Molecule

Drug Groups

approved

Description

A drug formerly used as an antipsychotic but now used primarily in the treatment of various movement disorders including tardive dyskinesia. Tetrabenazine blocks uptake into adrenergic storage vesicles and has been used as a high affinity label for the vesicle transport system. [PubChem]

Indication

For the symptomatical treatment of hyperkinetic movement disorder.

Affected Organisms

Biotransformation

CYP2D6 mediated hepatic metabolism.

Protein Binding

82-85%

Elimination

After oral administration, tetrabenazine is extensively hepatically metabolized, and the metabolites are primarily renally eliminated. In a mass balance study in 6 healthy volunteers, approximately 75% of the dose was excreted in the urine and fecal recovery accounted for approximately 7-16% of the dose. Urinary excretion of α-HTBZ or β-HTBZ (the major metabolites)accounted for less than 10% of the administered dose.

Clearance

Tetrabenazine is cleared renally and fecally.

References

External Links