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Aripiprazole (brand names: Abilify, Aripiprex) is an atypical antipsychotic and antidepressant used in the treatment of schizophrenia, bipolar disorder, and clinical depression. It was approved by the US Food and Drug Administration (FDA) for schizophrenia, for acute manic and mixed episodes associated with bipolar disorder.
(However, in pharmacological experiments on isolated cardiac muscle preparations a clear negative inotropic effect is demonstrable.) They are thus regarded as vasoselective Ca2+ antagonists. Because of the dilatation of resistance vessels, blood pressure falls. Cardiac afterload is diminished and, therefore, also oxygen demand. Spasms of coronary arteries are prevented.

 

Cortisol secretion is high in the early morning and low in the late evening (circadian rhythm). This fact implies that the regulatory centers continue to release CRH or ACTH in the face of high morning blood levels of cortisol; accordingly, sensitivity to feedback inhibition must be low in the morning, whereas the opposite holds true in the late evening.
Evidently, psychic effects (“kick,” “buzz,” “rush”) are especially intense with this route of administration. The user may also resort to other more unusual routes: opium can be smoked, and heroin can be taken as snuff (B). Metabolism (C). Like other opioids bearing a hydroxyl group, morphine is conjugated to glucuronic acid and eliminated renally.

 

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