Kalpana Kalpana (Editor)

Tetrabenazine

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Trade names
  
Xenazine, Nitoman

ATC code
  
N07XX06 (WHO)

CAS ID
  
58-46-8

Pregnancy category
  
C

Legal status
  
US: ℞-only

Molar mass
  
317.427 g/mol

Tetrabenazine

AHFS/Drugs.com
  
Consumer Drug Information

Routes of administration
  
Oral (tablets, 12.5 and 25 mg)

Medical vocabulary what does tetrabenazine mean


Tetrabenazine is a drug for the symptomatic treatment of hyperkinetic movement disorders. It is marketed under the trade names Nitoman in Canada and Xenazine in New Zealand, some parts of Europe and in the United States as an orphan drug. On August 15, 2008, the U.S. Food and Drug Administration approved the use of tetrabenazine to treat chorea associated with Huntington's disease. Although other drugs had been used "off label," tetrabenazine was the first approved treatment for Huntington's disease in the U.S. The compound has been known since the 1950s.

Contents

Huntington s drugs tetrabenazine reserpine haloperidol


Pharmacology

The precise mechanism of action of tetrabenazine is unknown. Its anti-chorea effect is believed to be due to a reversible depletion of monoamines such as dopamine, serotonin, norepinephrine, and histamine from nerve terminals. Tetrabenazine reversibly inhibits vesicular monoamine transporter 2, resulting in decreased uptake of monamines into synaptic vesicles, as well as depletion of monoamine storage.

Uses

Tetrabenazine is used as a treatment, but not as a cure, for hyperkinetic disorders such as:

  • Huntington's disease – specifically, the chorea associated with it
  • Tourette syndrome and other tic disorders
  • Tardive dyskinesia, a serious and sometimes irreversible side effect of long-term use of many antipsychotics, mainly typical antipsychotics
  • Hemiballismus, spontaneous flinging limb movements due to contra-lateral subthalamic nucleus damage
  • Side effects

    The most common adverse reactions, which have occurred in at least 10% of subjects in studies and at least 5% greater than in subjects who received placebo, have been: sedation or somnolence, fatigue, insomnia, depression, suicidal thoughts, akathisia, anxiety and nausea.

    Warnings

    There is a boxed warning associated with the use of tetrabenazine:

  • Increases the risk of depression and suicidal thoughts and behavior in patients with Huntington's disease
  • Balance risks of depression and suicidality with the clinical need for control of chorea when considering the use of tetrabenazine
  • Monitor patients for emergence or worsening of depression, suicidality or unusual changes in behavior
  • Inform patients, caregivers and families of the risk of depression and suicidality and instruct to report behaviours of concern promptly to the treating physician
  • Exercise caution when treating patients with a history of depression or prior suicide attempts or ideation
  • Tetrabenazine is contraindicated in patients who are actively suicidal and in patients with untreated or inadequately treated depression
  • References

    Tetrabenazine Wikipedia