i've read pihkal about 4 times over, and sometimes when i do my crazy ass brainstorming i imagine that i am bouncing ideas off of sasha. tonight i was thinking about how some ligands can bind permanently to receptors. (here, i am assuming that full agonists tend to bind permanently more often than partial agonists, idk for sure if that is true or not).
i had an idea, that it might be possible to get "permanently" bound ligands off the receptor by introducing a second drug that is a competitive
partial agonist at that receptor but with a much greater binding affinity than the primary drug in this example. might be rare to find such a molecule, and idk if it is even possible for a drug to have both of those properties, but i feel it is worth pondering over nonetheless.
at first i looked at the problem like sasha would. i wouldn't want to waste time in the laboratory with rats and petri dishes, i would jump straight to self-administered in vivo testing to test such a thing if i thought "permanent" binding had happened to me. in this case, the most immediate means of telling if your experiment had the desired result would be by monitoring your own consciousness as the drug progresses in its action,
of course. however, that is far from conclusive. you might be able to monitor your urine and excrement as a means to determine if the experiment was a success or not, but that would be messy. (and no matter what, hopefully you will never actually find yourself in this situation!)
i then had a thought, and asked sasha, "wait, in this case would it actually be much quicker and easier to radiolabel some ligands and test the theory in vitro?"
then i had the thought "god dammit i shouldn't be able to ask a question like that, i haven't even taken organic chemistry yet, i wish i was in school right now." lol

they told me at the last minute this fall that i needed to pay for my own classes this semester, since i dropped out of my last semester there. soooo i won't be starting up again until the winter, not that i was very far yet.
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[insomniaedit]perhaps would be most effective with multiple administrations, and you may need other methods to induce metabolism or excretion while the bounced pseudo-permanent agonist was in extracellular space. maybe plasmaphersis would be the best choice at this stage (sort of like treating bromism)? once its kicked off the receptor though there would only be a small window of opportunity to get it out of the subject somehow before the second drug is metabolised.
this might be some phizer level pharmacology/biochemistry here i realize

discovering just the right antidote drug would take quite a bit of work i am sure. as a matter of principal, though, i refuse to believe that anything can be
absolutely permanently bound to a receptor. heh

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