milrinone; Milrinone Lactate; Milrinone Lactose in 5% Dextrose; Primacor
Indication Indicated for the treatment of congestive heart failure.
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Description Not Available
Pharmacology Milrinone, a synthetic dimethylxanthine derivative structurally related to theophylline and caffeine, is used in the treatment of peripheral vascular diseases and in the management of cerebrovascular insufficiency, sickle cell disease, and diabetic neuropathy.
Mechanism Of Action Milrinone inhibits erythrocyte phosphodiesterase, resulting in an increase in erythrocyte cAMP activity. Subsequently, the erythrocyte membrane becomes more resistant to deformity. Along with erythrocyte activity, Milrinone also decreases blood viscosity by reducing plasma fibrinogen concentrations and increasing fibrinolytic activity.
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Dosage Forms LIQUID
Drug_Category Vasodilator Agents; Cardiotonic Agents; ATC:C01CE02
Absorption Milrinone is rapidly and almost completely absorbed after oral administration. Bioavailability is 92% (in healthy volunteers).
Interactions -->Interactions for Milrinone:

No untoward clinical manifestations have been observed in limited experience with patients in whom PRIMACOR was used concurrently with the following drugs: digitalis glycosides; lidocaine, quinidine; hydralazine, prazosin; isosorbide dinitrate, nitroglycerin; chlorthalidone, furosemide, hydrochlorothiazide, spironolactone; captopril; heparin, warfarin, diazepam, insulin; and potassium supplements.

Chemical Interactions

There is an immediate chemical interaction which is evidenced by the formation of a precipitate when furosemide is injected into an intravenous line of an infusion of PRIMACOR. Therefore, furosemide should not be administered in intravenous lines containing PRIMACOR.

Toxicity LD50 = 0.3 mg/L in rats
Organisms Affected Humans and other mammals
Chemical IUPAC Name 6-methyl-2-oxo-5-pyridin-4-yl-1H-pyridine-3-carbonitrile
Chemical Formula C12H9N3O
Molecular Weight 211.219 g/mol
Smiles String CC1=C(C=C(C(=O)N1)C#N)C2=CC=NC=C2
Melting Point >300 °C
Water Solubility Slightly soluble
State Solid
LogP/Hphobicity 0.462
Isoelectric Point Not Available
Biotransformation There are five metabolites but the O-glucuronide represents the major pathway of biotransformation.
Half Life 2.3 hours
Protein Binding [%] 70 to 80%
RxList Link RXlist
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Drug Reference http://www.rxlist.com/cgi/generic3/milrin.htm
Drug Type Approved Drug
Accession No APRD00010
CAS Registry Number 78415-72-2
KEGG Compound ID C07224
PubChem ID SID:9433
PharmGKB ID PA450510
SwissProt ID Not Available
GenBank ID Not Available
Drug ID Number [DIN] 2244811

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