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Wrath Thor UNSIN
Wrath Thor UNSIN

... side effects would occur as a result of dispersed ligand binding throughout the brain. Furthermore, literature indicates that 5-HT1B receptors can elicit contrasting behavioural effects depending on their location. For example, in the prefrontal cortex, they function as terminal receptors that inhib ...
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Pharmacological stress diathesis syndromes
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full Prescribing Information
full Prescribing Information

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The pharmacologic treatment of Dravet syndrome
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bupropion / Wellbutrin
bupropion / Wellbutrin

... 150mg po bid x 2-3 months. An initial starting dose of 150mg po od x 3-5 days may help to minimize side effects. (Common side effects include: agitation, insomnia, tremor, GI upset, decreased appetite.) Wellbutrin® also contains bupropion SR and is available in 100mg & 150mg tablets. It is marketed ...
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NIDA Research Report- Hallucinogens and

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L-Tryptophan - Alternative Medicine Review

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Levorphanol Tartrate
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Full Prescribing Information
Full Prescribing Information

... patients with signs or symptoms suggestive of angina should be evaluated for the presence of CAD (5.2) Cerebrovascular events, some fatal (5.3) Gastrointestinal ischemic events and peripheral vasospastic reactions (e.g., Raynaud’s syndrome) (5.4) Potentially life-threatening serotonin syndrome, part ...
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... this study. This specific effect is not clear for other drugs, and needs more investigations. The mechanism involved in this phenomenon, in cyproheptadine effect is not known. Serotonin is a neurotransmitter, which seems to be largely involved in pathogenesis of migraine headache8. Cyproheptadine is ...
Methamphetamine, “Bath Salts,” and other Amphetamine
Methamphetamine, “Bath Salts,” and other Amphetamine

... [48-50]. Disseminated intravascular coagulation with subsequent death has been detailed [51-54]. In the lung, AAD increase serotonin concentration from upregulation of tryptophan hydroxylase, serotonin transporters, and down regulation of monoamine oxidase, resulting in pulmonary arterial hypertensi ...
Neuropharmacology of Aggressive Behavior - E
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Antidepressants
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Serotonergic Manipulations Both Potentiate and Reduce Brain
Serotonergic Manipulations Both Potentiate and Reduce Brain

... raphé (Simon et al. 1976; van der Kooy et al., 1978) maintained self-stimulation behavior that was reduced by PCPA, suggesting that self-stimulation of the raphé nuclei is serotonergically mediated. Response rates for self-stimulation of the hippocampus also were decreased by PCPA administration ( ...
Procalm
Procalm

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Effect of acute and chronic tianeptine on the action of classical
Effect of acute and chronic tianeptine on the action of classical

... Background: The aim of the study was to analyze the influence of acute and chronic treatment with tianeptine, an antidepressant selectively accelerating presynaptic serotonin reuptake, on the protective activity of classical antiepileptic drugs in the maximal electroshock test in mice. Methods: Elec ...
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Serotonin syndrome



Serotonin syndrome is a potential symptom of any number of life-threatening drug interactions which may follow therapeutic drug use, combination, overdose of particular drugs, or the recreational use of certain drugs. Serotonin syndrome is not an idiopathic drug reaction; it is a predictable consequence of excess serotonin on the CNS and/or peripheral nervous system. For this reason, some experts strongly prefer the terms serotonin toxicity or serotonin toxidrome which more accurately reflect that it is a form of poisoning. Other names include serotonin sickness, serotonin storm, serotonin poisoning, hyperserotonemia, or serotonergic syndrome.Excessive levels of serotonin produce a spectrum of specific symptoms including cognitive, autonomic, and somatic effects. Symptoms may range from barely perceptible to fatal. Numerous drugs and drug combinations have been reported to produce serotonin syndrome, though the exact mechanism is not well understood in many instances.Diagnosis includes observing symptoms and investigating patient history for causal factors (interacting drugs). The syndrome has a characteristic picture but can be mistaken for other illnesses in some people, particularly those with neuroleptic malignant syndrome. No laboratory tests can currently confirm the diagnosis. Hence it is diagnosed based on symptoms, disease course (that is, the progression of the disease) and the exclusion of other possible causes of the presenting symptoms.Treatment consists of discontinuing medications which may contribute and in moderate to severe cases administering a serotonin antagonist. An important adjunct treatment includes controlling agitation with benzodiazepine sedation. The high-profile case of Libby Zion, who is generally accepted to have died from serotonin syndrome, resulted in changes to graduate medical education in New York State.
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