Buphenin

Products

Buphenin was included in Arbid drops in combination with diphenylpyralin until late 2011.

Structure and properties

Buphenin (C19H25NO2, Mr = 299.41 g/mol), like other sympathomimetics, has structural similarity to catecholamines, for example, epinephrine.

Effects

Buphenine (ATC C04AA02) is β-sympathomimetic and thus vasodilatory and positively inotropic.

Indications

No longer commercially available in many countries for these indications:

  • In combination preparations: rhinitis.
  • Peripheral circulatory disorders
  • Visaline (off label): age-related macular degeneration, myopia with severe chorioidosis, dark vision disorders.

Contraindications

  • Hypersensitivity
  • Fresh heart attack
  • Hyperthyroidism
  • Tachycardia, cardiac arrhythmias
  • Severe angina
  • Pregnancy and lactation: see SmPC

Use with caution in diabetes mellitus: buphenine may increase blood glucose levels. For full precautions, see the drug label.

Adverse effects

Possible adverse effects include nausea and vomiting, hypotension, palpitations, pectanginal discomfort, cardiac arrhythmias, flushing, headache, weakness, drowsiness, tremor, and nervousness. In high doses: chest pain, visual disturbances, metallic taste.