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Ethacizine (ethacyzine) is a class Ic antiarrhythmic agent, related to moracizine. It is used in Russia and some other
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countries for the treatment of severe and/or refractory ventricular and supraventricular arrhythmias, especially those accompanied by organic heart disease. It is also indicated as a treatment of refractory tachycardia associated with Wolff–Parkinson–White syndrome. It is manufactured under the brand name Ethacizin (Этацизин) by Latvian pharmaceutical company Olainfarm.


Synthesis

For the treatment of
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:E I Chazov, (to 1985 to INST FARMAKOLOGII AKADEMII M). The amide formation between Phenothiazine-2-ethylcarbamate 7711-29-8(1) and 3-Chloropropionyl chloride 25-36-5(2) gives ethyl N- 0-(3-chloropropanoyl)phenothiazin-2-ylarbamate 19407-03-3 4749-22-9(3). Displacement of the remaining ω-halogen by diethylamine (4) then completes the synthesis of ethacizine (5).


References

Antiarrhythmic agents Carbamates Sodium channel blockers Phenothiazines Diethylamino compounds Drugs in the Soviet Union {{cardiovascular-drug-stub