Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C12H21N |
| Molecular Weight | 179.3018 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 2 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC12CC3CC(C)(C1)CC(N)(C3)C2
InChI
InChIKey=BUGYDGFZZOZRHP-UHFFFAOYSA-N
InChI=1S/C12H21N/c1-10-3-9-4-11(2,6-10)8-12(13,5-9)7-10/h9H,3-8,13H2,1-2H3
| Molecular Formula | C12H21N |
| Molecular Weight | 179.3018 |
| Charge | 0 |
| Count |
|
| Stereochemistry | MIXED |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 2 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionSources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/021487s010s012s014,021627s008lbl.pdfCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/9120573
Sources: http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/021487s010s012s014,021627s008lbl.pdf
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/9120573
NAMENDA (marketed under the brands Namenda among others) is an N-methyl-D-aspartate (NMDA) receptor antagonist indicated for the treatment of moderate to severe dementia of the Alzheimer’s type. Persistent activation of central nervous system N-methyl-D-aspartate (NMDA) receptors by the excitatory amino acid glutamate has been hypothesized to contribute to the symptomatology of Alzheimer’s disease. Memantine is postulated to exert its therapeutic effect through its action as a low to moderate affinity uncompetitive (open-channel) NMDA receptor antagonist which binds preferentially to the NMDA receptor-operated cation channels. There is no evidence that memantine prevents or slows neurodegeneration in patients with Alzheimer’s disease. Memantine showed low to negligible affinity for GABA, benzodiazepine, dopamine, adrenergic, histamine and glycine receptors and for voltage-dependent Ca2+, Na+ or K+ channels. Memantine also showed antagonistic effects at the 5HT3 receptor with a potency similar to that for the NMDA receptor and blocked nicotinic acetylcholine receptors with one-sixth to one-tenth the potency. In vitro studies have shown that memantine does not affect the reversible inhibition of acetylcholinesterase by donepezil, galantamine, or tacrine.
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=15717010
Curator's Comment: Memantine was first synthesized by Eli Lilly and Company and patented in 1968, as documented in the Merck Index, as a derivative of amantadine, an anti-influenza agent.
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2094124 Sources: https://www.ncbi.nlm.nih.gov/pubmed/9120573 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | NAMENDA Approved UseNamenda (memantine hydrochloride) is indicated for the treatment of moderate to severe dementia of the Alzheimer's type. Launch Date2003 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
6.2 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
25.34 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
19.69 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
5 mg 14 times / 2 weeks multiple, oral dose: 5 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
540 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
1853 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
386.37 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
5 mg 14 times / 2 weeks multiple, oral dose: 5 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
66.86 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
62 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
64.57 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/18498913 |
5 mg 14 times / 2 weeks multiple, oral dose: 5 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
MEMANTINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-487_Namenda_Bioeqr_P1.pdf#page=12 Page: 12.0 |
no | |||
| yes [Ki 236 uM] | ||||
| yes [Ki 3.7 uM] | ||||
| yes [Ki 7.3 uM] |
Drug as victim
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-487_Namenda_Pharmr_P1.pdf#page=16 Page: 16.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Glial activation and post-synaptic neurotoxicity: the key events in Streptozotocin (ICV) induced memory impairment in rats. | 2014-02 |
|
| Memantine in patients with moderate to severe Alzheimer's disease: meta-analyses using realistic definitions of response. | 2014 |
|
| The role of memantine in the treatment of psychiatric disorders other than the dementias: a review of current preclinical and clinical evidence. | 2012-08-01 |
|
| Memantine prevents aluminum-induced cognitive deficit in rats. | 2011-11-20 |
|
| [Effects of electroacupuncture on expression of Abeta positive cells of the hippocampus and SOD activity in rats with streptozocin-Alzheimer's disease]. | 2010-12 |
|
