Drug/Small Molecule:
tocainide

2D structure

Overview

Generic Names: Tocainida [INN-Spanish]; Tocainidum [INN-Latin]
Trade Names: Tonocard
PharmGKB Accession Id: PA451706

Description

An antiarrhythmic agent which exerts a potential- and frequency-dependent block of sodium channels. PubChem (source: Drug Bank)

Indication

For the treatment of documented ventricular arrhythmias, such as sustained ventricular tachycardia, that, in the judgment of the physician, are life-threatening. (source: Drug Bank)

ATC Therapeutic Category

  • C01BB:Antiarrhythmics, class Ib

Pharmacology, Interactions, and Contraindications

Mechanism Of Action

Tocainide acts on sodium channels on the neuronal cell membrane, limiting the spread of seizure activity and reducing seizure propagation. The antiarrhythmic actions are mediated through effects on sodium channels in Purkinje fibers. (source: Drug Bank)

Pharmacology

Tocainide is a primary amine analog of lidocaine with antiarrhythmic properties useful in the treatment of ventricular arrhythmias. Tocainide, like lidocaine, produces dose dependent decreases in sodium and potassium conductance, thereby decreasing the excitability of myocardial cells. In experimental animal models, the dose-related depression of sodium current is more pronounced in ischemic tissue than in normal tissue. Tocainide is a Class I antiarrhythmic compound with electrophysiologic properties in man similar to those of lidocaine, but dissimilar from quinidine, procainamide, and disopyramide. (source: Drug Bank)

Absorption, Distribution, Metabolism, Elimination & Toxicity

Biotransformation

Negligible first pass hepatic degradation. No active metabolites have been found. (source: Drug Bank)

Protein Binding

Approximately 10 percent bound to plasma protein. (source: Drug Bank)

Absorption

Following oral administration, the bioavailability approaches 100 percent, and is unaffected by food. (source: Drug Bank)

Toxicity

The oral LD<sub>50</sub> of tocainide was calculated to be about 800 mg/kg in mice, 1000 mg/kg in rats, and 230 mg/kg in guinea pigs; deaths were usually preceded by convulsions. (source: Drug Bank)

Isomeric SMILES Code:

Cc1cccc(c1NC(=O)C(C)N)C (source: Drug Bank)

A list of non-curated publications that mention this drug along with other genes is available.

Drug Targets

Gene Description
SCN5A Uncurated Annotation (source: Drug Bank)

PharmGKB Curated Pathways

A list of non-curated publications that mention this drug along with other drugs is available.

LinkOuts

Web Resource:
Wikipedia
DrugBank:
DB01056
KEGG Compound ID:
C07142
KEGG Drug ID:
D06172
PubChem Compound ID:
38945
PubChem Substance ID:
9351

Common Searches

Search PubMed
Search Medline Plus
Search PubChem
Search CTD

Non-Curated Publications

A list of non-curated publications that mention this drug is available.

PharmGKB integrates drug information from different sources: DrugBank, Open Eye Scientific Software.
Add New Alternate Name
Add New ATC Term
Add Cross Reference
Add a metabolite
Add a text annotation
Add a drug target
hint: enter a gene
    Add a drug interaction
    hint: enter a drug
    PharmGKB® is a registered trademark of HHS and is financially supported by NIH/NIGMS. It is managed at Stanford University (GM61374).
    ©2001-2010 PharmGKB.