Drug intelligence / Profile preview

almitrine + raubasine

Development stage
Unknown
Lead developer
Servier
Modality
Small Molecules
Administration
Oral
01

Overview

Duxil is a fixed-dose combination of almitrine (a peripheral chemoreceptor agonist and respiratory stimulant) and raubasine (a vasoactive indole alkaloid with alpha-adrenolytic properties). Developed by Servier, Duxil is designed to improve oxygenation and blood flow to cerebral and neurosensory tissues. Almitrine acts on peripheral chemoreceptors in the carotid bodies to increase arterial oxygen tension, while raubasine acts as an alpha-1 adrenergic receptor antagonist to promote vasodilation and enhance microcirculation. This synergistic combination has been utilized for the treatment of age-related cognitive decline, vascular cognitive impairment, and functional rehabilitation after stroke. Although historically marketed in several countries, Duxil has been withdrawn in some regions, including France, due to safety concerns such as peripheral neuropathy and weight loss.

Brand names
AlbasineAruxilDuxarilTruxil
Other names
almitrine and raubasinealmitrine bismesylate + raubasinealmitrine bismesylate/raubasinealmitrine dimesylate + raubasinealmitrine dimesylate/raubasinealmitrine/raubasine
02

Targets

ADRA1A (α1A)ADRA1B (α1B)ADRA1D (α1D)ADRA2A (α2A)ADRA2B (α2B)ADRA2C (α2C)HTR2A (5-hydroxytryptamine receptor 2A)HTR2B (5-Hydroxytryptamine Receptor 2B)HTR2C (5-hydroxytryptamine 2C receptor)KCNMA1 (Calcium-activated potassium channel subfamily M alpha member 1)

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