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Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function.
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Skeletal muscle relaxants are widely used for muscle paralysis and relieving pain following any muscle injury or stiffness. However, depending on the drug type, they can have adverse effects that range from mild to severe. Usually, nondepolarizing neuromuscular blockers have minimal side effects. For example, drugs like d-tubocurarine, cisatracurium, and rocuronium cause hypotension, whereas drugs like baclofen, when stopped abruptly, can lead to the recurrence of spastic conditions.
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Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
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Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
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Hallucinogens, also known as psychedelic drugs, are a class of substances known for their ability to alter perception, cognition, and emotions. Despite their profound effects on the mind, these drugs are non-addictive, setting them apart from many other abused substances. The mechanism of action of these drugs lies in their impact on the 5-HT2A receptor in the brain. Upon activation, this receptor couples to Gq-type G proteins, triggering a cascade that releases intracellular calcium. This...
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Prokinetic agents are specialized medications that stimulate gastrointestinal (GI) motility, promoting food movement through the GI tract. Dopamine, an inhibitory neurotransmitter, plays a significant role in this process, reducing GI motility and indirectly controlling the speed of digestion. Dopamine receptor antagonists, such as metoclopramide and domperidone, offer a unique advantage as prokinetic agents. By blocking the dopamine receptors, these drugs increase GI motility, improving food...
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Updated: Aug 30, 2025

Optogenetic Functional MRI
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What Works for One May Not Work for Another: A New Warning for Modafinil.

Harim Kim1, Girma M Ayele2, Rediet T Atalay2

  • 1Internal Medicine, University of Maryland School of Medicine, Baltimore, USA.

Cureus
|August 31, 2022
PubMed
Summary
This summary is machine-generated.

Narcolepsy, a hypothalamic disorder causing sleep-wake issues, can co-occur with postural orthostatic tachycardia syndrome (POTS). This case highlights how POTS influences narcolepsy treatment choices.

Area of Science:

  • Neurology
  • Sleep Medicine
  • Autonomic Disorders

Background:

Keywords:
modafinilmodafinil and palpitationmodafinil side effectnarcolepsynarcolepsy treatmentsodium oxybate for narcolepsy

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  • Narcolepsy is a hypothalamic disorder presenting with sleep-wake disturbances like excessive daytime sleepiness, hallucinations, cataplexy, and sleep paralysis.
  • Postural Orthostatic Tachycardia Syndrome (POTS) is a rare autonomic disorder causing orthostatic intolerance.
  • Co-occurrence of narcolepsy and POTS presents unique clinical challenges.