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Details

Stereochemistry ABSOLUTE
Molecular Formula C17H21NO3.BrH
Molecular Weight 368.265
Optical Activity ( - )
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of Galantamine Hydrobromide

SMILES

Br.COC1=CC=C2CN(C)CC[C@@]34C=C[C@H](O)C[C@@H]3OC1=C24

InChI

InChIKey=QORVDGQLPPAFRS-XPSHAMGMSA-N
InChI=1S/C17H21NO3.BrH/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;1H/t12-,14-,17-;/m0./s1

HIDE SMILES / InChI

Molecular Formula C17H21NO3
Molecular Weight 287.3535
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula BrH
Molecular Weight 80.912
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/mesh/68005702 | https://www.ncbi.nlm.nih.gov/pubmed/12177686

Galantamine (RAZADYNE®, galantamine hydrobromide) is a benzazepine derived from norbelladine. It is found in Galanthus and other Amaryllidaceae. It is a reversible, competitive acetylcholinesterase inhibitor that is used for the treatment of mild to moderate dementia of the Alzheimer’s type. Although the etiology of cognitive impairment in Alzheimer’s disease is not fully understood, it has been reported that acetylcholine-producing neurons degenerate in the brains of patients with Alzheimer’s disease. The degree of this cholinergic loss has been correlated with degree of cognitive impairment and density of amyloid plaques (a neuropathological hallmark of Alzheimer’s disease). While the precise mechanism of galantamine’s (RAZADYNE®, galantamine hydrobromide) action is unknown, it is postulated to exert its therapeutic effect by enhancing cholinergic function. This is accomplished by increasing the concentration of acetylcholine through reversible inhibition of its hydrolysis by acetylcholinesterase. If this mechanism is correct, galantamine’s (RAZADYNE®, galantamine hydrobromide) effect may lessen as the disease process advances and fewer cholinergic neurons remain functionally intact. There is no evidence that galantamine (RAZADYNE®, galantamine hydrobromide) alters the course of the underlying dementing process.

Originator

Curator's Comment: # Janssen Pharmaceuticals, a division of Ortho-McNeil-Jannsen Pharmaceuticals

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
0.35 µM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Palliative
RAZADYNE

Approved Use

Galantamine hydrobromide is a cholinesterase inhibitor indicated for the treatment of mild to moderate dementia of the Alzheimer’s type.

