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Radafaxine Information

Radafaxine is drug candidate designated GW-353,162[1] by GlaxoSmithKline, investigated for treatment of restless leg syndrome and as an NDRI antidepressant. GlaxoSmithKline was targeting Radafaxine for regulatory filing in 2007,[2] but development was discontinued in 2006 due to "poor test results".[3]

Contents

Chemistry

It is a potent metabolite of bupropion, the compound in GlaxoSmithKline's Wellbutrin. More specifically, "6-hydroxybupropion" is an analogue of bupropion, and radafaxine is an isolated isomer of 6-hydroxybupropion.[4]

Therefore, radafaxine builds on at least some of the properties of bupropion in humans.[5]

Effects

Presently in various clinical trials, radafaxine is being studied as a treatment for clinical depression, obesity, and neuropathic pain. Radafaxine is described as a norepinephrine-dopamine reuptake inhibitor (NDRI).

Unlike bupropion (which has a slightly higher effect on dopamine reuptake), radafaxine seems to have a higher potency on norepinephrine. This, according to GlaxoSmithKline, may account for the increased effect of radafaxine on pain and fatigue.[6]

Radafaxine has about 70% of bupropion's efficacy in blocking dopamine reuptake, and 392% of efficacy in blocking norepinephrine reuptake.[7][8]

At least one study suggests that radafaxine has a low abuse potential similar to bupropion.[9]

