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Benzocaine



 
 
Benzocaine is a local anesthetic
Local anesthetic

A local anesthetic is a medication that causes reversible local anesthesia and a loss of nociception. When it is used on specific nerve pathways , effects such as analgesia and paralysis can be achieved....
 commonly used as a topical
Topical

In medicine, a topical medication is applied to body surface area such as the skin or mucous membranes, for example the vagina, anus, pharynx, eyes and ears....
 pain reliever. It is the active ingredient in many over-the-counter anesthetic ointments (e.g. products for oral ulcers of Anbesol by Wyeth
Wyeth

Wyeth, formerly known as American Home Products , is one of the largest pharmaceutical company in the world. The company is based in Madison, New Jersey....
, Kank+a by Blistex
Blistex

Blistex is a company based in Oak Brook, Illinois, Illinois that primarily manufactures lip balm, lip ointment, and other lip-related products. It also produces:...
, Orabase B and Orajel by Del Pharmaceuticals, and Ultracare by Ultradent). It is also combined with antipyrine to form A/B Otic Drops
Antipyrine and benzocaine ear drops

Antipyrine and benzocaine ear drops is a medication for the treatment of ear pain caused by otitis media. It combines antipyrine, a pain reliever and benzocaine, a numbing agent to treat ear pain....
, (Brand name Auralgan) to relieve earpain and remove cerumen.

ocaine is an ester
Ester

An ester is an often Aroma compound organic chemistry or partially organic compound formed by the reaction between an acid and an alcohol or aromatic alcohol with the elimination of water....
, and can be prepared from the organic acid PABA (para-aminobenzoic acid) and ethanol
Ethanol

Ethanol, also called ethyl alcohol, pure alcohol, grain alcohol, or drinking alcohol, is a volatility , flammable, colorless liquid....
 by Fischer esterification
Fischer esterification

Fischer esterification or Fischer-Speier esterification is a special type of esterification and the process of forming an ester by refluxing a carboxylic acid and an alcohol in the presence of an acid catalyst....
.






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Encyclopedia


Benzocaine is a local anesthetic
Local anesthetic

A local anesthetic is a medication that causes reversible local anesthesia and a loss of nociception. When it is used on specific nerve pathways , effects such as analgesia and paralysis can be achieved....
 commonly used as a topical
Topical

In medicine, a topical medication is applied to body surface area such as the skin or mucous membranes, for example the vagina, anus, pharynx, eyes and ears....
 pain reliever. It is the active ingredient in many over-the-counter anesthetic ointments (e.g. products for oral ulcers of Anbesol by Wyeth
Wyeth

Wyeth, formerly known as American Home Products , is one of the largest pharmaceutical company in the world. The company is based in Madison, New Jersey....
, Kank+a by Blistex
Blistex

Blistex is a company based in Oak Brook, Illinois, Illinois that primarily manufactures lip balm, lip ointment, and other lip-related products. It also produces:...
, Orabase B and Orajel by Del Pharmaceuticals, and Ultracare by Ultradent). It is also combined with antipyrine to form A/B Otic Drops
Antipyrine and benzocaine ear drops

Antipyrine and benzocaine ear drops is a medication for the treatment of ear pain caused by otitis media. It combines antipyrine, a pain reliever and benzocaine, a numbing agent to treat ear pain....
, (Brand name Auralgan) to relieve earpain and remove cerumen.

Chemical properties

Benzocaine is an ester
Ester

An ester is an often Aroma compound organic chemistry or partially organic compound formed by the reaction between an acid and an alcohol or aromatic alcohol with the elimination of water....
, and can be prepared from the organic acid PABA (para-aminobenzoic acid) and ethanol
Ethanol

Ethanol, also called ethyl alcohol, pure alcohol, grain alcohol, or drinking alcohol, is a volatility , flammable, colorless liquid....
 by Fischer esterification
Fischer esterification

Fischer esterification or Fischer-Speier esterification is a special type of esterification and the process of forming an ester by refluxing a carboxylic acid and an alcohol in the presence of an acid catalyst....
. The melting point of benzocaine is 88-90 degrees Celsius, and the boiling point is 310 degrees Celsius. The density of benzocaine is 1.17 g/cm3.

History

Benzocaine was first synthesised by a German chemical firm named Ritsert, in the town of Eberbach
Eberbach (Baden)

Eberbach is a town in Germany, in northern Baden-W?rttemberg, located 33 km east of Heidelberg. It belongs to the Rhein-Neckar-Kreis....
.

