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Effects of duloxetine, a new serotonin and norepinephrine uptake inhibitor, on extracellular monoamine levels in rat frontal cortex.
Abstract
The effects of duloxetine (LY248686), a new inhibitor of serotonin (5-hydroxytryptamine; 5-HT) and norepinephrine (NE) uptake on extracellular levels of NE, 5-HT and dopamine (DA), were studied in the rat frontal cortex and nucleus accumbens, using in vivo microdialysis. The oral administration of duloxetine (3.125-12.5 mg/kg) produced a dose-dependent increase in the output of both NE and 5-HT from the frontal cortex, this increase being maintained throughout the 4-hr observation period. Chronic administration of duloxetine (6.25 mg/kg, p.o.) for 14 days failed to alter basal NE and 5-HT levels in the frontal cortex, but augmented the duloxetine-induced increase in output of NE and 5-HT. Amitriptyline and maprotiline, administered p.o. at doses of 6.25 to 25 mg/kg, increased NE output, but the effect was weaker than that of duloxetine, and neither amitriptyline nor maprotiline changed 5-HT output from the frontal cortex. Duloxetine, amitriptyline, and maprotiline brought about increases in DA levels in the rat frontal cortex, the increase in DA levels induced by duloxetine being approximately two or three times more potent than that induced by amitriptyline and maprotiline. In the nucleus accumbens, duloxetine also produced a dose-dependent increase in DA output more potent than that produced by amitriptyline and maprotiline. These results show that duloxetine causes a potent and sustained increase in the output of both NE and 5-HT in the rat frontal cortex, related to its inhibition of NE and 5-HT uptake; these results also show that duloxetine increases DA output in the frontal cortex.
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“has been shown to increase extracellular 5-HT, norepinephrine, and dopamine in rat frontal cortex [31]”
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Bymaster, F. P. (2001) · Neuropsychopharmacology · doi:10.1016/s0893-133x(01)00298-6 · Cited by 725
“Results from microdialysis studies indicate that duloxetine increases extracellular 5-HT and NE levels in frontal cortex and hypothalamus (Gobert et al. 1997; Kihara and Ikeda 1995; Engleman et al. 1995) in a similar dose range to doses that block both 5-HT and NE transporters, consistent with uptake blockade increasi…”
BackgroundStahl, S. M., Grady, M. M., Moret, C., & Briley, M. (2005) · CNS Spectrums · doi:10.1017/s1092852900019726 · Cited by 471
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Obata, H. (2017) · International Journal of Molecular Sciences · doi:10.3390/ijms18112483 · Cited by 424
“A previous study demonstrated that duloxetine (25 mg/kg orally) increases dopamine in the nucleus accumbens, but amitriptyline and maprotiline (both 50 mg/kg orally) do not have this effect [80].”
BackgroundRole of central dopamine in pain and analgesia
Wood, P. B. (2008) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.8.5.781 · Cited by 381
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Serotonin and Norepinephrine Reuptake Inhibitors
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“136 L2NNA (27), L-NMA (28), and L-NAME (29) are commonly used in both in vitro and in vivo pharmacology experiments because of their stability, commercial availability, low toxicity, and solubility.”
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“Microdialysis studies indicate that acute systemic duloxetine administration induces a large increase in extracellular levels of 5-HT and NE in the hypothalamus and cortex of rats (Engleman et al. 1995; Kihara and Ikeda 1995).”
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“Duloxetine activity in rat brain is consistent with dual reuptake inhibition, and with an effect on central monoamine reuptake (Bymaster et al, 2001; Engleman et al, 1995; Katoh et al, 1995; Kihara and Ikeda, 1995).”
BackgroundIn Vitro and In Vivo Evaluations of Cytochrome P450 1A2 Interactions with Duloxetine
Lobo, E. D., Bergstrom, R. F., Reddy, S. R., et al. (2008) · Clinical Pharmacokinetics · doi:10.2165/00003088-200847030-00005 · Cited by 85
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“On the basis of this theory, we hypothesized that SNRIs might be more effective for treating these symptoms than SSRIs because of the upregulation of norepinephrine at the frontal lobe (17).”
