Sodium nitroprusside

Sodium nitroprusside (SNP), sold under the brand name Nitropress among others, is a medication used to lower blood pressure. This may be done if the blood pressure is very high and resulting in symptoms, in certain types of heart failure, and during surgery to decrease bleeding. It is used by continuous injection into a vein. Onset is nearly immediate and effects last for up to ten minutes.

Sodium nitroprusside
Molecular structure of this compound (top), and a picture of a sample (bottom).
Clinical data
Trade namesNipride, Nitropress, others
Other namesSNP
AHFS/Drugs.comMonograph
License data
Pregnancy
category
  • AU: C
Routes of
administration
Intravenous
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability100% (intravenous)
MetabolismBy haemoglobin being converted to cyanmethaemoglobin and cyanide ions
Onset of actionnearly immediate
Elimination half-life<2 minutes (3 days for thiocyanate metabolite)
Duration of action1 to 10 minutes
Excretionkidney (100%; as thiocyanate)
Identifiers
  • Sodium pentacyanido(nitroso)ferrate(II)
CAS Number
PubChem CID
DrugBank
ChemSpider
UNII
ChEMBL
CompTox Dashboard (EPA)
ECHA InfoCard100.119.126
Chemical and physical data
FormulaC5FeN6Na2O
Molar mass261.921 g·mol−1
3D model (JSmol)
Density1.72 g/cm3
Solubility in water100 mg/mL (20 °C)
  • [Na+].[Na+].O=N[Fe--](C#N)(C#N)(C#N)(C#N)C#N
  • InChI=1S/5CN.Fe.NO.2Na/c5*1-2;;1-2;;/q;;;;;2*-1;2*+1
  • Key:FPWUWQVZUNFZQM-UHFFFAOYSA-N

It is available as a generic medication.

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