See also

References

  1. ^ Restless Legs Syndrome: First Approval
  2. ^ {1} Reviews Novel Therapeutics For CNS Disorders And Confirms Strong Pipeline Momentum - News, Search Jobs, Events
  3. ^ GSK breakthrough on bird flu vaccine - Business News, Business - Independent.co.uk
  4. ^ MeSH radafaxine
  5. ^ GlaxoSmithKline Reviews Novel Therapeutics for CNS Disorders and Confirms Strong Pipeline Momentum
  6. ^ Microsoft PowerPoint - slides_05_burch.ppt
  7. ^ Xu H, Loboz KK, Gross AS, McLachlan AJ (2007). "Stereoselective analysis of hydroxybupropion and application to drug interaction studies". Chirality 19 (3): 163–70. doi:10.1002/chir.20356. PMID 17167747.
  8. ^ Bondarev ML, Bondareva TS, Young R, Glennon RA (2003). "Behavioral and biochemical investigations of bupropion metabolites". Eur J Pharmacol 474 (1): 85–93. doi:10.1016/S0014-2999(03)02010-7. PMID 12909199.
  9. ^ Radafaxine
· · Antidepressants (N06A)
Specific reuptake inhibitors (RIs), enhancers (REs), and releasing agents (RAs)
Selective serotonin reuptake inhibitors (SSRIs) AlaproclateCitalopramEscitalopramFemoxetineFluoxetine#FluvoxamineIndalpineIfoxetineLitoxetineLubazodonePanuramineParoxetinePirandamineSeproxetineSertraline#VilazodoneZimelidine
Serotonin-norepinephrine reuptake inhibitors (SNRIs) BicifadineClovoxamineDesvenlafaxineDuloxetineLevomilnacipranEclanamineMilnacipranSibutramineVenlafaxine
Serotonin-norepinephrine-dopamine reuptake inhibitors (SNDRIs) BrasofensineBTS-74,398CocaineDiclofensineDOV-21,947DOV-102,677DOV-216,303EXP-561FezolamineJNJ-7,925,476NS-2359PRC200-SSPridefrineSEP-225,289SEP-227,162Tesofensine
Norepinephrine reuptake inhibitors (NRIs) AmedalinAtomoxetine/TomoxetineBinedalineCiclazindolDaledalinEsreboxetineLortalamineMazindolNisoxetineReboxetineTalopramTalsupramTandamineViloxazine
Dopamine reuptake inhibitors (DRIs) MedifoxamineVanoxerine
Norepinephrine-dopamine reuptake inhibitors (NDRIs) AmineptineBupropion/Amfebutamone#CilobamineManifaxineMethylphenidateNomifensineRadafaxineTametraline
Norepinephrine-dopamine releasing agents (NDRAs) AmphetamineBefuralineLisdexamfetamine • Methamphetamine • PhenethylaminePiberalineTranylcypromine
Serotonin-norepinephrine-dopamine releasing agents (SNDRAs) 4-Methyl-αMTαET/EtryptamineαMT/Metryptamine
Selective serotonin reuptake enhancers (SSREs) Tianeptine
Others IndeloxazineTramadolViqualine
Receptor antagonists and/or reuptake inhibitors
Serotonin antagonists and reuptake inhibitors (SARIs) EtoperidoneNefazodoneTrazodone
Noradrenergic and specific serotonergic antidepressants (NaSSAs) AptazapineEsmirtazapineMianserinMirtazapineSetiptiline/Teciptiline
Norepinephrine-dopamine disinhibitors (NDDIs) Agomelatine
Serotonin modulators and stimulators (SMSs) Lu AA21004
Tricyclic and tetracyclic antidepressants (TCAs/TeCAs)
Tricyclics AmezepineAmineptineAmitriptyline#AmitriptylinoxideAzepindoleButriptylineCianopramineClomipramineCotriptyline • Cyanodothiepin • DemexiptilineDepramine/BalipramineDesipramineDibenzepineDimetacrineDosulepin/DothiepinDoxepinEnprazepineFluotracenHepzidineHomopipramolImipramineImipraminoxideIntriptylineIprindoleKetipramineLitracenLofepramineLosindoleMariptilineMelitracenMetapramineMezepineNaranolNitroxazepineNortriptylineNoxiptilineOctriptylineOpipramolPipofezinePropizepineProtriptylineQuinupramineTampramineTianeptineTienopramineTrimipramine;
Tetracyclics 7-OH-AmoxapineAmoxapineAptazapineAzipramineCiclazindolCiclopramineEsmirtazapineLoxapineMaprotilineMazindolMianserinMirtazapineOxaprotilineSetiptiline/Teciptiline
Monoamine oxidase inhibitors (MAOIs)
Nonselective Irreversible: BenmoxinEchinopsidineIproclozideIproniazidIsocarboxazidMebanazineMetfendrazineNialamideOctamoxinPhenelzinePheniprazinePhenoxypropazinePivalylbenzhydrazineSafrazineTranylcypromine; Reversible: CaroxazoneParaxazone;
MAOA-Selective Irreversible: Clorgyline; Reversible: AmiflamineBazinaprineBefloxatone • Befol • BrofaromineCimoxatone • Esuperone • Harmala Alkaloids (Harmine, Harmaline, Tetrahydroharmine, Harman, Norharman, etc) • Methylene BlueMetralindoleMinaprineMoclobemidePirlindole • Sercloremine • TetrindoleToloxatoneTyrima;
MAOB-Selective Irreversible: Ladostigil • Mofegiline • PargylineRasagilineSelegiline; Reversible: Lazabemide • Milacemide
Azapirones and other 5-HT1A receptor agonists
AlnespironeAripiprazoleBefiradolBuspironeEptapironeFlesinoxanFlibanserinGepironeIpsapironeOxaflozaneTandospironeVilazodoneZalospirone
Dietary supplements (vitamins, minerals, amino acids, etc)
Ascorbic acid (Vitamin C) • Fish oilFolic acid (Vitamin B9) • L-5-HTP (Oxitriptan) • L-DOPA (Levodopa) • L-MethionineL-PhenylalanineL-TryptophanL-TyrosineLithiumMagnesiumMelatoninNiacin/Niacinamide (Vitamin B3) • Omega-3 fatty acidsPyridoxine (Vitamin B6) • RubidiumSAMeZinc
Research compounds and miscellaneous agents
5-HT4R agonists RS-67,333SL65.0155
5-HT7R antagonists Amisulpride
α2δ-VDCC blockers GabapentinPregabalin
β3-Adrenoceptor agonists AmibegronSolabegron
σ1R agonists AfobazoleDextromethorphanFluvoxamineIgmesineOpipramolPRE-084
CB1R agonists NabiloneTetrahydrocannabinol/Dronabinol
COMT inhibitors EntacaponeTolcapone
CRF1R antagonists AntalarminCP-154,526PexacerfontPivagabine
D2/D3 AR antagonists AmisulprideSulpiride
D2/D3/D4 R agonists PiribedilPramipexoleRopiniroleRotigotineRoxindole
DOR agonists BU-48BuprenorphineBW373U86DPI-287HeroinKratomSNC-80
Enkephalinase inhibitors D-PhenylalanineRB-101
FAAH inhibitors Acetaminophen/ParacetamolAM-404URB-597
KOR antagonists 5-GNTIBuprenorphineJDTicNorbinaltorphimine
MOR agonists BuprenorphineCodeineDextropropoxypheneDihydrocodeineFentanylHeroinHydrocodoneHydromorphoneKratomMethadoneMorphineOpiumOxycodoneOxymorphonePethidine/MeperidineTapentadolTramadol
MT1/MT2R agonists AgomelatineMelatoninRamelteonTasimelteon
NK1R antagonists AprepitantCasopitantFosaprepitantL-733,060MaropitantVestipitant
NMDAR antagonists DextromethorphanKetamineMagnesiumMemantineZinc
PDE4 inhibitors Mesembrine (Kanna) • Rolipram
TRPC6 activators Adhyperforin (St. John's Wort) • Hyperforin (St. John's Wort)
#WHO-EM. Withdrawn from market. Clinical trials: Phase III. §Never to phase III

: PSO/PSI

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, drug(/////)

· · Antiaddictives (N07B)
Nicotine dependence/ (Nicotinic agonist)

NicotineDianiclineVareniclineLobelineMecamylamineScopolamine

NDRI (Bupropion) • AA (Clonidine) • CB1 (Surinabant)
Alcohol dependence AD inhibitor (Disulfiram, Calcium carbimide) • mGluR (Acamprosate) • Opioid receptor antagonists (Naltrexone, Nalmefene) • TopiramateAA (Clonidine) • Baclofen
Opioid dependence BuprenorphineMethadoneLevacetylmethadolDihydrocodeineDihydroetorphineAA (Clonidine) • LofexidineExtended Release MorphineExtended Release HydromorphoneBaclofenIbogaine
Stimulant dependence DextroamphetamineNDRI (Bupropion) • DRI (Vanoxerine) • NocaineGABA analogue (Vigabatrin)
Benzodiazepine dependence AA (Clonidine) • benzodiazepine (Diazepam) • Phenytoinbarbiturate (Phenobarbital)
Cocaine dependence NDRI (Bupropion) • DRI (Vanoxerine) • NocaineBaclofenGABA analogue (Vigabatrin)
Sedative-Hypnotic dependence barbiturate (Phenobarbital) • benzodiazepine (Diazepam, Lorazepam) • AA (Clonidine) • Chloral hydrate

