Psychoactive Agents

by Eddy M. Elmer

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Clinical Group: Stimulants

Methylxanthines (Methylated Purines)
Nicotine
Cocaine
Amphetamines
Convulsants
Parkinson's Disease Drugs
Thymoleptics: "Anti-depressants" (Quasi-Stimulant Category)
Stimulant Antidepressants
Agonist Substitutes
Cessation Assistance Prescription Drugs
 

General Chemical Class / Type Generic Trade
 


Methylxanthines (Methylated Purines)

Caffeine caffeine pills

coffee
cola drinks


tea

various over-the-counter and prescription medications
No-Doz, Vivarin


Coca-Cola, Pepsi,
Jolt
Theobromine

Annotations: Milder than caffeine.
cocoa and cocoa products (including chocolate)  


Nicotine

Nicotine and Nicotine-Containing Products tobacco, chewing (snuff)
tobacco, cigarrette
tobacco, cigar
tobacco, pipe
 
Controlled-Dose Nicotine for Cessation
("Nicotine-Replacement Therapy")
nicotine gums, candies, liquids
nicotine inhalers
nicotine nasal sprays
nicotine patches
Nicorette
Nicotrol
Nicotrol
Habitrol, NicoDerm CQ, Nicotrol


Cocaine

  cocaine

crack cocaine (purified version, for smoking)
 


Amphetamines

Annotation: Medicinally, often used for reversal of anaesthetic overdose, as treatments for narcolepsy, and as anorectics (note: ephedra is an unacceptable indication for anorectic purposes). Some are used medicinally as analgesics and for treatment of ADHD. Street name commonly used for amphetamine and methamphetamine is "crank".

Amphetamine and Drugs Closely-Related in Chemical Composition amphetamine isomer mix
amphetamine sulphate
dextroamphetamine
dextroamphetamine sulphate
Adderall
Benzedrine
Dexedrine
DextroStat
Methamphetamine and Deriviatives

Annotations: Crystal meth is a public health concern because it may be playing an increasing role in the spread of HIV. The drug may dramatically reduce inhibitions and, through its stimulant properties, encourage sexual "marathons" with multiple partners.
dextromethamphetamine

methamphetamine
("crank")

methamphetamine, powder for inhalation or injection ("crystal meth", "Tina")

methamphetamine, for injection ("speed")

metamphetamine, for smoking (concentrated metamphetamine/ methamphetamine hydrochloride, "ice")

methylene-dioxymethamphetamine (MDMA/"Ecstacy")


Methedrine,
Desoxyn
Combination Amphetamine Methamphetamine combination amphetamine methamphetamine Biphetamine
Amphetamine Analogs DMA

DOB

ephedrine sulphate

fenfluramine

methylenedioxyamphetamine
(MDA)

paramethoxyamphetamine
(PMA)

phendimetrazine

phentermine

phenylpropanolamine HCl

STP (DOM)

trimethoxyamphetamine (TMA)




Ephedra

Pondimin







Plegiline



Dexatrim, Acutrim
Other: Drugs that Metabolise to Amphetamine and/or Methamphetamine benzphetamine
clobenzorex
fenethylline
fenproporex


mefenorex
Didrex
Dinintel
Captagon
Appetizugler,
Fenisec

Incital,
Rondimen,
Pondinil
Other: Amphetamine-Related Stimulants Useful in Treating ADHD and Depression phenmetrazine
methylphenidate
Preludin
Ritalin


Convulsants

Opioids thebaine  
Other strychnine  


Parkinson's Disease Drugs

Drugs Converted to Dopamine in the Brain L-DOPA/carbidopa Sinemet, Sinemet CR
Dopamine Receptor Agonists bromocriptine
pergolide
pramipexole
roprinirole
Parlodel
Permax
Mirapex
Requip
Drugs that Block Breakdown of Dopamine in the Brain seligiline hydrochloride Eldepryl, Deprenyl
COMT Inhibitors

Annotations: Increase length of time levodopa, the precursor to dopamine, is effective.
tolcapone (taken with levodopa/carbidopa) Tasmar
Anticholinergics benztropine
trihexyphenidyl hydrochloride
Cogentin
Artane
Other amantadine HCl Symmetrel


Thymoleptics: "Antidepressants"
(Quasi-Stimulant Category)


Annotations: Thymoleptics function more as mood stabilisers than stimulants. They are also used to help treat panic attacks and panic disorder, obsessive-compulsive disorder, anxiety disorders, including social phobia, and eating disorders. A few are used to treat chronic pain syndromes (amitryptiline), enuresis (bed-wetting) (imipramine), ADD in children over 6 (desipramine, protriptyline), as well as cataplexy associated with narcolepsy, hypersomnia, and impaired morning arousal in sleep (all three, protriptyline). Antidepressants by themselves are not an appropriate treatment for patients with bipolar depression because some of them may be slightly stimulating and thus increase the risk of manic episodes. For bipolar depression, treatment should consist of 1. longer-term administration of lithium-type drugs or even atypical antipsychotics like olanzapine, both of which even out moods to prevent both mania and depression from occurring in the first place; 2. shorter-term administration of special drugs which alleviate depressive episodes once they have occurred (eg, Symbyax, which is a combination of fluoxetine and olanzapine combined).

