Drug intelligence / Profile preview

donepezil + quetiapine

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

Overview

Donepezil + quetiapine is a combination of two pharmaceutical drugs used primarily in the management of behavioral and psychological symptoms in patients with dementia, particularly Alzheimer's disease. Donepezil is an acetylcholinesterase inhibitor that increases acetylcholine levels in the brain by inhibiting its breakdown, thereby improving cognitive function and some behavioral symptoms. Quetiapine is an atypical antipsychotic that acts mainly as an antagonist at serotonin 5-HT2A and dopamine D2 receptors, reducing psychosis, agitation, and other neuropsychiatric symptoms. This combination may be considered for patients with Alzheimer's disease who present with significant behavioral disturbances such as aggression or psychosis[2][4]. However, there are moderate drug interaction risks; co-administration can increase the risk of extrapyramidal side effects (movement disorders) due to increased central cholinergic activity from donepezil combined with dopamine blockade from quetiapine[3][7][9]. The use of this combination should be closely monitored by healthcare professionals.

Other names
donepezil and quetiapinedonepezil plus quetiapine
02

Targets

HRH1 (Histamine H1 Receptor)ADRA1A (α1A)SIGMAR1 (Sigma non-opioid intracellular receptor 1)AcetylcholinesteraseDRD2 (Dopamine D2 Receptor)HTR2A (Serotonin receptor 5-HT2A)Butyrylcholinesterase

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