What is Selective about SSRIs ?

  • Thread starter thrillhouse86
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In summary, SSRIs are medications that bind to the monoamine transporter to prevent it from transporting serotonin back to the pre-synaptic terminal. This allows serotonin to stay in the synapse longer, stimulating the post-synaptic cell. SSRIs are selective for serotonin and do not affect other neurotransmitters. Other medications, such as SNRIs and SDRI, may also inhibit other neurotransmitters.
  • #1
thrillhouse86
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Hi,

I have been reading up about SSRIS (Selective Serotonin Reuptake Inhibitors) - and as I understand it they basically bind to the monoamine transporter which tries to take the serotonin back from the post synaptic terminal to the pre synaptic terminal. By binding to the monoamine transporter they prevent it from transporting the serotonin. The consequence of this is that the serotonin stays on the post synaptic terminal longer which keeps stimulating the cell.

I have two questions about this:

1. What does 'keep stimulating' mean ? does it repeatedly pulse the signal which was being transferred to the pre synamptic terminal again and again ?

2. What is Selective about the Serotonin Reuptake Inhibitors ?

Thanks
 
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  • #2
What a nice description of that. :)

You mean post-synaptic cell right? It stays in the synapse longer so that it's available to trigger the post-synaptic cell longer, and a SSRI is selective because it affects serotonin and not other neurotransmitters.
 
  • #3
hey jackmell - yeah I did mean post synaptic.

So the selective refers to the fact that you are solely inhibiting the monoamine transporters which reuptake the serotonin ?

Thanks !
 
  • #4
Yep, SSRI's are selective for serotonin transporters and do not inhibit dopamine transporters or norepinephrine transporters, or at least not as much.
 
  • #5
For comparison:
Sertralin, SSRI - Only inhibits serotonin transporters.
Venlafaxine, SSRI and SNRI - Inhibits serotonin and noradrenaline (norepinephrine) transporters.
Cocaine would be an SNRI and SDRI, inhibiting noradrenaline and dopamine transporters.
 

What is Selective about SSRIs?

Selective serotonin reuptake inhibitors (SSRIs) are a class of antidepressant medications that work by increasing the levels of serotonin in the brain. Serotonin is a neurotransmitter that is involved in regulating mood, sleep, appetite, and other bodily functions. SSRIs are "selective" because they primarily target serotonin and have fewer effects on other neurotransmitters.

How do SSRIs differ from other antidepressants?

SSRIs are different from other antidepressants in that they specifically target serotonin levels in the brain. Other antidepressants, such as tricyclic antidepressants, target multiple neurotransmitters and can have more side effects. SSRIs are also considered safer and have a lower risk of overdose compared to other antidepressants.

What conditions are SSRIs used to treat?

SSRIs are commonly used to treat depression, anxiety disorders, and some other mental health conditions. They can also be prescribed for conditions such as obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and premenstrual dysphoric disorder (PMDD).

How do SSRIs work?

SSRIs work by blocking the reuptake of serotonin in the brain, which increases the levels of serotonin available to neurons. This can help improve mood and alleviate symptoms of depression and anxiety. SSRIs also have an effect on other neurotransmitters, such as dopamine and norepinephrine, which may contribute to their therapeutic effects.

What are the common side effects of SSRIs?

Common side effects of SSRIs may include nausea, headache, dizziness, and changes in appetite or weight. They may also cause sexual side effects, such as decreased libido and difficulty reaching orgasm. It is important to discuss any side effects with a doctor, as they may be able to adjust the dosage or switch to a different medication to alleviate these effects.

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