Dual serotonin-dopamine reuptake inhibitors

FIGURE 7—1. Shown here is the icon of a dual reuptake inhibitor, which combines the actions of both a serotonin reuptake inhibitor (SRI) and a norepinephrine reuptake inhibitor (NRI). In this case, three of the five pharmacological properties of the tricyclic antidepressants (TCAs) (Fig. 6—27) were removed. Both the SRI portion and the NRI portion of the TCA remain however the alpha, antihistamine, and anticholinergic portions are removed. These serotonin/norepinephrine reuptake inhibitors are called SNRIs or dual inhibitors. A small amount of dopamine reuptake inhibition (DRI) is also present in some of these agents, especially at high doses. 

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