Galantamine: Difference between revisions

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<applet  load="" size="480" color="" frame="true"  spin="on" Scene ="Galantamine/Galantamine/1" align="right" caption="Tacrine, also known as Cognex"/>
<applet  load="" size="480" color="" frame="true"  spin="on" Scene ="Galantamine/Galantamine/2" align="right" caption="Galantamine, also known as Razadyne"/>
===Better Known as: Razadyne===
===Better Known as: Razadyne===
* Marketed By: <br />
* Marketed By: Ortho Mcneil Janssen Pharmaceuticals (Subsidiary of Johnson & Johnson)<br />
* Major Indication: [[Alzheimer's Disease]]<br />
* Major Indication: [[Alzheimer's Disease]]<br />
* Drug Class: [[Acetylcholinesterase]] Inhibitor
* Drug Class: [[Acetylcholinesterase]] Inhibitor
* Date of FDA Approval (Patent Expiration): <br />
* Date of FDA Approval (Patent Expiration): 2001 (2008) <br />
* 2006 Sales: $225 Million<ref>Irena Melnikova, Therapies for Alzheimer's disease, Nature Reviews Drug Discovery 6, 341-342 (May 2007)</ref>
* 2006 Sales: $225 Million<ref>Irena Melnikova, Therapies for Alzheimer's disease, Nature Reviews Drug Discovery 6, 341-342 (May 2007)</ref>
* Importance: One of the the first treatments for the symptoms of [[Alzheimer's Disease]], although no definitive proof exists as to whether it alters the progression of the disease.  
* Importance: Part of a newer generation of treatments for [[Alzheimer's Disease]], although no definitive proof exists as to whether it alters the progression of the disease.  
* The following is a list of Pharmacokinetic Parameters. See: [[Pharmaceutical Drugs]] for more information
* See [[Pharmaceutical Drugs]] for more information about other drugs and disorders


===Mechanism of Action===
===Mechanism of Action===
Galantamine is a potent [[Acetylcholinesterase]] (AChE) inhibitor to the active site of <scene name='Galantamine/Ache/1'>AChE</scene>. By inhibiting AChE, the important neurotransmitter, [[acetylcholine]], is degraded at a slower rate, helping reverse the marked decrease in neuronal function evident in [[Alzheimer's Disease]] patients. Galantamine binds to the same active site gorge as acetylcholine <scene name='Galantamine/Binding/1'>interacting with the residues</scene> Glu 199, Phe 330, Trp 84, His 440, Phe 288, PHe 290, Tyr 121, Phe 331, Gly 119, Ser 200, Gly 118, and Gly 117 to tightly bind to AChE.<ref name="Guillou">PMID:15563167</ref> These interactions, which are primarily hydrophobic and pi stacking interactions, allow Galantamine outcompete Acetylcholine for the AChE active site.


===Pharmacokinetics===
===Pharmacokinetics===
{| class="wikitable" border="1" width="52%" style="text-align:center"
<table style="background: cellspacing="0px" align="" cellpadding="0px" width="42%">  
|-
<tr>
!  colspan="7" align="center"| Aceylcholinesterase Inhibitor [[Pharmaceutical_Drugs#Pharmacokinetics_Translated|Pharmacokinetics]]<ref>PMID:17113365</ref><ref>PMID: 19935404</ref><ref>PMID:7605915</ref><ref>PMID:1404819</ref><ref>doi:10.1053/cp.1999.v66.103404001</ref><ref>doi:10.1038/sj.clpt.6100242</ref><ref>PMID:12734391</ref><ref>PMID: 11741490</ref>
<td style="width:100%; vertical-align:top;border-width:0px; border-style:inset">
|-
<div style="height:100%; width: 100%">
! Parameter
{{:Acetylcholinesterase Inhibitor Pharmacokinetics}}
! [[Donepezil]]
</div>
! [[Tacrine]]
</td>
! [[Rivastigmine]]
</tr>
! [[Galantamine]]
</table>
|-
! [[Pharmaceutical_Drugs#Tmax|T<sub>max</sub>]] (hr)
! 3.6
! 1.5
! .3
! 1.2
|-
! [[Pharmaceutical_Drugs#Cmax|C<sub>max</sub>]] (ng/ml)
! 6.5
! 15.7
! 29.3
! 42.6
|-
! [[Pharmaceutical_Drugs#Bioavailability_.28F.29|Bioavailability]] (%)
! 100
! 17
! 36
! 100
|-
! [[Pharmaceutical_Drugs#Protein_Binding|Protein Binding]] (%)
! 96
! 55
! 40
! 10
|-
! [[Pharmaceutical_Drugs#Half_Life_.28T1.2F2.29|T<sub>1/2</sub>]] (hr)
! 70
! 3
! 5
! 7.3
|-
! [[Pharmaceutical_Drugs#Area_Under_the_Curve_.28AUC.29|AUC]] (ng/ml/hr)
! 380
! 80.4
! 191
! 427
|-
! [[Pharmaceutical_Drugs#Inhibitory_Concentration_.28IC50.29|IC<sub>50</sub>]] (nM)
! 6.7 <br/>(Rat)
! 450 <br/>(Human)
! 1535 <br/>(Human)
! 1995 <br/>(Rat)
|-
! Dosage (mg)
! 5
! 160
! 6
! 8
|-
! Metabolism
! Hepatic (CYP2D6 & CYP3A4) & Cholinesterase
! Hepatic (CYP1A2) & Cholinesterase
! Cholinesterase
! Hepatic (CYP3A4 & CYP2D6) & Cholinesterase
|}


===References===
===References===

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David Canner