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An alkaloid ester extracted from the leaves of plants including coca. It is a local anesthetic and vasoconstrictor and is clinically used for that purpose, particularly in the eye, ear, nose, and throat. It also has powerful central nervous system effects similar to the amphetamines and is a drug of abuse. Cocaine, like amphetamines, acts by multiple mechanisms on brain catecholaminergic neurons; the mechanism of its reinforcing effects is thought to involve inhibition of dopamine uptake.
PMS-cocaine Hydrochloride Topical Sol 10%NumbrinoCocaine Hydrochloride NasalGopreltoCocaine HydrochlorideCocaine Hydrochloride Topical Sol 10%PMS-cocaine Hydrochloride Topical Sol 4%Cocaine Hydrochloride Top Sol 40mg/ml
Indication
For the introduction of local (topical) anesthesia of accessible mucous membranes of the oral, laryngeal and nasal cavities.
Categories
Agents producing tachycardiaAgents that reduce seizure thresholdAlkaloidsAnalgesics and AnestheticsAnestheticsAnesthetics, LocalAnticholinergic AgentsAza CompoundsAzabicyclo CompoundsCardiovascular AgentsCentral Nervous System AgentsCentral Nervous System StimulantsCholinesterase substratesCocaine, antagonists & inhibitorsCytochrome P-450 CYP2D6 InhibitorsCytochrome P-450 CYP2D6 Inhibitors (strength unknown)Cytochrome P-450 CYP3A SubstratesCytochrome P-450 CYP3A4 SubstratesCytochrome P-450 Enzyme InhibitorsCytochrome P-450 SubstratesDopamine AgentsDopamine Uptake InhibitorsEsters of Benzoic AcidHighest Risk QTc-Prolonging AgentsLocal Anesthetics (Ester)Membrane Transport ModulatorsMuscarinic AntagonistsNervous SystemNeurotransmitter AgentsNeurotransmitter Uptake InhibitorsOCT2 InhibitorsOphthalmologicalsQTc Prolonging AgentsSensory OrgansSensory System AgentsSerotonergic Drugs Shown to Increase Risk of Serotonin SyndromeThroat PreparationsTropanesVasoconstrictor Agents
ATC-Code
S01HA01S02DA02N01BC01R02AD03
CAS number
50-36-2
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS. Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682