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Serotonin Drugs
Serotonin Drugs
47
Medical
Graduate
04/10/2010

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Term
Sumatriptan
Definition
5HT 1B, 1D agonist: for migraine
Term
ondansetron
Definition
5HT3 antagonist; anti-emetic
Term
tegaserod
Definition
5HT4 partial agonist: chronic constipation
Term
Fluoxetine (Prozac)
Definition
SSRI for depression
Term
Paroxetine (Paxil)
Definition
SSRI for depression
Term
Sertraline (Zoloft)
Definition
SSRI for depression
Term
St. John's Wort (contains hyperforin)
Definition
SNDRI for depression
Term
Granisetron
Definition
5HT3 antagonist; anti-emetic
Term
Type of serotonin receptor? Opens K+ channels, inhibits Ca2+ channel, decreases cAMP
Definition
5HT1
Term
Type of serotonin receptor? Activate PLC--> IP3, DAG; increase [Ca]in, activate PKC, inactivate K+ channel
Definition
5HT2
Term
Type of serotonin receptor? Cation channel; Na+, K+
Definition
5HT3
Term
Type of serotonin receptor? increases cAMP
Definition
5HT4
Term
Neurotransmitter that can be found:
-enterochromaffin cells in the gut, where it regulates intestinal movements
-platelets, where it helps to regulate hemostasis and blood clotting
-raphe nuclei, neurons of which terminate in hypothalamus,
-limbic system,
-cerebellum
-pineal gland, where it is coverted to melatonin
Definition
Serotonin (5-hydroxytryptamine)
Term
Which serotonin receptor regulates: anti-emesis?
Definition
5HT3
Term
Which serotonin receptor regulates: appetite?
Definition
5HT2c on dopaminergic nerve endings
Term
Which serotonin receptor regulates:behavior?
Definition
balance of 5HT1 and 5HT2 receptors; increased 5HT1 receptors associated w decreased aggression
Term
Which serotonin receptor regulates:cellular and bone growth?
Definition
5HT2A, 5HT2B
Term
Which serotonin receptor regulates: chemoreceptor trigger zone?
Definition
5HT3
Term
Which serotonin receptor regulates: chronotropy (+) and inotropy (+)?
Definition
5HT4
Term
Which serotonin receptor regulates: endothelial NO synthase activation and vasodilatation?
Definition
5HT2B
Term
Which serotonin receptor regulates: GI motility?
Definition
5HT4
Term
Which serotonin receptor regulates: Insulin release from pancreas?
Definition
5HT6,7
Term
Which serotonin receptor regulates: Platelet aggregation?
Definition
5HT2A
Term
Which serotonin receptor regulates: Vasoconstriction?
Definition
5HT1B, 5HT2A
Term
Buspirone
Definition
5HT1A agonist; for anxiety
Term
Contraindications for 5HT1D,1B agonists?
Definition
Coronary artery disease, angina (because coronary arteries also express these receptors, hence can cause vasoconstriction). Usu used for acute migraine
Term
Triptans (Sumatriptan, almotriptan, eletriptan, naratriptan, frovatriptan, zolmitriptan)
Definition
Acute migraine. Contraindications: coronary artery disease, angina
Term
Serotonin agonists or antagonists? Trazodone, Ketanserin, ritanserin, clozapine, risperidone, olanzapine, trazodone, ondansetron, granisetron, tropisetron, tegaserod
Definition
Serotonin antagonists
Term
Trazodone
Definition
For depression, priapism; 5HT1, 5HT2A antagonist
Term
Ketanserin, ritanserin
Definition
5HT2 antagonist: vasodilation, bronchodilation
Term
Clozapine, risperidone, olanzapine
Definition
5HT2 antagonist; treat psychosis
Term
Ondansetron, granisetron, tropisetron
Definition
5HT3 antagonist: for nausea, vomiting assoicated w surgery and chemotherapy
Term
Tegaserod
Definition
5HT4 agonist; irritable bowel syndrome, constipation
Term
Citalopram, Escitalopram, Fluoxetine, Fluxoamine, Paroxetine, Sertraline
Definition
SSRIs for depression
Term
Citalopram
Definition
SSRI for depression
Term
Escitalopram
Definition
SSRI for depression
Term
Fluvoxamine
Definition
SSRI for depression
Term
Paroxetine
Definition
SSRI for depression
Term
Sertraline
Definition
SSRI for depression
Term
Imipramine
Definition
SNRIs (TCAs) for depression
Term
Amitriptyline
Definition
SNRIs (TCAs) for depression
Term
Venlafaxine
Definition
SNRI for depression
Term
Duloxetine
Definition
SNRI for depression
Term
Nefazodone
Definition
SNDRI for depression
Term
Hyperforin (St John's Wort)
Definition
SNDRI for depression
Term
interaction following the concurrent administration of an MAOI and SSRI or TCA
Definition
Serotonin syndrome: tachycardia, hypertension, hyperactivity, hyperpyrexia, convulsions, and coma;
especially problematic with fluoxetine because of its long half-life
Term
What risk has been associated w the following 3 groups of serotonergic drugs?
Serotonergic vasoconstrictive anti-migraine drugs (ergotamine and methysergide)
Serotonergic appetite suppressant drugs (fenfluramine, chlorphentermine, and aminorex)
Anti-parkinsonian dopaminergic agonists, which also stimulate serotonergic 5-HT2B receptors (pergolide and cabergoline)
Definition
Risk of retroperitoneal and cardiac valve fibrosis
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