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Speight_Part II_A  11/7/01  3:16 PM  Page 2.47









                                    AMITRIPTYLINE












                    Amitriptyline hydrochloride and imipramine hydrochloride are similar in
                    structure, with the exception of the nitrogen in the center ring, and belong
                    to the family of phenothiazine compounds. Finally, the two-carbon bridge
                    linking the aromatic rings may be ethyl (–CH CH –) or ethylene
                                                                  2   2
                    (–CH=CH–).
                      These compounds are central nervous system stimulants or antidepres-
                    sants although such activity is usually restricted to compounds having a
                    two- or three-carbon side chain and methyl-substituted or unsubstituted
                    amino groups in the side chain although derivatives with substituents on
                    the aromatic ring may have pharmacological activity.
                      The synthesis of amitriptyline starts from the key intermediate dibenzo-
                    suberone (manufactured from phthalic anhydride) and can proceed by two
                    pathways (Fig. 1). Treatment of dibenzosuberone with cyclopropyl
                    Grignard gives the tertiary alcohol after hydrolysis. Reaction of the alco-





                                              Cyclopropylmagnesium
                                                   bromide


                     Dibenzosuberone  O                               CHCH CH Cl
                                                                              2
                                                                           2
                                      BrMgCH CH CH N(CH )               (CH 3 2
                                            2
                                                      3 2
                                                 2
                                                                           ) NH
                                              2
                                                    -H O
                                                     2

                             HO         CHCH CH N(CH )                CHCH CH N(CH )
                                             2
                                                                                  3 2
                                                                             2
                                                                          2
                                                    3 2
                                                2
                                                                         Amitriptyline
                    FIGURE 1  Manufacture of amitriptyline.
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