Overview
| Generic Names: | Benzatropina [INN-Spanish]; Benzatropine; Benzatropine mesilate; Benzatropinum [INN-Latin]; Benztropine Mesylate; Benztropinum; Tropine Benzohydryl Ether |
|---|---|
| Trade Names: | Akitan; Apo-Benztropine; Cobrentin; Cogentin; Cogentine; Cogentinol; PMS Benztropine |
| PharmGKB Accession Id: | PA448591 |
Description
A centrally active muscarinic antagonist that has been used in the symptomatic treatment of parkinson disease. Benztropine also inhibits the uptake of dopamine. PubChem (source: Drug Bank)
Indication
For use as an adjunct in the therapy of all forms of parkinsonism and also for use in the control of extrapyramidal disorders due to neuroleptic drugs. (source: Drug Bank)
ATC Therapeutic Category
- N04AC:Ethers of tropine or tropine derivatives
Pharmacology, Interactions, and Contraindications
Mechanism Of Action
Benztropine is a selective M1 muscarinic acetylcholine receptor antagonist. It is able to discriminate between the M1 (cortical or neuronal) and the peripheral muscarinic subtypes (cardiac and glandular). Benztropine partially blocks cholinergic activity in the CNS, which is responsible for the symptoms of Parkinson's disease. It is also thought to increase the availability of dopamine, a brain chemical that is critical in the initiation and smooth control of voluntary muscle movement. (source: Drug Bank)
Pharmacology
Benztropine is an anticholinergic used in the symptomatic treatment of all etiologic groups of parkinsonism and drug induced extrapyramidal reactions (except tardive dyskinesia). Benztropine possesses both anticholinergic and antihistaminic effects, although only the former has been established as therapeutically significant in the management of parkinsonism. Benztropine's anticholinergic activity is about equal to that of atropine. (source: Drug Bank)
Food Interactions
Avoid alcohol.
Take with food to reduce irritation.
(source:
Drug Bank)
Absorption, Distribution, Metabolism, Elimination & Toxicity
Toxicity
Signs of overdose include confusion, nervousness, listlessness, hallucinations, dizziness; muscle weakness, ataxia, dry mouth, mydriasis, blurred vision, palpitations, tachycardia, elevated blood pressure, nausea, vomiting, dysuria, numbness of fingers, headache, delirium, coma, shock, convulsions, respiratory arrest, anhidrosis, hyperthermia, glaucoma, and constipation. (source: Drug Bank)
Isomeric SMILES Code:
CN1[C@@H]2CC[C@@H]1CC(C2)OC(C3=CC=CC=C3)C4=CC=CC=C4 (source: Drug Bank)
The following genes are in curated knowledge about this drug.
| Gene | Relationship | Evidence | |
|---|---|---|---|
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CYP2C19 |
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Publications |
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CYP2D6 |
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Publications |
A list of non-curated publications that mention this drug along with other genes is available.
Drug Targets
| Gene | Description | |
|---|---|---|
| CHRM1 |
|
(source: Drug Bank) |
| SLC6A3 |
|
(source: Drug Bank) |
A list of non-curated publications that mention this drug along with other drugs is available.
Drug Interactions
| Drug | Description | |
|---|---|---|
| donepezil |
|
Possible antagonism of action (source: Drug Bank) |
| galantamine |
|
Possible antagonism of action (source: Drug Bank) |
| haloperidol |
|
The anticholinergic increases the risk of psychosis and tardive dyskinesia (source: Drug Bank) |
| rivastigmine |
|
Possible antagonism of action (source: Drug Bank) |
Non-Curated Information
A list of non-curated publications that mention this drug along with other diseases is available.
LinkOuts
Common Searches
Search PubMed
Search Medline Plus
Search PubChem
Search CTD
Non-Curated Publications
A list of non-curated publications that mention this drug is available.
