Mesuximide

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Mesuximide
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Systematic (IUPAC) name
(RS)-1,3-dimethyl-3-phenyl-pyrrolidine-2,5-dione
Clinical data
AHFS/Drugs.com Consumer Drug Information
MedlinePlus a682028
Pregnancy
category
  • US: C (Risk not ruled out)
Legal status
Routes of
administration
Oral
Pharmacokinetic data
Metabolism Hepatic (demethylation and glucuronidation)
Biological half-life 1.4–2.6 hours (mesuximide)
28–38 hours (active metabolite)
Excretion Renal
Identifiers
CAS Number 77-41-8 YesY
ATC code N03AD03 (WHO)
PubChem CID: 6476
IUPHAR/BPS 7228
DrugBank DB05246 N
ChemSpider 6231 YesY
UNII 0G76K8X6C0 YesY
KEGG D00404 YesY
ChEMBL CHEMBL697 YesY
Chemical data
Formula C12H13NO2
Molecular mass 203.237 g/mol
  • 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 YesY
  • Key:AJXPJJZHWIXJCJ-UHFFFAOYSA-N YesY
 NYesY (what is this?)  (verify)

Mesuximide (or methsuximide, methosuximide) is a succinimide anticonvulsant medication. It is sold as a racemate by Pfizer under the tradenames Petinutin (Switzerland)[1] and Celontin (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]

References

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  3. Porter RJ, Penry JK, Lacy JR, Newmark ME, Kupferberg HJ. Plasma concentrations of phensuximide, methosuximide, and their metabolites in relation to clinical efficacy. Neurology 29: 1509-1513, 1979.


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