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Furosemide

Structure of Furosemide

  • Furosemide is a sulfonamide derivative belonging to the loop diuretic class, characterized by a benzothiazine structure with a furan ring and a sulfonamide group.

  • Chemical Formula: C₁₅H₁₉ClN₂O₅S₂

Structure of Furosemide
Structure of Furosemide

Mode of Action

  • Loop of Henle Inhibition: Inhibits the Na⁺/K⁺/2Cl⁻ symporter in the ascending limb of the loop of Henle.

  • Sodium, Potassium, Chloride Excretion: Promotes excretion of these ions, leading to significant diuresis.

  • Calcium and Magnesium Retention: Increases the reabsorption of calcium and magnesium, reducing the risk of kidney stones.

Uses

  1. Edema: Effective in managing edema associated with congestive heart failure, liver cirrhosis, and renal disease.

  2. Hypertension: Used to lower blood pressure by reducing blood volume.

  3. Hypercalcemia: Treats elevated calcium levels by promoting its excretion.

  4. Acute Pulmonary Edema: Provides rapid diuresis to alleviate fluid accumulation in the lungs.

  5. Hyponatremia: Manages low sodium levels by promoting sodium excretion

Structure-Activity Relationship (SAR)

  • Benzothiazine Core: Essential for loop diuretic activity by targeting the Na⁺/K⁺/2Cl⁻ symporter.

  • Furan Ring: Enhances binding affinity and potency by facilitating proper orientation for transporter inhibition.

  • Sulfonamide Groups: Critical for interaction with the transporter; substitutions can affect potency and duration of action.

  • Chlorine Substituent: Increases lipophilicity, enhancing membrane permeability and bioavailability.

Synthesis

  • Furosemide is synthesized through the condensation of sulfamoyl chloride with appropriate aromatic compounds, followed by cyclization to form the benzothiazine core.

Synthetic Route:

  • Starting Material: Sulfamoyl chloride.

  • Condensation Reaction: React with a substituted aromatic compound containing a furan ring.

  • Cyclization: Formation of the benzothiazine ring structure.

  • Purification: Isolation and recrystallization to obtain pure furosemide.

·       Reaction Scheme:

Sulfamoyl Chloride + Substituted Aromatic Compound → Furosemide


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