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Nikethamide

Chemical compound

| Drugs.com = | elimination_half-life = 0.5 h

Nikethamide is a stimulant which mainly affects the respiratory cycle. Widely known by its former trade name of Coramine, it was used in the mid-twentieth century as a medical countermeasure against tranquilizer overdoses, before the advent of endotracheal intubation and positive-pressure lung expansion. It is no longer commonly considered to be of value for such purposes.

In alternate terminology, it is known as nicotinic acid diethylamide, which meaningfully emphasizes its laboratory origins, and of which its common name is derived as a blend.

Uses

It is useful for mountain climbers to increase endurance at high altitudes.

Available forms

It is available as a short-acting over-the-counter drug in several South American and European countries, combined with glucose in form of lozenges.

Contraindications

Contraindications include hypertension, cardiovascular disease, and epilepsy.

Society and culture

Theodor Morell, Adolf Hitler's personal physician, would inject the German ruler with Coramine when Hitler was unduly sedated with barbiturates. In addition, Morell would use Coramine as part of an all-purpose "tonic" for Hitler.

Use in sports

In some sports, nikethamide is listed by the World Anti-Doping Agency as a banned substance. Jaime Huélamo was stripped of his bronze medal at the 1972 Olympic individual cycling road race after testing positive for Coramine. Croatian tennis player Marin Čilić was suspended from competition for nine months after he tested positive for nikethamide in April 2013. This ban was later reduced to four months after Cilic appealed and claimed he had unintentionally ingested it in a glucose tablet bought at a pharmacy. Polish kart driver Igor Walilko was given a two-year ban, later reduced to eighteen months, from competition in 2010 due to testing positive for nikethamide after a win in Germany in July, 2010.

In July 2021, Swiss athlete and doctor Kariem Hussein was positively tested for nikethamide, which he regularly uses during training. He missed the 2020 Summer Olympics in Tokyo, and was banned from competitions for nine months.

References

[http://www.toxcenter.de/stoff-infos/n/nikethamid.pdf Nikethamid] {{Webarchive. link. (2011-07-22, III-3.3, Toxcenter)
Cullen, Pamela V.. (2006). "A Stranger in Blood: The Case Files on Dr John Bodkin Adams". Elliott & Thompson.
(February 2005). "Adolf Hitler's medical care". The Journal of the Royal College of Physicians of Edinburgh.
(24 August 2004). "Olympic doping's list of shame". News24Wire ·.
(16 September 2013). "Marin Cilic: Croatian banned for nine months". [[BBC News]].
(25 October 2013). "Cilic cleared to play again after suspension reduced". [[Tennis (magazine).
Walilko, Igor. (22 September 2011). "Decision of the Court of Arbitration for Sport". FIA Anti-Doping Disciplinary Committee.
(2021-07-23). "Diese Lutschtablette wurde Kariem Hussein zum Verhängnis".

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

nicotinamides 3-pyridyl-compounds respiratory-agents stimulants

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