Propyphenazone (known as isopropylantipyrine in Japan) is a derivative of phenazone with similar analgesic and antipyretic effects. Originally patented in 1931, propyphenazone is marketed as a combination drug with paracetamol and caffeine for treatment of primary headache disorder.
Serious adverse events
Case reports have described acute inferior-wall myocardial infarctions characterized by low atrial rhythms (
Kounis syndrome) secondary to propyphenazone use.
Excerpt from WHO comments
Banned
Propyphenazone is banned in some countries including
Sri Lanka,
Malaysia,
and
Thailand.
Synthesis
Ethyl 2-isopropylacetoacetate (1) and
phenylhydrazine (2) are combined to form the
pyrazolone ring in the intermediate (3), which is
alkylated with
methyl iodide to yield propyphenazone.
See also
-
Propyphenazone/paracetamol/caffeine