User:Mr. Ibrahem/Tetrabenazine

From Wikipedia, the free encyclopedia
Mr. Ibrahem/Tetrabenazine
Clinical data
Trade namesXenazine, Xentra, Nitoman, others
Other namesRo-1-9569
AHFS/Drugs.comConsumer Drug Information
Pregnancy
category
  • AU: B3
Routes of
administration
By mouth (tablets)
Drug classVesicular monoamine transporter 2 inhibitor[1]
Legal status
Legal status
Pharmacokinetic data
BioavailabilityLow, extensive first pass effect
Protein binding82–85%
MetabolismLiver (CYP2D6-mediated)
Elimination half-life10 hours parent compound (2 to 8 hours active metabolites)[2]
ExcretionKidney (~75%) and fecal (7–16%)[3]
Identifiers
  • (SS,RR)-3-Isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-pyrido[2,1-a]isoquinolin-2-one
Chemical and physical data
FormulaC19H27NO3
Molar mass317.429 g·mol−1
3D model (JSmol)
ChiralityRacemic mixture
  • O=C3C(CC(C)C)CN2C(c1c(cc(OC)c(OC)c1)CC2)C3
  • InChI=1S/C19H27NO3/c1-12(2)7-14-11-20-6-5-13-8-18(22-3)19(23-4)9-15(13)16(20)10-17(14)21/h8-9,12,14,16H,5-7,10-11H2,1-4H3 checkY
  • Key:MKJIEFSOBYUXJB-UHFFFAOYSA-N checkY
  (verify)

Tetrabenazine, sold under the brand name Xenazine among other, is a medication used to treat certain movement disorders, including Huntington chorea and tardive dyskinesia.[1][4] It is taken by mouth.[4]

Common side effects include sleepiness, depression, irritability, poor balance, nausea, and falls.[1] Other side effects may include high prolactin, low blood pressure, QT prolongation, neuroleptic malignant syndrome, and trouble swallowing.[1] It is a vesicular monoamine transporter 2 inhibitor.[1]

Tetrabenazine was approved for medical use in the United States in 2008.[1] It is available as a generic medication.[4] In the United Kingdom 112 tablets of 25 mg costs the NHS about 100 pounds as of 2021.[4] This amount in the United States costs about 1,500 USD.[5]

References[edit]

  1. ^ a b c d e f g h "Tetrabenazine". drugs.com. American Society of Health-System Pharmacists. Archived from the original on 6 March 2021. Retrieved 1 October 2021.
  2. ^ Yero, T.; Rey, J. A. (2008). "Tetrabenazine (Xenazine), An FDA-Approved Treatment Option For Huntington's Disease". P & T: A Peer-Reviewed Journal for Formulary Management. 33 (12): 690–694. PMC 2730806. PMID 19750050.
  3. ^ "Xenazine (tetrabenazine) Tablets, for Oral Use. Full Prescribing Information. Revised: 6/2015" (PDF). H. Lundbeck A/S. Archived (PDF) from the original on 31 July 2018. Retrieved 9 December 2015.
  4. ^ a b c d e BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 425. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  5. ^ "Tetrabenazine Generic Xenazine". Retrieved 1 October 2021.