Norepinephrine–dopamine disinhibitor (original) (raw)

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Dysinhibitory noradrenaliny i dopaminy (ang. norepinephrine and dopamine disinhibitors, NDDI) – grupa leków, których mechanizm działania polega na odhamowaniu (dysinhibicji) uwalniania neuroprzekaźników noradrenaliny i dopaminy w korze przedczołowej poprzez antagonizm wobec receptorów serotoninergicznych 5HT2C. Działanie takie przypisuje się lekom przeciwdepresyjnym: agomelatynie (działającej poza tym na receptory melatoninergiczne) i fluoksetynie (której głównym mechanizmem działania jest hamowanie wychwytu zwrotnego serotoniny). Flibanseryna, lek zarejestrowany we wskazaniu zaburzeń pożądania u kobiet w okresie przedmenopauzalnym, odhamowuje uwalnianie noradrenaliny i dopaminy poprzez działanie na receptory 5HT1A.

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dbo:abstract Norepinephrine and dopamine disinhibitors (NDDIs) are a class of drugs which act at specific sites to disinhibit downstream norepinephrine and dopamine release in the brain. Agomelatine, an antidepressant which disinhibits norepinephrine and dopamine release in the frontal cortex by antagonizing 5-HT2C receptors, was the first drug to be described as an NDDI. While many other drugs also antagonize 5-HT2C receptors to some degree or another, they tend to be very non-specific in their actions, and as a result, the term "NDDI" has generally, though not always (for instance, fluoxetine has been called an NDDI in addition to SSRI due to its (weak) blockade of 5-HT2C), been reserved for describing newer, more selective agents in which disinhibition of norepinephrine and dopamine release is their primary mechanism of action. Another drug that has been referred to as an NDDI in the medical literature is flibanserin, which is approved as a treatment for hypoactive sexual desire disorder in premenopausal women. Flibanserin disinhibits norepinephrine and dopamine release in the prefrontal cortex by activating 5-HT1A receptors in this area. Aside from agomelatine, fluoxetine, and flibanserin, as of present, no other drugs have been described as NDDIs in the medical literature, despite the fact that many other existing drugs possess effects consistent with those of the definition of an NDDI. In any case, more drugs labeled specifically as NDDIs may be seen in the future. (en) Dysinhibitory noradrenaliny i dopaminy (ang. norepinephrine and dopamine disinhibitors, NDDI) – grupa leków, których mechanizm działania polega na odhamowaniu (dysinhibicji) uwalniania neuroprzekaźników noradrenaliny i dopaminy w korze przedczołowej poprzez antagonizm wobec receptorów serotoninergicznych 5HT2C. Działanie takie przypisuje się lekom przeciwdepresyjnym: agomelatynie (działającej poza tym na receptory melatoninergiczne) i fluoksetynie (której głównym mechanizmem działania jest hamowanie wychwytu zwrotnego serotoniny). Flibanseryna, lek zarejestrowany we wskazaniu zaburzeń pożądania u kobiet w okresie przedmenopauzalnym, odhamowuje uwalnianie noradrenaliny i dopaminy poprzez działanie na receptory 5HT1A. (pl)
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rdfs:comment Dysinhibitory noradrenaliny i dopaminy (ang. norepinephrine and dopamine disinhibitors, NDDI) – grupa leków, których mechanizm działania polega na odhamowaniu (dysinhibicji) uwalniania neuroprzekaźników noradrenaliny i dopaminy w korze przedczołowej poprzez antagonizm wobec receptorów serotoninergicznych 5HT2C. Działanie takie przypisuje się lekom przeciwdepresyjnym: agomelatynie (działającej poza tym na receptory melatoninergiczne) i fluoksetynie (której głównym mechanizmem działania jest hamowanie wychwytu zwrotnego serotoniny). Flibanseryna, lek zarejestrowany we wskazaniu zaburzeń pożądania u kobiet w okresie przedmenopauzalnym, odhamowuje uwalnianie noradrenaliny i dopaminy poprzez działanie na receptory 5HT1A. (pl) Norepinephrine and dopamine disinhibitors (NDDIs) are a class of drugs which act at specific sites to disinhibit downstream norepinephrine and dopamine release in the brain. Agomelatine, an antidepressant which disinhibits norepinephrine and dopamine release in the frontal cortex by antagonizing 5-HT2C receptors, was the first drug to be described as an NDDI. While many other drugs also antagonize 5-HT2C receptors to some degree or another, they tend to be very non-specific in their actions, and as a result, the term "NDDI" has generally, though not always (for instance, fluoxetine has been called an NDDI in addition to SSRI due to its (weak) blockade of 5-HT2C), been reserved for describing newer, more selective agents in which disinhibition of norepinephrine and dopamine release is their (en)
rdfs:label Norepinephrine–dopamine disinhibitor (en) Dysinhibitory noradrenaliny i dopaminy (pl)
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