Altgesic

Altgesic Uses, Dosage, Side Effects, Food Interaction and all others data.

Altgesic is a pyridine derivative that is in clinical use as a nonopioid analgesic. It was approved for the treatment of pain in 1984 in Europe. It is not approved for use in the U.S. or Canada, but is currently in phase II trials for the treatment of fibromyalgia.

Trade Name Altgesic
Generic Flupirtine
Flupirtine Other Names Flupirtine, Flupirtino, Flupirtinum
Weight 100mg
Type Capsule
Formula C15H17FN4O2
Weight Average: 304.3195
Monoisotopic: 304.133554013
Groups Investigational
Therapeutic Class
Manufacturer Alexpen Remedies
Available Country India
Last Updated: September 19, 2023 at 7:00 am
Altgesic
Altgesic

Uses

Investigated for use/treatment in fibromyalgia.

How Altgesic works

Altgesic upregulates Bcl-2, increases glutathione levels, activates an inwardly rectifying potassium channel, and delays loss of intermitochondrial membrane calcium retention capacity. Altgesic acts like a NMDA receptor antagonists, but does not bind to the receptor. One study concluded that the discriminative effects of flupirtine are neither of opioid nor of alpha-1 adrenergic type, but are primarily mediated through alpha-2 adrenergic mechanisms [PMID: 2901483].

Toxicity

Oral, mouse: LD50 = 300 mg/kg; Oral, rabbit: LD50 = 3200 mg/kg; Oral, rat: LD50 = 980 mg/kg.

Elimination Route

Bioavailability: 90% (oral), 70% (rectal)

Half Life

6.5 hrs (average), 11.2-16.8 hrs (average 14 hrs) (elderly), 8.7-10.9 hrs (average 9.8 hrs) (in those with moderate-level renal impairment).

Elimination Route

72% of flupirtine and its metabolites appear in urine and 18% appear in faeces.

Innovators Monograph

You find simplified version here Altgesic

*** Taking medicines without doctor's advice can cause long-term problems.
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