
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Metopimazine
Introduction
Synthesis
Synthesis

The reduced basicity of phenothiazine nitrogen requires that even acylation proceed via the anion. The amide (2) from the methyl thioether (2) can be prepared, for example, by sequential reaction with sodium amide and acetic anhydride. Oxidation of that intermediate with peracid proceeds preferentially on the more electron-rich alkyl thioether to give the sulfone; this affords the phenothiazine (3) on hydrolysis of the amide. Complex side chains are most conveniently incorporated in a stepwise fashion. The first step in the present sequence involves reaction of (3) as its anion with 1-bromo-3-chloropropane to give (4). The use of that halide with alkylate piperidine-4-carboxamide (5) affords the antipsychotic agent metopimazine (6).
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
