Acetanilide

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Acetanilid
Acetanilide Crystals

Acetanilide is an organic compound with the formula C6H5NH(COCH3). It is a white, odorless, flaky solid substance that was first introduced in 1886 under the trade name Antifebrin by A. Cahn and P. Hepp, who synthesized it as a treatment for fever. This discovery marked a significant milestone in the development of pharmaceuticals, as acetanilide became one of the first synthetic fever reducers and pain relievers to be used in medical practice. However, its use has significantly declined due to its toxic side effects, leading to the development and preference for safer alternatives such as acetaminophen (paracetamol) and phenacetin.

Chemistry[edit | edit source]

Acetanilide is formed through the acetylation of aniline, a process that involves the replacement of the hydrogen atom of the aniline's amino group with an acetyl group (CH3CO). This chemical modification significantly alters the properties of aniline, making acetanilide less toxic and more effective as a fever reducer and pain reliever. The compound's systematic IUPAC name is N-phenylacetamide, and it belongs to the class of compounds known as anilides, which are amides derived from aniline.

Pharmacology and Toxicology[edit | edit source]

Initially, acetanilide's analgesic (pain-relieving) and antipyretic (fever-reducing) properties were highly valued in medicine. However, its metabolic breakdown in the body can lead to the formation of potentially harmful by-products. One of the major metabolites of acetanilide is N-phenylhydroxylamine, which can induce methemoglobinemia, a condition where a significant amount of hemoglobin is converted into methemoglobin, reducing the blood's ability to carry oxygen.

The recognition of these toxic effects led to a decrease in the use of acetanilide as a medication. Its derivatives, acetaminophen and phenacetin, were found to have similar therapeutic effects with a significantly reduced risk of methemoglobinemia, making them preferable alternatives.

Applications[edit | edit source]

Beyond its historical medical use, acetanilide has applications in the synthesis of dyes, rubber accelerator chemicals, and as a precursor to many pharmaceuticals. Its role in organic chemistry is primarily as an intermediate in the production of more complex compounds.

Safety and Regulation[edit | edit source]

Due to its potential toxic effects, the use of acetanilide in over-the-counter medications has been discontinued. Its use is now mostly restricted to industrial applications and laboratory research. Handling of acetanilide requires appropriate safety measures to avoid exposure, which can lead to methemoglobinemia and other health risks.

Conclusion[edit | edit source]

While acetanilide played a pivotal role in the development of analgesic and antipyretic drugs, its use today is largely historical. The evolution of drug development has led to the discovery of safer and more effective medications, relegating acetanilide to a place of interest primarily for its historical significance in pharmacology and its utility in chemical synthesis.

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Contributors: Prab R. Tumpati, MD