Bretylium
CARDIOVASCULAR SYSTEM
Also known as: bretylan, bretylate, bretylium tosilate, bretylium tosylate
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Bretylium is an ofm drug catalogued in DrugCentral. It was first approved by the FDA in 1986. DrugCentral lists 3 molecular targets, including ADRB1, ADRB2 and SLC6A2. Recorded indications include Life-Threatening Ventricular Tachycardia, Prevention of Ventricular Fibrillation, Ventricular arrhythmia and Ventricular fibrillation.
- Approval status: ofm (first approved 1986 by the FDA).
- Molecular targets: ADRB1, ADRB2 and SLC6A2 (3 listed in DrugCentral).
- Indications: Life-Threatening Ventricular Tachycardia, Prevention of Ventricular Fibrillation, Ventricular arrhythmia and Ventricular fibrillation.
- ATC code: C01BD02 (Antiarrhythmics, class III).
- Molecular formula: C11H17BrN; molecular weight 243.17 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (4)
- Life-Threatening Ventricular Tachycardia
- Prevention of Ventricular Fibrillation
- Ventricular arrhythmia
- Ventricular fibrillation
Off-label uses (1)
- Cardiac arrest
Contraindications (6)
- Aortic valve stenosis
- Kidney disease
- Low cardiac output syndrome
- Orthostatic hypotension
- Pulmonary hypertension
- Sinus bradycardia
Mechanism & targets
Molecular targets (3)
| Target | Gene | Action | Activity |
|---|---|---|---|
| Beta-1 adrenergic receptor | ADRB1 | unknown | — |
| Beta-2 adrenergic receptor | ADRB2 | unknown | — |
| Sodium-dependent noradrenaline transporter | SLC6A2 | substrate | — |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1986-03-06 | FDA | — | INTL MEDICATION |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
C01BD02 | CARDIOVASCULAR SYSTEM › CARDIAC THERAPY › ANTIARRHYTHMICS, CLASS I AND III › Antiarrhythmics, class III |
Chemical structure
Full physicochemical, ADMET and 3D-structure analysis of Bretylium is on its molecule page.
| Molecular formula | C11H17BrN |
|---|---|
| Molecular weight | 243.17 g/mol |
| CAS number | 61-75-6 |
| InChIKey | AAQOQKQBGPPFNS-UHFFFAOYSA-N |
| PubChem CID | 2431 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Bretylium used for?
DrugCentral lists the following indications for Bretylium: Life-Threatening Ventricular Tachycardia, Prevention of Ventricular Fibrillation, Ventricular arrhythmia and Ventricular fibrillation.
How does Bretylium work?
Its molecular targets in DrugCentral include ADRB1, ADRB2 and SLC6A2 (substrate).
When was Bretylium first approved?
Bretylium was first approved by the FDA in 1986.
What is the chemical formula of Bretylium?
Bretylium has the molecular formula C11H17BrN and a molecular weight of 243.17 g/mol.
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Sources
- DrugCentral drug card 394 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1095292 — compound record and bioactivity
- PubChem CID 2431 — chemical identifiers
- DrugBank DB01158 — drug record
- FDA UNII RZR75EQ2KJ — substance identity
- DailyMed: FDA labels for Bretylium — current prescribing information (label search)
- UniProt P08588 (ADRB1) — target protein
- UniProt P07550 (ADRB2) — target protein
- UniProt P23975 (SLC6A2) — target protein
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