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 |
|
(source: Drug Bank) |
PharmGKB Curated Pathways
A list of non-curated publications that mention this drug along with other drugs is available.
Additional Datasets
These datasets are minimally curated and are sorted alphabetically by title.
LinkOuts
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Non-Curated Publications
A list of non-curated publications that mention this drug is available.