: CNS

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, drug(////////)

· · Adrenergics
Receptor ligands
α1 Agonists: 5-FNE • 6-FNEAmidephrineAnisodamineAnisodineCirazolineDipivefrineDopamineEphedrineEpinephrine (Adrenaline) • EtilefrineEthylnorepinephrineIndanidineLevonordefrinMetaraminolMethoxamineMethyldopaMidodrineNaphazolineNorepinephrine (Noradrenaline) • OctopamineOxymetazolinePhenylephrinePhenylpropanolaminePseudoephedrineSynephrineTetrahydrozoline Antagonists: AbanoquilAdimololAjmalicineAlfuzosinAmosulalolArotinololAtiprosin • Benoxathian • BuflomedilBunazosinCarvedilol • CI-926 • CorynanthineDapiprazole • DL-017 • Domesticine • Doxazosin • Eugenodilol • Fenspiride • GYKI-12,743 • GYKI-16,084 • IndoraminKetanserinL-765,314Labetalol • Mephendioxan • Metazosin • MonatepilMoxisylyte (Thymoxamine) • NaftopidilNantenine • Neldazosin • NicergolineNiguldipine • Pelanserin • Phendioxan • PhenoxybenzaminePhentolaminePiperoxanPrazosin • Quinazosin • Ritanserin • RS-97,078 • SGB-1,534 • Silodosin • SL-89.0591 • SpiperoneTalipexoleTamsulosinTerazosin • Tibalosin • Tiodazosin • Tipentosin • TolazolineTrimazosin • Upidosin • Urapidil • Zolertine * Note that many TCAs, TeCAs, antipsychotics, ergolines, and some piperazines like buspirone, trazodone, nefazodone, etoperidone, and mepiprazole all antagonize α1-adrenergic receptors as well, which contributes to their side effects such as orthostatic hypotension.
α2 Agonists: (R)-3-Nitrobiphenyline4-NEMD6-FNEAmitrazApraclonidineBrimonidineCannabivarinClonidineDetomidineDexmedetomidineDihydroergotamineDipivefrineDopamineEphedrineErgotamineEpinephrine (Adrenaline) • Esproquin • EtilefrineEthylnorepinephrineGuanabenzGuanfacineGuanoxabenzLevonordefrinLofexidineMedetomidineMethyldopaMivazerolNaphazolineNorepinephrine (Noradrenaline) • PhenylpropanolaminePiperoxanPseudoephedrineRilmenidineRomifidineTalipexoleTetrahydrozolineTizanidineTolonidineUrapidilXylazineXylometazoline Antagonists: 1-PPAdimololAptazapineAtipamezoleBRL-44408BuflomedilCirazolineEfaroxanEsmirtazapineFenmetozoleFluparoxan • GYKI-12,743 • GYKI-16,084 • IdazoxanMianserinMirtazapine • MK-912 • NAN-190OlanzapinePhentolaminePhenoxybenzaminePiperoxanPiribedilRauwolscineRotigotineSB-269,970SetiptilineSpiroxatrineSunepitronTolazolineYohimbine * Note that many atypical antipsychotics and azapirones like buspirone and gepirone (via metabolite 1-PP) antagonize α2-adrenergic receptors as well.
β Agonists: 2-FNE • 5-FNE • AmibegronArbutamineArformoterolArotinololBAAMBambuterolBefunololBitolterolBroxaterolBuphenineCarbuterolCimaterolClenbuterolDenopamine • Deterenol • DipivefrineDobutamineDopamineDopexamineEphedrineEpinephrine (Adrenaline) • EtafedrineEtilefrineEthylnorepinephrineFenoterolFormoterolHexoprenalineHigenamineIndacaterolIsoetarineIsoprenaline (Isoproterenol) • IsoxsuprineLabetalolLevonordefrinLevosalbutamolMabuterolMethoxyphenamineMethyldopaN-Isopropyloctopamine • Norepinephrine (Noradrenaline) • OrciprenalineOxyfedrinePhenylpropanolaminePirbuterolPrenalterolRactopamineProcaterolPseudoephedrineReproterolRimiterolRitodrineSalbutamol (Albuterol) • SalmeterolSolabegronTerbutalineTretoquinolTulobuterolXamoterolZilpaterolZinterol Antagonists: AcebutololAdaprololAdimololAfurololAlprenololAlprenoximeAmosulalolAncarololArnololArotinololAtenololBefunololBetaxololBevantololBisoprololBopindolol • Bormetolol • Bornaprolol • Brefonalol • Bucindolol • Bucumolol • Bufetolol • Buftiralol • Bufuralol • Bunitrolol • Bunolol • Bupranolol • Burocrolol • Butaxamine • Butidrine • Butofilolol • Capsinolol • Carazolol • Carpindolol • CarteololCarvedilolCeliprolol • Cetamolol • Cicloprolol • Cinamolol • CloranololCyanopindolol • Dalbraminol • Dexpropranolol • DiacetololDichloroisoprenalineDihydroalprenolol • Dilevalol • Diprafenone • Draquinolol • Dropranolol • Ecastolol • Epanolol • Ericolol • Ersentilide • Esatenolol • Esmolol • Esprolol • Eugenodilol • Exaprolol • Falintolol • Flestolol • Flusoxolol • Hydroxycarteolol • Hydroxytertatolol • ICI-118,551 • Idropranolol • Indenolol • Indopanolol • Iodocyanopindolol • Iprocrolol • Isoxaprolol • IsamoltaneLabetalolLandiololLevobetaxololLevobunolol • Levocicloprolol • Levomoprolol • MedroxalolMepindolol • Metalol • MetipranololMetoprolol • Moprolol • Nadolol • Nadoxolol • Nafetolol • Nebivolol • Neraminol • Nifenalol • Nipradilol • Oberadilol • Oxprenolol • Pacrinolol • Pafenolol • Pamatolol • Pargolol • Parodilol • Penbutolol • Penirolol • PhQA-33 • Pindolol • Pirepolol • Practolol • Primidolol • Procinolol • PronethalolPropafenonePropranolol • Ridazolol • Ronactolol • Soquinolol • Sotalol • Spirendolol • SR 59230A • Sulfinalol • TA-2005 • TalinololTazolol • Teoprolol • Tertatolol • Terthianolol • Tienoxolol • TilisololTimolol • Tiprenolol • Tolamolol • Toliprolol • Tribendilol • Trigevolol • XibenololXipranolol
Reuptake inhibitors
NET Selective norepinephrine reuptake inhibitors: AmedalinAtomoxetine (Tomoxetine) • CiclazindolDaledalinEsreboxetineLortalamineMazindolNisoxetineReboxetineTalopramTalsupramTandamineViloxazine; Norepinephrine-dopamine reuptake inhibitors: AmineptineBupropion (Amfebutamone) • FencamineFencamfamineLefetamineLevophacetoperaneLR-5182ManifaxineMethylphenidateNomifensineO-2172Radafaxine; Serotonin-norepinephrine reuptake inhibitors: BicifadineDesvenlafaxineDuloxetineEclanamineLevomilnacipranMilnacipranSibutramineVenlafaxine; Serotonin-norepinephrine-dopamine reuptake inhibitors: BrasofensineDiclofensineDOV-102,677DOV-21,947DOV-216,303JNJ-7925476JZ-IV-10MethylnaphthidateNaphyroneNS-2359PRC200-SSSEP-225,289SEP-227,162Tesofensine; Tricyclic antidepressants: AmitriptylineButriptylineCianopramineClomipramineDesipramineDosulepinDoxepinImipramineLofepramineNortriptylineProtriptylineTrimipramine; Tetracyclic antidepressants: AmoxapineMaprotilineMianserinOxaprotilineSetiptiline; Others: CocaineCP-39,332EXP-561FezolamineNefazodoneNefopamPridefrineTapentadolTramadolZiprasidone
VMAT IbogaineReserpineTetrabenazine
Releasing agents
Morpholines: FenbutrazateMorazonePhendimetrazinePhenmetrazine; Oxazolines: 4-MethylaminorexAminorexClominorexCyclazodoneFenozoloneFluminorexPemolineThozalinone; Phenethylamines (also amphetamines, cathinones, phentermines, etc): 2-OH-PEA4-CAB4-FA4-FMA4-MA4-MMAAlfetamineAmfecloralAmfepentorexAmfepramoneAmphetamine (Dextroamphetamine, Levoamphetamine) • Amphetaminilβ-Me-PEABDBBenzphetamineBOHBuphedroneButyloneCathineCathinoneClobenzorexClortermineD-DeprenylDimethylamphetamineDimethylcathinone (Dimethylpropion, metamfepramone) • DMADMMAEBDBEphedrineEthcathinoneEthylamphetamineEthyloneFamprofazoneFenethyllineFenproporexFlephedroneFludorexFurfenorexHordenineIAPIMPL-Deprenyl (Selegiline) • LisdexamfetamineLophophineMBDBMDA (Tenamfetamine) • MDEAMDMAMDMPEAMDOHMDPEAMefenorexMephedroneMephentermine • Methamphetamine (Dextromethamphetamine, Levomethamphetamine) • MethcathinoneMethedroneMethyloneNAPOrtetamineParedrinepBApCAPentorex (Phenpentermine) • PhenethylaminePholedrinePhenpromethaminePhenterminePhenylpropanolaminepIAPrenylaminePropylamphetaminePseudoephedrineTiflorexTyramineXylopropamineZylofuramine; Piperazines: 2C-B-BZPBZPMBZPmCPPMDBZPMeOPPpFPP; Others: 2-Amino-1,2-dihydronaphthalene2-Aminoindane2-Aminotetralin2-Benzylpiperidine4-Benzylpiperidine5-IAIClofenciclanCyclopentamineCypenamineCyprodenateFeprosidnineGilutensinHeptaminolHexacyclonateIndanorexIsomethepteneMethylhexanamineOctodrinePhthalimidopropiophenonePropylhexedrine (Levopropylhexedrine) • Tuaminoheptane
Enzyme inhibitors
Anabolism
PAH 3,4-Dihydroxystyrene
TH 3-IodotyrosineAquayamycinBulbocapnineMetirosineOudenone
