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Leaves legal in Bolivia, Peru, Colombia; cocaine internationally controlled or
OTC (20 mg) and [[USLegal:Prescription only|Rx-only]] (higher doses) in US or
Rx
:
Leaves legal in Bolivia, Peru, Colombia; cocaine internationally controlled or
OTC (20 mg) and [[USLegal:Prescription only|Rx-only]] (higher doses) in US or
Rx Use the filters below to narrow your results.
generic:
brand:
''Erythroxylum coca'', ''E. novogranatense'' (1) ·
Aimovig (1) ·
Ajovy (1) ·
Auvelity (dextromethorphan/bupropion ER) (1) ·
Caplyta (1) ·
Emgality (1) ·
Prilosec, Losec, Zegerid (1) ·
Rexulti (1) ·
Trintellix (US), Brintellix (formerly) (1) ·
Viibryd (1) ·
Vraylar (1) ·
Vyepti (1) ·
Zavzpret (zavegepant) (1)
classes:
5HT1A activity than aripiprazole (1) ·
5HT2A (1) ·
5HT2A/D2 antagonist with proposed differential pre/post-synaptic D2 activity (1) ·
Anti-CGRP ligand monoclonal antibody (3) ·
Anti-CGRP receptor monoclonal antibody (1) ·
Atypical antipsychotic (3) ·
CGRP receptor antagonist (1) ·
D2/5HT1A partial agonist with stronger α1A (1) ·
D2/D3/5HT1A partial agonist (1) ·
Excitantia (1) ·
Gepant (1) ·
Multimodal antidepressant: SERT inhibitor + 5HT1A agonist + 5HT1B partial agonist + 5HT3/5HT7 antagonist (1) ·
NMDA receptor antagonist + sigma-1 agonist + NDRI (combination) (1) ·
Plant Medicine (1) ·
Serotonin partial agonist reuptake inhibitor (SPARI) (1) ·
[[:Category:Antisecretory_agents|Gastric acid suppressant]] (1) ·
[[:Category:Proton_pump_inhibitors|Proton pump inhibitor (PPI)]] (1)
mechanism:
None (5) ·
Humanized IgG1 monoclonal antibody binding CGRP peptide; IV infusion enables fastest onset of any CGRP mAb (1) ·
Humanized IgG2 monoclonal antibody binding both isoforms of CGRP peptide (1) ·
Humanized IgG2 monoclonal antibody binding the CGRP receptor (not the peptide); blocks CGRP-mediated vasodilation and nociceptive signaling (1) ·
Humanized IgG4 monoclonal antibody binding CGRP peptide; prevents CGRP from activating its receptor (1) ·
Partial agonist at D2 and 5HT1A. Antagonist at 5HT2A, α1A, α1B, α2C. More potent 5HT2A antagonism, 5HT1A partial agonism, and α1 antagonism (relative to D2 partial agonism) than aripiprazole, proposed to reduce akathisia and enhance affective/cognitive effects. (1) ·
Primary alkaloid is cocaine, a tropane that blocks reuptake of dopamine and norepinephrine (and serotonin). At low oral doses from leaf chewing, the slow release favors NE-mediated alertness over DA-mediated euphoria. (1) ·
Small-molecule CGRP receptor antagonist; intranasal formulation (1) ·
'"`UNIQ--vote-000000D8-QINU`"' Recovery of acid output requires synthesis of new pump enzyme. CYP2C19 substrate; PGx genotype substantially affects exposure and efficacy'"`UNIQ--ref-000000D9-QINU`"'. (1)
uses:
Acute treatment of migraine with or without aura in adults (1) ·
Major depressive disorder in adults (FDA-approved 2011) (1) ·
Major depressive disorder in adults (FDA-approved 2013). Notable for evidence of cognitive benefit (processing speed) that distinguishes it from other antidepressants. (1) ·
Major depressive disorder in adults (FDA-approved August 2022) (1) ·
