Comparison of the effects of dextromethorphan, dextrorphan, and levorphanol on the hypothalamo-pituitary-adrenal axis.

Author: PechnickRobert N, PolandRussell E

Paper Details 
Original Abstract of the Article :
Dextromethorphan is a weak noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist. It is metabolized in vivo to dextrorphan, a more potent noncompetitive NMDA antagonist that is the dextrorotatory enantiomer of the opioid agonist levorphanol. The present study characterized the effects of th...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/14742749

データ提供:米国国立医学図書館(NLM)

Dextromethorphan and the HPA Axis: A Journey Through the Desert of Pharmacology

This study takes us on a journey through the desert of pharmacology, exploring the complex interactions between dextromethorphan, a common cough suppressant, and the hypothalamic-pituitary-adrenal (HPA) axis, a crucial system for regulating stress response. It's like navigating a vast desert, where seemingly harmless substances can have unexpected effects on the body's intricate systems.

Unveiling the Secrets of Dextromethorphan

The study investigated the effects of dextromethorphan, dextrorphan (a metabolite of dextromethorphan), and levorphanol (a related opioid agonist) on the HPA axis. The study found that both dextromethorphan and dextrorphan increased levels of stress hormones, but the effects of dextromethorphan were more rapid. Interestingly, naloxone, an opioid antagonist, blocked the effects of levorphanol but not dextrorphan, suggesting that the effects of dextrorphan are not mediated by opioid receptors. This research, like a camel caravan discovering a hidden oasis, reveals new and unexpected insights into the mechanisms of dextromethorphan.

A Deeper Understanding of Common Medications

This study provides valuable insights into the potential effects of common medications like dextromethorphan on the body's complex systems. The findings, like a map through the desert, help us understand the potential interactions between medications and the body's natural processes. This knowledge can help healthcare professionals make informed decisions about medication use and optimize patient care.

Dr.Camel's Conclusion

This study reminds us that even seemingly innocuous substances like dextromethorphan can have complex effects on our body's intricate systems. The findings highlight the importance of understanding the mechanisms of action of medications and the potential for unexpected interactions with other systems. It's a reminder that the desert of pharmacology is vast and complex, but with careful exploration, we can uncover valuable insights that improve our understanding of medication use and patient care.

Date :
  1. Date Completed 2004-06-21
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

14742749

DOI: Digital Object Identifier

jpet.103.060038

Related Literature

SNS
PICO Info
in preparation
Languages

English

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