AAAD BenserazideCarbidopaGenisteinMethyldopa
DBH Bupicomide • Disulfiram • Dopastin • Fusaric acidNepicastat • Phenopicolinic acid • Tropolone
PNMT CGS-19281A • SKF-64139 • SKF-7698
Catabolism
MAO Nonselective: BenmoxinCaroxazoneEchinopsidineFurazolidoneHydralazineIndantadolIproclozideIproniazidIsocarboxazidIsoniazidLinezolidMebanazineMetfendrazineNialamideOctamoxinParaxazonePhenelzinePheniprazinePhenoxypropazinePivalylbenzhydrazineProcarbazineSafrazineTranylcypromine; MAO-A selective: AmiflamineBazinaprineBefloxatone • Befol • BrofaromineCimoxatoneClorgiline • Esuprone • Harmala alkaloids (Harmine, Harmaline, Tetrahydroharmine, Harman, Norharman, etc) • Methylene BlueMetralindoleMinaprineMoclobemidePirlindole • Sercloremine • TetrindoleToloxatoneTyrima; MAO-B selective: D-DeprenylSelegiline (L-Deprenyl) • LadostigilLazabemide • Milacemide • Mofegiline • PargylineRasagiline * Note that MAO-B inhibitors also influence norepinephrine/epinephrine levels since they inhibit the breakdown of their precursor dopamine.
COMT EntacaponeTolcapone
Others
Precursors L-PhenylalanineL-TyrosineL-DOPA (Levodopa) → DopamineL-DOPS (Droxidopa)
Cofactors Ferrous Iron (Fe2+) • S-Adenosyl-L-MethionineVitamin B3 (Niacin, NicotinamideNADPH) • Vitamin B6 (Pyridoxine, Pyridoxamine, PyridoxalPyridoxal Phosphate) • Vitamin B9 (Folic acidTetrahydrofolic acid) • Vitamin C (Ascorbic acid) • Zinc (Zn2+)
Others Activity enhancers: BPAPPPAP; Release blockers: BethanidineBretyliumGuanadrelGuanazodine • Guanclofine • GuanethidineGuanoxan; Toxins: Oxidopamine (6-Hydroxydopamine)
· · Cholinergics
Receptor ligands
mAChR Agonists: 77-LH-28-1 • AC-42 • AC-260,584 • AceclidineAcetylcholine • AF30 • AF150(S) • AF267B • AFDX-384 • Alvameline • AQRA-741 • ArecolineBethanecholButyrylcholineCarbachol • CDD-0034 • CDD-0078 • CDD-0097 • CDD-0098 • CDD-0102 • Cevimeline • cis-Dioxolane • Ethoxysebacylcholine • LY-593,039 • L-689,660 • LY-2,033,298 • McNA343 • MethacholineMilamelineMuscarine • NGX-267 • Ocvimeline • Oxotremorine • PD-151,832 • Pilocarpine • RS86 • Sabcomeline • SDZ 210-086 • Sebacylcholine • Suberylcholine • TalsaclidineTazomeline • Thiopilocarpine • Vedaclidine • VU-0029767 • VU-0090157 • VU-0152099 • VU-0152100 • VU-0238429 • WAY-132,983 • Xanomeline • YM-796 Antagonists: 3-Quinuclidinyl Benzilate • 4-DAMP • Aclidinium BromideAnisodamineAnisodineAtropineAtropine MethonitrateBenactyzineBenzatropine (Benztropine) • Benzydamine • BIBN 99 • BiperidenBornaprineCAR-226,086CAR-301,060CAR-302,196 • CAR-302,282 • CAR-302,368 • CAR-302,537 • CAR-302,668 • CS-27349 • CyclobenzaprineCyclopentolateDarifenacin • DAU-5884 • DimethindeneDexetimide • DIBD • Dicyclomine (Dicycloverine) • DitranEA-3167EA-3443EA-3580EA-3834ElemicinEtanautineEtybenzatropine (Ethylbenztropine) • FlavoxateHimbacine • HL-031,120 • Ipratropium • J-104,129 • HyoscyamineMamba Toxin 3Mamba Toxin 7MazaticolMebeverine • Methoctramine • MetixeneMyristicinN-Ethyl-3-Piperidyl BenzilateN-Methyl-3-Piperidyl BenzilateOrphenadrine • Otenzepad • Oxybutynin • PBID • PD-102,807 • PhenglutarimidePhenyltoloxaminePirenzepinePiroheptineProcyclidineProfenamine • RU-47,213 • SCH-57,790 • SCH-72,788 • SCH-217,443 • Scopolamine (Hyoscine) • SolifenacinTelenzepineTiotropiumTolterodineTrihexyphenidyl • Tripitamine • TropatepineTropicamide • WIN-2299 • Xanomeline • Zamifenacin; Others: 1st Generation Antihistamines (Brompheniramine, chlorpheniramine, cyproheptadine, dimenhydrinate, diphenhydramine, doxylamine, mepyramine/pyrilamine, phenindamine, pheniramine, tripelennamine, triprolidine, etc) • Tricyclic Antidepressants (Amitriptyline, doxepin, trimipramine, etc) • Tetracyclic Antidepressants (Amoxapine, maprotiline, etc) • Typical Antipsychotics (Chlorpromazine, thioridazine, etc) • Atypical Antipsychotics (Clozapine, olanzapine, quetiapine, etc)
