What is Selective about SSRIs ?

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Selective Serotonin Reuptake Inhibitors (SSRIs) function by binding to the monoamine transporter, preventing the reuptake of serotonin from the synapse back to the pre-synaptic terminal. This action prolongs the presence of serotonin in the synaptic cleft, allowing it to continuously stimulate the post-synaptic cell. The term "selective" in SSRIs indicates their specific targeting of serotonin transporters, meaning they primarily inhibit serotonin reuptake without significantly affecting other neurotransmitters like dopamine or norepinephrine. In contrast, some other medications, such as Venlafaxine, affect multiple neurotransmitter systems, indicating a broader action compared to SSRIs.
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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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.
 
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 !
 
Yep, SSRI's are selective for serotonin transporters and do not inhibit dopamine transporters or norepinephrine transporters, or at least not as much.
 
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.
 
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