|Trade names||Mazanor, Sanorex|
|AHFS/Drugs.com||Micromedex Detailed Consumer Information|
|Elimination half-life||10–13 hours|
|Chemical and physical data|
|Molar mass||284.74 g/mol|
|3D model (JSmol)|
Mazindol is used in short-term (i.e., a few weeks) treatment of obesity, in combination with a regimen of weight reduction based on caloric restriction, exercise, and behavior modification in people with a body mass index of greater than 30, or in those with a body mass index of more than 27 in the presence of risk factors such as hypertension, diabetes, or hyperlipidemia. Mazindol is not currently available as a commercially marketed and FDA regulated prescription agent for the treatment of obesity.
Mazindol is a sympathomimetic amine, which is similar to amphetamine. It stimulates the central nervous system, which increases heart rate and blood pressure, and decreases appetite. Sympathomimetic anoretics (appetite suppressants) are used in the short-term treatment of obesity. Their appetite-reducing effect tends to decrease after a few weeks of treatment. Because of this, these medicines are useful only during the first few weeks of a weight-loss program.
Although the mechanism of action of the sympathomimetics in the treatment of obesity is not fully known, these medications have pharmacological effects similar to those of amphetamines. Like other sympathomimetic appetite suppressants, mazindol is thought to act as a reuptake inhibitor of norepinephrine. In addition, it inhibits dopamine and serotonin reuptake. The recommended dosage is 2 mg per day for 90 days in patients 40 kg overweight and under; 4 mg a day in patients more than 50 kg overweight; divided into two doses separated by a 12-hour window between each 2 mg dose.
- Desoxylation of the tertiary alcohol in mazindol improves DAT and SERT binding. The compound now behaves as a functional SNDRI instead of predominantly a noradrenaline reuptake inhibitor.
- Removal of the p-chloro atom in mazindol means that the compound now only behaves as a noradrenaline reuptake inhibitor.
- Changing the size of the imidazoline type ring system in mazindol to the corresponding six-membered homolog increases potency of the resultant compound at the DAT by approximately ten-fold.
To make the six membered (so-called homomazindol) analog, one can simply substitute 1,2-diaminoethane with 1,3-diaminopropane. Importantly, another procedure was also published.
Given the data in the above table, one might also be interested in making the desoxy-mazindol analog. The synthesis for this is facile. Although "mazindane" is relatively stable in air, it is readily oxidized to mazindol upon contact with monoamine oxidaze enzymes present at the DAT.
(Inhibition of [3H]WIN 35428 binding)
(Inhibition of [3H]DA uptake)
|(cocaine)||89.1 ± 8||208 ± 12||2.3|
|(mazindol)||H||H||4′-Cl||8.1 ± 1.2||8.4 ± 1.3||1.0|
|384a||H||H||H||66.0 ± 8.9||124 ± 37||1.9|
|384b||H||H||4′-F||13.3 ± 1.8||25.4 ± 2.7||1.9|
|384c||H||7-F||H||29.7 ± 7.0||78 ± 46||2.6|
|384d||H||H||2′-Cl||294 ± 6||770 ± 159||2.6|
|384e||H||H||3′-Cl||4.3 ± 0.4||9.2 ± 5.3||2.1|
|384f||CH3||H||4′-Cl||50.4 ± 5.5||106 ± 5.6||2.1|
|384g||H||6-Cl||H||57.2 ± 8.3||58 ± 6.4||1.0|
|384h||H||7-Cl||H||85.4 ± 14||55.17||0.6|
|384i||H||7-F||4′-Cl||6.5 ± 1.2||15 ± 9||2.3|
|384j||H||7-Cl||4′-F||52.8 ± 8.7||53 ± 18||1.0|
|384k||H||H||2′,4′-Cl2||76.5 ± 1.11||92 ± 19||1.2|
|384l||H||H||3′,4′-Cl2||2.5 ± 0.5||1.4 ± 1.6||0.6|
|384m||H||7,8-Cl2||4′-Cl||13.6 ± 1.5|
|384n||H||H||2′-Br||1340 ± 179|
|384o||H||H||4′-Br||2.6 ± 1.5||8.6 ± 3.5||3.3|
|384p||H||H||4′-I||17.2 ± 0.9||14 ± 6.4||0.8|
(Inhibition of [3H]WIN 35428 binding)
(Inhibition of [3H]DA uptake)
|388a||H||H||5.8 ± 1.6||18 ± 11||3.1|
|388b||H||2′-F||23.2 ± 1.7||89 ± 2.8||3.8|
|388c||H||3′-F||2.0 ± 0.02||3.1 ± 1.8||1.6|
|388d||H||4′-F||3.2 ± 1.7||8.5 ± 4.9||0.4|
|388e||H||3′-Cl||1.0 ± 0.2||1.3 ± 0.14||1.3|
|388f||H||4′-Cl||1.7 ± 0.2||1.4 ± 0.35||0.8|
|388g||CH3||4′-Cl||6.3 ± 4.5||1.7 ± 1.6||0.3|
|389a||H||5.9 ± 0.1||11 ± 3.2||2.0|
|389b||4′-Cl||1.5 ± 0.1||3.4 ± 2.3||2.3|
|389c||3′,4′-Cl2||1.7 ± 0.1||0.26 ± 0.16||0.2|
See also: SNDRI for context.
Preparation starts by reaction of a substituted benzoylbenzoic acid (1) with ethylenediamine The product 3 can be rationalized as being an aminal from the initially formed monoamide 2. This is then subjected to reduction with LiAlH4 and-without isolation-air oxidation. Reduction probably proceeds to the mixed aminal/carbinolamine 4; such a product would be expected to be in equilibrium with the alternate aminal 5. The latter would be expected to predominate because of the greater stability of aldehyde aminals over the corresponding ketone derivatives. Air oxidation of the tetrahydroimidazole to the imidazoline will then remove 5 from the equilibrium. There is thus obtained the anorectic agent mazindol (6).
- Carruba, Michele O.; Zambotti, Fernanda; Vicentini, Lucia; Picotti, Giovanni B.; Mantegazza, Paolo (1978). "Pharmacology and biochemical profile of a new anorectic drug: mazindol". Cent. Mech. Anorectic Drugs: 145–64.
- US Patent 3597445 - 1H-Isoindole Intermediates
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- W. J. Houlihan, DE 1814540 C.A. 71, 81368s (1969).
- W. J. Houlihan, M. K. Eberle, DE 1930488 ; eidem, U.S. Patent 3,597,445 (1969, 1970, 1970 all to Sandoz).
- T. S. Sulkowski, U.S. Patent 3,763,178 (1973 to American Home Products).
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