Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C11H21N.ClH |
| Molecular Weight | 203.752 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 3 / 3 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.CN[C@@]1(C)[C@@H]2CC[C@@H](C2)C1(C)C
InChI
InChIKey=PKVZBNCYEICAQP-GSTSRXQZSA-N
InChI=1S/C11H21N.ClH/c1-10(2)8-5-6-9(7-8)11(10,3)12-4;/h8-9,12H,5-7H2,1-4H3;1H/t8-,9+,11-;/m0./s1
| Molecular Formula | C11H21N |
| Molecular Weight | 167.2911 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 3 / 3 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
| Molecular Formula | ClH |
| Molecular Weight | 36.461 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
Mecamylamine (Inversine), the first orally available
antihypertensive agent, is now rarely used. Introduced as a therapeutic agent
for the treatment of hypertension in the 1950s,
mecamylamine was the first useful ganglionic blocking
agent that was not a quarternary ammonium
compound. Mecamylamine is indicated for the management of moderately severe to severe essential hypertension and in uncomplicated cases of malignant hypertension. Mecamylamine reduces blood pressure in both normotensive and hypertensive individuals. A small oral dosage often produces a smooth and predictable reduction of blood pressure. Although this antihypertensive effect is predominantly orthostatic, the supine blood pressure is also significantly reduced. Mecamylamine is a nicotinic parasympathetic ganglionic blocker. Mecamylamine administration produces several deleterious side-effects at therapeutically relevant doses. As such, mecamylamine’s use as an antihypertensive agent was phased out, except in severe hypertension. Mecamylamine easily traverses the blood-brain barrier to reach the central nervous system (CNS), where it acts as a nicotinic acetylcholine receptor (nAChR) antagonist, inhibiting all known nAChR subtypes. Since nAChRs play a major role in numerous physiological and pathological processes, it is not surprising that mecamylamine has been evaluated for its potential therapeutic effects in a wide variety of CNS disorders, including addiction.
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23603417
Curator's Comment: Mecamylamine was introduced originally by Merck & Co., Inc. as an antihypertensive agent # Merck & Co.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
| 0.6 µM [Ki] | |||
Target ID: CHEMBL1907589 Sources: https://www.ncbi.nlm.nih.gov/pubmed/11303054 |
2.5 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | INVERSINE Approved UseFor the management of moderately severe to severe essential hypertension and in uncomplicated cases of malignant hypertension. Launch Date1956 |
|||
| Primary | Unknown Approved UseUnknown |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7.89 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
23.68 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
7.5 mg single, oral dose: 7.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
115.3 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
149.3 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
150.6 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
352.3 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
7.5 mg single, oral dose: 7.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
467.3 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
7.5 mg single, oral dose: 7.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
472.6 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
7.5 mg single, oral dose: 7.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
10.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
2.5 mg single, oral dose: 2.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
10.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/11354389 |
7.5 mg single, oral dose: 7.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MECAMYLAMINE HYDROCHLORIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/10594335/ |
yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Prenatal nicotinic exposure upregulates pulmonary C-fiber NK1R expression to prolong pulmonary C-fiber-mediated apneic response. | 2016-01-01 |
|
| The effects of nicotine and tobacco particulate matter on dopamine uptake in the rat brain. | 2014-02 |
|
| Gestational exposure of mice to secondhand cigarette smoke causes bronchopulmonary dysplasia blocked by the nicotinic receptor antagonist mecamylamine. | 2013-08 |
|
| Discovery of isoxazole analogues of sazetidine-A as selective α4β2-nicotinic acetylcholine receptor partial agonists for the treatment of depression. | 2011-10-27 |
|
| Neurotoxicity induced by okadaic acid in the human neuroblastoma SH-SY5Y line can be differentially prevented by α7 and β2* nicotinic stimulation. | 2011-09 |
|
| Association of the histidine-triad nucleotide-binding protein-1 (HINT1) gene variants with nicotine dependence. | 2011-08 |
|
| Ryanodine receptor-2 upregulation and nicotine-mediated plasticity. | 2011-01-05 |
|
| ACSL6 is associated with the number of cigarettes smoked and its expression is altered by chronic nicotine exposure. | 2011 |
|
| Repetitive nicotine exposure leads to a more malignant and metastasis-prone phenotype of SCLC: a molecular insight into the importance of quitting smoking during treatment. | 2010-08 |
|
| Nicotinic receptor-mediated reduction in L-DOPA-induced dyskinesias may occur via desensitization. | 2010-06 |
|
| Activation and inhibition of mouse muscle and neuronal nicotinic acetylcholine receptors expressed in Xenopus oocytes. | 2010-05 |
|
| Neuronal nicotinic acetylcholine receptors as pharmacotherapeutic targets for the treatment of alcohol use disorders. | 2010-03 |
|
| The limbic circuitry underlying cocaine seeking encompasses the PPTg/LDT. | 2009-10 |
|
