Safrazine: Difference between revisions

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'''Safrazine''' is a [[monoamine oxidase inhibitor]] (MAOI) that was used as an [[antidepressant]] in the 1960s before being withdrawn due to hepatotoxicity concerns. It is a non-selective and irreversible inhibitor of the enzyme [[monoamine oxidase]] (MAO).
== Safrazine ==


== History ==
[[File:Safrazine_structure.svg|thumb|right|Chemical structure of Safrazine]]


Safrazine was developed in the 1960s as a treatment for [[depression]]. It was one of the first [[monoamine oxidase inhibitors]] (MAOIs) to be used for this purpose. However, it was withdrawn from the market due to concerns about its potential to cause liver damage (hepatotoxicity).
'''Safrazine''' is a [[hydrazine]] [[antidepressant]] that belongs to the class of [[monoamine oxidase inhibitors]] (MAOIs). It was developed in the mid-20th century and is known for its ability to inhibit the activity of the enzyme [[monoamine oxidase]], which is responsible for breaking down [[neurotransmitters]] such as [[serotonin]], [[norepinephrine]], and [[dopamine]] in the brain. By inhibiting this enzyme, safrazine increases the levels of these neurotransmitters, which can help alleviate symptoms of [[depression]].


== Mechanism of Action ==
== Mechanism of Action ==


As a [[monoamine oxidase inhibitor]], safrazine works by blocking the action of a substance in the body called monoamine oxidase. This enzyme is involved in breaking down neurotransmitters such as [[serotonin]], [[norepinephrine]], and [[dopamine]] in the brain. By inhibiting this enzyme, safrazine increases the levels of these neurotransmitters in the brain, which can help to alleviate the symptoms of depression.
Safrazine works by irreversibly inhibiting the activity of monoamine oxidase, particularly the MAO-A isoform. This inhibition prevents the breakdown of monoamines, leading to increased concentrations of these neurotransmitters in the synaptic cleft. The elevated levels of serotonin, norepinephrine, and dopamine enhance mood and have an antidepressant effect. The irreversible nature of safrazine's inhibition means that the enzyme activity is only restored when new enzymes are synthesized by the body.
 
== Clinical Use ==
 
Safrazine was primarily used in the treatment of major depressive disorder, particularly in patients who did not respond to other types of antidepressants. However, due to the risk of serious side effects and dietary restrictions associated with MAOIs, safrazine and other drugs in its class are now less commonly prescribed. Patients taking safrazine must avoid foods high in [[tyramine]], such as aged cheeses and cured meats, to prevent hypertensive crises.


== Side Effects ==
== Side Effects ==


The most serious side effect of safrazine is hepatotoxicity, or liver damage. This is a rare but potentially fatal side effect. Other side effects can include [[nausea]], [[dizziness]], [[insomnia]], and [[dry mouth]]. As with all MAOIs, safrazine can also cause a severe reaction if taken with certain other medications or foods containing tyramine.
The use of safrazine can lead to several side effects, some of which are serious. Common side effects include dizziness, dry mouth, insomnia, and weight gain. More severe side effects can include hypertensive crisis, especially when dietary restrictions are not followed, and serotonin syndrome when combined with other serotonergic agents. Due to these risks, safrazine is typically reserved for cases where other treatments have failed.
 
== Withdrawal ==


Safrazine was withdrawn from the market due to concerns about hepatotoxicity. Despite its withdrawal, it has been used in scientific research to study the effects of MAOIs and potential treatments for depression.
== History and Development ==


== See Also ==
Safrazine was developed during a period when MAOIs were being extensively researched as potential treatments for depression. The discovery of MAOIs marked a significant advancement in the understanding and treatment of mood disorders. However, the development of newer classes of antidepressants, such as [[selective serotonin reuptake inhibitors]] (SSRIs) and [[serotonin-norepinephrine reuptake inhibitors]] (SNRIs), which have more favorable side effect profiles, has led to a decline in the use of safrazine.


== Related Pages ==
* [[Monoamine oxidase inhibitor]]
* [[Monoamine oxidase inhibitor]]
* [[Depression]]
* [[Antidepressant]]
* [[Hepatotoxicity]]
* [[Serotonin]]
* [[Norepinephrine]]
* [[Dopamine]]


[[Category:Antidepressants]]
[[Category:Antidepressants]]
[[Category:Monoamine oxidase inhibitors]]
[[Category:Monoamine oxidase inhibitors]]
[[Category:Withdrawn drugs]]
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Latest revision as of 11:16, 23 March 2025

Safrazine[edit]

Chemical structure of Safrazine

Safrazine is a hydrazine antidepressant that belongs to the class of monoamine oxidase inhibitors (MAOIs). It was developed in the mid-20th century and is known for its ability to inhibit the activity of the enzyme monoamine oxidase, which is responsible for breaking down neurotransmitters such as serotonin, norepinephrine, and dopamine in the brain. By inhibiting this enzyme, safrazine increases the levels of these neurotransmitters, which can help alleviate symptoms of depression.

Mechanism of Action[edit]

Safrazine works by irreversibly inhibiting the activity of monoamine oxidase, particularly the MAO-A isoform. This inhibition prevents the breakdown of monoamines, leading to increased concentrations of these neurotransmitters in the synaptic cleft. The elevated levels of serotonin, norepinephrine, and dopamine enhance mood and have an antidepressant effect. The irreversible nature of safrazine's inhibition means that the enzyme activity is only restored when new enzymes are synthesized by the body.

Clinical Use[edit]

Safrazine was primarily used in the treatment of major depressive disorder, particularly in patients who did not respond to other types of antidepressants. However, due to the risk of serious side effects and dietary restrictions associated with MAOIs, safrazine and other drugs in its class are now less commonly prescribed. Patients taking safrazine must avoid foods high in tyramine, such as aged cheeses and cured meats, to prevent hypertensive crises.

Side Effects[edit]

The use of safrazine can lead to several side effects, some of which are serious. Common side effects include dizziness, dry mouth, insomnia, and weight gain. More severe side effects can include hypertensive crisis, especially when dietary restrictions are not followed, and serotonin syndrome when combined with other serotonergic agents. Due to these risks, safrazine is typically reserved for cases where other treatments have failed.

History and Development[edit]

Safrazine was developed during a period when MAOIs were being extensively researched as potential treatments for depression. The discovery of MAOIs marked a significant advancement in the understanding and treatment of mood disorders. However, the development of newer classes of antidepressants, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), which have more favorable side effect profiles, has led to a decline in the use of safrazine.

Related Pages[edit]