The document discusses various benzoic acid derivative local anesthetics, including cocaine, hexylcaine, meprylcaine, cyclomethycaine, and piperocaine. It describes the chemical structure and mechanisms of action of each drug. Cocaine is extracted from coca leaves and acts by blocking sodium channels and inhibiting neurotransmitter reuptake. Hexylcaine and meprylcaine also block sodium channels to produce local anesthesia, while meprylcaine has additional stimulant properties through monoamine transporter inhibition. Cyclomethycaine and piperocaine are benzoate esters used for surface anesthesia and nerve blocks through undefined mechanisms.

1. Medicinal Chemistry-II
Submitted by –
Mr. Suyash Jain
Department Of Pharmaceutical Sciences
Dr. Harisingh Gour Vishwavidyalaya, Sagar (M.P.)
Brnzoic Acid Derivatives
( A Central University )

2. These agents act locally to abolish
the sensory perception over a
local area.
It is classifed into different classes based on various classes.

3. Local Anesthetics
(Based on Chemical Structure)
Benzoic Acid
Derivatives
P-Aminobenzoic
Acid Derivatives
Aniline
Derivatives
It is classifed into different classes based on various classes.

4. Benzoic acid derivatives are
1) Cocaine,
2 Hexylcaine,
3)Mepryleaine,
4)Cyclomethycaine, and
5) Piperocaine.

6. Cocaine
Cocaine is a benzoyl methylecgonine
hydrochioride (a benzoic acid ester).
It is an alkaloid and is extracted from
the leaves of coca tree (Erythroxylum
coca
Uses-
It is used for introduction of local
(topical) anesthesia in the accessible
mucous membranes of the oral,
laryngeal and nasal cavities.

7. Mechanism of Action
1. Cocaine produces anaesthetic effect by blocking excitation of nerve
endings or by biocking conduction in peripheral nerves.
2. It is achieved by reversibly binding to and inactivating sodium
channels.
3. Sodium influx by these channels is required for the depolarization of
nerve cell membranes and subsequent propagation of impulses along
the course of the nerve.
4. Cocaine is the only local anesthetic with vasoconstrictive properties.
5. It causes anaesthesia due to the blockade of norepinephrine reuptake
in the autonomic nervous system.
6. It binds differentially to the dopamine, serotonin, and norepinephrine
transport proteins and directly blocks the re-uptake of dopamine,
serotonin, and norepinephrine into pre-synaptic neurons.
7. Its effect on dopamine levels is most responsible for the addictive
property of cocaine.

8. Hexylcaine
Hexylcaine (or cyclaine or osmocaine) is a
short-acting local anaesthetic.
It act by blocking the sodium channel
conduction.
Uses-
It is used as a local anaesthetic for surface
application, infiltration, or nerve block.

9. Mechanism of Action
Hexylcaine blocks the influx of Na ions through voltage gated
sodium chanel present in the neuronal cell membrane of
peripheral nerves.
When the influx of Na+ ions is interrupted, an action potential does
not arise and signal conduction is inhibited.
The receptor site is situated at the cytoplasmic (inner) portion of
the sodium channel.

10. Meprylcaine
Meprylcaine (or epirocaine or oracaine) is a
local anaesthetic having stimulant properties.
Its structure is related to dimethocaine.
Mechanism of Action-
Meprylcaine has a relatively potent inhibitory
action on the monoamine transporter. It
blocks the reuptake of dopamine,
norepinephrine, and serotonin.
Uses-
It is used as a local anaesthetic for surface
application, infiltration, or nerve block

11. Cyclomethycaine
Cyclomethycaine is a benzoate ester.
It is used as a local anaesthetic for surface
application, and infiltration or nerve block

12. Piperocaine
Piperocaine is a benzoate ester.
It is a local anaesthetic developed in the 1920s.
Its hydrochloride salt was used for infiltration and nerve block.
It is a white coloured crystalline powder that is soluble in
water and chloroform.
It is used as a surface anesthesia for eyes, throat, and caudal
analgesia.