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7-OH loxapine

What it isThe 7-hydroxy metabolite of loxapine, more D2-potent than the parent.

Why it mattersIt contributes substantially to loxapine’s antipsychotic effect at doses that seem modest.

What it changesIt is one of two routes from loxapine; the other, N-demethylation, yields amoxapine and its antidepressant activity.

FDA-approved for

NO BOXED WARNINGS

Principal riskLittle in its own right; see the parent drug

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: 7-OH loxapine ballicule

7-OH loxapine ballicule: receptor binding, kinetics and half-life diagram

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