Launch Date

2001
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
84.3 ng/mL
24 mg single, oral
dose: 24 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
GALANTAMINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1050 ng × h/mL
24 mg single, oral
dose: 24 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
GALANTAMINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.53 h
24 mg single, oral
dose: 24 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
GALANTAMINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
82%
GALANTAMINE plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
8 mg 2 times / day steady, oral
Dose: 8 mg, 2 times / day
Route: oral
Route: steady
Dose: 8 mg, 2 times / day
Sources:
unhealthy, 90 years
Health Status: unhealthy
Age Group: 90 years
Sex: M
Sources:
Disc. AE: Nightmares...
AEs leading to
discontinuation/dose reduction:
Nightmares (1 patient)
Sources:
32 mg 1 times / day steady, oral
Highest studied dose
Dose: 32 mg, 1 times / day
Route: oral
Route: steady
Dose: 32 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Other AEs: Nausea, Vomiting...
Other AEs:
Nausea (42%)
Vomiting (21%)
Diarrhea (16%)
Anorexia (15%)
Weight loss (8%)
Dizziness (15%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Nightmares 1 patient
Disc. AE
8 mg 2 times / day steady, oral
Dose: 8 mg, 2 times / day
Route: oral
Route: steady
Dose: 8 mg, 2 times / day
Sources:
unhealthy, 90 years
Health Status: unhealthy
Age Group: 90 years
Sex: M
Sources:
Anorexia 15%
32 mg 1 times / day steady, oral
Highest studied dose
Dose: 32 mg, 1 times / day
Route: oral
Route: steady
Dose: 32 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Dizziness 15%
32 mg 1 times / day steady, oral
Highest studied dose
Dose: 32 mg, 1 times / day
Route: oral
Route: steady
Dose: 32 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Diarrhea 16%
32 mg 1 times / day steady, oral
Highest studied dose
Dose: 32 mg, 1 times / day
Route: oral
Route: steady
Dose: 32 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Vomiting 21%
32 mg 1 times / day steady, oral
Highest studied dose
Dose: 32 mg, 1 times / day
Route: oral
Route: steady
Dose: 32 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Nausea 42%
32 mg 1 times / day steady, oral
Highest studied dose
Dose: 32 mg, 1 times / day
Route: oral
Route: steady
Dose: 32 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Weight loss 8%
32 mg 1 times / day steady, oral
Highest studied dose
Dose: 32 mg, 1 times / day
Route: oral
Route: steady
Dose: 32 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
inconclusive [Activation 15.8489 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >10 uM]
no [IC50 >133 uM]
no [IC50 >133 uM]
no [IC50 >133 uM]
no [IC50 >133 uM]
no
no
no
no
no (co-administration study)
Comment: Coadministration of Galantamine (multiple doses) had no effect on the pharmacokinetics of R-/S-Warfarin (CYP2C9 substrate)
Page: 4, 20, (ClinPharm) 34, 38-39
yes [IC50 0.6 uM]
no (co-administration study)
Comment: Coadministration of Galantamine (multiple doses) had no effect on the pharmacokinetics of Digoxin (P-gp substrate)
Page: 4, 20, (ClinPharm) 38, 40
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major [Km 187 uM]
yes (co-administration study)
Comment: Vmax = 5.2 nmol/mg protein/h (Pharmacogenetics, 9, 661 (1999)); Coadministration (multiple doses) of ketoconazole (strong CYP3A4 inhibitor, CYP2D6 inhibitor) and paroxetin (strong CYP2D6 inhibitor) increased Galantamine AUC by 30% and 40%.
Page: 2, 4, 19-20, (ClinPharm) 15, 38, 42-23, 45
major
yes (co-administration study)
Comment: Coadministration (multiple doses) of ketoconazole (strong CYP3A4 inhibitor, CYP2D6 inhibitor) increased Galantamine AUC by 30%. Coadministration of erythromycin (moderate CYP3A4 inhibitor) increased Galantamine AUC by only 10%.
Page: 2, 4, 19-20, (ClinPharm) 15, 38, 42-44
yes
Tox targets
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Structure of acetylcholinesterase complexed with (-)-galanthamine at 2.3 A resolution.
1999 Dec 17
Galantamine: a review of its use in Alzheimer's disease.
2000 Nov
Galantamine for Alzheimer's disease.
2001
Accurate prediction of the bound conformation of galanthamine in the active site of Torpedo californica acetylcholinesterase using molecular docking.
2001
Pharmacokinetic rationale for switching from donepezil to galantamine.
2001
Switching previous therapies for Alzheimer's disease to galantamine.
2001
Effects of washout and dose-escalation periods on the efficacy, safety, and tolerability of galantamine in patients previously treated with donepezil: ongoing clinical trials.
2001
Pharmacokinetic profiles of current therapies for Alzheimer's disease: implications for switching to galantamine.
2001
Therapeutic continuity in Alzheimer's disease: switching patients to galantamine. Introduction.
2001
Cholinesterase inhibitors for Alzheimer's disease.
2001
FDA approves galantamine for Alzheimer's disease.
2001 Apr 15
Medications for the treatment of Alzheimer's disease.
2001 Aug
[Perspectives for drug treatment in Alzheimer's disease].
2001 Dec
Current status and new developments with galantamine in the treatment of Alzheimer's disease.
2001 Dec
Three-dimensional structure of a complex of galanthamine (Nivalin) with acetylcholinesterase from Torpedo californica: implications for the design of new anti-Alzheimer drugs.
2001 Feb 1
Nicotinic receptor modulation: advantages for successful Alzheimer's disease therapy.
2002
[New theory! Galantamine and nicotinic-cholinergic transmission].
2002
Economic analysis of galantamine, a cholinesterase inhibitor, in the treatment of patients with mild to moderate Alzheimer's disease in the Netherlands.
2002
Assessment of Health Economics in Alzheimer's Disease (AHEAD): treatment with galantamine in Sweden.
2002
Pharmacokinetics and safety of galantamine in subjects with hepatic impairment and healthy volunteers.
2002 Apr
Efficacy of galantamine in probable vascular dementia and Alzheimer's disease combined with cerebrovascular disease: a randomised trial.
2002 Apr 13
Unconventional ligands and modulators of nicotinic receptors.
2002 Dec
A rapid TLC bioautographic method for the detection of acetylcholinesterase and butyrylcholinesterase inhibitors in plants.
2002 Jan-Feb
Galantamine for treatment-resistant schizophrenia.
2002 Jul
Galanthamine as bis-functional ligand for the acetylcholinesterase.
2002 Jun
Switching cholinesterase inhibitors in patients with Alzheimer's disease.
2002 Jun
Evidence that the clinical effects of cholinesterase inhibitors are related to potency and targeting of action.
2002 Jun
The tolerability and safety of cholinesterase inhibitors in the treatment of dementia.
2002 Jun
The efficacy of cholinesterase inhibitors in treating the behavioural symptoms of dementia.
2002 Jun
[Rivastigmine: a review of its clinical effectiveness].
2002 Nov 1-15
[Treatment of Alzheimer's disease].
2002 Nov 1-15
The rationale behind cholinergic drug treatment for dementia related to cerebrovascular disease.
2002 Nov 15
Treatment options: the latest evidence with galantamine (Reminyl).
2002 Nov 15
Use of galantamine to treat vascular dementia.
2002 Nov 9
Use of galantamine to treat vascular dementia.
2002 Nov 9
Galantamine improved cognition and global functioning in vascular dementia or Alzheimer disease with cerebrovascular disease.
2002 Nov-Dec
Cognitive pharmacotherapy of Alzheimer's disease and other dementias.
2002 Oct
A nitric oxide-donating flurbiprofen derivative reduces neuroinflammation without interacting with galantamine in the rat.
2002 Oct 25
The cholinergic approach for the treatment of vascular dementia: evidence from pre-clinical and clinical studies.
2002 Oct-Nov
Adjuvant galantamine administration improves negative symptoms in a patient with treatment-refractory schizophrenia.
2002 Sep-Oct
Patents