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The impact of anxiety on chronic musculoskeletal pain and the role of astrocyte activation
Burston, J. J., Valdes, A. M., Woodhams, S. G., Mapp, P. I., Stocks, J., Watson, D. J., Gowler, P. R. W., Xu, L., Sagar, D. R., Fernandes, G., et al. (2018) · Pain · doi:10.1097/j.pain.0000000000001445 · Cited by 81
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“Duloxetine is a well-tolerated, efficacious [28–30] SNRI antidepressant that has been shown to increase extracellular 5-HT, norepinephrine, and dopamine in rat frontal cortex [31] and has been associated with serotonergic and noradrenergic reuptake in humans [32].”
BackgroundDuloxetine Pharmacology: Profile of a Dual Monoamine Modulator
Karpa, K. D., Cavanaugh, J. E., & Lakoski, J. M. (2002) · CNS Drug Reviews · doi:10.1111/j.1527-3458.2002.tb00234.x · Cited by 62
QT Effects of Duloxetine at Supratherapeutic Doses: A Placebo and Positive Controlled Study
Zhang, L., Chappell, J., Gonzales, C., Small, D. S., Knadler, M. P., Callaghan, J. T., Francis, J. L., Desaiah, D., Leibowitz, M. T., Ereshefsky, L., et al. (2007) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0b013e318030aff7 · Cited by 58
Comparative effects of duloxetine and desipramine on sleep EEG in healthy subjects
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“Duloxetine is a new antidepressant for which preclinical (Engleman et al. 1995; Kihara and Ikeda 1995; Bymaster et al. 2001) and clinical (Chalon et al. 2004) data implicate inhibition of the reuptake transporters for both 5-HT and NE. Duloxetine has a half-life of 12.1 h, thus reaching steady…”
BackgroundInfluentialLi, J., Lu, C., Gao, Z., Feng, Y., Luo, H., Lu, T., Sun, X., Hu, J., & Luo, Y. (2020) · Neuropharmacology · doi:10.1016/j.neuropharm.2020.108237 · Cited by 51
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Lavergne, F., & Jay, T. M. (2010) · Frontiers in Neuroscience · doi:10.3389/fnins.2010.00192 · Cited by 50
“Gobert et al. (1997b) Duloxetine 5 mg I: +115% Gobert et al. (1997a) Duloxetine 5 mg I: +65% Kihara and Ikeda (1995) Duloxetine 3–12 mg I Muneoka et al. (2009) Milnacipran I Weikop et al. (2004) Venlafaxine 10 mg I: +200% ssRI Gobert et al. (1997b) Fluoxetine I: +55% Pozzi et al. (1999) Fluoxetine…”
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Troelsen, K. B., Nielsen, E. Ø., & Mirza, N. R. (2005) · Psychopharmacology · doi:10.1007/s00213-005-0032-5 · Cited by 49
“…microdialysis data and literature data showing that chronic in vivo administration of similar doses leads to a change in behavioural, physiological or neurochemical endpoints differing from those seen after acute administration (Kihara and Ikeda 1995; Grappi et al. 2003; Maj and Moryl 1992).”
BackgroundVenlafaxine: acute and chronic effects on 5-hydroxytryptamine levels in rat brain in vivo
Gur, E., Dremencov, E., Lerer, B., & Newman, M. E. (1999) · European Journal of Pharmacology · doi:10.1016/s0014-2999(99)00164-8 · Cited by 48
Youdim, M. B. H. (2010) · Experimental Neurobiology · doi:10.5607/en.2010.19.1.1 · Cited by 47
“The development of multimodal drugs is not limited to neurodegenerative disease, but rather that similar approaches are under way with other complex disease such as cancer, AIDS, depressive illness, schizophrenia and possibly cardiovascular disorders (Youdim and Van der Schyf, 2009).”
