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QuickView for Milnacipran (compound)


PubChem
Name: milnacipran
PubChem Compound ID: 11622909
Molecular formula: C15H22N2O
Molecular weight: 246.348 g/mol
DrugBank
Identification
Name: milnacipran
Name (isomeric): DB04896
Drug Type: small molecule
Synonyms:
Milnacipranum [latin]; Midalcipran; (-)-milnacipran; F 2207
Brand: Toledomin, Ixel
Category: Adrenergic Uptake Inhibitors, Serotonin Uptake Inhibitors, Antidepressive Agents
CAS number: 92623-85-3
Pharmacology
Indication: Milnacipran is used to treat moderate to severe clinical depression and chronic pain.
Mechanism of Action:
Milnacipran inhibits norepinephrine and serotonin reuptake in a 3:1 ratio, in practical use this means a balanced (equal) action upon both transmitters. The serotonin reuptake inhibition is likely to improve depression, while the norepinephrine reuptake inihibition probably improves chronic pain. Milnacipran exerts no significant actions on postyna...
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Absorption: Milnacipran is well absorbed following oral administration with an absolute bioavailability of 85%. Meals have no effect on absorption.
Biotransformation: Only traces of active metabolites are found. Cytochrome P450 enzymes play no role in the metabolism of Milnacipran.
Route of elimination: It is excreted predominantly unchanged in urine (55%) and has a terminal elimination half-life of about 6 to 8 hours. The main route of elimination of bepotastine besilate is urinary excretion (with approximately 75-90% excreted unchanged in urine).
Half Life: 8 hours
Affected organisms: Humans and other mammals
Interactions
Drug interaction:
VenlafaxineIncreased risk of serotonin syndrome. Monitor for symptoms of serotonin syndrome.
ZolmitriptanUse of two serotonin modulators, such as zolmitriptan and milnacipran, increases the risk of serotonin syndrome. Consider alternate therapy or monitor for serotonin syndrome during concomitant therapy.
TranylcypromineIncreased risk of serotonin syndrome. Concomitant therapy should be avoided. A significant washout period, dependent on the half-lives of the agents, should be employed between therapies.
DesvenlafaxineIncreased risk of serotonin syndrome. Monitor for symptoms of serotonin syndrome.

Targets