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Mesuximide

From Wikipedia, the free encyclopedia
Chemical compound
Pharmaceutical compound
Mesuximide
Clinical data
Trade namesCelontin
AHFS/Drugs.comConsumer Drug Information
MedlinePlusa682028
Routes of
administration
By mouth (capsules)
ATC code
Legal status
Legal status
Pharmacokinetic data
MetabolismHepatic (demethylation andglucuronidation)
MetabolitesN-desmethylmethosuximide
Eliminationhalf-life1.4–2.6 hours(mesuximide)
28–38 hours(active metabolite)
ExcretionUrine
Identifiers
  • (RS)-1,3-dimethyl-3-phenyl-pyrrolidine-2,5-dione
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
CompTox Dashboard(EPA)
ECHA InfoCard100.000.934Edit this at Wikidata
Chemical and physical data
FormulaC12H13NO2
Molar mass203.241 g·mol−1
3D model (JSmol)
ChiralityRacemic mixture
  • O=C2N(C(=O)CC2(c1ccccc1)C)C
  • InChI=1S/C12H13NO2/c1-12(9-6-4-3-5-7-9)8-10(14)13(2)11(12)15/h3-7H,8H2,1-2H3 checkY
  • Key:AJXPJJZHWIXJCJ-UHFFFAOYSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Mesuximide (ormethsuximide,methosuximide) is asuccinimideanticonvulsant medication. It is sold as aracemate byPfizer under the tradenamesPetinutin (Switzerland)[1] andCelontin (United States).[2] The therapeutic efficacy of methosuximide is largely due to its pharmacologically active metabolite,N-desmethylmethosuximide, which has a longer half-life and attains much higher plasma levels than its parent.[3]

Medical use

[edit]

The medical use is indicated for the control ofabsence seizures that are refractory to other drugs.[2]

References

[edit]
  1. ^Pfizer AG (2005)."Petinutin (Mésuximide)".Official Pfizer AG Website (in French). Archived fromthe original on April 22, 2005. RetrievedAugust 21, 2006.
  2. ^abPfizer Inc. (2008)."Celontin (methsuximide capsules, USP)".Official Pfizer Inc. Website. RetrievedNovember 21, 2014.
  3. ^Porter RJ, Penry JK, Lacy JR, Newmark ME, Kupferberg HJ (November 1979). "Plasma concentrations of phensuximide, methsuximide, and their metabolites in relation to clinical efficacy".Neurology.29 (11):1509–13.doi:10.1212/wnl.29.11.1509.PMID 116142.S2CID 43643797.
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