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Reserpine

SERPASIL

What it isIrreversible VMAT inhibitor depleting monoamine stores; historical antihypertensive.

Why this oneIt demonstrated that depleting monoamines causes depression, which founded the monoamine hypothesis.

What limits itSevere depression and suicide at the doses once used. Sedation, nasal congestion and peptic ulceration; effect persists for weeks.

FDA-approved for

NO BOXED WARNINGS

Principal riskSevere depression and suicide at the doses once used

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Reserpine ballicule

Reserpine ballicule: receptor binding, kinetics and half-life diagram

Open Reserpine in the interactive console ↗

Memory aids: mascots and interaction avatars

Reserpine SERPASIL mascot mnemonic cartoon
“serpent re-slurping (dopamine)”

Open Reserpine in the interactive console ↗