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Extra info for Understanding and Managing the Pieces of Major Depressive Disorder
Sample text
Serotonin (5HT) neurons can act on somatodendritic regions of dopamine (DA) neurons. Specifically, 5HT1A and 5HT2A receptors have opposite actions on DA release. Stimulation of 5HT1A receptors increases DA release, and thus 5HT1A receptors act as a DA accelerator. Stimulation of 5HT2A receptors inhibits DA release; thus 5HT2A receptors act as a DA brake. 5HT can regulate DA release directly or indirectly. (A) When 5HT binds to 5HT2A receptors on DA neurons or on GABA neurons, DA release is decreased directly or via inhibition through GABA release, respectively.
Bupropion was originally marketed in the United States only, in an immediate-release formulation. Recent formulations have been developed in twice-daily (bupropion SR) and once-daily doses (bupropion XL). These advances not only provide convenience but are also beneficial in reducing the risk of seizures at peak plasma drug levels associated with the original formulation. Bupropion is generally a stimulating agent, and does not appear to cause sexual dysfunction that may be associated with use of other antidepressants.
2. As their name suggests, norepinephrine dopamine reuptake inhibitors (NDRI) inhibit both the norepinephrine (NET) and the dopamine transporter (DAT), whereas selective norepinephrine inhibitors (NRI) only inhibit NET. This will lead to different actions in different brain regions, depending on the presence of NETs and DATs. indd 50 9/30/2009 12:27:23 PM Chapter 2 Comparing the Regional Effects of Norepinephrine Dopamine Reuptake Inhibitors vs. 3. Both norepinephrine dopamine reuptake inhibitors (NDRI) and selective norepinephrine reuptake inhibitors (NRI) raise both norepinephrine (NE) and dopamine (DA) levels in the prefrontal cortex (PFC) via inhibition of norepinephrine transporters (NET; top figures).