pharmacopeia

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Put two or three records next to each other and contrast their class, mechanism, indications, identifiers, and chemistry. Reads straight from the existing drug records — a reference contrast, never a recommendation.

SertralineFluoxetineEscitalopram
At a glance
Sertralinesertraline
Zoloft
Fluoxetinefluoxetine
ProzacRECONCILESymbyax
Escitalopramescitalopram
Lexapro
Mechanism

Mechanism-of-action classes: Cytochrome P450 2D6 Inhibitors; Monoamine Oxidase Inhibitors; Serotonin Uptake Inhibitors.

Although the exact mechanism of fluoxetine is unknown, it is presumed to be linked to its inhibition of CNS neuronal uptake of serotonin.

The mechanism of antidepressant action of escitalopram, the S-enantiomer of racemic citalopram, is presumed to be linked to potentiation of serotonergic activity in the central nervous system (CNS) resulting from its inhibition of CNS neuronal reuptake of serotonin (5-HT).

Molecular targets
  • Cytochrome P450 2D6
  • Monoamine Oxidase
  • Serotonin Uptake
  • Monoamine Oxidase
  • Serotonin Uptake
  • Monoamine Oxidase
  • Serotonin Uptake
Indications
  • Major Depressive Disorder – Sertraline hydrochloride is indicated for the treatment of major depressive disorder in adults. The efficacy of Sertraline hydrochloride in the treatment of a major depressive episode was established in six to eight week controlled trials of adult outpatients whose diagnoses corresponded most closely to the DSM-III category of major depressive disorder (see Clinical Trials under CLINICAL PHARMACOLOGY ).F32.9
  • Fluoxetine is indicated for the treatment of: Acute and maintenance treatment of Major Depressive Disorder [see Clinical Studies (14.1) ] . Acute and maintenance treatment of obsessions and compulsions in patients with Obsessive Compulsive Disorder (OCD) [see Clinical Studies (14.2) ] .F32.9, F42.9
  • Escitalopram is a selective serotonin reuptake inhibitor (SSRI) indicated for the: • treatment of major depressive disorder (MDD) in adults and pediatric patients 12 years of age and older ( 1 ) • treatment of generalized anxiety disorder (GAD) in adults ( 1 ) Escitalopram tablets are indicated for the treatment of: • major depressive disorder (MDD) in adults and pediatric patients 12 years of age and older. • generalized anxiety disorder (GAD) in adults.F32.9, F41.1
Structure

(1S,4S)-4-(3,4-dichlorophenyl)-N-methyl-1,2,3,4-tetrahydronaphthalen-1-amine

CN[C@H]1CC[C@H](C2=CC=CC=C12)C3=CC(=C(C=C3)Cl)Cl

N-methyl-3-phenyl-3-[4-(trifluoromethyl)phenoxy]propan-1-amine

CNCCC(C1=CC=CC=C1)OC2=CC=C(C=C2)C(F)(F)F

(1S)-1-[3-(dimethylamino)propyl]-1-(4-fluorophenyl)-3H-2-benzofuran-5-carbonitrile

CN(C)CCC[C@@]1(C2=C(CO1)C=C(C=C2)C#N)C3=CC=C(C=C3)F

Identifiers
RxCUI
36437
ATC
N06AB
UNII
UTI8907Y6X
RxCUI
4493
ATC
N06AB
UNII
I9W7N6B1KJ
RxCUI
321988
ATC
N06AB
UNII
5U85DBW7LO
Note. Side-by-side data is taken verbatim from each drug record. pharmacopeia is for educational and informational use only and is not a substitute for professional medical advice.

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