| Memantine is a useful drug to prevent the spatial and non-spatial memory deficits induced by methamphetamine in rats. | 2010-11 |
|
| Antinociceptive Effect of Memantine and Morphine on Vincristine-induced Peripheral Neuropathy in Rats. | 2010-09 |
|
| Sensitive and rapid HPLC method for determination of memantine in human plasma using OPA derivatization and fluorescence detection: application to pharmacokinetic studies. | 2010-08-30 |
|
| Protective effects of memantine and epicatechin on catechol-induced toxicity on Müller cells in vitro. | 2010-05-27 |
|
| Memantine ameliorates scopolamine-induced amnesia in chicks trained on taste-avoidance learning. | 2010-05 |
|
| Inhibition of apoptosis in human retinal pigment epithelial cells treated with benzo(e)pyrene, a toxic component of cigarette smoke. | 2010-05 |
|
| NMDA antagonist memantine improves levodopa-induced dyskinesias and "on-off" phenomena in Parkinson's disease. | 2010-03-15 |
|
| Protection of DFP-induced oxidative damage and neurodegeneration by antioxidants and NMDA receptor antagonist. | 2009-10-15 |
|
| Memanti-nium chloride 0.1-hydrate. | 2009-08-19 |
|
| Treatment of acquired periodic alternating nystagmus with memantine: a case report. | 2009-06-11 |
|
| Characteristic effects of anti-dementia drugs on rat sleep patterns. | 2009-03 |
|
| Memantine dosing in patients with dementia. | 2009-02 |
|
| Role of N-methyl-D-aspartate receptors in polychlorinated biphenyl mediated neurotoxicity. | 2009-01-10 |
|
| Effects of memantine on neuronal structure and conditioned fear in the Tg2576 mouse model of Alzheimer's disease. | 2008-12 |
|
| Profound pain reduction after induction of memantine treatment in two patients with severe phantom limb pain. | 2008-10 |
|
| Ca2+ inhibits the association of memantine with N-methyl-D-aspartate (NMDA) receptor-gated ion channels. | 2008-09 |
|
| Does memantine induce bradycardia? A study in the French PharmacoVigilance Database. | 2008-09 |
|
| Methylmercury increases N-methyl-D-aspartate receptors on human SH-SY 5Y neuroblastoma cells leading to neurotoxicity. | 2008-07-30 |
|
| Memantine prevents the cognitive impairment induced by 3,4-methylenedioxymethamphetamine in rats. | 2008-07-28 |
|
| Galantamine-induced pisa syndrome: memantine as an alternative. | 2008-06 |
|
| Memantine-induced hepatitis with cholestasis in a very elderly patient. | 2008-04-15 |
|
| Memantine-induced myoclonus and delirium exacerbated by trimethoprim. | 2008-03 |
|
| Memantine for agitation/aggression and psychosis in moderately severe to severe Alzheimer's disease: a pooled analysis of 3 studies. | 2008-03 |
|
| Memantine and NMDA antagonism for chronic migraine: a potentially novel therapeutic approach? | 2008-02 |
|
| [Therapy of Alzheimer's disease: current status and future development]. | 2008 |
|
| The attenuating effect of memantine on staurosporine-, salsolinol- and doxorubicin-induced apoptosis in human neuroblastoma SH-SY5Y cells. | 2007-08-21 |
|
| Exacerbation of myoclonus by memantine in a patient with Alzheimer disease. | 2007-08 |
|
| Memantine as adjunctive therapy in children diagnosed with autistic spectrum disorders: an observation of initial clinical response and maintenance tolerability. | 2007-05 |
|
| Visual hallucinations and agitation in Alzheimer's disease due to memantine: report of three cases. | 2007-05 |
|
| Safety and tolerability of once-daily versus twice-daily memantine: a randomised, double-blind study in moderate to severe Alzheimer's disease. | 2007-03 |
|
| A retrospective study of memantine in children and adolescents with pervasive developmental disorders. | 2007-03 |
|
| Simultaneous liquid chromatographic assay of amantadine and its four related compounds in phosphate-buffered saline using 4-fluoro-7-nitro-2,1,3-benzoxadiazole as a fluorescent derivatization reagent. | 2006-05 |
|
| Effect of BD 1047, a sigma1 receptor antagonist, in the animal models predictive of antipsychotic activity. | 2006-02-22 |
|
| Memantine: a review of its use in Alzheimer's disease. | 2006 |
|
| Exacerbation of Lewy bodies dementia due to memantine. | 2005-12 |
|
| Delusions and hallucinations in dementia with Lewy bodies: worsening with memantine. | 2005-08-09 |
|
| Development of subtle psychotic symptoms with memantine: a case report. | 2005-05 |
|
| A comparison of the predictive therapeutic and undesired side-effects of the NMDA receptor antagonist, memantine, in mice. | 2005-05 |
|
| Effect of NMDA receptor antagonists on behavioral impairment induced by chronic treatment with dexamethasone. | 2004-07-20 |
|
| How to overcome resistance of influenza A viruses against adamantane derivatives. | 1998-02 |
|
