pharmacological action | ketorolac, also known as tonglik, tongliqing, anseria, ketorolac tromethamine, it is a non-steroidal analgesic and anti-inflammatory drug. It is a derivative of pyrrolidine acid. Its chemical structure and pharmacological effects are similar to those of tolmetin, zomethacin and indomethacin. By inhibiting cyclooxygenase, the synthesis and release of prostaglandins are inhibited to produce an anti-inflammatory effect. It can reduce the heat induced Fever body temperature, and its inhibition of central nervous system prostaglandin synthesis, with strong analgesic and moderate anti-inflammatory antipyretic and inhibit platelet aggregation, and no inhibition of respiration and addiction. In animal experiments, its analgesic effect is stronger than aspirin, indomethacin and naproxen, and its anti-inflammatory effect is equal to or stronger than indomethacin, naproxen and phenylbutazone, naproxen was the same. It can inhibit the platelet aggregation induced by arachidonic acid and collagen, but does not inhibit the induction of adenosine diphosphate (ADP). This product is quickly and completely absorbed after intramuscular injection, almost completely absorbed after oral administration, food can slow down the absorption rate, but does not affect the degree of absorption, bioavailability of 80% ~ 100%. Intramuscular injection of 30mg is usually 10 minutes after the obvious pain, 50 minutes after the peak plasma concentration of 2.2 μg/mL, oral usually 30~60 minutes after the obvious pain, 1.5~4 hours plasma concentration peak, plasma half-life of young people about 5.3 hours, the elderly about 7 hours, analgesic effect can be maintained for 6 to 8 hours. 91.4% by the urinary tract discharge, the rest of the fecal discharge. Renal insufficiency, the total plasma clearance rate decreased, the elimination of prolonged half-life, it should reduce the dose. Clinical Application: ketorolac is mainly used for short-term treatment of various kinds of pain including postoperative pain (such as abdominal, chest, urology, gynecology, stomatology, orthopedic and other postoperative pain) and various causes of acute skeletal muscle pain, such as sprains, dislocation, fractures and soft tissue injuries, and other diseases caused by pain such as postpartum pain, acute renal colic, toothache, sciatica, late cancer pain, trauma pain, biliary colic, etc., can be used as a substitute for morphine, pethidine. |
production method | Method 1: 2-(methylthio) was obtained from pyrrole and dimethyl sulfide in the presence of N-chlorosuccinimide pyrrole. 2-(methylthio) pyrrole is acylated with benzoyldimethylamine in a solution of phosphorus oxychloride in dichloroethane under reflux to give 2-(methylthio)-5-benzoylpyrrole. The compound is condensed with spirodioxane Dione to give compound (I). Compound (I) is first oxidized and then subjected to methanolysis to obtain diester (II). (Ii) the compound (III) is obtained by cyclization under the action of sodium hydride in dimethylformamide. (Iii) hydrolysis and decarboxylation to give ketorolac. Method 2: The compound (IV) was obtained by reacting aminoethanol with dimethyl 3-oxoglutarate. Heating cyclization of (IV) and bromoacetaldehyde gave compound (V). (V) after methanesulfonylation, the compound (VI) is obtained by re-iodination. (Vi) the compound (VII) is obtained by cyclization under the action of a base. (Vii) after hydrolysis, the compound (VIII) is obtained by re-Mono-esterification and decarboxylation. (Viii) acylation with benzoyldimethylamine followed by hydrolysis to give ketorolac. Method 3: pyrrole was reacted with N-benzoyl morpholine in dichloroethane under the action of phosphorus oxychloride to obtain 2-benzoyl pyrrole, The yield was 72.3%. Potassium permanganate, manganese diacetate tetrahydrate and glacial acetic acid were warmed together and acetic anhydride was dripped carefully. After dropping, the mixture was cooled to room temperature, triethyl orthoformate, 2-benzoylpyrrole and anhydrous sodium acetate were added, and the mixture was stirred at 65 ° C. Under nitrogen. Triethyl orthoformate derivative was obtained after treatment in 86% yield. Under the action of potassium carbonate and tetra-n-butyl ammonium bromide, the derivative was refluxed in dichloroethane to obtain a cyclization product; Ketorolac was obtained after hydrolysis and acidification without purification in 66.7% yield. |