BackgroundRueter, L. E., de Montigny, C., & Blier, P. (1998) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(24)37461-0 · Cited by 46
Effects of Varying Degrees of Renal Impairment on the Pharmacokinetics of Duloxetine
Lobo, E. D., Heathman, M. A., Kuan, H., et al. (2010) · Clinical Pharmacokinetics · doi:10.2165/11319330-000000000-00000 · Cited by 45
Muneoka, K. T., Shirayama, Y., Takigawa, M., & Shioda, S. (2008) · Neurochemical Research · doi:10.1007/s11064-008-9818-2 · Cited by 45
“In previously published studies, acute administration at the doses used in the present study of duloxetine [68–70], venlafaxine [38, 64, 71], and milnacipran [13, 50, 65, 73] elevated extracellular NA levels.”
BackgroundResultSelective Serotonin/Noradrenaline Reuptake Inhibitors (SNRIs)
Artigas, F. (1995) · CNS Drugs · doi:10.2165/00023210-199504020-00001 · Cited by 44
Anderson, G. M., Barr, C. S., Lindell, S. G., Durham, A. C., Shifrovich, I., & Higley, J. D. (2004) · Psychopharmacology · doi:10.1007/s00213-004-2011-7 · Cited by 43
Wong, D. T. (1998) · Expert Opinion on Investigational Drugs · doi:10.1517/13543784.7.10.1691 · Cited by 45
Kiso, T., Moriyama, A., Furutani, M., Matsuda, R., & Funatsu, Y. (2018) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2018.03.011 · Cited by 42
“Therefore, duloxetine may increase extracellular dopamine levels by inhibition of norepinephrine transporters (Kihara and Ikeda, 1995; Moron et al., 2002).”
BackgroundYoudim, M. B. H., Geldenhuys, W. J., & der Schyf, C. J. V. (2007) · Parkinsonism & Related Disorders · doi:10.1016/s1353-8020(08)70017-8 · Cited by 42
“This drug is used in the treatment of depression, and inhibits both serotonin and norepinephrine uptake in the central nervous system (CNS) [29–31].”
Augmentation of antidepressant effects of duloxetine and bupropion by caffeine in mice
Kale, P. P., & Addepalli, V. (2014) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2014.06.005 · Cited by 41
Psychopharmacological properties and therapeutic profile of the antidepressant venlafaxine
Coutens, B., Yrondi, A., Rampon, C., & Guiard, B. P. (2022) · Psychopharmacology · doi:10.1007/s00213-022-06203-8 · Cited by 47
“…show increases in basal 5-HT level in terminal areas after chronic administration of venlafaxine but also with other 5-HT reuptake inhibitors, unless the sample collections were performed less than 24 h after the last drug administration (Bel and Artigas 1993; Kihara and Ikeda 1995; Bosker et al.”
BackgroundMillan, M. J., Brocco, M., Veiga, S., Cistarelli, L., Melon, C., & Gobert, A. (1998) · European Journal of Pharmacology · doi:10.1016/s0014-2999(97)01445-3 · Cited by 39
Anderson, G., Bennett, A. J., Weld, K. P., et al. (2002) · Psychopharmacology · doi:10.1007/s00213-002-1034-1 · Cited by 38
Umehara, M., Ago, Y., Fujita, K., Hiramatsu, N., Takuma, K., & Matsuda, T. (2013) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2013.01.033 · Cited by 37
“They also increased extracellular levels of dopamine and norepinephrine in the prefrontal cortex (Kihara and Ikeda, 1995; Kitaichi et al., 2005; Koch et al., 2003; Millan et al., 2001), but not in the striatum (Millan et al.”
BackgroundHache, G., Coudoré, F., Gardier, A. M., & Guiard, B. P. (2011) · Pharmaceuticals · doi:10.3390/ph4020285 · Cited by 38
“In freely moving rats duloxetine produced a dose-dependent increase in the extracellular levels of both 5-HT and NE in the frontal cortex or hypothalamus [176-178].”
