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The sympathetic effects of norepinephrine include: In the eyes, an increase in the production of tears, making the eyes more moist, [20] and pupil dilation through contraction of the iris dilator. In the heart, an increase in the amount of blood pumped. [21] In brown adipose tissue, an increase in calories burned to generate body heat ...
Norepinephrine, also known as noradrenaline and sold under the brand name Levophed among others, is a medication used to treat people with very low blood pressure. [2] It is the typical medication used in sepsis if low blood pressure does not improve following intravenous fluids . [ 3 ]
Norepinephrine Epinephrine. A norepinephrine reuptake inhibitor (NRI, NERI) or noradrenaline reuptake inhibitor or adrenergic reuptake inhibitor (ARI), is a type of drug that acts as a reuptake inhibitor for the neurotransmitters norepinephrine (noradrenaline) and epinephrine (adrenaline) by blocking the action of the norepinephrine transporter (NET).
Examples of sympathomimetic effects include increases in heart rate, force of cardiac contraction, and blood pressure. [1] The primary endogenous agonists of the sympathetic nervous system are the catecholamines (i.e., epinephrine [adrenaline], norepinephrine [noradrenaline], and dopamine ), which function as both neurotransmitters and hormones .
Medications such as clonidine and dexmedetomidine target pre-synaptic auto receptors, therefore leading to an overall decrease in norepinephrine which clinically can cause effects such as sedation, analgesia, lowering of blood pressure and bradycardia. There is also low quality evidence that they can reduce shivering post operatively.
The first commercially available selective norepinephrine reuptake inhibitor (sNRI) was reboxetine (Edronax) and was developed as a first-line therapy for major depressive disorder. [29] The selectivity of reboxetine for the norepinephrine transporter (NET) results in benign side effect profile because the drug is well tolerated. [11]
“It has no direct effect on the monoamine system or serotonin or anything like that.” Ketamine affects another neurotransmitter, glutamate, which is known as an excitatory neurotransmitter.
Various drugs exert their psychological and physiological effects through reuptake inhibition, including many antidepressants and psychostimulants. [ 1 ] Most known reuptake inhibitors affect the monoamine neurotransmitters serotonin , norepinephrine (and epinephrine ), and dopamine . [ 1 ]