Heterocylic Antidepressants:
Tricyclics (TCA's)

Annotation: May have a sedative-hypnotic effect because blocks H1 histamine receptors (much like antihistamines).
amineptine (stimulating)
amitriptyline
clomipramine
desipramine


doxepin


imipramine
nortryptyline


protriptyline


trimipramine
Survector
Elavil, Endep
Anafranil
Norpramin,
Pertrofrane

Adapin,
Sinequan

Tofranil
Pamelor,
Aventyl

Vivactil,
Concordin

Surmontil
Heterocyclic Antidepressants:
Tetracyclics (TCA's)
amoxapine
maprotiline
Asendin
Ludiomil
Monoamine Oxidase Inhibitors (MAOI's) isocarboxazid
moclobemide
phenelzine sulfate
selegiline
tranylcypromine sulfate
Marplan
Manerix
Nardil
Eldepryl
Parnate
Selective Serotonin Reuptake Inhibitors (SSRI's) citalopram HBr
escitalopram oxalate (may be better than citalopram for some patients)

fluoxetine HCl
fluvoxamine
paroxetine
sertraline HCl
Celexa
Lexapro



Prozac
Luvox
Paxil
Zoloft
Serotonin Antagonists

-While blocking serotonin 2A and 2C receptors, indirectly stimulate serotonin 5HT receptors (eg nefazodone, trazodone)

- While increasing uptake of serotonin 5HT, increases 5-HIAA (eg tianeptine)
nefazodone
trazodone
tianeptine (also helpful for depression associated with alcoholism)
Serzone
Desyrel
Stablon
Newer Antidepressants:

- Noradrenergic-
Dopaminergic Agonists (eg buproprion HCl)

- Noradrenaline Reuptake Inhibitors (eg reboxetine)

- Dual Uptake Inhibitors/Mixed Uptake Inhibitors (eg dual serotonin & norepinepherine reuptake inhibitors, such as venlafaxine, duloxetine, milnacipran)

- Others (eg mirtazapine, dual norepinepherine & serotonin agonist)
bupropion HCl
duloxetine
milnacipran
mirtazapine
reboxetine
venlafaxine
Wellbutrin
Cymbalta
Ixel
Remeron
Erdonax, Vestra
Effexor
Thymoleptics for Depressive Phase of of Bipolar Disorder

Annotations: Treating depressive phase of bipolar disorder is difficult because 1. people in bipolar disorder's depressive phases are particularly prone to suicide; 2. traditional antidepressants take up to six weeks to work. Combination drugs like Symbyax, however, can lead to relief in as little as one week.
olanzapine (Zyprexa) and fluoxetine HCL (Prozac) Symbyax
Drugs for Premenstrual Dysphoria fluoxetine HCl Sarafem
(Prozac as SSRI in higher dosage)
Antidepressant Augmentation

Annotations: These are drugs which are sometimes used to augment the action of antidepressants in cases where antidepressants are not providing the desired effect.
lithium:

lithium carbonate



lithium chloride?
lithium citrate

thyroid hormone:

liothyronine


Eskalith, Lithobid,
Lithonate, Lithane,
Lithizine

Cibalith




T3, Cytomel


Stimulant Antidepressants (Short-Term Psychostimulants)

Annotations: For individuals not responding to at least 2 other antidepressants and psychotherapy, and who are seriously depressed, and for those who have serious illnesses, such as cancer or HIV, and who are too ill to take other antidepressants.

Amphetamine-Related Stimulants Useful in Treating ADHD and Depression methylphenidate
pemoline
Ritalin
Cylert
Other: Drugs That Metabolise to Amphetamine / Methamphetamine fencamfamine



fenethylline
Altamine,
Envitrol,
Phencamine

Captagon


Agonist Substitutes

Controlled-Dose Nicotine for Cessation
("Nicotine-Replacement Therapy")
nicotine gums, candies, liquids
nicotine inhalers
nicotine nasal sprays
nicotine patches
Nicorette
Nicotrol
Nicotrol
Habitrol, NicoDerm CQ, Nicotrol


Cessation Assistance Prescription Drugs

Nicotine Aversive silver nitrate

Annotations: Creates distinctly offensive taste in mouth when individual smokes.
 
Smoking Cessation Assistance Drugs bupropion Zyban
(Wellbutrin as SSRI in higher dosage)
Cocaine Cessation Assistance Drugs desipramine (anti-depressant; see above)

lithium carbonate



lithium chloride?
lithium citrate
Norpramin,
Pertrofrane

Eskalith, Lithobid,
Lithonate, Lithane,
Lithizine

Cibalith


[   Introduction   ]

[   Depressants   |    Stimulants   ]

[   Analgesics and "Narcotics"   |    Hallucinogenics   ]

[   Synaptic Neurotransmitters   ]

Copyright © 2000, by Eddy M. Elmer

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