N-Methyl-PPPA

From WikiMD's medical encyclopedia

N-Methyl-PPPA is a serotonin reuptake inhibitor and analgesic drug which was developed in the early 2000s. It is structurally related to tramadol and tapentadol, but has a different mechanism of action, acting as a selective serotonin reuptake inhibitor with only weak effects on norepinephrine reuptake and no opioid effects.

Pharmacology

N-Methyl-PPPA inhibits the reuptake of serotonin in the brain, which increases the amount of serotonin available in the synaptic cleft. This leads to increased serotonin signaling, which is thought to contribute to its analgesic effects. Unlike other related drugs such as tramadol and tapentadol, N-Methyl-PPPA does not have significant effects on norepinephrine reuptake and does not act as an opioid agonist.

Clinical Use

N-Methyl-PPPA has been studied for use in the treatment of various types of pain, including neuropathic pain and fibromyalgia. However, it has not been widely adopted in clinical practice, possibly due to its relatively weak analgesic effects compared to other drugs in its class.

Side Effects

The side effects of N-Methyl-PPPA are similar to those of other serotonin reuptake inhibitors and can include nausea, vomiting, dizziness, and insomnia. In rare cases, it can cause serotonin syndrome, a potentially life-threatening condition characterized by agitation, hallucinations, rapid heartbeat, and high body temperature.

See Also

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Contributors: Prab R. Tumpati, MD