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Re: How does Wellbutrin work ?

Posted by JohnX on March 9, 2001, at 17:53:08

In reply to Re: How does Wellbutrin work ?, posted by terra miller on March 9, 2001, at 10:47:52

> so, according to all that i just read in this thread, i see nothing to do with serotonin. am i correct?
>
> i remember reading elsewhere here that wellbutrin very weakly effects serotonin. correct?
>
> is this why wellbutrin often is taken along with SSRI's/similar acting meds?
>
> everything is starting to add up, if i've got it right, that is. (do i?)
>
> terra.

Terra,

You got it.
The action on serotonin is extrememly weak (negligible).
Most anti-depressants have some measurable amount
of action on many different types of receptors like serotonin,norepinephrine,dopamine,acetylcholine,gaba,glumtamate,etc.
But they usually are *very* targeted at a particular type or group of receptors, so the action on the other receptors is negligible.
The older tricylclic anti-depressants were less selective and had stronger action on cholinergic and muscanaric receptors etc, which lead to side effects and no additional tharapeutic action.

-john


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