Sample Use Guides

The recommended starting dosage of RAZADYNE® tablets is 4 mg twice a day (8 mg/day). The dosage should be increased to the initial maintenance dosage of 8 mg twice a day (16 mg/day) after a minimum of 4 weeks. A further increase to 12 mg twice a day (24 mg/day) should be attempted after a minimum of 4 weeks at 8 mg twice a day (16 mg/day). Dosage increases should be based upon assessment of clinical benefit and tolerability of the previous dose.
Route of Administration: Oral
In Vitro Use Guide
Galanthamine was evaluated as inhibitor of human acetylcholinesterase activity from samples of postmortem human brain, fresh brain cortex biopsies and human erythrocytes. The respective galanthamine concentration exerting a half maximal effect (IC50) on acetylcholinesterase in postmortem human brain frontal cortex was 3.2 uM versus 2.8 uM in the hippocampus region. In addition, galanthamine was 10-fold less potent in inhibiting the enzyme activity from human brain that from human erythrocytes.
Substance Class Chemical
Created
by admin
on Wed Apr 02 10:41:04 GMT 2025
Edited
by admin
on Wed Apr 02 10:41:04 GMT 2025
Record UNII
MJ4PTD2VVW
Record Status Validated (UNII)
Record Version
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Name Type Language
NIVALIN
Preferred Name English
Galantamine Hydrobromide
EP   HSDB   JAN   MART.   MI   ORANGE BOOK   USAN   USP   VANDF   WHO-DD  
USAN  
Official Name English
JILKON HYDROBROMIDE
Common Name English
GALANTAMINE HYDROBROMIDE [MI]
Common Name English
GALANTAMINE HYDROBROMIDE [EP MONOGRAPH]
Common Name English
GALANTAMINE HYDROBROMIDE [USP MONOGRAPH]
Common Name English
GALANTAMINE HYDROBROMIDE [VANDF]
Common Name English
6H-Benzofuro[3a,3,2-ef][2]benzazepin-6-ol, 4a,5,9,10,11,12-hexahydro-3-methoxy-11-methyl-, hydrobromide, (4aS,6R,8aS)-
Systematic Name English
TAMILIN
Brand Name English
REMINYL
Brand Name English
GALANTAMINE HYDROBROMIDE [ORANGE BOOK]
Common Name English
(-)-GALANTAMINE HYDROBROMIDE
Common Name English
Galantamine hydrobromide [WHO-DD]
Common Name English
GALANTHAMINE HYDROBROMIDE
Common Name English
GALANTAMINE HYDROBROMIDE [USP-RS]
Common Name English
NIVALINE
Brand Name English
GALANTAMINE HYDROBROMIDE [HSDB]
Common Name English
GALANTAMINE HYDROBROMIDE [JAN]
Common Name English
RAZADYNE
Brand Name English
6H-Benzofuro[3a,3,2-ef][2]benzazepin-6-ol, 4a,5,9,10,11,12-hexahydro-3-methoxy-11-methyl-, hydrobromide (1:1), (4aS,6R,8aS)-
Systematic Name English
LYCOREMINE HYDROBROMIDE
Common Name English
GALANTAMINE HYDROBROMIDE [MART.]
Common Name English
GALANTAMINE HYDROBROMIDE [USAN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C47792
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
Code System Code Type Description
RS_ITEM_NUM
1287755
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
ChEMBL
CHEMBL659
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
PUBCHEM
121587
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
ECHA (EC/EINECS)
217-780-5
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
SMS_ID
100000090559
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
EPA CompTox
DTXSID4052768
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
HSDB
1953-04-4
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
FDA UNII
MJ4PTD2VVW
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
DRUG BANK
DBSALT000316
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
RXCUI
860693
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY RxNorm
EVMPD
SUB02301MIG
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
DAILYMED
MJ4PTD2VVW
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
CAS
1953-04-4
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
MERCK INDEX
m5640
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY Merck Index
NCI_THESAURUS
C47546
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
USAN
MM-35
Created by admin on Wed Apr 02 10:41:04 GMT 2025 , Edited by admin on Wed Apr 02 10:41:04 GMT 2025
PRIMARY
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