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tacrine

Noncovalent cholinesterase inhibitor · Cognition Enhancer (for Alzheimer's disease)

Noncovalent cholinesterase inhibitorCognition Enhancer (for Alzheimer's disease)
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • BupropionSevereDatabaseDDInter
  • IohexolSevereDatabaseDDInter
  • IopamidolSevereDatabaseDDInter
  • LeflunomideSevereDatabaseDDInter

Mechanism

Tacrine reversibly inhibits acetylcholinesterase (AChE) by binding with higher affinity to the active center gorge, sterically blocking acetylcholine from entering for catalysis. It has a prolonged duration of action.

Indications

alzheimer’s disease (now in disuse)

Pharmacokinetics

Bioavailability
Well absorbed after oral administration
Protein binding
Partitioning into lipid
Metabolism
Hepatic (implied by hepatotoxicity)

Side effects

Serious
  • hepatotoxicity

Drug interactions

Bupropion
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Iohexol
Severe
Database

Clinical effect not specified

Source: DDInter

Iopamidol
Severe
Database

Clinical effect not specified

Source: DDInter

Leflunomide
Severe
Database

Clinical effect not specified

Source: DDInter

Lomitapide
Severe
Database

Clinical effect not specified

Source: DDInter

Mipomersen
Severe
Database

Clinical effect not specified

Source: DDInter

Ozanimod
Severe
Database

Clinical effect not specified

Source: DDInter

Pexidartinib
Severe
Database

Clinical effect not specified

Source: DDInter

Siponimod
Severe
Database

Clinical effect not specified

Source: DDInter

Teriflunomide
Severe
Database

Clinical effect not specified

Source: DDInter

Tizanidine
Severe
Database

Clinical effect not specified

Source: DDInter

Tramadol
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Other Noncovalent cholinesterase inhibitor drugs

Ask House about tacrine

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: KD Tripathi 7e, Goodman & Gilman 14e·Verified: 2026-05-10 · House clinical team