Norepinephrine–dopamine releasing agent

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Class of drugs that release norepinephrine and dopamine


A norepinephrine–dopamine releasing agent (NDRA) is a type of drug that induces the release of the neurotransmitters norepinephrine and dopamine in the brain. These agents are known for their stimulating effects and are used in various therapeutic and recreational contexts.

Mechanism of Action

NDRAs work by promoting the release of norepinephrine and dopamine from their storage sites in the presynaptic neuron into the synaptic cleft. This process increases the concentration of these neurotransmitters in the synaptic cleft, enhancing their action on postsynaptic receptors. The increased activity of norepinephrine and dopamine leads to heightened alertness, increased energy, and improved mood.

Pharmacological Effects

The primary effects of NDRAs are due to their action on the central nervous system. These effects include:

  • Increased alertness and wakefulness: NDRAs can reduce fatigue and improve concentration.
  • Enhanced mood: By increasing dopamine levels, these agents can produce feelings of euphoria and well-being.
  • Appetite suppression: NDRAs can reduce appetite, which is why some are used in the treatment of obesity.
  • Increased heart rate and blood pressure: Due to the action of norepinephrine, these agents can stimulate the cardiovascular system.

Therapeutic Uses

NDRAs are used in the treatment of several medical conditions, including:

Examples of NDRAs

Amphetamine structure

Several drugs fall under the category of NDRAs, including:

  • Amphetamine: A well-known NDRA used in the treatment of ADHD and narcolepsy.
  • Methamphetamine: A potent NDRA with high potential for abuse, used in some cases for ADHD and obesity.
  • Phentermine: Used primarily as an appetite suppressant in the treatment of obesity.

Potential for Abuse and Dependence

Due to their stimulating effects and ability to produce euphoria, NDRAs have a high potential for abuse and dependence. Chronic use can lead to tolerance, requiring higher doses to achieve the same effects, and withdrawal symptoms upon cessation.

Safety and Side Effects

Common side effects of NDRAs include insomnia, anxiety, increased heart rate, and hypertension. Long-term use can lead to more serious health issues, such as cardiovascular problems and mental health disorders.

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Contributors: Prab R. Tumpati, MD