Drug intelligence / Profile preview

amisulpride + dexamethasone

Development stage
Unknown
Lead developer
Eagle Pharmaceuticals
Modality
Orthosteric Ligands → Classical Binding Small Molecules → Small Molecules
Administration
Intravenous, Oral (for Amisulpride Individually In Antipsychotic Use; Combination For Antiemetic Use Is Intravenous)
01

Overview

This drug is a **combination of amisulpride and dexamethasone**. Amisulpride is a *selective dopamine D2 and D3 receptor antagonist*, primarily classified as an atypical antipsychotic, also used intravenously as an antiemetic for the prevention and treatment of postoperative nausea and vomiting (PONV) in adults. Its mechanism is based on preferential antagonism of D2 and D3 receptors, targeting symptoms of schizophrenia and preventing nausea/vomiting by blocking dopamine signaling in the chemoreceptor trigger zone. Dexamethasone is a *synthetic glucocorticoid corticosteroid* with potent anti-inflammatory and immunosuppressant properties, often used for its antiemetic effects in surgical and chemotherapy settings. Clinically, the combination is used for multimodal antiemetic prophylaxis in high-risk patients undergoing surgery under general anesthesia, leveraging their distinct mechanisms to provide enhanced prevention of PONV[2][3].

02

Targets

ABCB1 (P-glycoprotein)MATE2-K (Multidrug and toxin extrusion protein 2)CYP3A4 (Cytochrome P450 3A4)DRD2 (Dopamine D2 Receptor)GR (Glucocorticoid receptor)DRD3 (Dopamine receptor D3)SLC47A1 (Multidrug and toxin extrusion transporter 1)

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