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Official medicine documents
Safety monitoring data
Yellow Card reports
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Suspected adverse reactions reported for Manganese
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Data from the MHRA Yellow Card scheme. A reported reaction does not necessarily mean the medicine caused it. Contains public sector information licensed under the Open Government Licence v3.0.
EudraVigilance
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Suspected adverse reactions reported for Manganese
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1 branded products available
Clinical guidelines and formulary information
British National Formulary
Manganese
Source: British National Formulary, NICE. Joint Formulary Committee. Contains public sector information licensed under the Open Government Licence v3.0.
NICE clinical guidance(2)
ENDURALIFE powered CRT-D devices for treating heart failure (HTG433)
Nutrition support for adults: oral nutrition support, enteral tube feeding and parenteral nutrition (CG32)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
Check stock at pharmacies and supply information
Pharmacy stock checkers
Search for this medicine at major UK pharmacy chains. These links open the retailer's own website — results depend on their current online catalogue.
Supply & product information
Official product databases and supply status monitoring
Pharmacy links redirect to the retailer's own search and do not represent real-time stock levels. emc (electronic medicines compendium) is operated by Datapharm Ltd. Shortage information sourced from NHS Specialist Pharmacy Service (SPS), sps.nhs.uk.
Codes for healthcare professionals and prescribing systems
These codes are used by healthcare IT systems and prescribers to identify this medicine.
NHS UK identifiers
SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. BNF codes from NHS Business Services Authority (NHSBSA).
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
None known
Half-life
Not available
Mechanism
Mn2+ is an essential cofactor and activator for many enzymes that regulate biolo…
Food interactions
None known
Human targets
8 targets
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
3–5%
[A263707]
Under…
Protein binding
[A263707]…
Volume of distribution
[A263667][A263687]
Manganese is widely distributed but concentrates in mitochondria-rich tissues such as the brain, kidney, pancreas, and liver.
[L50667]…
Metabolism
[A263707]
Elimination
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
Manganese can be found in over-the-counter nutritional supplements and vitamins.[A263667] It is commonly used in total parenteral nutrition (TPN) therapy.[L50667] Apart from its use in human health, has been used in the mining industry, welding, smelting, and the manufacture of batteries.[A263657]
[L50667][L50672]
Administration helps to maintain manganese serum levels and prevent the depletion of endogenous stores and subsequent deficiency symptoms.
[L50667]
[L50677]
While manganese is an essential metal for various biochemical processes, it is also associated with the potential to cause neurotoxicity, cardiotoxicity, and hepatotoxicity.
[A263657]
Manganese toxicity is rare, but it can arise from occupational, accidental, or iatrogenic exposures.
[A263657][A263662]
Acute manganese toxicity was reported in adult patients following infusion of manganese more than 10,000-fold the recommended dosage and after the use of dialysis fluid contaminated with manganese. Signs and symptoms included skin flushing, acute pancreatitis, elevated whole blood manganese concentrations, and magnetic resonance imaging (MRI) evidence of brain accumulation of manganese.
Chronic infusion and oral intake of manganese above the recommended dosage have resulted in neuropsychiatric symptoms and MRI evidence of brain accumulation of manganese.
[L50667]
Manganese-induced neurotoxicity is associated with motor dysfunction syndrome or Parkinsonism.
[A263662][A263687][A263692]
How the body processes this drug — absorption, distribution, metabolism, and elimination
[A263707]
Under conditions of minimal intake, 20 mcg Mn/day is retained following intravenous administration. Assays for manganese in whole blood result in concentrations ranging from six to 12 mcg/Mn/L.
[L50667]
[A263707]
It is also reported to bind to serum albumin but to a minimal extent.
[A263672]
[A263667][A263687]
Manganese is widely distributed but concentrates in mitochondria-rich tissues such as the brain, kidney, pancreas, and liver.
[L50667]
[A263707]
[L50667]
Proteins and enzymes this drug interacts with in the body
PMID:22307082 PMID:24403530
Mechanistically, associates with the catalytic domain of MAP3K7/TAK1 to trigger MAP3K7/TAK1 autophosphorylation leading to its full activation .
PMID:10838074 PMID:25260751 PMID:37832545
Similarly, associates with MAPK14 and triggers its autophosphorylation and subsequent activation .
