Table 4.
Pharmacological targets for the modulation of dopaminergic and adrenergic pathways by agents targeting metabolism (brand/street names in parentheses).
Reuptake inhibitors/transporter blockers | |
Monoamine oxidase inhibitors | Nonselective agents: phenelzine (Nardil), tranylcypromine (Parnate), isocarboxazid (Marplan)MAOA selective agents: moclobemide (Aurorix, Manerix) MAOB selective agents: selegiline (Eldepryl, Zelapar, Emsam), rasagiline (Azilect), pargyline (Eutonyl) Harmala alkaloids: harmine, harmaline, tetrahydroharmine, harmalol, harman, norharman found to varying degrees in Nicotiana tabacum (Tobacco; also cigarettes, cigars, chew, hookah, etc.), Banisteriopsis caapi (Ayahausca, Caapi, Yage), Peganum harmala (Harmal, Syrian Rue), Passiflora incarnata (Passion Flower), and Tribulus terrestris (Puncture Vine), among others |
Indications | Depression and anxiety, Parkinson’s disease (PD) and dementia, for the recreational purpose |
Catechol O-methyl transferase (COMT) inhibitors | Entacapone (Comtan, Stalevo), tolcapone (Tasmar), nitecapone |
Indications | Parkinson’s disease (PD) |
DOPA decarboxylase (DDC) inhibitors | Benserazide (Prolopa, Madopar, etc.), carbidopa (Lodosyn, Atamet, Parcopa, Sinemet, Stalevo, etc.), methyldopa (Aldomet, Aldoril, Dopamet, Dopegyt, etc.) |
Indications | Parkinson’s disease (PD), sympatholytic or antihypertensive agents |
Dopamine β-hydroxylase (DBH) inhibitors | Disulfiram (Antabuse) |
Indications | Drug addiction as an anticraving agent |
Dopamine β-hydroxylase (DBH) inhibitors | Disulfiram (Antabuse) |
Indications | Drug addiction as an anticraving agent |
Tyrosine hydroxylase (TH) inhibitors | Metirosine (Demser) |
Indications | Pheochromocytoma (PCC) as sympatholytic/antihypertensive agent |
Others | Hyperforin and adhyperforin [Hypericum perforatum (St. John’s Wort (SJW))], L-theanine [Camellia sinensis (Tea Plant, also known as Black, White, Oolong, Pu-erh, or Green Tea)], and S-adenosyl-L-methionine (SAMe) |
Indications | Dietary supplements for depression and anxiety |