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Diethyl ether

Lightning-Nl

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Nov 11, 2012
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This common solvent was once used as a general anesthetic. It's a quite volitile liquid and from what I can gather - it's rather toxic as well.

My specific questions is if anyone know the Pharmacodynamic actions of Diethyl Ether, it's Ki affinities, and EC50/IC50 values. I'm assuming it modulates gaba function, but I'm not sure. What else could it be if not gabanergic activity?
 
Ether is far from toxic. It is not directly carcinogenic like benzene or hexane, and does not have toxic metabolites like chloroform or toluene. Most of it is not metabolised at all, and at body temperature it is actually a gas (boils at 35C), so it leaves the body via the breath, skin, and sweat. What little is metabolised, is turned into ethanol. A bigger risk is if it catches fire, or getting frostbite from its evaporative cooling.

The amount of ether vapor for anesthesia is 1.4 - 1.7 g/L air in arterial blood. Recreational effects can be achieved with much less, though.

As far as I can tell, Ki values for most volatile anesthetics are not known, partially from the difficulty of getting an accurate measurement when it's always evaporating, and the difficulty in metering it accurately into solution. Even stuff like ether has a high vapor pressure, if you spill some it will immediately vaporise. Think butane. (Most of these anesthetics don't dissolve all that well in plain saline either.)

That's not to say there's not a potency scale. Most of the anesthetics have their potency directly related to their ability to dissolve in fat.
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There are no values in the Ki database and the Nature Medicine paper on nitrous oxide has it as percent of a gas mixture they bubble through the cell culture (super accurate), not moles like one would expect.

The wiki article on Theories of general anesthetic action is real good.

I think the two main targets are GABA receptors and NMDA receptors. Most of the anesthetics seem to be more selective for NMDA than GABA though (nitrous and xenon are). But it may also depend on the size and shape of the molecule - and whether or not it can hydrogen bond.
 
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Nice summary Sekio.

I was confused at first why Nitrogen was top of the list. But the explanation made sense. Nitrogen 'likes' other things a lot. If Nitrogen was a person - they'd be that guy at a party rolling on a high dose of MDMA. Hugging everyone, touching everything, etc...
 
Ever heard of the bends, or nitrogen narcosis?

If you raise the partial pressure of nitrogen in your body (say, by breathing compressed air at a depth under the ocean), the dissolved nitrogen gas in your blood will act like an anesthetic. Divers actually get inebriated and feel euphoric at depth because of this. (And it's also why deep sea divers use helium-oxygen mixtures).

It's impossible to achieve nitrogen narcosis at standard pressure, as far as I know, so it's not commonly thought of, or used as an anesthetic. I guess it just doesn't dissolve in blood very much.

The chart may be a little confused: drugs are more potent as you move downwards, and more fat soluble moving to the right.
 
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