Serotonin: Difference between revisions
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A serotonin [[agonist|full agonist]] is a chemical that binds to and activates a serotonin [[receptor]] and triggers a response, displaying full efficacy at that receptor. | A serotonin [[agonist|full agonist]] is a chemical that binds to and activates a serotonin [[receptor]] and triggers a response, displaying full efficacy at that receptor. | ||
A few psychedelic | A few psychedelic drugs are full agonists of the 5-HT<sub>2A</sub> receptor; among them are [[25I-NBOMe]] and [[Bromo-DragonFLY]]. | ||
====Partial agonists==== | ====Partial agonists==== | ||
A serotonin [[Agonist#Agonists|partial agonist]] is a | A serotonin [[Agonist#Agonists|partial agonist]] is a drug that binds to and activates a serotonin receptor, but only has partial efficacy at the receptor relative to a full agonist. | ||
Most classical psychedelic | Most classical psychedelic drugs are partial agonists of the 5-HT<sub>2A</sub> receptor; among them are [[LSD]], [[psilocin]] and [[mescaline]]. Many antidepressants, anxiolytics/anti-anxiety drugs, and cluster headache medicines are partial serotonin receptor agonists. | ||
====Inverse agonists==== | ====Inverse agonists==== | ||
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====Releasing agents==== | ====Releasing agents==== | ||
A serotonin [[Releasing Agent|releasing agent]] is a | A serotonin [[Releasing Agent|releasing agent]] is a drug that induces the release of serotonin from the presynaptic neuron into the synapse, leading to an increase in the extracellular concentrations of serotonin. | ||
Many recreational | Many recreational drugs are serotonin releasing agents; among them are [[MDMA]], [[MDA]] and [[mephedrone]]. Many analgesics/pain-relievers and appetite suppressants are also serotonin releasing agents. | ||
====Reuptake inhibitor==== | ====Reuptake inhibitor==== | ||
A serotonin [[reuptake inhibitor]] inhibits the reabsorption of serotonin into the pre-synaptic neuron. Serotonin reuptake inhibitors do this by inhibiting the serotonin transporter, or SERT protein. | A serotonin [[reuptake inhibitor]] inhibits the reabsorption of serotonin into the pre-synaptic neuron. Serotonin reuptake inhibitors do this by inhibiting the serotonin transporter, or SERT protein. | ||
Many antidepressants such as venlafaxine (Effexor), citalopram (Celexa) and amitriptyline are serotonin reuptake inhibitors. Many recreational | Many antidepressants such as venlafaxine (Effexor), citalopram (Celexa) and amitriptyline are serotonin reuptake inhibitors. Many recreational drugs like [[cocaine]] and [[tramadol]] are also serotonin reuptake inhibitors. | ||
====Antagonists==== | ====Antagonists==== | ||
A serotonin receptor [[antagonist]] is a type of receptor | A serotonin receptor [[antagonist]] is a type of receptor drug that inhibits action at serotonin receptors. | ||
Many [[anti-psychotics]] and anti-emetics are serotonin receptor antagonists. One example is galanolactone, a chemical found in ginger, that acts as an anti-emetic via its action as a 5-HT<sub>3</sub> antagonist. | Many [[anti-psychotics]] and anti-emetics are serotonin receptor antagonists. One example is galanolactone, a chemical found in ginger, that acts as an anti-emetic via its action as a 5-HT<sub>3</sub> antagonist. | ||
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''Main Article: [[Serotonin Syndrome|Serotonin Syndrome]]'' | ''Main Article: [[Serotonin Syndrome|Serotonin Syndrome]]'' | ||
Extremely high levels of serotonin can cause a condition known as serotonin syndrome that has toxic and potentially fatal effects. Serotonin syndrome, also known as serotonin toxicity, can be induced via overdose of particular drugs, | Extremely high levels of serotonin can cause a condition known as serotonin syndrome that has toxic and potentially fatal effects. Serotonin syndrome, also known as serotonin toxicity, can be induced via overdose of particular drugs, drug interactions, and recreational drug use. Many drug interactions have been found to cause serotonin syndrome, the most notorious of which being the combination of an SSRI antidepressant and an [[MAOI]] antidepressant. | ||
Symptoms can start showing within minutes and can include increased heart rate, sweating, anxiety, hyperthermia, shivering, high blood pressure, agitation, seizures, and rarely death. Symptoms usually resolve after 24 hours, but can last up to several months in some cases. | Symptoms can start showing within minutes and can include increased heart rate, sweating, anxiety, hyperthermia, shivering, high blood pressure, agitation, seizures, and rarely death. Symptoms usually resolve after 24 hours, but can last up to several months in some cases. |