Pharmacology of Melatonin and 5HT1 Receptor

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Questions and Answers

What is the role of the highest concentration of melatonin in mammals?

  • Supporting immune function
  • Enhancing cognitive abilities
  • Regulating sleep-wake cycles (correct)
  • Promoting digestive functions

Which gland is known for having the highest concentration of melatonin in mammals?

  • Adrenal gland
  • Pineal gland (correct)
  • Thyroid gland
  • Pituitary gland

From which amino acid is melatonin synthesized?

  • Serine
  • Tryptophan (correct)
  • Tyrosine
  • Histidine

What type of enzyme is responsible for the synthesis of melatonin from tryptophan?

<p>Decarboxylase (A)</p> Signup and view all the answers

What is the primary function of melatonin in mammals?

<p>Facilitating sleep (B)</p> Signup and view all the answers

What is the bioavailability percentage of an oral dose mentioned?

<p>14% (B)</p> Signup and view all the answers

Why is the oral dose significantly larger than the subcutaneous dose?

<p>Lower absorption efficiency of oral doses. (C)</p> Signup and view all the answers

Which of the following is NOT an adverse effect of the injection mentioned?

<p>Nausea (A)</p> Signup and view all the answers

What is one of the common adverse effects related to the injection site?

<p>Heat (C)</p> Signup and view all the answers

What type of pain is associated with the side effects mentioned?

<p>Neck pain (C)</p> Signup and view all the answers

What is the primary purpose of the medication mentioned?

<p>To relieve itching from skin disorders (D)</p> Signup and view all the answers

Which of the following is NOT a common adverse reaction associated with the medication?

<p>Increased appetite (C)</p> Signup and view all the answers

In relation to cognitive effects, which adverse reaction is mentioned?

<p>Confusion (B)</p> Signup and view all the answers

When considering the side effects, which reaction could directly contribute to a patient's daily functioning?

<p>Ataxia (B)</p> Signup and view all the answers

What skin condition is primarily treated with this medication?

<p>Allergic dermatitis (D)</p> Signup and view all the answers

Which drug acts as an agonist on the 5HT1A receptor and has anxiolytic properties?

<p>Buspirone (C)</p> Signup and view all the answers

What is a primary functionality of the 5HT1 receptor in the central nervous system?

<p>Regulation of sleep and appetite (B)</p> Signup and view all the answers

Clozapine is specifically recognized for its effectiveness in which type of psychiatric condition?

<p>Resistant schizophrenia (C)</p> Signup and view all the answers

Which of the following functions is primarily associated with blood vessel activity via the 5HT1 receptor?

<p>Vasoconstriction (D)</p> Signup and view all the answers

Which statement about Buspirone is true?

<p>It is non-addictive and acts mainly as an anxiolytic. (B)</p> Signup and view all the answers

What condition is primarily relieved by this treatment?

<p>Nausea and vomiting (A)</p> Signup and view all the answers

How is the treatment administered?

<p>Orally or by the subcutaneous route (C)</p> Signup and view all the answers

What potential issue may arise after treatment is administered?

<p>Recurrent headaches (D)</p> Signup and view all the answers

What is a direct implication of repeated administrations of this treatment?

<p>Management of recurrent symptoms (B)</p> Signup and view all the answers

Which of the following is a possible side effect of this treatment?

<p>Headaches (A)</p> Signup and view all the answers

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Study Notes

Melatonin

  • The highest concentration of melatonin in mammals is found in the pineal gland.
  • Melatonin is synthesized from tryptophan by decarboxylase.
  • Melatonin is used to relieve nausea and vomiting but may need repeated administrations due to recurring headaches.
  • The oral bioavailability of melatonin is only 14%, requiring a larger dose compared to subcutaneous administration.
  • Common adverse effects include flushing and heat at the injection site, neck pain, dizziness, and tingling of the hands.
  • Melatonin is primarily used for relieving itching associated with skin disorders such as allergic dermatitis.

5HT1 Receptor

  • The 5HT1 receptor has subtypes A, B, and C, each with its unique function.
  • In the central nervous system, the 5HT1 receptor affects functions like sleep, appetite, body temperature, and cognition.
  • In blood vessels, the 5HT1 receptor triggers vasoconstriction.

Buspirone

  • Buspirone acts as an agonist on the 5HT1A receptor.
  • Buspirone is primarily an anxiolytic, especially effective for the elderly.
  • Buspirone is not addictive.

Clozapine

  • Clozapine is effective in treating resistant cases of schizophrenia.

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