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Demecarium bromide
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Demecarium bromide

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Demecarium bromide
Demecarium bromide.svg
Clinical data
Trade names Humorsol
Routes of
administration
Topical (ophthalmic solution)
ATC code
Identifiers
  • Trimethyl-[3-[methyl-[10-[methyl-(3-trimethylammoniophenoxy)carbonyl-amino]decyl]carbamoyl]oxyphenyl]ammonium dibromide
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard 100.000.274
Chemical and physical data
Formula C32H52Br2N4O4
Molar mass 716.600 g·mol−1
3D model (JSmol)
  • [Br-].[Br-].O=C(Oc1cccc(c1)[N+](C)(C)C)N(CCCCCCCCCCN(C(=O)Oc2cccc(c2)[N+](C)(C)C)C)C
  • InChI=1S/C32H52N4O4.2BrH/c1-33(31(37)39-29-21-17-19-27(25-29)35(3,4)5)23-15-13-11-9-10-12-14-16-24-34(2)32(38)40-30-22-18-20-28(26-30)36(6,7)8;;/h17-22,25-26H,9-16,23-24H2,1-8H3;2*1H/q+2;;/p-2 checkY
  • Key:YHKBUDZECQDYBR-UHFFFAOYSA-L checkY
 ☒NcheckY (what is this?)  (verify)

Demecarium bromide, trade name Humorsol, is a carbamate parasympathomimetic drug that acts as an acetylcholinesterase inhibitor, and is used as a glaucoma medication. It is applied directly to the eye in order to reduce elevated intraocular pressure associated with glaucoma.

Demecarium causes constriction of the pupil (miosis), which improves the drainage of the fluid in the eye (aqueous humour). As demecarium reversibly inhibits cholinesterase, it can be administered less frequently than other parasympathomimetic drugs, such as carbachol.

Commercially produced demecarium bromide solution, previously sold under the trade name Humorsol, is no longer available, although solutions of demecarium can be compounded.

Use in dogs

When administered with a topical corticosteroid, demecarium can delay the onset of primary glaucoma in dogs. High doses of demecarium may cause organophosphate toxicity, particularly if flea treatments containing organophosphates are administered at the same time.

See also


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