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Gabapentinoid information


Gabapentinoid
Drug class
Gabapentin, the prototypical gabapentinoid
Class identifiers
Synonymsα2δ ligands; Ca2+ α2δ ligands
UseEpilepsy; Neuropathic pain; Postherpetic neuralgia; Diabetic neuropathy; Fibromyalgia, Generalized anxiety disorder; Restless legs syndrome
ATC codeN03AX
Biological targetα2δ subunit-containing VDCCsTooltip voltage-dependent calcium channels
Legal status
In Wikidata

Gabapentinoids, also known as α2δ ligands, are a class of drugs that are derivatives of the inhibitory neurotransmitter gamma-Aminobutyric acid (GABA) (i.e., GABA analogues) which block α2δ subunit-containing voltage-dependent calcium channels (VDCCs).[1][2][3][4] This site has been referred to as the gabapentin receptor2δ subunit), as it is the target of the drugs gabapentin and pregabalin.[5]

Clinically used gabapentinoids include gabapentin, pregabalin, and mirogabalin,[3][4] as well as a gabapentin prodrug, gabapentin enacarbil.[6] Additionally, phenibut has been found to act as a gabapentinoid in addition to its action of functioning as a GABAB receptor agonist.[7][8] Further analogues like imagabalin are in clinical trials but have not yet been approved.[9] Other gabapentinoids which are used in scientific research but have not been approved for medical use include atagabalin, 4-methylpregabalin and PD-217,014.[citation needed]

  1. ^ Calandre EP, Rico-Villademoros F, Slim M (2016). "Alpha2delta ligands, gabapentin, pregabalin and mirogabalin: a review of their clinical pharmacology and therapeutic use". Expert Rev Neurother. 16 (11): 1263–1277. doi:10.1080/14737175.2016.1202764. PMID 27345098. S2CID 33200190.
  2. ^ Dooley DJ, Taylor CP, Donevan S, Feltner D (2007). "Ca2+ channel alpha2delta ligands: novel modulators of neurotransmission". Trends Pharmacol. Sci. 28 (2): 75–82. doi:10.1016/j.tips.2006.12.006. PMID 17222465.
  3. ^ a b Elaine Wyllie, Gregory D. Cascino, Barry E. Gidal, Howard P. Goodkin (February 17, 2012). Wyllie's Treatment of Epilepsy: Principles and Practice. Lippincott Williams & Wilkins. p. 423. ISBN 978-1-4511-5348-4.
  4. ^ a b Honorio Benzon, James P. Rathmell, Christopher L. Wu, Dennis C. Turk, Charles E. Argoff, Robert W Hurley (September 11, 2013). Practical Management of Pain. Elsevier Health Sciences. p. 1006. ISBN 978-0-323-17080-2.
  5. ^ Eroglu Ç, Allen NJ, Susman MW, O'Rourke NA, Park CY, Özkan E, Chakraborty C, Mulinyawe SB, Annis DS, Huberman AD, Green EM, Lawler J, Dolmetsch R, Garcia KC, Smith SJ, Luo ZD, Rosenthal A, Mosher DF, Barres BA (2009). "Gabapentin Receptor α2δ-1 is a Neuronal Thrombospondin Receptor Responsible for Excitatory CNS Synaptogenesis". Cell. 139 (2): 380–92. doi:10.1016/j.cell.2009.09.025. PMC 2791798. PMID 19818485.
  6. ^ Douglas Kirsch (October 10, 2013). Sleep Medicine in Neurology. John Wiley & Sons. p. 241. ISBN 978-1-118-76417-6.
  7. ^ Cite error: The named reference pmid26234470 was invoked but never defined (see the help page).
  8. ^ Vavers E, Zvejniece L, Svalbe B, Volska K, Makarova E, Liepinsh E, Rizhanova K, Liepins V, Dambrova M (2015). "The neuroprotective effects of R-phenibut after focal cerebral ischemia". Pharmacological Research. 113 (Pt B): 796–801. doi:10.1016/j.phrs.2015.11.013. ISSN 1043-6618. PMID 26621244.
  9. ^ Vinik A, Rosenstock J, Sharma U, Feins K, Hsu C, Merante D (2014). "Efficacy and Safety of Mirogabalin (DS-5565) for the Treatment of Diabetic Peripheral Neuropathic Pain: A Randomized, Double-Blind, Placebo- and Active Comparator–Controlled, Adaptive Proof-of-Concept Phase 2 Study". Diabetes Care. 37 (12): 3253–61. doi:10.2337/dc14-1044. PMID 25231896.

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Gabapentinoid

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Gabapentinoids, also known as α2δ ligands, are a class of drugs that are derivatives of the inhibitory neurotransmitter gamma-Aminobutyric acid (GABA)...

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Mirogabalin

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DS-5565) is a gabapentinoid medication developed by Daiichi Sankyo. Gabapentin and pregabalin are also members of this class. As a gabapentinoid, mirogabalin...

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Pregabalin

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use in epilepsy is as an add-on therapy for partial seizures. It is a gabapentinoid medication (GABA analogue) which are drugs that are derivatives of γ-aminobutyric...

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Gabapentin

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the symptoms of opiate withdrawal, there is increasing evidence that gabapentinoids are effective in controlling some of the symptoms during opiate detoxification...

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Depressant

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include drugs like Xanax (a benzodiazepine) and a number of opioids. Gabapentinoids like gabapentin and baclofen are depressants and have anticonvulsant...

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Cocaine

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Benzodiazepines Carbamates Ethanol (alcohol) Alcoholic beverage Beer Wine Gabapentinoids GHB Inhalants Medical Nitrous oxide (recreational use) Hazardous solvents...

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Bipolar disorder

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Retrieved February 13, 2013. "Review finds little evidence to support gabapentinoid use in bipolar disorder or insomnia". NIHR Evidence (Plain English summary)...

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Nitrous oxide

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Tobacco

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Phenibut

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subunit-containing VDCCs, similarly to gabapentin and pregabalin, and hence is a gabapentinoid. Both (R)-phenibut and (S)-phenibut display this action with similar...

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Addiction

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Benzodiazepine

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Carisoprodol Chlormezanone‡ Ethanol (alcohol) Etifoxine Hypnotics Zopiclone Gabapentinoids (α2δ VDCC blockers) Gabapentin Gabapentin enacarbil Phenibut Pregabalin...

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MDMA

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Anticonvulsant

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(GAD). Gabapentinoids block voltage-gated calcium channels, mainly the N-Type, and P/Q-type calcium channels. The following are gabapentinoids: Pregabalin...

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Ketamine

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LSD

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Gabapentin enacarbil

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Regnite (in Japan)) is an anticonvulsant and analgesic drug of the gabapentinoid class, and a prodrug to gabapentin. It was designed for increased oral...

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Selective serotonin reuptake inhibitor

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Dextromethorphan

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Kava

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Methamphetamine

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Baclofen

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Drug

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Tobacco smoking

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Mephedrone

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Counterculture of the 1960s

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Vortioxetine

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Escitalopram

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Alcoholic beverage

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