Name: | cevimeline |
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PubChem Compound ID: | 11041760 |
Molecular formula: | C10H17NOS |
Molecular weight: | 199.314 g/mol |
Name: | cevimeline |
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Name (isomeric): | DB00185 |
Drug Type: | small molecule |
Synonyms: |
Cevimeline hydrochloride hydrate; Cevimeline hydrochloride hemihydrate; Cevimeline hydrochloride
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Brand: | Evoxac, Saligren |
Category: | Parasympathomimetics, Muscarinic Agonists |
CAS number: | 107233-08-9 |
Indication: | For the treatment of symptoms of dry mouth in patients with Sjögren's Syndrome. |
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Pharmacology: | Cevimeline is a cholinergic agonist which binds to muscarinic receptors. Muscarinic agonists in sufficient dosage can increase secretion of exocrine glands, such as salivary and sweat glands and increase tone of the smooth muscle in the gastrointestinal and urinary tracts. |
Mechanism of Action: |
Muscarinic agonists such as cevimeline bind and activate the muscarinic M1 and M3 receptors. The M1 receptors are common in secretory glands (exocrine glands such as salivary and sweat glands), and their activation results in an increase in secretion from the secretory glands. The M3 receptors are found on smooth muscles and in many glands which he...
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Absorption: | Rapidly absorbed with peak concentration after 1.5 to 2 hours |
Protein binding: | < 20% |
Biotransformation: | Primarily hepatic, isozymes CYP2D6 and CYP3A4 are responsible for the metabolism of cevimeline. Approximately 44.5% of the drug is converted to cis and trans-sulfoxide, 22.3% to glucuronic acid conjugate, and 4% to N-oxide of cevimeline. Approximately 8% of the trans-sulfoxide metabolite is then converted into the corresponding glucuronic acid conjugate. |
Route of elimination: | After 24 hours, 84% of a 30 mg dose of cevimeline was excreted in urine. |
Half Life: | 5 ± 1 hours |
Affected organisms: | Humans and other mammals |
Drug interaction: |
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