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Molindone

嗎茚酮
Mechanism of action:
Molindone 是一種吲哚酮類(indolone)衍生物。Molindone 主要拮抗中腦邊緣通路(mesolimbic pathway)的多巴胺 D₂ 受體,降低過度多巴胺訊號所造成的異常突出感(aberrant salience),從而減少妄想與幻覺等。
Reference(s):
1. Seeman P et al. (1998). Antipsychotic drugs which elicit little or no parkinsonism bind more loosely than dopamine to brain D2 receptors, yet occupy high levels of these receptors. Mol Psychiatry.
2. Lidow MS et al. (1997). Differential regulation of D2 and D4 dopamine receptor mRNAs in the primate cerebral cortex vs. neostriatum: effects of chronic treatment with typical and atypical antipsychotic drugs. J Pharmacol Exp Ther.
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