Drug intelligence / Profile preview

benztropine

Development stage
Approved
Lead developer
USL Pharma
Modality
Small Molecules
Administration
Oral, Intramuscular, Intravenous
01

Overview

Benztropine is a synthetic anticholinergic and antihistaminic agent primarily used as an adjunct in the management of all forms of parkinsonism, including idiopathic Parkinson's disease and parkinsonism resulting from encephalitis or drug-induced extrapyramidal symptoms. Its main mechanism involves blocking muscarinic acetylcholine receptors (especially M1 subtype) in the central nervous system, particularly within the striatum, thereby restoring the balance between dopamine and acetylcholine. Benztropine also inhibits presynaptic dopamine reuptake, increasing synaptic dopamine levels, and exhibits antihistaminic activity. It is structurally related to both atropine and diphenhydramine. The drug is available as oral tablets and injectable solutions.

Brand names
Cogentin
Other names
benztropine mesylate
02

Targets

DAT (Dopamine plasma membrane transport protein)HRH1 (Histamine H1 Receptor)M1 (Muscarinic acetylcholine receptor M1)NET (Norepinephrine Transporter)SERT (Sodium-dependent serotonin transporter)KCNA5 (Ultra-rapid delayed rectifier potassium channel)

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