Monoamine-depleting agent

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A class of drugs that deplete monoamines in the brain


Overview[edit | edit source]

A monoamine-depleting agent is a type of pharmacological agent that reduces the levels of monoamines in the central nervous system. Monoamines are a group of neurotransmitters that include serotonin, dopamine, and norepinephrine. These neurotransmitters play a crucial role in regulating mood, arousal, and cognition.

Mechanism of Action[edit | edit source]

Monoamine-depleting agents work by interfering with the storage and release of monoamines in the synaptic vesicles of neurons. One of the primary mechanisms is the inhibition of the vesicular monoamine transporter (VMAT), which is responsible for transporting monoamines into synaptic vesicles. By inhibiting VMAT, these agents prevent the accumulation of monoamines in the vesicles, leading to their depletion in the synaptic cleft.

Clinical Uses[edit | edit source]

Monoamine-depleting agents are used in the treatment of various psychiatric and neurological disorders. They are particularly effective in managing conditions such as hypertension, schizophrenia, and Huntington's disease.

Hypertension[edit | edit source]

In the treatment of hypertension, monoamine-depleting agents help lower blood pressure by reducing the levels of norepinephrine, which decreases sympathetic nervous system activity.

Schizophrenia[edit | edit source]

For patients with schizophrenia, these agents can help alleviate symptoms by reducing dopamine levels, which are often elevated in this condition.

Huntington's Disease[edit | edit source]

In Huntington's disease, monoamine-depleting agents can help manage chorea, a movement disorder associated with the disease, by depleting dopamine.

Side Effects[edit | edit source]

The use of monoamine-depleting agents can lead to several side effects due to the reduction of monoamines. Common side effects include depression, sedation, and gastrointestinal disturbances.

Examples[edit | edit source]

One of the most well-known monoamine-depleting agents is reserpine. Reserpine is derived from the Rauwolfia serpentina plant and has been used historically in the treatment of hypertension and psychotic disorders.

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Chemical structure of Reserpine

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Contributors: Prab R. Tumpati, MD