Mesoridazine

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Image:Mesoridazine.png
Image:Mesoridazine3d.png
Mesoridazine
Systematic (IUPAC) name
10-{2-[(RS)1-Methylpiperidin-2-yl]ethyl}-2-methylsulfinyl-10H-phenothiazine
Identifiers
CAS number 5588-33-0
ATC code N05AC03
PubChem 4078
DrugBank APRD00610
Chemical data
Formula C21H26N2OS2 
Mol. mass 386.576 g/mol
Pharmacokinetic data
Bioavailability  ?
Protein binding 4%
Metabolism Hepatic/Renal
Half life 24 to 48 hours
Excretion Biliary and renal
Therapeutic considerations
Pregnancy cat.

C(US)

Legal status

Prescription only

Routes oral, intravenous

Mesoridazine besylate (sold as Serentil) is a piperidine antipsychotic neuroleptic drug belonging to the class of drugs called phenothiazines, used in the treatment of schizophrenia, organic brain disorders, psychoneuroses, and alcoholism. It is the besylate salt of a metabolite of thioridazine. Serious side effects include akathisia, tardive dyskinesia and the potentially fatal neuroleptic malignant syndrome. It exerts its actions through blockade of central adrenergic receptors, dopamine receptors, serotonin receptors, and an anticholinergic blocking.[1] It also exerts part of its actions through depression of hypothalamic centers, like other phenothiazines.

Mesoridazine partially derives its name from the prefix "Meso"[citation needed] which means "middle" which is the center of the brain called the limbic system where most dopaminergic activity takes place. The middle of the brain also contains the pineal gland and hypothalamus.

For further information see: Phenothiazine

Mesoridazine was withdrawn from the United States market in 2004.

References


Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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