Mexidol: a spectrum of pharmacological effects

Author:
VORONINA T.A.

Nii pharmacology named after V.V. Zakusov RAMS, Moscow

Place of publication:
JOURNAL OF NEUROLOGY AND PSYCHIATRY, No. 12, 2012

Abstract:
Mexidol (2-ethyl-6-methyl-3-hydroxypyridine succinate) is a unique Russian antioxidant and antihypoxant developed at the Institute of Pharmacology of the Russian Academy of Medical Sciences in the mid-1980s. Mexidol consists of two related and functionally significant compounds: 2-ethyl-6-methyl-3-hydroxypyridine and succinic acid. The presence of 3-hydroxypyridine in the structure of Mexidol provides a range of antioxidant and membrane-active effects, the ability to reduce glutamate excitotoxicity, and modulate receptor function, which fundamentally distinguishes Mexidol from other drugs containing succinic acid. The presence of succinate in the structure of Mexidol distinguishes it from emoxypine and other 3-hydroxypyridine derivatives, as succinate is functionally significant for many processes occurring in the body and, in particular, serves as a substrate for increasing cellular energy metabolism.

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