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Kaplan Qbank USMLE



Author5 Posts
  #1

what is MOA of mirtazapine? in pharm it says it blocks presynaptic alpha2 receptor, but in behav it says it blocks 5-HT2 and 5-HT3.
So which one?

  #2

its both according to Katzung review 7th ed pg 256

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  #3

It is thought to work by blocking presynaptic alpha-2 adrenergic receptors that normally inhibit the release of the neurotransmitters norepinephrine (noradrenaline) and serotonin, thereby increasing active levels in the synapse. Mirtazapine also blocks post-synaptic 5-HT2 and 5-HT3 receptors—an action which is thought to enhance serotonergic neurotransmission while causing a low incidence of side effects.



  #4

new_n_lost and drpkaur thank you both:-)

  #5

It is doing BOTH


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