ungelesene_bettlek
Bluelighter
dissociatives are fascinating drugs. the most important chemical class of this category are arylcyclohexylamines, with ketamine being the most prominent exponent. as far as I understand it, the action of these compounds is due to several different pathways:
NMDA antagonism is said to be mostly responsible, but how do the other pathways influence the action of arylcyclohexylamines? how do the different compounds of this class differ in their action profile? please help me to understand the psychopharmacology of ketamine and similar compounds!
one more concrete question in the end: the S-isomer of ketamine is much more active in NMDA antagonism than the R-isomer, right? but what is with the other action mechanisms? what about the opioid activity of the R-isomer?
- NMDA antagonism (as far as I know the most important mechanism for dissociation)
- µ opioid receptor agonism
- sigma receptor agonism
- dopamine reuptake inhibition (responsible for the stimulant properties of ketamine)
- D2 receptor partial agonist
- some histaminergic action (responsible for some side effects like feeling hot)
- even some cholinergic action
NMDA antagonism is said to be mostly responsible, but how do the other pathways influence the action of arylcyclohexylamines? how do the different compounds of this class differ in their action profile? please help me to understand the psychopharmacology of ketamine and similar compounds!
one more concrete question in the end: the S-isomer of ketamine is much more active in NMDA antagonism than the R-isomer, right? but what is with the other action mechanisms? what about the opioid activity of the R-isomer?