How it relieves pain

Pain is caused by the stimulation of free nerve ending
Free nerve ending

A free nerve ending is an unspecialized, afferent nerve ending, meaning it brings information from the body's periphery to the brain. They function as cutaneous receptors and are essentially used by vertebrates to detect nociception....
s. When the nerve endings are stimulated, sodium enters the neuron
Neuron

Neurons are responsive cell in the nervous system that process and transmit information by electrochemical Signal . They are the core components of the brain, the vertebrate spinal cord, the invertebrate ventral nerve cord, and the peripheral nerves....
, which causes an electrical potential to build up in the nerve. Once the electrical potential becomes big enough the signal is propagated down the nerve toward the central nervous system
Central nervous system

The central nervous system is the part of the nervous system that functions to coordinate the activity of all parts of the bodies of multicellular organisms....
, which interprets this as pain.

Ester
Ester

An ester is an often Aroma compound organic chemistry or partially organic compound formed by the reaction between an acid and an alcohol or aromatic alcohol with the elimination of water....
s of PABA work as a chemical barrier, stopping the sodium from being able to enter the nerve ending.

Side effects

Allergic reactions occur with ester local anaesthetics (like benzocaine) because of the PABA structure.

Benzocaine also is a well-known cause of methemoglobinemia
Methemoglobinemia

Methemoglobinemia is a disorder characterized by the presence of a higher than normal level of methemoglobin in the blood. Methemoglobin is a form of hemoglobin that does not bind oxygen....
. Because it may be used in topical creams with a concentration as much as 20%, it is not difficult to administer a dose sufficient to cause this problem.

Other risks

Over-application of oral anesthetics such as Anbesol can increase the risk of pulmonary aspiration
Pulmonary aspiration

In medicine, aspiration is the entry of secretions or foreign material into the Vertebrate trachea and lungs.The patient may either inhalation the material, or it may be blown into the lungs during positive pressure ventilation or CPR....
 by relaxing the gag-reflex and allowing regurgitated stomach contents or oral secretions to enter the airway. Applying an oral anesthetic and consuming beverages before going to bed can be particularly hazardous.

Other uses

Benzocaine can also be used as a fish tranquilizer. Due to its low solubility in water, a stock solution
Stock solution

In chemistry, a stock solution is a large volume of a common reagent, such as hydrochloric acid or sodium hydroxide, at a standardized concentration....
 can be made with ethanol
Ethanol

Ethanol, also called ethyl alcohol, pure alcohol, grain alcohol, or drinking alcohol, is a volatility , flammable, colorless liquid....
 (95%). 25 g of benzocaine per 200 ml ethanol will make a solution strong enough to knock saltwater fish out in 2-4 minutes. They will regain equilibrium after 10-15 minutes. Use 5 ml stock solution per 1 L of saltwater. Some benzocaine will precipitate out of solution when added to the saltwater, so it is recommended to add the volume of stock solution you will be using to a separate container and mix it with some saltwater before adding it to the tank.

Benzocaine is also used as a key ingredient in Phenazone, an anti-inflammatory, and is also used in some glycerol-based ear medications for use in removing excess wax as well as ear conditions such as Otitis Media
Otitis media

Otitis media is inflammation of the middle ear, or middle ear infection .Otitis media occurs in the area between the ear drum and the inner ear, including a duct known as the Eustachian tube....
 and swimmers ear
Otitis externa

Otitis externa is an inflammation of the outer ear and ear canal. Along with otitis media, external otitis is one of the two human conditions commonly called "earache"....
.

Benzocaine used to be used as an appetite suppressant in diet products such as Ayds
Ayds

Ayds was an appetite-suppressant candy which enjoyed strong sales in the 1970s and early 1980s. It was available in chocolate, chocolate mint, butterscotch or caramel flavors, and later a peanut butter flavor was introduced....
. It's also the main ingredient in Vagisil.

Benzocaine is often favoured by drug dealers to bulk out their cocaine supplies; while many dealers use the cheaper parcetemol or corn flour, Benzocaine gives a numbing effect (like purer cocaine should have). Although this is a more expensive way of bashing their drugs for resale, the users are often fooled into thinking its high grade, so it can be sold for a higher price.

Benzocaine is also used as the active ingredient in "climax control" Durex Performax condoms to dull nerve endings.

Misconceptions

In Phillip K. Dick's book A Scanner Darkly
A Scanner Darkly

A Scanner Darkly is a 1977 science fiction novel by Philip K. Dick. The semi-autobiography story is set in a dystopian Orange County, California in the then-future of June 1994....
, one of the main characters attempts to extract pure cocaine out of a bottle of sunburn spray by freezing it, claiming that benzocaine is simply an industry name for cocaine
Cocaine

Cocaine is a crystalline tropane alkaloid that is obtained from the leaves of the coca plant. The name comes from "coca" in addition to the alkaloid suffix -ine, forming cocaine....
.

External links

  • - official website
  • from the Chemistry Department at Oxford University.