nAChR Agonists: 5-HIAAA-84,543A-366,833 • A-582,941 • A-867,744 • ABT-202ABT-418 • ABT-560 • ABT-894 • AcetylcholineAltiniclineAnabasineAR-R17779ButyrylcholineCarbacholCotinineCytisineDecamethoniumDesformylflustrabromineDianiclineDimethylphenylpiperaziniumEpibatidineEpiboxidineEthanol • Ethoxysebacylcholine • EVP-4473 • EVP-6124 • GalantamineGTS-21IsproniclineLobeline • MEM-63,908 (RG-3487) • Nicotine • NS-1738 • PHA-543,613 • PHA-709,829 • PNU-120,596PNU-282,987PozaniclineRivaniclineSazetidine A • Sebacylcholine • SIB-1508Y • SIB-1553A • SSR-180,711 • Suberylcholine • TC-1698 • TC-1734 • TC-1827 • TC-2216 • TC-5214 • TC-5619 • TC-6683 • TebaniclineTropisetronUB-165VareniclineWAY-317,538 • XY-4083 Antagonists: 18-Methoxycoronaridineα-Bungarotoxinα-ConotoxinAlcuroniumAmantadine • Anatruxonium • AtracuriumBupropion (Amfebutamone) • ChandoniumChlorisondamineCisatracurium • Coclaurine • Coronaridine • Dacuronium • DecamethoniumDextromethorphanDextropropoxypheneDextrorphan • Diadonium • DHβE • Dimethyltubocurarine (Metocurine) • Dipyrandium • Dizocilpine (MK-801) • Doxacurium • Duador • EsketamineFazadiniumGallamineHexafluroniumHexamethonium (Benzohexonium) • IbogaineIsofluraneKetamineKynurenic acidLaudexium (Laudolissin) • Levacetylmethadol • Malouetine • MecamylamineMemantineMethadoneMethorphan (Racemethorphan) • MethyllycaconitineMetocurineMivacuriumMorphanol (Racemorphanol) • NeramexaneNitrous OxidePancuroniumPempidinePentaminePentoliniumPhencyclidinePipecuroniumRadafaxineRapacuroniumRocuroniumSurugatoxinSuxamethonium (Succinylcholine) • ThiocolchicosideToxiferineTrimethaphan • Tropeinium • TubocurarineVecuroniumXenon
Reuptake inhibitors
Plasmalemmal
CHT Inhibitors Hemicholinium-3 (Hemicholine; HC3) • Triethylcholine
Vesicular
VAChT Inhibitors Vesamicol
Enzyme inhibitors
Anabolism
ChAT inhibitors 1-(-Benzoylethyl)pyridinium • 2-(α-Naphthoyl)ethyltrimethylammonium • 3-Chloro-4-stillbazole • 4-(1-Naphthylvinyl)pyridine • Acetylseco hemicholinium-3 • Acryloylcholine • AF64A • B115 • BETA • CM-54,903 • N,N-Dimethylaminoethylacrylate • N,N-Dimethylaminoethylchloroacetate
Catabolism
AChE inhibitors Reversible: Carbamates: AldicarbBendiocarb • Bufencarb • CarbarylCarbendazim • Carbetamide • Carbofuran • Chlorbufam • Chloropropham • Ethienocarb • Ethiofencarb • FenobucarbFenoxycarb • Formetanate • FuradanLadostigilMethiocarbMethomylMiotine • Oxamyl • Phenmedipham • Pinmicarb • Pirimicarb • Propamocarb • Propham • Propoxur; Stigmines: Ganstigmine • Neostigmine • Phenserine • PhysostigminePyridostigmineRivastigmine; Others: AcotiamideAmbenoniumDonepezilEdrophoniumGalantamineHuperzine AMinaprineTacrine • Zanapezil Irreversible: Organophosphates: AcephateAzinphos-methylBensulide • Cadusafos • ChlorethoxyfosChlorfenvinphosChlorpyrifosChlorpyrifos-MethylCoumaphosCyclosarin (GF) • DemetonDemeton-S-MethylDiazinonDichlorvosDicrotophosDiisopropyl fluorophosphate (Guthion) • DiisopropylphosphateDimethoateDioxathionDisulfotonEA-3148EchothiophateEthionEthopropFenamiphosFenitrothionFenthion • Fosthiazate • GV • Isofluorophate • IsoxathionMalaoxonMalathionMethamidophosMethidathionMetrifonateMevinphosMonocrotophosNaledNovichok agentOmethoate • Oxydemeton-Methyl • ParaoxonParathionParathion-Methyl • Phorate • PhosalonePhosmet • Phostebupirim • PhoximPirimiphos-MethylSarin (GB) • Soman (GD) • Tabun (GA) • Temefos • Terbufos • Tetrachlorvinphos • Tribufos • TrichlorfonVEVGVMVRVX; Others: DemecariumOnchidal (Onchidella binneyi)
BChE inhibitors * Many of the acetylcholinesterase inhibitors listed above act as butyrylcholinesterase inhibitors.
Others
Precursors Choline (Lecithin) • CiticolineCyprodenateDimethylethanolamine (DMAE, deanol) • GlycerophosphocholineMeclofenoxate (Centrophenoxine) • PhosphatidylcholinePhosphatidylethanolaminePhosphorylcholinePirisudanol
