User:Mr. Ibrahem/Galantamine

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Mr. Ibrahem/Galantamine
Clinical data
Trade namesRazadyne, Reminyl, GalantaMind, others
Other namesGalantamine hydrobromide
AHFS/Drugs.comMonograph
MedlinePlusa699058
License data
Pregnancy
category
Routes of
administration
By mouth
Drug classAnticholinesterase inhibitor[2]
Legal status
Legal status
  • EU: Rx-only[3]
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability80–100%
Protein binding18%
MetabolismLiver partially CYP450:CYP2D6/3A4 substrate
Elimination half-life7 hours
ExcretionKidney (95%, of which 32% unchanged), fecal (5%)
Identifiers
  • (4aS,6R,8aS)-5,6,9,10,11,12-Hexahydro-3-methoxy-11-methyl-4aH-[1]benzofuro[3a,3,2-ef][2]benzazepin-6-ol
Chemical and physical data
FormulaC17H21NO3
Molar mass287.359 g·mol−1
3D model (JSmol)
Melting point126.5 °C (259.7 °F)
  • O(c2c1O[C@H]4C[C@@H](O)/C=C\[C@@]43c1c(cc2)CN(C)CC3)C
  • InChI=1S/C17H21NO3/c1-18-8-7-17-6-5-12(19)9-14(17)21-16-13(20-2)4-3-11(10-18)15(16)17/h3-6,12,14,19H,7-10H2,1-2H3/t12-,14-,17-/m0/s1 checkY
  • Key:ASUTZQLVASHGKV-JDFRZJQESA-N checkY
  (verify)

Galantamine, sold under the brand name Razadyne among others, is a medication used to treat mild to moderate Alzheimer's disease.[4][5] It may be used in dementia with Lewy bodies if other treatments are not tolerated.[2] In mild cognitive impairment it may worsen outcomes.[4] It is taken by mouth.[4]

Common side effect include arrhythmias, depression, diarrhea, sleepiness, hallucinationss, high blood pressure, and tremor.[2] Other side effects may include gastrointestinal bleeding, urinary retention, seizures, and Stevens-Johnson syndrome.[4] It is an anticholinesterase inhibitor which increases acetylcholine at cholinergic synapses in the brain.[2][4]

Galantamine was approved for medical use in the United States in 2001.[4] It is available as a generic medication.[2] In the United Kingdom it costs the NHS up to £80 for 4 weeks as of 2021.[2] This amount in the United States costs about 66 USD.[6]

References[edit]

  1. ^ a b "Galantamine Use During Pregnancy". Drugs.com. 18 February 2019. Archived from the original on 25 February 2020. Retrieved 24 February 2020.
  2. ^ a b c d e f g h i BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 318. ISBN 978-0857114105.
  3. ^ "Archive copy" (PDF). Archived (PDF) from the original on 2021-10-31. Retrieved 2021-09-26.{{cite web}}: CS1 maint: archived copy as title (link)
  4. ^ a b c d e f g "Galantamine Monograph for Professionals". Drugs.com. Archived from the original on 19 October 2021. Retrieved 2 December 2021.
  5. ^ Birks J (January 2006). Birks JS (ed.). "Cholinesterase inhibitors for Alzheimer's disease". The Cochrane Database of Systematic Reviews (1): CD005593. doi:10.1002/14651858.CD005593. PMID 16437532.
  6. ^ "Galantamine Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 19 October 2021. Retrieved 2 December 2021.