Rimantadine

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Tacrine, also known as Cognex

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Better Known as: Cognex

  • Marketed By: Parke Davis Pharmaceuticals
  • Major Indication: Alzheimer's Disease
  • Drug Class: Acetylcholinesterase Inhibitor
  • Date of FDA Approval (Patent Expiration): 1993 (N/A)
  • 1994 Sales: $100 Million
  • 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.
  • The following is a list of Pharmacokinetic Parameters. See: Pharmaceutical Drugs for more information

Mechanism of Action

Tacrine is an Acetylcholinesterase (AChE) inhibitor. It binds to the active site of , utilizing many of the same residues which . 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 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 with the binding of acetylcholine, outcompeting acetylcholine for nearly the same space in the active site. [1]

Pharmacokinetics

M2 Proton Channel Inhibitor Pharmacokinetics[2]
Parameter Rimantadine Amantadine
Tmax (hr) 4.3 Amantadine
Cmax (ng/ml) 310 Amantadine
Bioavailability (%) Rimantadine Amantadine
Protein Binding (%) Rimantadine Amantadine
T1/2 (hr) 27.7 Amantadine
AUC (ng/ml/hr) 11917 Amantadine
Clearance (L/h) Rimantadine Amantadine
IC50 (nM) Rimantadine Amantadine
Dosage (mg) 100 Amantadine
Metabolism Rimantadine Amantadine

References

  1. Harel M, Schalk I, Ehret-Sabatier L, Bouet F, Goeldner M, Hirth C, Axelsen PH, Silman I, Sussman JL. Quaternary ligand binding to aromatic residues in the active-site gorge of acetylcholinesterase. Proc Natl Acad Sci U S A. 1993 Oct 1;90(19):9031-5. PMID:8415649
  2. 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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