Sedative and hypnotic medication
Perlapine , sold under the brand names Hypnodine and Pipnodine , is a hypnotic and sedative of the tricyclic group which is marketed in Japan .[ 1] It acts primarily as a potent antihistamine ,[ 2] and also has anticholinergic ,[ 2] antiserotonergic ,[ 3] antiadrenergic , and some antidopaminergic activity.[ 3] [ 4] [ 5] [ 6] The drug has relatively weak affinity for the dopamine D2 receptor (IC50 Tooltip Half-maximal inhibitory concentration = 1,803 nM) and, in accordance, is said to be ineffective as an antipsychotic .[ 6] [ 7] However, it retains higher affinity for the dopamine D1 receptor (IC50 = 198 nM).[ 6] Its IC50 values are 19 nM for the α1 -adrenergic receptor , 4,945 nM for the α2 -adrenergic receptor , and 70 nM for the serotonin 5-HT2A receptor .[ 6] Perlapine is closely related to clotiapine , clozapine , fluperlapine , loxapine , and tilozepine .[ 6]
Perlapine has been suggested as a potential ligand for certain DREADDs .[ 8] [ 9]
^ Index Nominum 2000: International Drug Directory . Taylor & Francis. 2000. pp. 811–. ISBN 978-3-88763-075-1 .
^ a b Leysen JE, Niemegeers CJ (1985). "Neuroleptics" . In Lajtha A (ed.). Alterations of Metabolites in the Nervous System . Boston, MA.: Springer Science & Business Media. pp. 331–361. ISBN 978-1-4757-6740-7 .
^ a b Megens AA, Kennis LE (1996). "Risperidone and related 5HT2/D2 antagonists: a new type of antipsychotic agent?". Progress in Medicinal Chemistry . 33 : 185–232. doi :10.1016/s0079-6468(08)70306-0 . ISBN 9780444823106 . PMID 8776944 .
^ Hathway DE (31 October 2007). Foreign Compound Metabolism in Mammals . Royal Society of Chemistry. pp. 302–. ISBN 978-1-84755-608-0 .
^ Liegeois JF, Bruhwyler J, Rogister F, Delarge J (April 1995). "Diarylazepine derivatives as potent atypical neuroleptic drugs: recent advances" . Current Medicinal Chemistry . 1 (6). Bentham Science Publishers: 471–501. doi :10.2174/092986730106220216114910 . S2CID 87829622 .
^ a b c d e Barnes TR (22 October 2013). Antipsychotic Drugs and Their Side-Effects . Elsevier Science. pp. 28, 34. ISBN 978-1-4832-8810-9 .
^ American College of Neuropsychopharmacology (1978). Psychopharmacology: a generation of progress . Raven Press. p. 514. ISBN 978-0-89004-191-8 .
^ Thompson KJ, Khajehali E, Bradley SJ, Navarrete JS, Huang XP, Slocum S, et al. (September 2018). "DREADD Agonist 21 Is an Effective Agonist for Muscarinic-Based DREADDs in Vitro and in Vivo " . ACS Pharmacology & Translational Science . 1 (1): 61–72. doi :10.1021/acsptsci.8b00012 . PMC 6407913 . PMID 30868140 .
^ Chen X, Choo H, Huang XP, Yang X, Stone O, Roth BL , Jin J (March 2015). "The first structure-activity relationship studies for designer receptors exclusively activated by designer drugs" . ACS Chemical Neuroscience . 6 (3): 476–484. doi :10.1021/cn500325v . PMC 4368042 . PMID 25587888 .