| Inhibition by memantine of the development of persistent oral dyskinesias induced by long-term haloperidol treatment of rats. | 1996-10 |
|
| Pharmacotoxic psychosis after memantine in Parkinson's disease. | 1991-10-19 |
|
| Susceptibility of primary human glial fibrillary acidic protein-positive brain cells to human immunodeficiency virus infection in vitro: anti-HIV activity of memantine. | 1991-01 |
|
| Methyl parathion acute toxicity: prophylaxis and therapy with memantine and atropine. | 1990-05-01 |
|
| [Memantine and neurogenic bladder disorders within the bounds of spastic conditions]. | 1982 |
Sample Use Guides
Initial dose is 5 mg once daily. Increase dose in 5 mg increments to a maintenance dose of 10 mg twice daily. A minimum of 1 week of treatment with the previous dose should be observed before increasing the dose.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19948208
Neuronal SK-N-SH cells were treated with 10 uM memantine and was measured levels of secreted total A beta precursor protein APP (sAPP), APP alpha isoform and A beta((1-40)) in a time dependent manner for up to 24h. Memantine significantly decreased the levels of the secreted form of sAPP, sAPP alpha and A beta((1-40)) compared to vehicle treated cells.
| Substance Class |
Chemical
Created
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| Record UNII |
W8O17SJF3T
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| Record Status |
Validated (UNII)
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NCI_THESAURUS |
C1509
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NDF-RT |
N0000020015
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NCI_THESAURUS |
C38149
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WHO-ATC |
N06DX01
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WHO-ATC |
N06DA52
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WHO-VATC |
QN06DA52
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NDF-RT |
N0000175745
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WHO-VATC |
QN06DX01
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LIVERTOX |
NBK547981
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WHO-ATC |
N06DA53
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NDF-RT |
N0000020015
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EMA ASSESSMENT REPORTS |
NEMDATINE (AUTHORIZED: ALZHEIMER DISEASE)
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6719
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3952
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C73269
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NCT03527472
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PRIMARY | Memantine for the Treatment of Cognitive Impairment in Systemic Lupus Erythematosus (ClearMEMory) | ||
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DB01043
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MEMANTINE
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m7167
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PRIMARY | Merck Index | ||
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D008559
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CHEMBL807
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64312
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| Related Record | Type | Details | ||
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TARGET -> INHIBITOR |
ALZHEIMERS DISEASE DRUG ANTAGONIZING NMDA RECEPTOR, ANTAGONISM OF .ALPHA.7 NACHR IS A SIDE PATHWAY.
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TRANSPORTER -> INHIBITOR | |||
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BINDER->LIGAND |
BINDING
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TRANSPORTER -> INHIBITOR | |||
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EXCRETED UNCHANGED |
AMOUNT EXCRETED
URINE
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SALT/SOLVATE -> PARENT |
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TRANSPORTER -> SUBSTRATE | |||
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TRANSPORTER -> INHIBITOR |
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METABOLITE INACTIVE -> PARENT |
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ACTIVE MOIETY |
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Tmax | PHARMACOKINETIC |
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ORAL ADMINISTRATION |
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| Biological Half-life | PHARMACOKINETIC |
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Elimination PHARMACOKINETIC |
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| Volume of Distribution | PHARMACOKINETIC |
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