BackgroundWeikop, P., Kehr, J., & Scheel‐Krüger, J. (2007) · Journal of Psychopharmacology · doi:10.1177/0269881107077347 · Cited by 37
“, 2006) The present findings on the effects of venlafaxine on the monoamines are in close agreement with the previous reports (Engleman et al., 1995; Kihara and Ikeda, 1995; Millan et al., 2001), although some microdialysis studies failed to show the effect of venlafaxine on 5-HT levels (Dawson et al.”
ResultYamaguchi, T., Suzuki, M., & Yamamoto, M. (1997) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/pl00005110 · Cited by 36
The Effects of Supratherapeutic Doses of Duloxetine on Blood Pressure and Pulse Rate
Derby, M. A., Zhang, L., Chappell, J. C., Gonzales, C., Callaghan, J. T., Leibowitz, M. T., Ereshefsky, L., Hoelscher, D. D., Leese, P. T., & Mitchell, M. I. (2007) · Journal of Cardiovascular Pharmacology · doi:10.1097/fjc.0b013e31804d1cce · Cited by 36
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Heal, D. J., & Smith, S. L. (2021) · Journal of Psychopharmacology · doi:10.1177/02698811211032475 · Cited by 33
“Duloxetine increases synaptic dopamine and noradrenaline concentrations in rat FC (Kihara and Ikeda, 1995; Umehara et al., 2013), but the effect is small, and duloxetine is minimally effective in treating ADHD (Park et al., 2014).”
BackgroundWest, C. H. K., & Weiss, J. M. (2011) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145710000489 · Cited by 30
“…found to increase extracellular DA and dopaminergic metabolites in the PFC and NAc, with chronic administration producing this type of change much more efficaciously than acute administration of AD drugs (Kihara & Ikeda, 1995 ; Mousseau & Greenshaw, 1989 ; Page & Lucki, 2002 ; Tanda et al. 1996).”
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“Conversely, the superior capacity of 5-HT–noradrenaline-re-uptake inhibitors (SNRIs) to increase dopamine levels in the prefrontal cortex in comparison with SSRIs may contribute to the greater efficacy of SNRIs in the treatment of FM [53,54].”
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“We failed to detect a significant increase in lumbar NA level after DLX injection using HPLC analysis (Figure 6) unlike previous studies that demonstrated a significant increase in extracellular NA level induced by DLX in the rat frontal cortex using microdialysis [61,62].”
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“Using in vivo microdialysis, Kihara and Ikeda (1995) observed that the acute oral administration of duloxetine increases extracellular 5-HT and NA levels in the frontal cortex of naive rats.”
BackgroundBel, N. (1999) · Neuropsychopharmacology · doi:10.1016/s0893-133x(99)00076-7 · Cited by 27
“Interestingly, unlike milnacipran, a 2-week treatment with duloxetine, which increases the 5-HT output more than milnacipran after a single treatment (Engleman et al. 1995; Kihara and Ikeda 1995), facilitated the effects of a challenge dose (Kihara and Ikeda 1995).”
BackgroundInfluentialHatanaka, K.-I., Yatsugi, S., & Yamaguchi, T. (2000) · European Journal of Pharmacology · doi:10.1016/s0014-2999(00)00173-4 · Cited by 26
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“Microdialysis studies in awake and freely moving rats have shown that amitriptyline increases the extracellular levels of noradrenaline in the frontal cortex by 2.5- (25 mg kg 1, oral, Kihara and Ikeda, 1995) to 10-fold (10 mg kg 1, i.p. (Yamaguchi et al., 1998)).”
BackgroundInfluentialDuloxetine for management of stress urinaryincontinence
Guay, D. R. P. (2005) · The American journal of geriatric pharmacotherapy · doi:10.1016/j.amjopharm.2005.03.004 · Cited by 22
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“Duloxetine can increase dopamine output in a dose-dependent, potent and sustained style over rat NAc (Kihara and Ikeda, 1995).”
