Mr. Ibrahem/Disopyramide
Clinical data
Trade namesNorpace, Rythmodan, others
AHFS/Drugs.comMonograph
MedlinePlusa682408
Pregnancy
category
  • AU: B2
Routes of
administration
By mouth
Drug classClass 1a anti-arrhythmic[1]
Legal status
Legal status
Pharmacokinetic data
BioavailabilityHigh
Protein binding50% to 65%
(concentration-dependent)
MetabolismLiver (CYP3A4-mediated)
Elimination half-life6.7 hours (range 4 to 10 hours)
ExcretionKidney (80%)
Identifiers
  • (RS)-4-(Diisopropylamino)-2-phenyl-2-(pyridin-2-yl)butanamide
Chemical and physical data
FormulaC21H29N3O
Molar mass339.483 g·mol−1
3D model (JSmol)
Melting point94.5 to 95 °C (202.1 to 203.0 °F)
  • O=C(N)C(c1ncccc1)(c2ccccc2)CCN(C(C)C)C(C)C
  • InChI=1S/C21H29N3O/c1-16(2)24(17(3)4)15-13-21(20(22)25,18-10-6-5-7-11-18)19-12-8-9-14-23-19/h5-12,14,16-17H,13,15H2,1-4H3,(H2,22,25) checkY
  • Key:UVTNFZQICZKOEM-UHFFFAOYSA-N checkY
  (verify)

Disopyramide, sold under the brand names Norpace among others, is a medication used to prevent ventricular tachycardia.[1] It is typically only used when other medications are not effective.[1] Use is not recommended for less serious arrhythmias.[1] It is taken by mouth.[1]

Common side effects include dry mouth, constipation, blurry vision, urinary retention, nausea, tiredness, and dizziness.[1] Other side effects may include heart failure, arrhythmias, and low blood sugar.[1] Safety in pregnancy is unclear.[1] It is a class 1a anti-arrhythmic and sodium channel blocker.[1] It has a negative effect on the hearts ability to contract.[1]

Disopyramide was approved for medical use in the United States in 1977.[1] It is available as a generic medication.[2] In the United Kingdom 84 pills of 100 mg costs the NHS about £27 as of 2021.[2] In the United States this amount costs about 55 USD.[3]

References

edit
  1. ^ a b c d e f g h i j k l m "Disopyramide Monograph for Professionals". Drugs.com. Archived from the original on 17 January 2021. Retrieved 26 December 2021.
  2. ^ a b BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 110. ISBN 978-0857114105.
  3. ^ "Disopyramide Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 26 December 2021.