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. Author manuscript; available in PMC: 2018 Oct 15.
Published in final edited form as: Pharmacotherapy. 2018 Jul 29;38(9):888–898. doi: 10.1002/phar.2163

Table 2.

Selected Serotonin Drugs Aggregated by Receptor Interactions.

SEBM Model Serotonin (5-HT) Receptor Sub-types NET MAO Muscarinic
Example Drug 1A −1F 2A 2B 2C 3–7 SERT  
Triple Receptor (n=17)
Amoxapine   2.0 2.0 2.0 2.0 2.0 2.0 ND 2.0
Cyclobenzaprine ND   2.0 2.0 2.0 2.0 2.0 ND 2.0
Desipramine 1.6 2.0 1.7 1.7 1.7 2.0 2.0 ND 1.7
Meperidine ND ND ND ND ND 1.5 1.5 ND 1.7
Paroxetine 1.3 ND ND ND 1.3 2.0 2.0 ND 2.0
Sertraline ND 2.0 2.0 2.0 ND 2.0 2.0 ND 2.0
Duo Receptor (n=12)
Fluvoxamine ND ND ND ND ND 2.0 1.1 1.1  
Methadone ND 1.3 ND ND ND 1.3 1.3 ND  
Nefazodone 1.3 2.0 1.3 2.0 ND 2.0 2.0 ND  
Tramadol ND 1.3 1.3 1.3 ND 2.0 2.0 ND  
Venlafaxine ND 1.3 ND ND ND 2.0 2.0 ND  
5HT Agonists (n=8)
Sumitriptan 2.0 2.0 1.4 2.0 1.5 ND ND ND  
Zolmitriptan 2.0 ND ND ND 1.4 ND ND ND  
MAOIs (n=8)
Fentenyl ND 1.6 ND 1.5 1.5 ND ND 2.0  
Linezolid ND ND ND ND ND ND ND 2.0  
Phenelzine ND ND ND ND ND ND ND 2.0  
Mixed SERT (n=7)
Granisetron 1.6 ND ND ND 2.0 1.6 ND ND  
Naratriptan 2.0 1.3 ND 1.3 1.3 1.4 ND ND  
Trazadone 1.7 2.0 2.0 2.0 1.7 2.0 ND ND  
Atypical Antipsychotics
(n=12)
Olanzapine 2.0 2.0 2.0 2.0 2.0 2.0 1.8    
Ziprasidone 2.0 2.0 ND 2.0 2.0 2.0 ND ND 2.0
Miscellaneous (n=7)
Buspirone 2.0 2.0 2.0 2.0 1.5 ND ND ND  
Lithium ND ND ND ND ND ND ND ND  
Valproate ND ND ND ND ND ND ND ND  
 
No known data is available to
confirm bioactivity
ND  
Transporter Protein Inhibition    
Confirmed Antagonist Activity    
Confirmed Agonist Activity    

Abbreviations: SERT= Serotonin re-uptake transporter protein, NET=norepinephrine transporter protein; MAOI=monoamine oxidase inhibitors, muscarinic receptors M1 thru M5.

Receptor scores: The calculated Tanimoto score represents how well a candidate drug compares to a known interacting molecule at a specific receptor. It utilizes a continuous scale from 0 to 2.0 where a high propensity interaction is equal to 2.0 and less than 2.0 represents lower propensities. Partial activity is inferred by scores < 2.0 but an absolute threshold score for partial activity has not been clearly established.

Color coding represents confirmation of the type of activity found in a search of bioactivity and pharmacologic databases. ND denotes no bioactivity can be confirmed or inferred since no similar molecule (out of 1.5 M candidates) was identified. In other words, a receptor interaction cannot be absolutely ruled out but is considered unlikely.

A more detailed pharmacology matrix is provided in the supplemental data section and is available at http://dxulab.org/software.