| Effects of mecamylamine on nicotine-induced conditioned hyperactivity and sensitization in differentially reared rats. | 2009-07 |
|
| Nicotine anxiogenic and rewarding effects are decreased in mice lacking beta-endorphin. | 2009-06 |
|
| Corticotropin-releasing factor within the central nucleus of the amygdala and the nucleus accumbens shell mediates the negative affective state of nicotine withdrawal in rats. | 2009-06 |
|
| Cardiovascular effect of peripheral injected melittin in normotensive conscious rats: Mediation of the central cholinergic system. | 2009-04-14 |
|
| Enhanced nicotine sensitivity in nociceptin/orphanin FQ receptor knockout mice. | 2009-04 |
|
| Distinct effects of nociceptin analogs on scopolamine-induced memory impairment in mice. | 2009-01-14 |
|
| Protective effects of mecamylamine and atropine against α(4)β(2) nicotinic receptor expression and functional toxicity in paraoxon-treated rats. | 2008-09 |
|
| Nicotinic signaling ameliorates acute bladder inflammation induced by protamine sulfate or cyclophosphamide. | 2008-06 |
|
| Receptor-mediated tobacco toxicity: acceleration of sequential expression of alpha5 and alpha7 nicotinic receptor subunits in oral keratinocytes exposed to cigarette smoke. | 2008-05 |
|
| Involvement of dorsal hippocampal nicotinic receptors in the effect of morphine on memory retrieval in passive avoidance task. | 2008-04-28 |
|
| Glutamatergic contributions to nicotinic acetylcholine receptor agonist-evoked cholinergic transients in the prefrontal cortex. | 2008-04-02 |
|
| Differential role of nicotinic acetylcholine receptor subunits in physical and affective nicotine withdrawal signs. | 2008-04 |
|
| Mecamylamine prevents neuronal apoptosis induced by glutamate and low potassium via differential anticholinergic-independent mechanisms. | 2008-03 |
|
| Nicotine-induced dystonic arousal complex in a mouse line harboring a human autosomal-dominant nocturnal frontal lobe epilepsy mutation. | 2007-09-19 |
|
| The involvement of the central cholinergic system in the pressor and bradycardic effects of centrally administrated melittin in normotensive conscious rats. | 2007-04 |
|
| Nicotinic modulation of gene expression in SH-SY5Y neuroblastoma cells. | 2006-10-20 |
|
| The nicotinic receptor antagonists abolish pathobiologic effects of tobacco-derived nitrosamines on BEP2D cells. | 2006-10 |
|
| Nicotine attenuates beta-amyloid-induced neurotoxicity by regulating metal homeostasis. | 2006-06 |
|
| Nicotine prevents experimental parkinsonism in rodents and induces striatal increase of neurotrophic factors. | 1998-12 |
|
| Anti-nicotinic properties of anticholinergic antiparkinson drugs. | 1998-11 |
|
| Rat alpha3/beta4 subtype of neuronal nicotinic acetylcholine receptor stably expressed in a transfected cell line: pharmacology of ligand binding and function. | 1998-08 |
|
| [Assessment of anti-tremorogenic drugs--nicotine-induced tail-tremor model]. | 1997-06 |
|
| Role of central nicotinic and beta-adrenergic receptors in the onset and further development of tail-tremor induced by repeated nicotine administration to rats. | 1997-05 |
|
| [3H]benzylpempidine, a new radioligand for probing a putative channel site on nicotinic cholinergic receptors. | 1997 |
|
| Tacrine interacts with an allosteric activator site on alpha 4 beta 2 nAChRs in M10 cells. | 1996-09-02 |
|
| 5HT3 receptor antagonists do not block nicotine induced hyperactivity in rats. | 1995-05 |
|
| The role of brain acetylcholine in phenol-induced tremor in mice. | 1995-05 |
|
| Characteristics of tail-tremor induced by nicotine in rats. | 1994-08 |
|
| Nicotine-sensitive paresis. | 1992-02 |
|
| Evidence for an involvement of D1 and D2 dopamine receptors in mediating nicotine-induced hyperactivity in rats. | 1991 |
|
| Nicotine-induced tail-tremor and drug effects. | 1989-12 |
|
| The effect of cholinergic stimulation in the nucleus accumbens on locomotor behavior. | 1988-02-16 |
|
| Mecamylamine blockade of nicotine responses: evidence for two brain nicotinic receptors. | 1986-06 |
|
| Neuropharmacology of the parasitic trematode, Schistosoma mansoni. | 1983-01 |
|
| Pharmacokinetics of nicotine in adult and infant mice. | 1977-12 |
|
| Effect of cholingeric drugs on methadone-induced catalepsy and stereotypies in rats treated chronically with methadone. | 1976-10 |
|
| Effects of ganglion blocking agents on nicotine extensor convulsions and lethality in mice. | 1969-09 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/mecamylamine.html
Usual Adult Dose for Hypertension
2.5 mg orally twice a day; may increase by one 2.5 mg tablet at intervals of 2 days or more until desired blood pressure response is achieved.
Comments:
-The average total daily dose is 25 mg, usually in 3 divided doses; however, 2.5 mg daily may be sufficient. Partial tolerance may develop in certain patients, which requires an increase in the total daily dose.
-Four or more doses may be required when smooth control is difficult to obtain.
-Titration should be determined by blood pressure readings in the erect position at the time of maximal effect of this drug, as well as by signs and symptoms of orthostatic hypotension. In severe or urgent cases, titration at larger increments and shorter intervals may be needed.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/11303054
Curator's Comment: Racemic mecamylamine and its stereoisomers
were tested for their ability to inhibit the ACh-evoked
responses of a4b2, a3b4, a3b2, and a7 type receptors expressed
in Xenopus oocytes.
10 uM of either mecamylamine stereoisomer produced significant inhibition
of the nAChR subtypes.
| Substance Class |
Chemical
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4956DJR58O
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C66886
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