Phenprocoumon is a 4-hydroxycoumarin and inhibits vitamin K Epoxide reductase.
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The Epoxide group is also sometimes referred to as a glycidyl
or oxirane group.
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It is a thermosetting polymer that contain Epoxides which means it would only react by adding the hardeners
or curing agents.
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By the combination of sonication(sonochemistry) and photochemistry of these compounds in the presence of NBTPT, the opening of Epoxide ring was achieved.
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This is thought to be due to the N-methylthiotetrazole side-chain of these cephalosporins,
which blocks the enzyme vitamin K Epoxide reductase(likely causing hypothrombinemia)
and aldehyde dehydrogenase causing alcohol intolerance.