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Methyldopate hydrochloride

Structure of Methyldopate hydrochloride

  • Methyldopate hydrochloride is an alpha-2 adrenergic receptor agonist with a phenethylamine backbone substituted with a hydroxyl group and a chlorine atom.

  • Chemical Formula: C₁₁H₁₆ClN₂O·HCl

Mode of Action

  • Alpha-2 Adrenergic Agonism: Activates presynaptic alpha-2 receptors in the central nervous system.

  • Sympathetic Inhibition: Reduces sympathetic outflow, decreasing peripheral vascular resistance and lowering blood pressure.

  • Sedative Effects: Promotes central nervous system depression, contributing to its antihypertensive effects.

Uses

  1. Hypertension: Primarily used in the management of resistant hypertension.

  2. ADHD: Employed off-label for its sedative and concentration-enhancing effects.

  3. Anxiety Disorders: Utilized for its calming effects.

  4. Opioid Withdrawal: Assists in managing symptoms by reducing sympathetic hyperactivity.

Structure-Activity Relationship (SAR)

  • Phenethylamine Backbone: Essential for binding to alpha-2 adrenergic receptors.

  • Hydroxyl Group: Increases hydrophilicity and enhances receptor affinity.

  • Chlorine Substituent: Enhances lipophilicity, improving blood-brain barrier penetration and potency.

  • Substituents on the Aromatic Ring: Modifications can affect receptor selectivity and binding affinity.

Synthesis

Methyldopate hydrochloride can be synthesized through the following steps:

  • Starting Material: 4-Chlorophenethylamine.

  • Hydroxylation: Introduction of the hydroxyl group via a hydroxylation reaction.

  • Methylation: Methylation of the amine group to form the hydrochloride salt.

  • Purification: Isolation and recrystallization to obtain pure methyldopate hydrochloride.

Synthetic Route Overview:

4-Chlorophenethylamine → Hydroxylation → Methyldopate → Methylation → Methyldopate Hydrochloride


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