Peringatan Keamanan

Short-acting selective and reversible monoamine oxidase A inhibitors, such as pirlindole, are commonly well-tolerated during an overdose. When taken alone, the clinical course is usually well-tolerated and benign.

Deaths from an overdose of this medication have more commonly observed during interactions with tyramine-rich foods tricyclic antidepressants (TCAs), or sympathomimetic drugs, and selective serotonin reuptake inhibitors (SSRIs). The clinical course of adverse effects from these conditions includes agitation, extreme tremor, followed by seizures and hyperthermia. Deaths occurred 3-16 hours after ingestion, after intractable seizure and/or hyperthermia and its sequelae, such as disseminated intravascular coagulation (DIC) and multi-organ failure L1398.

Pirlindole

DB09244

small molecule experimental

Deskripsi

This drug is classified as a reversible inhibitor of monoamine oxidase A enzyme (also known as a RIMA drug). It was developed and is currently used as an antidepressant in Russia. Its chemical structure is similar to metralindole, and it also shares pharmacological properties with this drug.

Pirlindole is a selective, reversible inhibitor of monoamine oxidase (MAO) subtype A (MAO-A) that is approved in several European and non-European countries for the treatment of major depression. The antidepressant efficacy and safety of pirlindole have been demonstrated in numerous studies and, supported by many years of clinical experience in the treatment of depression. Pirlindole's efficacy and safety have also been shown in the treatment of fibromyalgia.

Struktur Molekul 2D

Berat 226.323
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) 0.7±0.3 in one study of healthy volunteers [L1390]
Volume Distribusi -
Klirens (Clearance) High plasma clearance (450–1000 1/h) [L1390] in one study.

Absorpsi

Well absorbed with a bioavailability of 90% L1390.

Metabolisme

The drug is metabolized significantly through the hepatic system. From studies in dogs and rats, pirlindole has a bioavailability of between 20 and 30% due to the hepatic first-pass effect on this medication A31953. The rat eliminates mainly unconjugated drug while the dog eliminates mostly conjugated drug A31953.

Rute Eliminasi

Mainly renal, with 0.4-0.5% being excreted in the urine as unchanged drug in healthy males L1390. Renal excretion was the main route of elimination of the metabolites in man L1390.

