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Dicyclomine Hydrochloride: Chemical Structure, Mechanism of Action, SAR, Synthesis, Uses & Side Effects

Chemical Structure:

  • C19H35NO2 · HCl

Mechanism of Action:

  • Dicyclomine is an anticholinergic drug that blocks the action of acetylcholine at muscarinic receptors in the smooth muscle of the gastrointestinal tract.

Structure-Activity Relationship (SAR) of Dicyclomine Hydrochloride:

1.Tertiary Amine:

  • Dicyclomine contains a tertiary amine, which is essential for its antimuscarinic activity.

  • This feature allows it to cross membranes more easily than quaternary ammonium compounds, affecting its distribution and activity.

2.Cyclic Structure:

  • The bicyclic structure is crucial for the drug's spasmolytic activity. Alterations in the cyclic structure can significantly affect the drug's efficacy and selectivity for muscarinic receptors.

3.Ester Linkage:

  • Dicyclomine has an ester linkage, which is a common feature in many antimuscarinic agents.

  • This part of the molecule plays a role in binding to the muscarinic receptor.

4.Aromatic Ring:

  • The presence of an aromatic ring is important for the molecule's pharmacological activity, contributing to its binding affinity and overall efficacy.

Synthesis of Dicyclomine Hydrochloride (Chemical Reaction):

The synthesis of Dicyclomine Hydrochloride typically involves the following steps:

1.Starting with Cyclohexanone:

  • The synthesis often begins with cyclohexanone, which is converted into a cyclohexene derivative.

2.Formation of the Bicyclic Structure:

  • Cyclohexene derivative + Diethylamine → Bicyclic Intermediate

3.Introduction of Ester and Aromatic Groups:

  • Bicyclic Intermediate + Aromatic components → Dicyclomine

4.Formation of Hydrochloride Salt:

  • Dicyclomine+Hydrochloric Acid→Dicyclomine Hydrochloride

  • In this synthesis, the key steps involve forming the bicyclic structure integral to dicyclomine's activity, followed by the introduction of ester and aromatic groups to complete the active molecule's structure.

  • Finally, the hydrochloride salt is formed to improve the drug's stability and solubility.

Uses:

  • It is used to treat functional bowel or irritable bowel syndrome.

Side Effects:

  • Side effects include dry mouth, blurred vision, confusion, agitation, and constipation.

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