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Table 2 Mechanism of action of antidepressant [112]

From: Antidepressants and type 2 diabetes: highways to knowns and unknowns

Class

Example

Mechanism of action

SSRIs

Fluoxetine, fluvoxamine

Inhibit reuptake of 5HT.

NRIs

Atomoxetine, reboxetine

Inhibit reuptake of NE.

SNRIs

Venlafaxine, duloxetine

Inhibit reuptake of NE and 5HT.

DNRIs

Bupropion

Inhibit reuptake of NE and dopamine.

TCA

Imipramine and amitriptyline

Inhibit reuptake of norepinephrine and 5HT with minimal effect on dopamine, antagonists for muscarinic and H1 receptors, agonists for sigma receptors.

SMs

Vortioxetine, vilazodone

Inhibit reuptake 5HT, modulation of 5HT receptors

SARIs

Trazodone, nefazodone

Inhibit reuptake 5HT, block 5HT receptors.

MAOIs

Moclobemide, selegiline

Inhibit metabolism of monoamines.

NMDA-RA

ketamine, esketamine

Rapid-acting antidepressant, block NMDA glutamate receptors.

  1. SSRI: selective serotonin re-uptake inhibitor, NRI: noradrenalin reuptake inhibitor, SNRI: serotonin noradrenalin reuptake inhibitors, DNRIs: dopamine, noradrenaline reuptake inhibitors, TCA: tricyclic antidepressant, SMs: serotonin modulators, SARIs: serotonin antagonist and reuptake inhibitors, MAOIs: monoamine oxidase inhibitors, NMDA-RA: N-Methyl-D–Aspartate receptor antagonists