Effects of Duloxetine on Norepinephrine and Serotonin Transporter Activity in Healthy Subjects
Chappell, J. C., Eisenhofer, G., Owens, M. J., Haber, H. E., Lachno, D. R., Dean, R. A., Knadler, M. P., Nemeroff, C. B., Mitchell, M. I., Detke, M. J., et al. (2013) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0000000000000061 · Cited by 19
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“…2006), reboxetine (3 mg/kg; Borgkvist et al., 2012; Linnér et al., 2001), atomoxetine (3 mg/kg; Borgkvist et al., 2012), duloxetine (7 mg/kg; Kihara & Ikeda, 1995), mianserin (5 mg/kg; Wiker, Linner, Wadenberg, & Svensson, 2005) and desipramine (10 mg/kg; Bongiovanni, Kirkbride, Walmire, &…”
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Nagayasu, K., Kitaichi, M., Nishitani, N., Asaoka, N., Shirakawa, H., Nakagawa, T., & Kaneko, S. (2013) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145713000771 · Cited by 16
“…chronic treatment of antidepressants causes an increase in basal extracellular 5-HT levels, in 5-HT release after antidepressant challenge in vivo, or in electrically evoked 5-HT release from slices (Bel and Artigas, 1993; Blier and Bouchard, 1994; Kihara and Ikeda, 1994; Kreiss and Lucki, 1995).”
BackgroundEffect of acute treatment with YM992 on extracellular serotonin levels in the rat frontal cortex
Hatanaka, K.-I., Yatsugi, S., & Yamaguchi, T. (2000) · European Journal of Pharmacology · doi:10.1016/s0014-2999(00)00174-6 · Cited by 15
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Siddiqui, F., Barbateskovic, M., Juul, S., Katakam, K. K., Munkholm, K., Gluud, C. N., & Jakobsen, J. C. (2021) · Systematic Reviews · doi:10.1186/s13643-021-01722-5 · Cited by 12
“In vivo and in vitro studies indicate that duloxetine inhibits the presynaptic neuronal reuptake of the neurotransmitters serotonin and norepinephrine, leading to their greater availability at the neuronal junctions and potentiating their action in the central nervous system [15, 16].”
BackgroundPreclinical discovery of duloxetine for the treatment of depression
Torres-Sánchez, S., Pérez-Caballero, L., Micó, J. A., Elorza, J., & Berrocoso, E. (2012) · Expert Opinion on Drug Discovery · doi:10.1517/17460441.2012.693912 · Cited by 12
“1 Acute duloxetine treatment In rat microdialysis studies, acute duloxetine increases 5-HT, NA and DA levels in the cerebral cortex [13-17], 5-HT and NA levels in the hippocampus [11,18] and DA levels in nucleus accumbens [15] in a dose-dependent manner.”
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Role of Axonal and Somatodendritic Monoamine Transporters in Action of Uptake Blockers
Chen, N., & Reith, M. E. A. (1997) · Humana Press eBooks · doi:10.1007/978-1-59259-470-2_12 · Cited by 12
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Dual serotonin and noradrenaline reuptake inhibitors: Focus on their differences
Blier, P. (2006) · International Journal of Psychiatry in Clinical Practice · doi:10.1080/13651500600645612 · Cited by 11
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Buccafusco, J. J., Terry, A. V., Vazdarjanova, A. I., Snutch, T. P., & Arnerić, S. P. (2010) · Pain · doi:10.1016/j.pain.2009.12.003 · Cited by 10
“Although amitriptyline can also facilitate ascending a2-adrenergic transmission to forebrain structures involved in cognitive processing [35], the strong anti-muscarinic (i.”