Preventive treatment of migraine in adults (1) ·
Preventive treatment of migraine in adults (episodic and chronic) (2) ·
Preventive treatment of migraine in adults; episodic cluster headache (1) ·
Schizophrenia (FDA-approved 2015). Acute manic or mixed episodes of bipolar I disorder. Bipolar I depression (FDA-approved 2019). Adjunctive treatment of major depressive disorder (FDA-approved Dec 2022). (1) ·
Schizophrenia (FDA-approved 2015). Adjunctive treatment of major depressive disorder (2015). '''Agitation associated with dementia due to Alzheimer disease''' (FDA-approved May 2023, first agent specifically approved for this problem). Investigational for PTSD (combined with sertraline). (1) ·
Schizophrenia (FDA-approved Dec 2019). Bipolar depression as monotherapy or adjunct to lithium/valproate (FDA-approved Dec 2021). (1) ·
'"`UNIQ--vote-0000000C-QINU`"', '"`UNIQ--vote-0000000D-QINU`"', '"`UNIQ--vote-0000000E-QINU`"', '"`UNIQ--vote-0000000F-QINU`"' (1) ·
'"`UNIQ--vote-000000DA-QINU`"', '"`UNIQ--vote-000000DB-QINU`"', '"`UNIQ--vote-000000DC-QINU`"', '"`UNIQ--vote-000000DD-QINU`"' (1)
starting dose:
None (1) ·
1 tablet (dextromethorphan 45 mg / bupropion 105 mg) PO daily × 3 days, then increase to 1 tablet BID (1) ·
10 mg (one spray) intranasally in one nostril (1) ·
10 mg PO once daily × 7 days, then 20 mg × 7 days, then 40 mg as target dose (take with food) (1) ·
10 mg PO once daily; may increase to 20 mg as tolerated, or decrease to 5 mg if needed (1) ·
100 mg IV every 3 months; may increase to 300 mg IV every 3 months (1) ·
20 mg PO once daily 30-60 minutes before breakfast (1) ·
225 mg SC monthly, or 675 mg SC every 3 months (quarterly) (1) ·
42 mg PO once daily with food (no titration) (1) ·
70 mg SC monthly; may increase to 140 mg monthly (1) ·
Migraine: 240 mg SC loading dose, then 120 mg SC monthly. Cluster: 300 mg SC at onset of cluster period, then monthly during cluster. (1) ·
Schizophrenia: 1 mg PO daily × 4 days, then 2 mg daily × 3 days, then 4 mg daily. MDD adjunct: 0.5-1 mg daily, increase to 2 mg max. AD agitation: 0.5 mg daily, titrate to 2-3 mg daily. (1) ·
Schizophrenia: 1.5 mg PO daily, increase to 1.5-6 mg as tolerated. Bipolar mania: 1.5 mg, may increase to 3-6 mg. Bipolar depression: 1.5 mg daily for 14 days, then 3 mg. MDD adjunct: 1.5 mg, may increase to 3 mg. (1)
preparations:
0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg tablets (1) ·
1.5 mg, 3 mg, 4.5 mg, 6 mg capsules (1) ·
10 mg, 20 mg, 40 mg tablets (1) ·
10 mg/spray nasal solution (1) ·
10, 20, 40 mg delayed-release capsules and tablets; 2 mg/mL oral suspension; immediate-release combo with sodium bicarbonate (Zegerid) (1) ·
100 mg/mL vial for IV infusion (1) ·
120 mg/mL prefilled syringe or autoinjector (1) ·
225 mg/1.5 mL prefilled syringe or autoinjector (1) ·
42 mg capsules (1) ·
5 mg, 10 mg, 20 mg tablets (1) ·
70 mg/mL or 140 mg/mL prefilled autoinjector (1) ·
Dextromethorphan 45 mg + bupropion 105 mg ER tablets (1) ·
Leaves chewed with a pinch of slaked lime (the lime converts cocaine HCl to freebase for buccal absorption); also drunk as tea (''mate de coca'') (1)
