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Aptazapine (CGS-7525A) is a tetracyclic antidepressant (TeCA) which was assayed in clinical trials for the treatment of depression in the 1980s but was never marketed.[1][2][3] It is a potent α2-adrenergic receptor antagonist with ~10x the strength of the related compound mianserin and has also been shown to act as a 5-HT2 receptor antagonist and H1 receptor inverse agonist, while having no significant effects on the reuptake of serotonin or norepinephrine.[1][4] Based on its pharmacological profile, aptazapine may be classified as a noradrenergic and specific serotonergic antidepressant (NaSSA).
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* Note that many TCAs, TeCAs, antipsychotics, ergolines, and some piperazines like buspirone and trazodone all antagonize α1-adrenergic receptors as well, which contributes to their side effects such as orthostatic hypotension.
* Note that many atypical antipsychotics and azapirones like buspirone (via metabolite 1-PP) antagonize α2-adrenergic receptors as well.
* Note that MAO-B inhibitors also influence norepinephrine/epinephrine levels since they inhibit the breakdown of their precursor dopamine.
Methamphetamine, Norepinephrine, Amphetamine, Morphine, Australia
5-Methoxytryptamine, Metitepine, Lysergic acid diethylamide, Bromocriptine, Methysergide
5-Carboxamidotryptamine, Metitepine, Lysergic acid diethylamide, Bromocriptine, Methysergide
India, Psychology, Zinc, Morphine, Methamphetamine
Metitepine, Amoxapine, 5-Carboxamidotryptamine, 5-Methoxytryptamine, Amitriptyline
Metitepine, Amoxapine, Iron, Zinc, Lysergic acid diethylamide
Metitepine, Iron, Zinc, Lysergic acid diethylamide, Amoxapine
Amitriptyline, Mianserin, Olanzapine, Metitepine, Mirtazapine
Metitepine, Olanzapine, Amoxapine, Clozapine, Amitriptyline