Drug intelligence / Profile preview

dextromethorphan + risperidone

Development stage
Unknown
Lead developer
National Cheng-Kung University Hospital
Modality
Small Molecules
Administration
Oral
01

Overview

Dextromethorphan + risperidone is an investigational drug combination studied for the treatment of schizophrenia. Dextromethorphan, a small molecule traditionally used as an over-the-counter antitussive, acts as a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist and sigma-1 receptor agonist with anti-inflammatory and neuroprotective properties. In a clinical trial conducted by National Cheng-Kung University Hospital in collaboration with the National Defense Medical Center, dextromethorphan was evaluated as an adjunctive (add-on) therapy to risperidone, an atypical antipsychotic that targets dopamine D2 and serotonin 5-HT2A receptors. The therapeutic rationale for this combination involves dextromethorphan's potential to protect dopamine neurons from inflammation-mediated degeneration and provide neurotrophic support to monoamine neurons, potentially addressing both positive and negative symptoms of schizophrenia more effectively than antipsychotic monotherapy.

Other names
dextromethorphan add-on to risperidoneDM + risperidonedextromethorphan-National Cheng-Kung University Hospital-schizophrenia
02

Targets

NMDAR (Glutamate receptor ionotropic, NMDA)SIGMAR1 (Sigma non-opioid intracellular receptor 1)DRD2 (Dopamine D2 Receptor)HTR2A (Serotonin receptor 5-HT2A)

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