PMID:11847341 PMID:29229647
In turn, MAPK14 phosphorylates TAB1 and inhibits MAP3K7/TAK1 activation in a feedback control mechanism .
PMID:14592977
Also plays a role in recruiting MAPK14 to the TAK1 complex for the phosphorylation of the TAB2 and TAB3 regulatory subunits PMID:18021073
Enzymes involved in drug metabolism — important for understanding drug interactions
Proteins that transport this drug across cell membranes
PMID:15642354 PMID:27231142 PMID:29621230
Functions as an energy-dependent symporter, transporting through the membranes an electroneutral complex composed of a divalent metal cation and two bicarbonate anions (By similarity). Beside these endogenous cellular substrates, can also import cadmium a non-essential metal which is cytotoxic and carcinogenic (By similarity). Controls the cellular uptake by the intestinal epithelium of systemic zinc, which is in turn required to maintain tight junctions and the intestinal permeability (By similarity).
Modifies the activity of zinc-dependent phosphodiesterases, thereby indirectly regulating G protein-coupled receptor signaling pathways important for gluconeogenesis and chondrocyte differentiation (By similarity). Regulates insulin receptor signaling, glucose uptake, glycogen synthesis and gluconeogenesis in hepatocytes through the zinc-dependent intracellular catabolism of insulin .
PMID:27703010
Through zinc cellular uptake also plays a role in the adaptation of cells to endoplasmic reticulum stress (By similarity). Major manganese transporter of the basolateral membrane of intestinal epithelial cells, it plays a central role in manganese systemic homeostasis through intestinal manganese uptake .
PMID:31028174
Also involved in manganese extracellular uptake by cells of the blood-brain barrier .
PMID:31699897
May also play a role in manganese and zinc homeostasis participating in their elimination from the blood through the hepatobiliary excretion (By similarity).
Also functions in the extracellular uptake of free iron. May also function intracellularly and mediate the transport from endosomes to cytosol of iron endocytosed by transferrin .
PMID:20682781
Plays a role in innate immunity by regulating the expression of cytokines by activated macrophages PMID:23052185
PMID:17109629 PMID:17293870 PMID:22736759 PMID:25326704 PMID:25491917
Selectively transports various divalent metal cations, in decreasing affinity: Cd(2+) > Fe(2+) > Co(2+), Mn(2+) >> Zn(2+), Ni(2+), VO(2+) .
PMID:17109629 PMID:17293870 PMID:22736759 PMID:25326704 PMID:25491917
Essential for maintenance of iron homeostasis by modulating intestinal absorption of dietary Fe(2+) and TF-associated endosomal Fe(2+) transport in erythroid precursors and other cells (By similarity). Enables Fe(2+) and Mn(2+) ion entry into mitochondria, and is thus expected to promote mitochondrial heme synthesis, iron-sulfur cluster biogenesis and antioxidant defense (By similarity) .
PMID:24448823
Can mediate uncoupled fluxes of either protons or metal ions
PMID:30755481
Required for intracellular manganese homeostasis, an essential cation for the function of several enzymes, including some crucially important for the metabolism of neurotransmitters and other neuronal metabolic pathways. Manganese can also be cytotoxic and induce oxidative stress, mitochondrial dysfunction and apoptosis .
PMID:22341972 PMID:25319704 PMID:26728129 PMID:27226609 PMID:27307044
Could also have an intracellular zinc ion transporter activity, directly regulating intracellular zinc ion homeostasis and more indirectly various signaling pathway and biological processes PMID:22427991 PMID:26728129
PMID:11385574 PMID:12887921 PMID:15485879 PMID:24316671 PMID:35561741 PMID:36027648
Controls a wide range of biological processes such as Ca2(+), Mg(2+) and Zn(2+) homeostasis, vesicular Zn(2+) release channel and intracellular Ca(2+) signaling, embryonic development, immune responses, cell motility, proliferation and differentiation (By similarity). The C-terminal alpha-kinase domain autophosphorylates cytoplasmic residues of TRPM7 .
PMID:18365021
In vivo, TRPM7 phosphorylates SMAD2, suggesting that TRPM7 kinase may play a role in activating SMAD signaling pathways.
In vitro, TRPM7 kinase phosphorylates ANXA1 (annexin A1), myosin II isoforms and a variety of proteins with diverse cellular functions PMID:15485879 PMID:18394644
Proteins that carry this drug through the body
PMID:19021548
Major calcium and magnesium transporter in plasma, binds approximately 45% of circulating calcium and magnesium in plasma (By similarity).
