Ephedrine API Manufacturers & Suppliers
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Ephedrine | CAS No: 299-42-3 | GMP-certified suppliers
A medication that supports management of anesthesia‑related hypotension, allergic respiratory conditions such as bronchial asthma, and nasal congestion across key North American markets.
Therapeutic categories
Primary indications
- Ephedrine intravenous injections are indicated to treat hypotension under anesthesia,ephedrine injections by multiple routes are indicated to treat allergic conditions such as bronchial asthma,ephedrine nasal spray is and OTC medication used as a decongestant
Product Snapshot
- Ephedrine is a small‑molecule API available in injectable, oral, nasal, topical, and rectal formulations
- It is used for anesthesia‑related hypotension, certain allergic or bronchospastic conditions, and as an OTC nasal decongestant
- It is approved and marketed in the United States and Canada
Clinical Overview
Ephedrine exhibits both direct and indirect adrenergic activity. It stimulates alpha‑1, beta‑1, and beta‑2 adrenergic receptors, while also promoting the release of norepinephrine from presynaptic neurons and inhibiting its reuptake. These combined actions increase synaptic norepinephrine concentrations, resulting in enhanced sympathetic tone. Alpha‑1 receptor activation contributes to venous constriction and increased vascular resistance. Beta‑1 stimulation augments heart rate and myocardial contractility, and beta‑2 stimulation mediates bronchodilation and peripheral vasodilation.
Pharmacodynamic effects include elevation of blood pressure through increases in cardiac output and variable changes in systemic resistance. Bronchodilation supports its historical use in obstructive airway conditions. Its influence on bladder smooth muscle may increase urinary outflow resistance. A relatively wide therapeutic window is documented, with typical dosing ranges from 5 mg to 50 mg depending on clinical context. Tachyphylaxis can occur, particularly with repeated administration. Prophylactic use for anesthesia‑related hypotension has been associated with a higher incidence of hypertensive episodes compared with reactive dosing.
Ephedrine is absorbed systemically following parenteral and mucosal administration, with distribution to both central and peripheral compartments. It undergoes partial hepatic metabolism and is eliminated renally, primarily as unchanged drug and metabolites. The pharmacokinetic profile supports rapid onset with moderate duration of action.
Safety considerations include pressor responses, tachycardia, CNS stimulation, and the potential for excessive blood pressure elevation. Caution is advised in patients with cardiovascular disease or conditions sensitive to sympathetic stimulation.
For API procurement, sourcing should emphasize verified identity, optical purity, and control of related phenethylamine impurities to ensure compliance with pharmacopeial and regional regulatory standards.
Identification & chemistry
| Generic name | Ephedrine |
|---|---|
| Molecule type | Small molecule |
| CAS | 299-42-3 |
| UNII | GN83C131XS |
| DrugBank ID | DB01364 |
Pharmacology
| Summary | Ephedrine is a mixed direct and indirect sympathomimetic that activates alpha‑ and beta‑adrenergic receptors while also increasing synaptic norepinephrine through reuptake inhibition and enhanced presynaptic release. These combined actions elevate sympathetic tone, producing increased vascular resistance, cardiac stimulation, and bronchodilation. Its primary targets include alpha‑1, beta‑1, beta‑2 adrenergic receptors and the norepinephrine transporter. |
|---|---|
| Mechanism of action | Ephedrine is a direct and indirect sympathomimetic amine.As a direct effect, ephedrine activates alpha-adrenergic and beta-adrenergic receptors. As an indirect effect, it inhibits norepinephrine reuptake and increases the release of norepinephrine from vesicles in nerve cells.These actions combined lead to larger quantities of norepinephrine present in the synapse for more extended periods of time, increasing stimulation of the sympathetic nervous system. Ephedrine acts as an agonist of alpha-1, beta-1 and beta-2-adrenergic receptors. The stimulation of alpha-1-adrenergic receptors causes the constriction of veins and a rise in blood pressure, the stimulation of beta-1-adrenergic receptors increases cardiac chronotropy and inotropy, and the stimulation of beta-2-adrenergic receptors causes vasodilation and bronchodilation. |
| Pharmacodynamics | Ephedrine increases blood pressure by stimulating heart rate and cardiac output and variably increasing peripheral resistance.It causes bronchodilation due to the activation of beta-adrenergic receptors in the lungs. By stimulating alpha-adrenergic receptors in bladder smooth muscle cells, ephedrine also increases the resistance to the outflow of urine.The therapeutic window of ephedrine is wide, as patients can be given doses of 5mg up to 50mg.Patients should be counselled regarding the pressor effects of sympathomimetic amines and the risk of tachyphylaxis.Also, the use of ephedrine for hypotension prophylaxis is associated with a higher risk of hypertension, compared to when ephedrine is used to treat hypotension. |
Targets
| Target | Organism | Actions |
|---|---|---|
| Alpha-1A adrenergic receptor | Humans | agonist |
| Beta-1 adrenergic receptor | Humans | agonist |
| Beta-2 adrenergic receptor | Humans | agonist |
ADME / PK
| Absorption | Oral ephedrine reaches an average C<sub>max</sub> of 79.5ng/mL, with a T<sub>max</sub> of 1.81h, and a bioavailability of 88%. |
|---|---|
| Half-life | Oral ephedrine has a plasma elimination half life of approximately 6 hours, but there is a large degree of inter-patient variability. |
| Protein binding | (-) Ephedrine is 4.9±0.3% bound to human serum albumin and (+) Ephedrine is 6.9±1.4% bound to human serum albumin. |
| Metabolism | Ephedrine is largely unmetabolized in the body.Ephedrine can be N-demethylated to norephedrine, or demethylated and deaminized to benzoic acid conjugates and 1,2-hydroxypropylbenzene. |
| Route of elimination | Ephedrine is mainly eliminated in the urine.Approximately 60% is eliminated as the unmetabolized parent compound, 13% as benzoic acid conjugates, and 1% as 1,2-dihydroxypropylbenzene. |
| Volume of distribution | Oral ephedrine has an average volume of distribution of 215.6L. |
| Clearance | Oral ephedrine has a clearance of 23.3L/h but there is a high degree of inter-patient variability. |
Formulation & handling
- Ephedrine is a small‑molecule, water‑soluble solid suitable for oral, nasal, topical, and parenteral formulations, with straightforward dissolution in aqueous vehicles.
- Parenteral solutions are typically simple aqueous systems; the API is chemically stable but requires protection from oxidation and control of pH to limit degradation and discoloration.
- Oral formulations generally show reliable absorption with limited food effects, allowing flexible formulation into tablets, capsules, syrups, or elixirs.
Regulatory status
| Lifecycle | The API remains in an early stage of its lifecycle, with multiple U.S. patents expiring in 2040 and current commercialization limited to the United States and Canada. Market maturity is therefore low, with no near‑term loss of exclusivity expected. |
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| Markets | US, Canada |
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Supply Chain
| Supply chain summary | Ephedrine is an established active ingredient with no single dominant originator, and the market is supplied largely by multiple manufacturers and repackagers supporting long‑standing therapeutic use. Branded products are present mainly in the US and Canada, with most availability driven by non‑branded or institutional supply channels. Although several US patents extend to 2040, these appear to relate to specific formulations rather than the core molecule, which is already off‑patent and supports ongoing generic competition. |
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Safety
| Toxicity | Patients experiencing an overdose of ephedrine will present with rapidly increasing blood pressure.Manage overdose with blood pressure monitoring, and possibly the administration of parenteral antihypertensives.The LD<sub>50</sub> in mice after oral administration is 785mg/kg, after intraperitoneal administration if 248mg/kg, and after subcutaneous administration is 425mg/kg. |
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- Overexposure can produce marked hypertensive responses
- Monitor for rapid blood‑pressure elevation during handling of concentrated materials
- Acute toxicity varies by route, with reported LD50 values in mice of 785 mg/kg (oral), 248 mg/kg (intraperitoneal), and 425 mg/kg (subcutaneous), indicating higher hazard via parenteral exposure
Ephedrine is a type of Adrenergic agents
Adrenergic agents are a subcategory of pharmaceutical active pharmaceutical ingredients (APIs) that target the adrenergic system in the body. This system is responsible for regulating various physiological responses, including heart rate, blood pressure, and smooth muscle contraction.
Adrenergic agents can be further divided into two main groups: adrenergic agonists and adrenergic antagonists. Adrenergic agonists stimulate the adrenergic receptors, leading to an increase in sympathetic nervous system activity. This can result in effects such as vasoconstriction, bronchodilation, and increased heart rate. Adrenergic agonists are commonly used in the treatment of conditions such as asthma, hypotension, and cardiac arrest.
On the other hand, adrenergic antagonists block the adrenergic receptors, thereby inhibiting the effects of sympathetic nervous system activation. These agents are often employed to lower blood pressure, treat certain heart conditions, and manage symptoms associated with conditions like benign prostatic hyperplasia. Adrenergic antagonists can be further classified into alpha-adrenergic antagonists and beta-adrenergic antagonists, based on their selectivity for different adrenergic receptor subtypes.
Pharmaceutical companies extensively utilize adrenergic agents as key components in the development of various medications. Adrenergic APIs offer targeted effects on the adrenergic system, allowing for precise modulation of physiological responses. The understanding of adrenergic agents and their mechanisms of action is vital for the design and optimization of drugs used in the treatment of numerous medical conditions. Researchers and scientists continue to explore and innovate within this subcategory to develop new adrenergic agents with enhanced efficacy and fewer side effects, ultimately improving patient outcomes.
Ephedrine (Adrenergic agents), classified under Central Nervous System Agents
Central Nervous System (CNS) Agents are a crucial category of pharmaceutical Active Pharmaceutical Ingredients (APIs) that specifically target the central nervous system. The CNS encompasses the brain and spinal cord, playing a vital role in regulating and controlling various bodily functions, including cognition, movement, emotions, and sensory perception. These agents are designed to interact with specific receptors, enzymes, or ion channels within the CNS to modulate neural activity and restore normal functioning.
CNS agents comprise a diverse range of pharmaceutical APIs, including analgesics, anesthetics, antipsychotics, sedatives, hypnotics, anti-epileptics, and antidepressants. Each subcategory addresses distinct neurological disorders and conditions. For instance, analgesics alleviate pain by targeting receptors in the brain and spinal cord, while antipsychotics are employed to manage psychosis symptoms in mental illnesses such as schizophrenia.
The development of CNS agents involves rigorous research, molecular modeling, and extensive clinical trials to ensure safety, efficacy, and specific target engagement. Pharmaceutical companies invest significant resources in identifying novel drug targets, synthesizing new compounds, and optimizing their pharmacological properties. These agents undergo rigorous regulatory evaluations and must adhere to stringent quality standards and guidelines.
Given the prevalence of CNS disorders globally, the market demand for effective CNS agents is substantial. The development of innovative CNS APIs not only improves patient outcomes but also provides valuable commercial opportunities for pharmaceutical companies. Continued advancements in CNS agent research and development hold the promise of groundbreaking therapies that can improve the quality of life for individuals affected by neurological conditions.