Interaksi Obat

1731 Data
Doxylamine Doxylamine may increase the central nervous system depressant (CNS depressant) activities of Pirlindole.
Dronabinol Dronabinol may increase the central nervous system depressant (CNS depressant) activities of Pirlindole.
Droperidol Droperidol may increase the central nervous system depressant (CNS depressant) activities of Pirlindole.
Hydroxyzine Hydroxyzine may increase the central nervous system depressant (CNS depressant) activities of Pirlindole.
Magnesium sulfate The therapeutic efficacy of Pirlindole can be increased when used in combination with Magnesium sulfate.
Methotrimeprazine Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Methotrimeprazine.
Metyrosine Pirlindole may increase the sedative activities of Metyrosine.
Minocycline Minocycline may increase the central nervous system depressant (CNS depressant) activities of Pirlindole.
Nabilone Nabilone may increase the central nervous system depressant (CNS depressant) activities of Pirlindole.
Orphenadrine Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Orphenadrine.
Paraldehyde Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Perampanel Perampanel may increase the central nervous system depressant (CNS depressant) activities of Pirlindole.
Pramipexole Pirlindole may increase the sedative activities of Pramipexole.
Ropinirole Pirlindole may increase the sedative activities of Ropinirole.
Rotigotine Pirlindole may increase the sedative activities of Rotigotine.
Rufinamide The risk or severity of adverse effects can be increased when Rufinamide is combined with Pirlindole.
Sodium oxybate Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Sodium oxybate.
Suvorexant Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Suvorexant.
Thalidomide Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Thalidomide.
Zolpidem Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Zolpidem.
Methylergometrine The risk or severity of hypertension can be increased when Methylergometrine is combined with Pirlindole.
Nicergoline The risk or severity of hypertension can be increased when Nicergoline is combined with Pirlindole.
Phenmetrazine The risk or severity of hypertension can be increased when Phenmetrazine is combined with Pirlindole.
Dutasteride The risk or severity of hypertension can be increased when Dutasteride is combined with Pirlindole.
Propafenone The risk or severity of hypertension can be increased when Propafenone is combined with Pirlindole.
Finasteride The risk or severity of hypertension can be increased when Finasteride is combined with Pirlindole.
Ephedrine The risk or severity of hypertension can be increased when Ephedrine is combined with Pirlindole.
Epicaptopril The risk or severity of hypertension can be increased when Epicaptopril is combined with Pirlindole.
Taxifolin The risk or severity of hypertension can be increased when Taxifolin is combined with Pirlindole.
1-benzylimidazole The risk or severity of hypertension can be increased when 1-benzylimidazole is combined with Pirlindole.
Dronedarone The risk or severity of hypertension can be increased when Dronedarone is combined with Pirlindole.
Amibegron The risk or severity of hypertension can be increased when Amibegron is combined with Pirlindole.
Nylidrin The risk or severity of hypertension can be increased when Nylidrin is combined with Pirlindole.
Solabegron The risk or severity of hypertension can be increased when Solabegron is combined with Pirlindole.
Saralasin The risk or severity of hypertension can be increased when Saralasin is combined with Pirlindole.
Tyramine The risk or severity of hypertension can be increased when Tyramine is combined with Pirlindole.
Adrafinil The risk or severity of hypertension can be increased when Adrafinil is combined with Pirlindole.
Etilefrine The risk or severity of hypertension can be increased when Etilefrine is combined with Pirlindole.
Synephrine The risk or severity of hypertension can be increased when Synephrine is combined with Pirlindole.
Dihydroergocornine The risk or severity of hypertension can be increased when Pirlindole is combined with Dihydroergocornine.
Amitraz The risk or severity of hypertension can be increased when Pirlindole is combined with Amitraz.
Atipamezole The risk or severity of hypertension can be increased when Pirlindole is combined with Atipamezole.
Ractopamine The risk or severity of hypertension can be increased when Pirlindole is combined with Ractopamine.
Anisodamine The risk or severity of hypertension can be increased when Pirlindole is combined with Anisodamine.
Tulobuterol The risk or severity of hypertension can be increased when Pirlindole is combined with Tulobuterol.
Dopexamine The risk or severity of hypertension can be increased when Pirlindole is combined with Dopexamine.
Siponimod The risk or severity of hypertension can be increased when Pirlindole is combined with Siponimod.
Idazoxan The risk or severity of hypertension can be increased when Pirlindole is combined with Idazoxan.
Ebselen The risk or severity of hypertension can be increased when Pirlindole is combined with Ebselen.
Higenamine The risk or severity of hypertension can be increased when Pirlindole is combined with Higenamine.
Reproterol The risk or severity of hypertension can be increased when Pirlindole is combined with Reproterol.
Theodrenaline The risk or severity of hypertension can be increased when Pirlindole is combined with Theodrenaline.
Tramazoline The risk or severity of hypertension can be increased when Pirlindole is combined with Tramazoline.
Octopamine The risk or severity of hypertension can be increased when Pirlindole is combined with Octopamine.
Fenozolone The risk or severity of hypertension can be increased when Pirlindole is combined with Fenozolone.
Dihydroergocristine The risk or severity of hypertension can be increased when Pirlindole is combined with Dihydroergocristine.