Potentially has more than two calcium-binding sites and might additionally bind calcium in a non-specific manner (By similarity). The shared binding site between zinc and calcium at residue Asp-273 suggests a crosstalk between zinc and calcium transport in the blood (By similarity). The rank order of affinity is zinc > calcium > magnesium (By similarity).
Binds to the bacterial siderophore enterobactin and inhibits enterobactin-mediated iron uptake of E.coli from ferric transferrin, and may thereby limit the utilization of iron and growth of enteric bacteria such as E.coli .
PMID:6234017
Does not prevent iron uptake by the bacterial siderophore aerobactin PMID:6234017
PMID:16150804
Copper ions provide a large number of enzymatic activites.
Oxidizes highly toxic ferrous ions to the ferric state for further incorporation onto apo-transferrins, catalyzes Cu(+) oxidation and promotes the oxidation of biogenic amines such as norepinephrin and serotonin .
PMID:14623105 PMID:4643313 PMID:5912351
Provides Cu(2+) ions for the ascorbate-mediated deaminase degradation of the heparan sulfate chains of GPC1 (By similarity). Has glutathione peroxidase-like activity, can remove both hydrogen peroxide and lipid hydroperoxide in the presence of thiols .
PMID:10481051
Also shows NO-oxidase and NO2 synthase activities that determine endocrine NO homeostasis PMID:16906150
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
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Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Additional database identifiers
Drugs Product Database (DPD)
10194
Drugs Product Database (DPD)
9229
Drugs Product Database (DPD)
6893
Drugs Product Database (DPD)
2084
ChemSpider
25916
PDB
MN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:5384
GenAtlas
IDH3A
GeneCards
IDH3A
GenBank Gene Database
U07681
GenBank Protein Database
706839
UniProt Accession
IDH3A_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:5386
GenAtlas
IDH3G
GeneCards
IDH3G
GenBank Gene Database
Z68907
GenBank Protein Database
1167849
UniProt Accession
IDH3G_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:18157
GeneCards
TAB1
UniProt Accession
TAB1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:663
GenAtlas
ARG1
GeneCards
ARG1
GenBank Gene Database
M14502
GenBank Protein Database
178995
Guide to Pharmacology
1244
UniProt Accession
ARGI1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11180
GeneCards
SOD2
UniProt Accession
SODM_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:4341
GenAtlas
GLUL
GeneCards
GLUL
GenBank Gene Database
Y00387
GenBank Protein Database
31833
UniProt Accession
GLNA_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:8725
GeneCards
PCK2
UniProt Accession
PCKGM_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:8724
GenAtlas
PCK1
GeneCards
PCK1
GenBank Gene Database
L05144
GenBank Protein Database
189945
UniProt Accession
PCKGC_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:9283
GenAtlas
PPP1CC
GeneCards
PPP1CC
GenBank Gene Database
X74008
GenBank Protein Database
402778
UniProt Accession
PP1G_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:117
GeneCards
ACO1
UniProt Accession
ACOHC_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11740
GenAtlas
TF
GeneCards
TF
GenBank Gene Database
M12530
GenBank Protein Database
339453
UniProt Accession
TRFE_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:399
GenAtlas
ALB
GeneCards
ALB
GenBank Gene Database
V00494
GenBank Protein Database
28590
UniProt Accession
ALBU_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:2295
GenAtlas
CP
GeneCards
CP
GenBank Gene Database
M13699
GenBank Protein Database
180256
UniProt Accession
CERU_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:20858
GeneCards
SLC39A14
UniProt Accession
S39AE_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:10908
GeneCards
SLC11A2
Guide to Pharmacology
967
UniProt Accession
NRAM2_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:25355
GeneCards
SLC30A10
UniProt Accession
ZNT10_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:17994
GeneCards
TRPM7
Guide to Pharmacology
499
UniProt Accession
TRPM7_HUMAN
Patent information
5 active patents
Source: DrugBank · CC BY-NC 4.0. Patent data sourced from national patent offices. Expiry dates may not reflect extensions, regulatory exclusivity periods, or legal challenges.
DrugBank citations
If you use DrugBank data in your research, please cite the following publications: