| | Identification | Back Directory |  | [Name] 
 Encainide
 |  | [CAS] 
 37612-13-8
 |  | [Synonyms] 
 Encainide
 Unii-sy3J0147nb
 Encainide [inn:ban]
 Encainide USP/EP/BP
 4-Methoxy-N-(2-(2-(1-Methylpiperidin-2-yl)ethyl)phenyl)benzaMide
 |  | [Molecular Formula] 
 C22H28N2O2
 |  | [MOL File] 
 37612-13-8.mol
 |  | [Molecular Weight] 
 352.475
 | 
 | Hazard Information | Back Directory |  | [Description] 
 Encainide is a membrane-active class I c
agent with complex metabolism and clinical
pharmacology , . To date, its effectiveness
has been proved against ventricular arrhythmias.
 |  | [Uses] 
 Cardiac depressant (anti-arrhythmic.
 |  | [Definition] 
 ChEBI: Encainide is 4-Methoxy-N-phenylbenzamide in which the hydrogen at the 2 position of the phenyl group is substituted by a 2-(1-methylpiperidin-2-yl)ethyl group. A class Ic antiarrhythmic, the hydrochloride was used for the treatment of severe or life-threatening ventricular arrhythmias, but it was associated with increased death rates in patients who had asymptomatic heart rhythm abnormalities after a recent heart attack and was withdrawn from the market. It has a role as an anti-arrhythmia drug and a sodium channel blocker. It is a member of piperidines and a member of benzamides.
 |  | [Brand name] 
 Enkaid
(Bristol Labs).
 |  | [World Health Organization (WHO)] 
 The membrane-stabilizing antiarrhythmic agent encainide was
introduced into medicine in the mid-1980's. The decision to delete the indications
for patients with asymptomatic and less severe symptomatic ventricular
arrhythmias was taken on the basis of the results of a trial (CAST study) that
showed a two-fold increase in deaths in post-myocardiac patients taking encainide
compared with the placebo group. (See also WHO comment for flecainide).
 |  | [Side effects] 
 Side effects include central nervous system
activity.
 |  | [Synthesis] 
 Encainide, 4-methoxy-N-[2-[2-(1-methyl-2-piperidinyl)ethyl]phenyl]-benzamide
(18.1.15), is synthesized by acylating 2-(1-methyl-2-piperidylethyl)aniline with 4-
methoxybenzoic acid chloride. The chemical structure of encainide is substantially
different than other local anesthetics and antiarrhythmics.
 
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                            | Tel: | +33 962096793 |  
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