User:Mr. Ibrahem/Valbenazine

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Mr. Ibrahem/Valbenazine
Clinical data
Trade namesIngrezza
Other namesNBI-98854
AHFS/Drugs.comMonograph
Routes of
administration
By mouth
Drug classVesicular monoamine transporter 2 inhibitor (VMAT2)[1]
Legal status
Legal status
Pharmacokinetic data
Protein binding>99%
MetabolismActivation by hydrolysis, deactivation by CYP3A, CYP2D6
Metabolites[+]-α-Dihydrotetrabenazine (active metabolite)
Elimination half-life15–22 hrs
Excretion60% urine, 30% faeces
Identifiers
  • (2R,3R,11bR)-3-Isobutyl-9,10-dimethoxy-1,3,4,6,7,11b-hexahydro-2H-pyrido[2,1-a]isoquinolin-2-yl L-valinate
Chemical and physical data
FormulaC24H38N2O4
Molar mass418.578 g·mol−1
3D model (JSmol)
  • CC(C)C[C@@H]1CN2CCc3cc(c(cc3[C@H]2C[C@H]1OC(=O)[C@H](C(C)C)N)OC)OC
  • InChI=InChI=1S/C24H38N2O4/c1-14(2)9-17-13-26-8-7-16-10-21(28-5)22(29-6)11-18(16)19(26)12-20(17)30-24(27)23(25)15(3)4/h10-11,14-15,17,19-20,23H,7-9,12-13,25H2,1-6H3/t17-,19-,20-,23+/m1/s1 checkY
  • Key:GEJDGVNQKABXKG-CFKGEZKQSA-N checkY

Valbenazine, sold under the trade name Ingrezza, is a medication used to treat tardive dyskinesia, a long term movement disorder due to antipsychotics.[1] It is taken by mouth.[1] Long term use is required.[1]

Common side effects include dry mouth, sleepiness, urinary retention, dizziness, and headache.[1] Other side effects include QT prolongation.[2] Use is not recommended in those with severe kidney problems.[1] It is a vesicular monoamine transporter 2 (VMAT2) inhibitor.[1]

Valbenazine was approved for medical use in the United States in 2017.[1] As of 2018 it costs 5,750 to 6,225 USD per month.[2] It is only available at certain pharmacies.[3] There is not currently plans to sell it in Europe as of 2018.[4]

References[edit]

  1. ^ a b c d e f g h i j k "Valbenazine Monograph for Professionals". Drugs.com. Archived from the original on 24 January 2021. Retrieved 4 August 2021.
  2. ^ a b Uhlyar, S; Rey, JA (June 2018). "Valbenazine (Ingrezza): The First FDA-Approved Treatment for Tardive Dyskinesia". P & T : a peer-reviewed journal for formulary management. 43 (6): 328–331. PMID 29896031.
  3. ^ "Ingrezza Prices, Coupons & Savings Tips - GoodRx". GoodRx. Archived from the original on 21 April 2019. Retrieved 5 August 2021.
  4. ^ "Valbenazine". SPS - Specialist Pharmacy Service. Archived from the original on 27 August 2021. Retrieved 6 August 2021.