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Loxapine

洛沙平
Mechanism of action:
Loxapine 是一種二苯並氧氮䓬類(dibenzoxazepine)衍生物。Loxapine 會阻斷中腦邊緣通路(mesolimbic pathway)中的 D₂ 受體,減少多巴胺過度活化。Loxapine 同時拮抗 5-HT₂A 受體,可影響多巴胺與血清素相關神經傳導,並在部分個體減少情緒與行為激動;其錐體外副作用風險仍需注意。
Reference(s):
1. Glazer WM et al. (1999). Does loxapine have "atypical" properties? Clinical evidence. J Clin Psychiatry.
2. Cheung SW et al. (1991). Simultaneous quantitation of loxapine, amoxapine and their 7- and 8-hydroxy metabolites in plasma by high-performance liquid chromatography. J Chromatogr.
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