Chemical structure of tacrine
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Tacrine

Tacrine is a parasympathomimetic and a centrally acting cholinesterase inhibitor (anticholinesterase). It was the first centrally-acting cholinesterase inhibitor approved for the treatment of Alzheimer's disease, and was first synthesised at the Department of Pharmacology at the University of Sydney. more...

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Clinical uses

Tacrine was the prototypical cholinesterase inhibitor for the treatment of Alzheimer's disease. Its clinical effectiveness was hindered by poor oral bioavailability and considerable adverse drug reactions (including nausea, diarrhoea, urinary incontinence, and hepatotoxicity) such that few patients could tolerate therapeutic doses. Indeed there is some doubt as to its efficacy in humans at all.

Other newer cholinesterase inhibitors, such as donepezil, are now preferred over tacrine.

Sources

  • Brenner, G. M. (2000). Pharmacology. Philadelphia, PA: W.B. Saunders Company. ISBN 0-7216-7757-6

Read more at Wikipedia.org


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Alzheimer drug will get wider testing - tacrine
From Science News, 12/14/91

The maker of the experimental Alzheimer drug tacrine (THA) won the Food and Drug Administration's okay last week to distribute the still unapproved medication more widely under the FDA's special "expanded-use" program for promising but unproven therapies.

FDA Commissioner David A. Kessler announced on the CBS show "This Morning" that Warner-Lambert Co. may provide THA in a range of escalating dosages to up to 3,000 Alzheimer's patients not enrolled in a controlled clinical trial of the drug. But Kessler cautioned that "it's very important to underline that it's only suggestive that the drug works." He added that while previous trials indicated that THA can slow memory loss among some Alzheimer patients, they also demonstrated the drug's potential for damaging patients' livers.

An FDA advisory committee declined to recommend approval of THA last March, citing the insufficiency of safety and efficacy data (SN: 3/23/91, p. 180).

COPYRIGHT 1991 Science Service, Inc.
COPYRIGHT 2004 Gale Group

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