Antidepressive Agents, Tetracyclic

Name
Antidepressive Agents, Tetracyclic
Accession Number
DBCAT003850
Description

Substances that contain a fused four-ring moiety and are used in the treatment of depression. These drugs have diverse pharmacology and may inhibit the reuptake of norepinephrine, as well as block certain subtypes of serotonin, adrenergic, and histamine receptors. Compared to tricyclic antidepressants, these tend to be stronger antihistamines and have less anticholinergic side effects.

Drugs
DrugDrug Description
MaprotilineA tetracyclic antidepressant used to treat depressive illness, major depressive disorder, bipolar disorder, and anxiety associated with depression.
MianserinA tetracyclic antidepressant with therapeutic activity similar to amitriptyline used to treat depression and anxiety.
MirtazapineA tetracyclic antidepressant used in the treatment of major depression and is used off-label as a drug for insomnia and to increase appetite.
SetiptilineFor the treatment of depression .
AmoxapineA tricyclic antidepressant used in the treatment of neurotic or reactive depressive disorders and endogenous or psychotic depression.
AptazapineInvestigated for the treatment of depression.
EsmirtazapineInvestigated for use/treatment in insomnia and sleep disorders.
OxaprotilineInvestigated for the treatment of depression.
Drugs & Drug Targets
DrugTargetType
MaprotilineHistamine H1 receptortarget
MaprotilineSodium-dependent noradrenaline transportertarget
MaprotilineAlpha-1 adrenergic receptorstarget
MaprotilineCytochrome P450 2D6enzyme
MaprotilineAlpha-1-acid glycoprotein 1carrier
MaprotilineMuscarinic acetylcholine receptor M1target
MaprotilineMuscarinic acetylcholine receptor M2target
MaprotilineMuscarinic acetylcholine receptor M3target
MaprotilineMuscarinic acetylcholine receptor M4target
MaprotilineMuscarinic acetylcholine receptor M5target
MaprotilineCytochrome P450 1A2enzyme
Maprotiline5-hydroxytryptamine receptor 2Atarget
Maprotiline5-hydroxytryptamine receptor 2Ctarget
Maprotiline5-hydroxytryptamine receptor 7target
MaprotilineDopamine D2 receptortarget
MaprotilineAlpha-2 adrenergic receptorstarget
MianserinHistamine H1 receptortarget
MianserinAlpha-2A adrenergic receptortarget
Mianserin5-hydroxytryptamine receptor 2Atarget
Mianserin5-hydroxytryptamine receptor 2Ctarget
MianserinCytochrome P450 2D6enzyme
MianserinSodium-dependent serotonin transportertarget
MianserinCytochrome P450 3A4enzyme
MianserinCytochrome P450 1A2enzyme
MianserinCytochrome P450 2B6enzyme
MianserinSodium-dependent noradrenaline transportertarget
MianserinHistamine H4 receptortarget
Mianserin5-hydroxytryptamine receptor 1Atarget
MianserinAlpha-2C adrenergic receptortarget
Mianserin5-hydroxytryptamine receptor 2Btarget
Mianserin5-hydroxytryptamine receptor 1Ftarget
MianserinAlpha-2B adrenergic receptortarget
MianserinDopamine D3 receptortarget
MianserinKappa-type opioid receptortarget
MianserinSodium-dependent dopamine transportertarget
Mianserin5-hydroxytryptamine receptor 7target
MianserinDopamine D2 receptortarget
Mianserin5-hydroxytryptamine receptor 6target
MianserinAlpha-1 adrenergic receptorstarget
MianserinD(1) dopamine receptortarget
Mirtazapine5-hydroxytryptamine receptor 2Atarget
Mirtazapine5HT3 serotonin receptortarget
MirtazapineAlpha-2A adrenergic receptortarget
Mirtazapine5-hydroxytryptamine receptor 2Ctarget
MirtazapineKappa-type opioid receptortarget
MirtazapineHistamine H1 receptortarget
MirtazapineCytochrome P450 1A2enzyme
MirtazapineCytochrome P450 3A4enzyme
MirtazapineCytochrome P450 2D6enzyme
MirtazapineAlpha-1 adrenergic receptorstarget
MirtazapineSodium-dependent serotonin transportertransporter
SetiptilineAlpha-2 adrenergic receptorstarget
SetiptilineSerotonin Receptorstarget
AmoxapineSodium-dependent serotonin transportertarget
AmoxapineSodium-dependent noradrenaline transportertarget
AmoxapineAlpha-2A adrenergic receptortarget
AmoxapineDopamine D2 receptortarget
AmoxapineAlpha-1A adrenergic receptortarget
AmoxapineDopamine D1 receptortarget
AmoxapineMuscarinic acetylcholine receptor M1target
AmoxapineGamma-aminobutyric acid receptor subunit alpha-1target
AmoxapineAlpha-1-acid glycoprotein 1carrier
AmoxapineCytochrome P450 2D6enzyme
Amoxapine5-hydroxytryptamine receptor 2Atarget
Amoxapine5-hydroxytryptamine receptor 2Ctarget
Amoxapine5-hydroxytryptamine receptor 6target
Amoxapine5-hydroxytryptamine receptor 7target
AmoxapineDopamine D3 receptortarget
AmoxapineDopamine D4 receptortarget
AmoxapineHistamine H1 receptortarget
AmoxapineAlpha-1 adrenergic receptorstarget
AmoxapineMuscarinic acetylcholine receptortarget
Amoxapine5-hydroxytryptamine receptor 2Btarget
Amoxapine5-hydroxytryptamine receptor 3Atarget
Amoxapine5-hydroxytryptamine receptor 1Atarget
Amoxapine5-hydroxytryptamine receptor 1Btarget
AmoxapineAlpha-2 adrenergic receptorstarget
AmoxapineHistamine H4 receptortarget
AmoxapineGABA(A) Receptortarget
AmoxapineSodium-dependent dopamine transportertarget
EsmirtazapineCytochrome P450 2D6enzyme
EsmirtazapineHistamine H1 receptortarget
Esmirtazapine5-hydroxytryptamine receptor 2target
EsmirtazapineAlpha-2 adrenergic receptorstarget