Piroheptine: Difference between revisions

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'''Piroheptine''' is a [[tricyclic antidepressant]] (TCA) that was developed in the 1960s. It is primarily used in the treatment of [[depression]], but has also been used to treat [[anxiety disorders]] and [[chronic pain]]. Piroheptine is known for its sedative and anxiolytic properties, which can be beneficial for patients with insomnia or anxiety-related symptoms.
{{Short description|An anticholinergic drug used in the treatment of Parkinson's disease}}
{{Drugbox
| image = Piroheptine.png
| image_size = 250px
| image_alt = Chemical structure of Piroheptine
| image_caption = Chemical structure of Piroheptine
}}


==Pharmacology==
'''Piroheptine''' is a [[pharmacological]] agent classified as an [[anticholinergic]] drug. It is primarily used in the management of [[Parkinson's disease]], a [[neurodegenerative disorder]] characterized by [[tremor]], [[rigidity]], and [[bradykinesia]].
Piroheptine works by inhibiting the reuptake of certain [[neurotransmitters]] in the brain, specifically [[serotonin]] and [[norepinephrine]]. This increases the levels of these neurotransmitters in the brain, which can help to alleviate symptoms of depression and anxiety. Piroheptine also has anticholinergic properties, which means it can block the action of the neurotransmitter [[acetylcholine]]. This can lead to side effects such as dry mouth, constipation, and blurred vision.
 
==Mechanism of Action==
Piroheptine functions by inhibiting the action of [[acetylcholine]], a [[neurotransmitter]] involved in the regulation of [[motor control]]. By blocking acetylcholine receptors, piroheptine helps to restore the balance between acetylcholine and [[dopamine]] in the [[central nervous system]], which is often disrupted in Parkinson's disease.
 
==Pharmacokinetics==
Piroheptine is administered [[orally]] and is absorbed through the [[gastrointestinal tract]]. It undergoes [[hepatic metabolism]] and is excreted primarily through the [[renal system]]. The drug has a moderate [[half-life]], allowing for dosing multiple times a day to maintain therapeutic levels.


==Clinical Use==
==Clinical Use==
Piroheptine is typically used in the treatment of major depressive disorder, but it can also be used off-label for the treatment of anxiety disorders and chronic pain. It is usually taken orally, in the form of a tablet or capsule. The dosage will depend on the individual patient's needs and response to treatment.
Piroheptine is indicated for the treatment of [[Parkinsonian syndromes]], including idiopathic Parkinson's disease and drug-induced parkinsonism. It is often used in combination with other [[antiparkinsonian agents]] such as [[levodopa]] to enhance therapeutic outcomes.


==Side Effects==
==Side Effects==
Like all medications, Piroheptine can cause side effects. Common side effects include dry mouth, constipation, blurred vision, and drowsiness. More serious side effects can include heart palpitations, confusion, and severe constipation. If any of these side effects occur, it is important to seek medical attention immediately.
Common side effects of piroheptine include [[dry mouth]], [[constipation]], [[urinary retention]], and [[blurred vision]]. These effects are typical of anticholinergic drugs due to their action on the [[parasympathetic nervous system]].


==See Also==
==Contraindications==
* [[Tricyclic antidepressant]]
Piroheptine is contraindicated in patients with [[glaucoma]], [[prostatic hypertrophy]], and [[obstructive gastrointestinal disorders]]. Caution is advised in elderly patients due to the increased risk of [[cognitive impairment]].
* [[Serotonin]]
* [[Norepinephrine]]
* [[Acetylcholine]]


==References==
==Related pages==
* ''Piroheptine: A Review of its Pharmacological Properties and Therapeutic Efficacy in Depression and Anxiety Disorders.'' Drug Evaluation, 1982.
* [[Parkinson's disease]]
* ''The Role of Piroheptine in the Treatment of Chronic Pain.'' Journal of Pain Management, 1990.
* [[Anticholinergic]]
* [[Neurotransmitter]]
* [[Dopamine]]


[[Category:Antidepressants]]
[[Category:Anticholinergic drugs]]
[[Category:Tricyclic antidepressants]]
[[Category:Parkinson's disease treatments]]
[[Category:Pharmacology]]
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File:Piroheptine.png|Piroheptine
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Latest revision as of 01:42, 20 February 2025

An anticholinergic drug used in the treatment of Parkinson's disease


Piroheptine
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Piroheptine is a pharmacological agent classified as an anticholinergic drug. It is primarily used in the management of Parkinson's disease, a neurodegenerative disorder characterized by tremor, rigidity, and bradykinesia.

Mechanism of Action[edit]

Piroheptine functions by inhibiting the action of acetylcholine, a neurotransmitter involved in the regulation of motor control. By blocking acetylcholine receptors, piroheptine helps to restore the balance between acetylcholine and dopamine in the central nervous system, which is often disrupted in Parkinson's disease.

Pharmacokinetics[edit]

Piroheptine is administered orally and is absorbed through the gastrointestinal tract. It undergoes hepatic metabolism and is excreted primarily through the renal system. The drug has a moderate half-life, allowing for dosing multiple times a day to maintain therapeutic levels.

Clinical Use[edit]

Piroheptine is indicated for the treatment of Parkinsonian syndromes, including idiopathic Parkinson's disease and drug-induced parkinsonism. It is often used in combination with other antiparkinsonian agents such as levodopa to enhance therapeutic outcomes.

Side Effects[edit]

Common side effects of piroheptine include dry mouth, constipation, urinary retention, and blurred vision. These effects are typical of anticholinergic drugs due to their action on the parasympathetic nervous system.

Contraindications[edit]

Piroheptine is contraindicated in patients with glaucoma, prostatic hypertrophy, and obstructive gastrointestinal disorders. Caution is advised in elderly patients due to the increased risk of cognitive impairment.

Related pages[edit]