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Sympathomimetic drugs are substances that mimic the effects of the hormone epinephrine (adrenaline) and the hormone/neurotransmitter norepinephrine (noradrenaline). They all raise blood pressure and are all weak bases.

Contents 1 Mechanisms of action 1.1 Norepinephrine transporter blockade 1.2 Adrenergic receptor agonism 1.3 Inhibition of epinephrine and norepinephrine metabolism 2 Cross-reactivity 3 External links

[edit] Mechanisms of action

[edit] Norepinephrine transporter blockade

Classical sympathomimetic drugs are amphetamines (including MDMA), ephedrine and cocaine, which act by blocking and reversing norepinephrine transporter (NET) activity. NET is a transport protein expressed on the surface of some cells that clears noradrenaline and adrenaline from the extracellular space and into cells, terminating the signaling effects.

[edit] Adrenergic receptor agonism

Direct stimulation of the α- and β-adrenergic receptors can produce sympathomimetic effects. Albuterol is a very commonly used direct-acting β2-agonist.

[edit] Inhibition of epinephrine and norepinephrine metabolism

Inhibition of norepinephrine metabolism can produce sympathomimetic effects. Norepinephrine is mainly metabolized by the enzyme monoamine oxidase, the monoamine oxidase inhibitor (MAOI) drugs can induce such effects.

[edit] Cross-reactivity

Substances like cocaine also affect dopamine, and some substances like MDMA affect serotonin.

Norepinephrine is synthesized by the body into epinephrine, causing central nervous system stimulation. Thus, all sympathimimetic amines fall into the larger group of stimulants (see psychoactive drug chart). Many of these stimulants have therepeutic use and abuse potential, can induce tolerance, and possibly physical dependence.

[edit] External links

• MeSH Amines,+Sympathomimetic
• Dictionary at eMedicine Sympathomimetic+amine
• Dictionary at eMedicine Sympathomimetic

This box: view • talk • edit Psychoanaleptics: psychostimulants, agents used for ADHD and nootropics (N06B)
Centrally acting sympathomimetics	Amphetamine - Dexamphetamine - Dextromethamphetamine - Methylphenidate - Pemoline - Fencamfamin - Modafinil - Fenozolone - Atomoxetine - Fenetylline
Xanthine derivatives	Caffeine - Propentofylline
Other psychostimulants and nootropics	Racetams (Piracetam, Oxiracetam, Aniracetam, Pramiracetam) - Meclofenoxate - Pyritinol - Deanol - Fipexide - Citicoline - Pirisudanol - Linopirdine - Nizofenone - Acetylcarnitine - Idebenone - Prolintane - Pipradrol - Adrafinil - Vinpocetine

This page uses content from the English-language version of Wikipedia. The original article was at Sympathomimetic amine. The list of authors can be seen in the page history. As with Psychology Wiki, the text of Wikipedia is available under the GNU Free Documentation License.