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EntityQ4735440· pop 10· linked from 655 articles

Alpidem, sold under the brand name Ananxyl, is a nonbenzodiazepine anxiolytic medication which was briefly used to treat anxiety disorders but is no longer marketed. It was previously marketed in France, but was discontinued due to liver toxicity. Alpidem is taken by mouth.

Key facts

Drug.verifiedrevid
443275474
Drug.image
Alpidem.svg
Drug.image_class
skin-invert-image
Drug.width
222px
Drug.tradename
Ananxyl
Drug.routes_of_administration
Oral administration
Drug.class
Nonbenzodiazepine; GABAA receptor positive allosteric modulator; Anxiolytic
Drug.ATC_prefix
None
Drug.legal_status
Rx-only
Drug.bioavailability
32–35% (estimated)
Drug.protein_bound
99.4%
Drug.metabolism
Extensive (hydroxylation, dealkylation, conjugation)
Drug.metabolites
Many (some active)
Drug.onset
1.0–2.5 hours (Cmax)
Drug.elimination_half life
Young adults: 19 hours (7–44 hours)Elderly: 22.6 ± 2.3 hoursChildren: 11.4 ± 1.9 hours
Drug.excretion
Mainly feces
Drug.CAS_number
82626-01-5
Drug.PubChem
54897

via Wikipedia infobox

Wikidata facts

Mass
403.122
Show 3 more facts
chemical formula
C₂₁H₂₃Cl₂N₃O
canonical SMILES
CCCN(CCC)C(=O)CC1=C(N=C2N1C=C(C=C2)Cl)C3=CC=C(C=C3)Cl
Commons category
Alpidem
Sources (2)

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~15 min read

Article

21 sections
Contents
  • Medical uses
  • Available forms
  • Side effects
  • Overdose
  • Interactions
  • Pharmacology
  • Pharmacodynamics
  • Pharmacokinetics
  • Absorption
  • Distribution
  • Metabolism
  • Elimination
  • Chemistry
  • History
  • Society and culture
  • Names
  • Availability
  • See also
  • References
  • Further reading
  • External links

Alpidem, sold under the brand name Ananxyl, is a nonbenzodiazepine anxiolytic medication which was briefly used to treat anxiety disorders but is no longer marketed. It was previously marketed in France, but was discontinued due to liver toxicity. Alpidem is taken by mouth.

Side effects of alpidem include sedation, fatigue, dizziness, and headache, among others. It has much less to no impact on cognition, memory, and psychomotor function relative to benzodiazepines. Similarly, no rebound anxiety or withdrawal symptoms have been observed with alpidem. Rarely, alpidem can cause serious liver toxicity, including liver failure and death. Alpidem is a nonbenzodiazepine of the imidazopyridine family, structurally related to the Z-drug zolpidem, and acts as a GABAA receptor positive allosteric modulator of the benzodiazepine site of the receptor complex. In contrast to zolpidem however, alpidem has anxiolytic effects rather than sedative or hypnotic effects at normal therapeutic doses.

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