Trimetaphan camsilate

Trimetaphan camsilate
Skeletal formulas of trimetaphan camsilate
Ball-and-stick models of the component ions of trimetaphan camsilate
Clinical data
Trade namesArfonad
Routes of
administration
Oral, IM, IV
ATC code
Pharmacokinetic data
ExcretionRenal, mostly unchanged
Identifiers
  • 3,5-dibenzyl-4-oxo-8λ4-thia-3,5-diazatricyclo[6.3.0.02,6]undecan-8-ylium (7,7-dimethyl-2-oxobicyclo[2.2.1]heptan-1-yl)methanesulfonate
CAS Number
PubChem CID
DrugBank
UNII
KEGG
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.000.633 Edit this at Wikidata
Chemical and physical data
FormulaC22H25N2OS (free base)
Molar mass365.52 g·mol−1
 ☒NcheckY (what is this?)  (verify)

Trimetaphan camsilate (INN) or trimethaphan camsylate (USAN), trade name Arfonad, is a sympatholytic drug used in rare circumstances to lower blood pressure.

Trimetaphan is a ganglionic blocker: it counteracts cholinergic transmission at a specific type of nicotinic acetylcholine receptors in the autonomic ganglia and therefore blocks both the sympathetic nervous system and the parasympathetic nervous system. It acts as a non-depolarizing competitive antagonist at the nicotinic receptor, is short-acting, and is given intravenously.

It was discovered by Leo Sternbach.[1]

  1. ^ Bause GS (1 August 2017). "From Coenzyme R to "Arfonad" and from Vitamin H to Hypotension". Anesthesiology. 127 (2): 381–381. doi:10.1097/ALN.0000000000001771. ISSN 0003-3022.