Cofactors Acetic acidAcetylcarnitineAcetyl-coAVitamin B5 (Pantethine, Pantetheine, Panthenol)
Others Acetylcholine releasing agents: α-Latrotoxinβ-Bungarotoxin; Acetylcholine release inhibitors: Botulinum toxin (Botox); Acetylcholinesterase reactivators: AsoximeObidoximePralidoxime
· · Dopaminergics
Receptor ligands
Agonists Adamantanes: AmantadineMemantineRimantadine; Aminotetralins: 7-OH-DPAT8-OH-PBZIRotigotineUH-232; Benzazepines: 6-Br-APBFenoldopamSKF-38,393SKF-77,434SKF-81,297SKF-82,958SKF-83,959; Ergolines: BromocriptineCabergolineDihydroergocryptineLisurideLSDPergolide; Dihydrexidine derivatives: 2-OH-NPAA-86,929CiladopaDihydrexidineDinapsolineDinoxylineDoxanthrine; Others: A-68,930A-77,636A-412,997ABT-670ABT-724AplindoreApomorphineAripiprazoleBifeprunoxBP-897CY-208,243DizocilpineEtilevodopaFlibanserinKetamineMelevodopaModafinilPardoprunoxPhencyclidinePD-128,907PD-168,077PF-219,061PiribedilPramipexolePropylnorapomorphinePukateineQuinagolideQuineloraneQuinpiroleRDS-127Ro10-5824RopiniroleRotigotineRoxindoleSalvinorin ASKF-89,145SumaniroleTergurideUmespironeWAY-100,635
Antagonists Typical antipsychotics: AcepromazineAzaperoneBenperidolBromperidolClopenthixolChlorpromazineChlorprothixeneDroperidolFlupentixolFluphenazineFluspirileneHaloperidolLoxapineMesoridazineMethotrimeprazineNemonapridePenfluridolPerazinePericiazinePerphenazinePimozideProchlorperazinePromazineSulforidazineSulpirideSultoprideThioridazineThiothixeneTrifluoperazineTriflupromazineTrifluperidolZuclopenthixol; Atypical antipsychotics: AmisulprideAsenapineBlonanserinCarpipramineClocapramineClozapineGevotrolineIloperidoneLurasidoneMelperoneMolindoneMosapramine • Ocaperidone • OlanzapinePaliperidonePerospironePiquindoneQuetiapineRemoxiprideRisperidoneSertindoleTiospironeZiprasidoneZotepine; Antiemetics: AS-8112AlizaprideBromoprideCleboprideDomperidoneMetoclopramideThiethylperazine; Others: AmoxapineBuspironeButaclamolEcopipamEEDQEticloprideFananserinL-745,870NafadotrideNuciferinePNU-99,194RacloprideSarizotanSB-277,011-ASCH-23,390 • SKF-83,566 • SKF-83,959SonepiprazoleSpiperoneSpiroxatrineStepholidineTetrahydropalmatineTiaprideUH-232Yohimbine
Reuptake inhibitors
Plasmalemmal
DAT inhibitors Piperazines: DBL-583GBR-12,935NefazodoneVanoxerine; Piperidines: BTCPDesoxypipradrolDextromethylphenidateDifemetorexEthylphenidateMethylnaphthidateMethylphenidatePhencyclidinePipradrol; Pyrrolidines: DiphenylprolinolMethylenedioxypyrovalerone (MDPV) • NaphyroneProlintanePyrovalerone; Tropanes: β-CPPITAltropaneBrasofensineCFTCocaineDichloropaneDifluoropineFE-β-CPPITFP-β-CPPITIoflupane (123I)IometopaneRTI-112RTI-113RTI-121RTI-126RTI-150RTI-177RTI-229RTI-336TenocyclidineTesofensineTroparilTropoxaneWF-11WF-23WF-31WF-33; Others: AdrafinilArmodafinilAmfonelic acidAmineptineBenzatropine (Benztropine) • BromantaneBTQBTS-74,398Bupropion (Amfebutamone) • CiclazindolDiclofensineDimethocaineDiphenylpyralineDizocilpineDOV-102,677DOV-21,947DOV-216,303Etybenzatropine (Ethylbenztropine) • EXP-561FencamineFencamfamineFezolamineGYKI-52,895IndatralineKetamineLefetamineLevophacetoperaneLR-5182ManifaxineMazindolMedifoxamineMesocarbModafinilNefopamNomifensineNS-2359O-2172PridefrinePropylamphetamineRadafaxineSEP-225,289SEP-227,162SertralineSibutramineTametralineTripelennamine
Vesicular
VMAT inhibitors DeserpidineIbogaineReserpineTetrabenazine
Releasing agents