Norfenefrine The risk or severity of hypertension can be increased when Pirlindole is combined with Norfenefrine.
Dihydroergocryptine The risk or severity of hypertension can be increased when Pirlindole is combined with Dihydroergocryptine.
Oxyfedrine The risk or severity of hypertension can be increased when Pirlindole is combined with Oxyfedrine.
Terguride The risk or severity of hypertension can be increased when Pirlindole is combined with Terguride.
Xenon The risk or severity of adverse effects can be increased when Xenon is combined with Pirlindole.
Rimiterol The risk or severity of hypertension can be increased when Pirlindole is combined with Rimiterol.
Tretoquinol The risk or severity of hypertension can be increased when Pirlindole is combined with Tretoquinol.
Prenalterol The risk or severity of hypertension can be increased when Pirlindole is combined with Prenalterol.
Xamoterol The risk or severity of hypertension can be increased when Pirlindole is combined with Xamoterol.
Mefenorex The risk or severity of hypertension can be increased when Pirlindole is combined with Mefenorex.
Deoxyepinephrine The risk or severity of hypertension can be increased when Pirlindole is combined with Deoxyepinephrine.
Quinoline Yellow WS The risk or severity of hypertension can be increased when Pirlindole is combined with Quinoline Yellow WS.
Selpercatinib The risk or severity of hypertension can be increased when Pirlindole is combined with Selpercatinib.
Naxitamab The risk or severity of hypertension can be increased when Pirlindole is combined with Naxitamab.
Apraclonidine Pirlindole may increase the alpha-adrenergic activities of Apraclonidine.
Atomoxetine The risk or severity of adverse effects can be increased when Pirlindole is combined with Atomoxetine.
Betahistine The metabolism of Betahistine can be decreased when combined with Pirlindole.
Bezafibrate Pirlindole may increase the hepatotoxic activities of Bezafibrate.
Buprenorphine Pirlindole may increase the central nervous system depressant (CNS depressant) activities of Buprenorphine.
Bupropion The risk or severity of adverse effects can be increased when Pirlindole is combined with Bupropion.
Buspirone The risk or severity of hypertension can be increased when Pirlindole is combined with Buspirone.
Carbamazepine The risk or severity of adverse effects can be increased when Carbamazepine is combined with Pirlindole.
Cyclobenzaprine Cyclobenzaprine may increase the serotonergic activities of Pirlindole.
Cyproheptadine Pirlindole may increase the anticholinergic activities of Cyproheptadine.
Dextromethorphan The risk or severity of serotonin syndrome can be increased when Pirlindole is combined with Dextromethorphan.
Diethylpropion The risk or severity of adverse effects can be increased when Pirlindole is combined with Diethylpropion.
Domperidone The risk or severity of QTc prolongation, torsade de pointes, and cardiotoxicity can be increased when Pirlindole is combined with Domperidone.
Hydrocodone Pirlindole may increase the serotonergic and central nervous system depressant (CNS depressant) activities of Hydrocodone.
Hydromorphone Pirlindole may increase the serotonergic activities of Hydromorphone.
Isometheptene Pirlindole may increase the sympathomimetic activities of Isometheptene.
Levonordefrin Pirlindole may increase the hypertensive activities of Levonordefrin.
Lithium hydroxide The risk or severity of serotonin syndrome can be increased when Pirlindole is combined with Lithium hydroxide.
Lithium citrate The risk or severity of serotonin syndrome can be increased when Pirlindole is combined with Lithium citrate.
Setiptiline The risk or severity of adverse effects can be increased when Pirlindole is combined with Setiptiline.
Aptazapine The risk or severity of adverse effects can be increased when Pirlindole is combined with Aptazapine.
Maprotiline The risk or severity of adverse effects can be increased when Pirlindole is combined with Maprotiline.
Mianserin The risk or severity of adverse effects can be increased when Pirlindole is combined with Mianserin.
Esmirtazapine The risk or severity of adverse effects can be increased when Pirlindole is combined with Esmirtazapine.
Mequitazine Pirlindole may increase the anticholinergic activities of Mequitazine.
Methadone The risk or severity of serotonin syndrome can be increased when Pirlindole is combined with Methadone.
Methyldopa Pirlindole may decrease the hypotensive activities of Methyldopa.
Methylphenidate Pirlindole may increase the hypertensive activities of Methylphenidate.
Dexmethylphenidate Pirlindole may increase the hypertensive activities of Dexmethylphenidate.
Oxycodone Pirlindole may increase the serotonergic and central nervous system depressant (CNS depressant) activities of Oxycodone.

Target Protein

Amine oxidase [flavin-containing] A MAOA
5-hydroxytryptamine receptor 1A HTR1A
Alpha-2A adrenergic receptor ADRA2A

Referensi & Sumber

Synthesis reference: http://www.biomedsearch.com/nih/Pirlindole-in-treatment-depression-meta/21053988.html
Artikel (PubMed)
  • PMID: 21877764
    Branco JC, Tome AM, Cruz MR, Filipe A: Pirlindole in the treatment of depression and fibromyalgia syndrome. Clin Drug Investig. 2011 Oct 1;31(10):675-89. doi: 10.2165/11595410-000000000-00000.
  • PMID: 9368911
    Bruhwyler J, Liegeois JF, Geczy J: Pirlindole: a selective reversible inhibitor of monoamine oxidase A. A review of its preclinical properties. Pharmacol Res. 1997 Jul;36(1):23-33. doi: 10.1006/phrs.1997.0196.

Contoh Produk & Brand

Produk: 0 • International brands: 0
Belum ada data produk/brand untuk obat ini pada database. Jalankan import DrugBank untuk mengisi field produk/brand.

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
© 2025 Digital Pharmacy Research - Universitas Esa Unggul