4-Dimethylaminophenol
4-Dimethylaminophenol (4-DMAP) is a chemical compound used in the treatment of cyanide poisoning. It is an aromatic amine and a derivative of phenol. The compound is known for its ability to induce the formation of methemoglobin, which can bind cyanide ions and thus detoxify them.
Chemical Structure and Properties
4-Dimethylaminophenol has the chemical formula C8H11NO and a molecular weight of 137.18 g/mol. It consists of a benzene ring substituted with a hydroxyl group (-OH) and a dimethylamino group (-N(CH3)2) at the para position.
Mechanism of Action
The primary mechanism of action of 4-Dimethylaminophenol in cyanide poisoning involves the induction of methemoglobin formation. Methemoglobin is a form of hemoglobin in which the iron in the heme group is in the ferric (Fe3+) state, rather than the ferrous (Fe2+) state. Methemoglobin has a high affinity for cyanide ions, which allows it to sequester cyanide from cytochrome c oxidase, an enzyme critical for cellular respiration. This sequestration helps to mitigate the toxic effects of cyanide on the body.
Medical Use
4-Dimethylaminophenol is administered intravenously in cases of acute cyanide poisoning. It is often used in conjunction with other antidotes such as sodium thiosulfate and hydroxocobalamin. The combination of these agents provides a multi-faceted approach to detoxifying cyanide and restoring normal cellular respiration.
Side Effects and Precautions
The administration of 4-Dimethylaminophenol can lead to the formation of methemoglobinemia, a condition where an excessive amount of methemoglobin is present in the blood, reducing its oxygen-carrying capacity. Symptoms of methemoglobinemia include cyanosis, headache, dizziness, and shortness of breath. Therefore, the use of 4-Dimethylaminophenol must be carefully monitored, and methemoglobin levels should be regularly checked during treatment.
Synthesis
The synthesis of 4-Dimethylaminophenol typically involves the nitration of phenol to produce 4-nitrophenol, followed by reduction to 4-aminophenol. The final step involves the methylation of the amino group to yield 4-Dimethylaminophenol.
Related Compounds
See Also
References
External Links
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Contributors: Prab R. Tumpati, MD