Morpholines: FenbutrazateMorazonePhendimetrazinePhenmetrazine; Oxazolines: 4-Methylaminorex (4-MAR, 4-MAX) • AminorexClominorexCyclazodoneFenozoloneFluminorexPemolineThozalinone; Phenethylamines (also amphetamines, cathinones, phentermines, etc): 2-Hydroxyphenethylamine (2-OH-PEA) • 4-CAB4-Methylamphetamine (4-MA) • 4-Methylmethamphetamine (4-MMA) • AlfetamineAmfecloralAmfepentorexAmfepramoneAmphetamine (Dextroamphetamine, Levoamphetamine) • Amphetaminilβ-Methylphenethylamine (β-Me-PEA) • Benzodioxolylbutanamine (BDB) • Benzodioxolylhydroxybutanamine (BOH) • BenzphetamineBuphedroneButyloneCathineCathinoneClobenzorexClortermineD-DeprenylDimethoxyamphetamine (DMA) • Dimethoxymethamphetamine (DMMA) • DimethylamphetamineDimethylcathinone (Dimethylpropion, metamfepramone) • Ethcathinone (Ethylpropion) • EthylamphetamineEthylbenzodioxolylbutanamine (EBDB) • EthyloneFamprofazoneFenethyllineFenproporexFlephedroneFludorexFurfenorexHordenineLophophine (Homomyristicylamine) • MefenorexMephedrone • Methamphetamine (Desoxyephedrine, Methedrine; Dextromethamphetamine, Levomethamphetamine) • Methcathinone (Methylpropion) • MethedroneMethoxymethylenedioxyamphetamine (MMDA) • Methoxymethylenedioxymethamphetamine (MMDMA) • Methylbenzodioxolylbutanamine (MBDB) • Methylenedioxyamphetamine (MDA, tenamfetamine) • Methylenedioxyethylamphetamine (MDEA) • Methylenedioxyhydroxyamphetamine (MDOH) • Methylenedioxymethamphetamine (MDMA) • Methylenedioxymethylphenethylamine (MDMPEA, homarylamine) • Methylenedioxyphenethylamine (MDPEA, homopiperonylamine) • MethyloneOrtetamineParabromoamphetamine (PBA) • Parachloroamphetamine (PCA) • Parafluoroamphetamine (PFA) • Parafluoromethamphetamine (PFMA) • Parahydroxyamphetamine (PHA) • Paraiodoamphetamine (PIA) • Paredrine (Norpholedrine, Oxamphetamine) • Phenethylamine (PEA) • PholedrinePhenpromethaminePrenylaminePropylamphetamineTiflorex (Flutiorex) • Tyramine (TRA) • XylopropamineZylofuramine; Piperazines: 2,5-Dimethoxy-4-bromobenzylpiperazine (2C-B-BZP) • Benzylpiperazine (BZP) • Methoxyphenylpiperazine (MeOPP, paraperazine) • Methylbenzylpiperazine (MBZP) • Methylenedioxybenzylpiperazine (MDBZP, piperonylpiperazine); Others: 2-Amino-1,2-dihydronaphthalene (2-ADN) • 2-Aminoindane (2-AI) • 2-Aminotetralin (2-AT) • 4-Benzylpiperidine (4-BP) • 5-IAIClofenciclanCyclopentamineCypenamineCyprodenateFeprosidnineGilutensinHeptaminolHexacyclonateIndanylaminopropane (IAP) • IndanorexIsomethepteneMethylhexanamineNaphthylaminopropane (NAP) • OctodrinePhthalimidopropiophenonePropylhexedrine (Levopropylhexedrine) • Tuaminoheptane (Tuamine)
Enzyme inhibitors
Anabolism
PAH inhibitors 3,4-Dihydroxystyrene
TH inhibitors 3-IodotyrosineAquayamycinBulbocapnineMetirosineOudenone
AAAD / DDC inhibitors BenserazideCarbidopaGenisteinMethyldopa
Catabolism
MAO inhibitors Nonselective: BenmoxinCaroxazoneEchinopsidineFurazolidoneHydralazineIndantadolIproclozideIproniazidIsocarboxazidIsoniazidLinezolidMebanazineMetfendrazineNialamideOctamoxinParaxazonePhenelzinePheniprazinePhenoxypropazinePivalylbenzhydrazineProcarbazineSafrazineTranylcypromine; MAO-A selective: AmiflamineBazinaprineBefloxatone • Befol • BrofaromineCimoxatoneClorgiline • Esuprone • Harmala alkaloids (Harmine, Harmaline, Tetrahydroharmine, Harman, Norharman, etc) • Methylene BlueMetralindoleMinaprineMoclobemidePirlindole • Sercloremine • TetrindoleToloxatoneTyrima; MAO-B selective: D-DeprenylL-Deprenyl (Selegiline) • LadostigilLazabemide • Milacemide • Mofegiline • PargylineRasagiline
COMT inhibitors EntacaponeTolcapone
DBH inhibitors Bupicomide • Disulfiram • Dopastin • Fusaric acidNepicastat • Phenopicolinic acid • Tropolone
Others
Precursors L-PhenylalanineL-TyrosineL-DOPA (Levodopa)
Cofactors Ferrous Iron (Fe2+) • TetrahydrobiopterinVitamin B3 (Niacin, NicotinamideNADPH) • Vitamin B6 (Pyridoxine, Pyridoxamine, PyridoxalPyridoxal Phosphate) • Vitamin B9 (Folic acidTetrahydrofolic acid) • Vitamin C (Ascorbic acid) • Zinc (Zn2+)
Others Activity Enhancers: Benzofuranylpropylaminopentane (BPAP) • Phenylpropylaminopentane (PPAP); Toxins: Oxidopamine (6-Hydroxydopamine)
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