Mixed agonist-antagonists

Mixed agonists/antagonists Tissue-specific agonists/ antagonists... 

The benzodiazepines currently available for clinical use vary substantially in pharmacokinetics, acute euphoriant effects, and frequency of reported dependence. It is likely, therefore, than not all benzodiazepines have the same potential for abuse. Diazepam, lorazepam, and alprazolam may have greater abuse potential than chlordiazepoxide and clorazepate (Wolf et al. 1990). Similarly, oxazepam has been reported to produce low levels of abuse (Eliding 1978). Jaffe et al. (1983) found that in recently detoxified alcoholic patients, halazepam produces minimal euphoria even at a supratherapeutic dosage. The development of partial agonist and mixed agonist/antagonist compounds at the benzodiazepine receptor complex may offer an advantage over approved benzodiazepines for use in alcoholic patients. 

In this series, too, replacement of the N-methyl by a group such as cyclopropylmethyl leads to a compound with reduced abuse potential by virtue of mixed agonist-antagonist action. To accomplish this, reduction of 24 followed by reaction with tertiary butylmagnesium chloride gives the tertiary carbinol 27. The N-methyl group is then removed by the classic von Braun procedure. Thus, reaction with cyanogen bromide leads to the N-cyano derivative (28) hydrolysis affords the secondary amine 29. (One of the more efficient demethylation procedures, such as reaction with ethyl chloroformate would presumably be used today.) Acylation with cyclopropylcarbonyl chloride then leads to the amide 30. Reduction with lithium aluminum hydride (31) followed by demethylation of the phenolic ether affords buprenorphine (32).9... 

The answer is c. (Hardman, p 546.) Pentazocine is a mixed agonist-antagonist of opioid receptors. When a partial agonist, such as pentazocine, displaces a full agonist, such as methadone, the receptor is less activated this leads to withdrawal syndrome in an opioid-dependent person. 

Partial agonists and antagonists compete with agonists for opioid receptor sites and exhibit mixed agonist-antagonist activity. They may have selectivity for analgesic receptor sites and cause fewer side effects. 

When allergies occur with one opioid, a drug from a different structural class of opioids may be tried with caution. For these purposes, the mixed agonist/antagonist class behaves most like the morphine-like agonists. 

Raloxifene is a SERM with desirable mixed agonist/antagonist effects. In fact, unlike tamoxifen, it does not cause uterine stimulation, and it seems to have no effect on the reproductive system. 

Metalol, 41 Metformin, 20 Methacycline, 227 Methadone, 328 Methionine enkephalin, 317 Methisazone, 350 Methixene, 413 17-Methyltestosterone, 156 Methgnodlol diacetate, 149 Methysergide, 477 Metiamide, 252 Metiapine, 429 Metizoline, 256 Metolazone, 384 Metoprolol, 109 Mexenone, 175 Mianserin, 451 Mibolerone, 144 Miconazole, 249 Midaflur, 259 Migraine, 477 Milipertine, 341 Mimbane, 347 Mineralocorticoids, 177 Minocycline, 228 Mixed agonists-antagonists, 318... 

Opioid antagonists are compounds that have expressed antagonistic activity, and that differ from the mixed agonist-antagonists in that they do not exhibit agonistic activity. 

Opioid agonists, mixed agonist-antagonists, and antagonists. 

The mixed agonist-antagonists and partial agonists differ from morphine in that they (1) produce excita-... 

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