BackgroundPringsheim, T. M., Dikšić, M., Dobson, C., et al. (2003) · Cephalalgia · doi:10.1046/j.1468-2982.2003.00526.x · Cited by 10
Mulholland, G. K., Wieland, D. M., Kilbourn, M. R., Frey, K. A., Sherman, P. S., Carey, J. E., & Kuhl, D. E. (1998) · Synapse · doi:10.1002/(sici)1098-2396(199811)30:3 · Cited by 100
Yamaguchi, T., Ohyama, M., Suzuki, M., et al. (1998) · Neuropharmacology · doi:10.1016/s0028-3908(98)00009-4 · Cited by 8
AHMAD, Y. E., Maillet, P., Laurent, E., et al. (1997) · European Journal of Medicinal Chemistry · doi:10.1016/s0223-5234(97)83972-4 · Cited by 8
Ding, H., Gao, Y., Wang, Y., et al. (2023) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2023.175499 · Cited by 7
Bolin, P. K., Gosnell, S. N., Brandel-Ankrapp, K. L., Srinivasan, N., Castellanos, A., & Salas, R. (2022) · Chronic Stress · doi:10.1177/24705470221111092 · Cited by 7
Effect of a combination of duloxetine with hydroxyzine on experimental models of anxiety in mice
Addepalli, V., Patel, S., Kale, P. P., Sarkar, A., & Savai, J. (2015) · Indian Journal of Pharmacology · doi:10.4103/0253-7613.153424 · Cited by 8
“Similarly, the duloxetine treatment-induced increase in brain monoamine profile [Table 3] is in agreement with previous reports.[19,20] The 5-HT and NE reuptake action of the duloxetine help in treating anxiety associated neurobiological dysfunctions of the serotonergic and noradrenergic system.”
ResultDing, H., Wang, Y., Gao, Y., Ye, F., Yao, K., Cao, L., Liu, Z., Wang, G., & Zhang, J. (2024) · Toxicology and Applied Pharmacology · doi:10.1016/j.taap.2024.116950 · Cited by 6
Alev, L., Lenox‐Smith, A., Altın, M., & Dueñas, H. (2013) · Open Journal of Depression · doi:10.4236/ojd.2013.24011 · Cited by 6
“Kihara and Ikeda (Kihara & Ikeda, 1995) also showed using microdialysis that duloxetine administration in rats results in balanced increases in 5-HT and NE even at the lowest doses (without having to “push” the dose).”
BackgroundLuellen, B. A., Gilman, T. L., & Andrews, A. M. (2010) · Cambridge University Press eBooks · doi:10.1017/cbo9780511729935.002 · Cited by 6
Kale, P. P., Addepalli, V., Sarkar, A., Patel, S., & Savai, J. (2014) · Experimental Neurobiology · doi:10.5607/en.2014.23.3.224 · Cited by 4
Future Strategies for the Treatment of Depression
Grosso, C. (2016) · Springer eBooks · doi:10.1007/978-3-319-14021-6_12 · Cited by 4
Metadata
- Authors
- Kihara, T., & Ikeda, M.
- Affiliations
- Shionogi (Japan) (JP)
- Venue
- The Journal of Pharmacology and Experimental Therapeutics
- Publisher
- Elsevier BV
- Published
- 1995-01
- Volume
- 272
- Issue
- 1
- Pages
- 177-183
- ISSN
- 0022-3565 (ISSN-L)
- OpenAlex
- W1846318813
- Cited by
- 123
- References
- 0
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 5 · 2013: 7 · 2012: 3
- FWCI
- 2.13
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pharmacology and Experimental Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- PubMed
- Topics
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
- Keywords
- duloxetine, serotonin-norepinephrine reuptake inhibitors, serotonin, norepinephrine, dopamine, frontal cortex, nucleus accumbens, amitriptyline, maprotiline, chronic drug administration, antidepressant effects
- MeSH terms
- Duloxetine Hydrochloride, Amitriptyline, Animals, Biological Transport, Cerebral Cortex, Dopamine, Male, Maprotiline, Norepinephrine, Nucleus Accumbens, Serotonin, Thiophenes, Rats, Wistar, Rats
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