Memantine is the first in a novel class of Alzheimer's disease medications acting on the glutamatergic system. Memantine was developed by Merz and licensed to Forest for the U.S. and Lundbeck for selected European and international markets. Memantine is marketed under the brands Axura and Akatinol by Merz, Namenda by Forest and Ebixa by Lundbeck.
Pharmacology
NMDA receptor
A dysfunction of glutamatergic neurotransmission, manifested as
neuronal excitotoxicity, is involved in the
aetiology of
Alzheimer's disease. Targeting the glutamatergic system, specifically
NMDA receptors, offers a novel approach to treatment in view of the limited efficacy of existing drugs targeting the
cholinergic system.
[Cacabelos R, Takeda M, Winblad B. The glutamatergic system and neurodegeneration in dementia: preventive strategies in Alzheimer's disease. Int J Geriatr Psychiatry 1999;14(1):3-47. PMID 10029935]
Memantine is a low-affinity voltage-dependent uncompetitive antagonist at glutamatergic NMDA receptors. By binding to the NMDA receptor with a higher affinity than Mg2+ ions, memantine is able to inhibit the prolonged influx of Ca2+ ions which forms the basis of neuronal excitotoxicity. The low-affinity of memantine, however, preserves the physiological function of the receptor as it can still be activated by the relatively high concentrations of glutamate released following depolarisation of the presynaptic neuron.
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Memantine - Twitter SearchSide effects of Memantine http://t.co/KvVAwI6Gbodymindquest (Manura Nanayakkara) Thu, 09 Feb 2012 22:17:34 -0000
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memantine, Namenda, Namenda XR: Title: memantine, Namenda, Namenda XRCategory: MedicationsCreated: 11/3/2003 9:2... http://t.co/cypQjKJ1feelyourbest (Wellness Coach) Thu, 09 Feb 2012 17:34:29 -0000
memantine, Namenda, Namenda XR: Title: memantine, Namenda, Namenda XRCategory: MedicationsCreated: 11/3/2003 9:2... http://t.co/cypQjKJ1
Use and Side effects of Memantine http://t.co/Zv8wnuajMHManura (Dr Nanayakkara) Thu, 09 Feb 2012 17:28:45 -0000
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