Rimantadine

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(New page: <applet load="" size="480" color="" frame="true" spin="on" Scene ="Tacrine/Tacrine/3" align="right" caption="Tacrine, also known as Cognex"/> ===Better Known as: Cognex=== * Marketed By...)
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<applet load="" size="480" color="" frame="true" spin="on" Scene ="Tacrine/Tacrine/3" align="right" caption="Tacrine, also known as Cognex"/>
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<applet load="" size="480" color="" frame="true" spin="on" Scene ="" align="right" caption="Rimantadine, also known as Flumadine"/>
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===Better Known as: Cognex===
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===Better Known as: Flumadine===
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* Marketed By: Parke Davis Pharmaceuticals <br />
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* Marketed By: Forest Labs<br />
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* Major Indication: [[Alzheimer's Disease]]<br />
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* Major Indication: [[Influenza]] Infection<br />
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* Drug Class: [[Acetylcholinesterase]] Inhibitor
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* Drug Class: [[M2 Proton Channel]] Inhibitor
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* Date of FDA Approval (Patent Expiration): 1993 (N/A)<br />
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* Date of FDA Approval (Patent Expiration): 1993 (2001)<br />
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* 1994 Sales: $100 Million
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* 1994 Sales: N/A
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* 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.
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* Importance: One of the the first treatments for [[Influenza]] Infections. Since 1994, nearly 100% of influenza viruses had developed resistance to rimantadine, and it is no longer recommended as a treatment for the flu.
* The following is a list of Pharmacokinetic Parameters. See: [[Pharmaceutical Drugs]] for more information
* The following is a list of Pharmacokinetic Parameters. See: [[Pharmaceutical Drugs]] for more information
===Mechanism of Action===
===Mechanism of Action===
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Tacrine is an [[Acetylcholinesterase]] (AChE) inhibitor. It binds to the active site of <scene name='Tacrine/Ache/1'>AChE</scene>, utilizing many of the same residues which <scene name='Tacrine/Ac/1'>bind and break down acetylcholine</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. Tacrine <scene name='Tacrine/Bound/2'>primarily interacts with residues</scene> Phe 330, His 440, Trp 84, & Ser 200 in tightly binding to the AChE binding site via pi stacking interactions. It is clearly visible how <scene name='Tacrine/Inter/3'>Tacrine interferes</scene> with the binding of acetylcholine, outcompeting acetylcholine for nearly the same space in the active site. <ref>PMID:8415649</ref>
 
===Pharmacokinetics===
===Pharmacokinetics===
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! [[Pharmaceutical_Drugs#Bioavailability_.28F.29|Bioavailability]] (%)
! [[Pharmaceutical_Drugs#Bioavailability_.28F.29|Bioavailability]] (%)
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! [[Rimantadine]]
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! >90
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! [[Amantadine]]
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! >90
|-
|-
! [[Pharmaceutical_Drugs#Protein_Binding|Protein Binding]] (%)
! [[Pharmaceutical_Drugs#Protein_Binding|Protein Binding]] (%)
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! [[Rimantadine]]
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! 40
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! [[Amantadine]]
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! 67
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|-
! [[Pharmaceutical_Drugs#Half_Life_.28T1.2F2.29|T<sub>1/2</sub>]] (hr)
! [[Pharmaceutical_Drugs#Half_Life_.28T1.2F2.29|T<sub>1/2</sub>]] (hr)
! 27.7
! 27.7
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! [[Amantadine]]
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! ~15
|-
|-
! [[Pharmaceutical_Drugs#Area_Under_the_Curve_.28AUC.29|AUC]] (ng/ml/hr)
! [[Pharmaceutical_Drugs#Area_Under_the_Curve_.28AUC.29|AUC]] (ng/ml/hr)
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! [[Pharmaceutical_Drugs#Clearance_.28Cl.29|Clearance]] (L/h)
! [[Pharmaceutical_Drugs#Clearance_.28Cl.29|Clearance]] (L/h)
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! [[Rimantadine]]
 
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! [[Amantadine]]
 
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|-
 
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! [[Pharmaceutical_Drugs#Inhibitory_Concentration_.28IC50.29|IC<sub>50</sub>]] (nM)
 
! [[Rimantadine]]
! [[Rimantadine]]
! [[Amantadine]]
! [[Amantadine]]

Revision as of 12:30, 6 December 2010

Rimantadine, also known as Flumadine

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Better Known as: Flumadine

  • Marketed By: Forest Labs
  • Major Indication: Influenza Infection
  • Drug Class: M2 Proton Channel Inhibitor
  • Date of FDA Approval (Patent Expiration): 1993 (2001)
  • 1994 Sales: N/A
  • Importance: One of the the first treatments for Influenza Infections. Since 1994, nearly 100% of influenza viruses had developed resistance to rimantadine, and it is no longer recommended as a treatment for the flu.
  • The following is a list of Pharmacokinetic Parameters. See: Pharmaceutical Drugs for more information

Mechanism of Action

Pharmacokinetics

M2 Proton Channel Inhibitor Pharmacokinetics[1]
Parameter Rimantadine Amantadine
Tmax (hr) 4.3 Amantadine
Cmax (ng/ml) 310 Amantadine
Bioavailability (%) >90 >90
Protein Binding (%) 40 67
T1/2 (hr) 27.7 ~15
AUC (ng/ml/hr) 11917 Amantadine
Clearance (L/h) Rimantadine Amantadine
Dosage (mg) 100 Amantadine
Metabolism Rimantadine Amantadine

References

  1. Anderson EL, Van Voris LP, Bartram J, Hoffman HE, Belshe RB. Pharmacokinetics of a single dose of rimantadine in young adults and children. Antimicrob Agents Chemother. 1987 Jul;31(7):1140-2. PMID:3662473


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David Canner, Alexander Berchansky

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