fda max:
None (1) ·
10 mg per 24 h (1) ·
140 mg/month (1) ·
2 tablets/day (dextromethorphan 90 mg / bupropion 210 mg) (1) ·
20 mg/d (1) ·
240 mg loading + 120 mg/month for migraine; 300 mg/month for cluster (1) ·
300 mg/quarter (1) ·
4 mg/d (schizophrenia); 3 mg/d (AD agitation); 3 mg/d (MDD adjunct) (1) ·
40 mg/d (1) ·
40 mg/d typical; up to 360 mg/d for Zollinger-Ellison (1) ·
42 mg/d (1) ·
6 mg/d (psychosis/mania); 3 mg/d (depression adjunct) (1) ·
675 mg/quarter (1)
routes:
onset:
None (1) ·
4-6 weeks for full antidepressant effect (claimed earlier onset for some patients due to 5HT1A partial agonism) (1) ·
Antipsychotic effect over weeks (1) ·
Effect demonstrated within 24 hours in some patients (1) ·
Onset of preventive effect over weeks; some patients respond after first dose (1) ·
Over weeks (2) ·
Pain relief reported within 15 min in trials (1) ·
Significant antidepressant response by week 1 in trials (faster than monoaminergic antidepressants which take 4-6 weeks) (1) ·
Symptom relief 1-4 days; full acid suppression after 3-5 days of dosing (1) ·
Typical antidepressant 4-6 week onset (1) ·
Weeks for psychosis/depression; AD agitation benefit emerges over weeks (1) ·
Weeks for psychosis/mood efficacy (1)
duration:
None (1) ·
24-72 hours per dose (irreversible enzyme binding; effect outlasts plasma exposure) (1) ·
3-month dosing interval (1) ·
Daily dosing (4) ·
Daily dosing; active metabolites with very long half-lives (up to 1-3 weeks) (1) ·
Monthly dosing (2) ·
Monthly or quarterly dosing (1) ·
Sustained with twice-daily dosing (1) ·
~48 h sustained pain freedom in responders (1)
halflife:
None (1) ·
0.5-1.5 hours (plasma); pharmacodynamic effect persists 24+ hours'"`UNIQ--ref-000000DE-QINU`"' (1) ·
Cariprazine ~2-4 d; major active metabolites desmethyl-cariprazine (DCAR) ~1-3 weeks → 'oral depot' effect with delayed steady-state and reduced effect of missed doses (1) ·
Dextromethorphan ~22 h (when CYP2D6 inhibited); bupropion ~21 h (1) ·
~18 hours (terminal) (1) ·
~25 hours (1) ·
~27 days (2) ·
~28 days (1) ·
~31 days (1) ·
~6.6 h (1) ·
~66 hours (1) ·
~91 hours (1)
bioavailability:
None (1) ·
100% (IV) (1) ·
30-40% (oral; increases with repeated dosing as gastric pH rises)'"`UNIQ--ref-000000DF-QINU`"' (1) ·
Adequate oral bioavailability (1) ·
Limited but adequate; take with food (1) ·
Not formally characterized for the combination (1) ·
Not formally established (1) ·
Not formally established (high SC) (1) ·
~5% intranasal (1) ·
~72% (with food); much lower fasting (~36%) (1) ·
~75% (1) ·
~82% SC (1) ·
~95% (1)
pregnancy:
None (1) ·
Limited data (1) ·
Limited data; avoid (6) ·
Limited data; National Pregnancy Registry available (1) ·
Limited data; National Pregnancy Registry for Atypical Antipsychotics (1) ·
Limited data; weigh benefits/risks (2) ·
Widely used in pregnancy; meta-analyses do not show increased malformation risk.<sup class="pcp-cn" title="This claim needs a citation.">[[[Pharmacopedia:Citation needed|citation needed]]]</sup> (1)
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Showing below up to 13 results in range #1 to #13.