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esketamine + dexmedetomidine (Peking University Shenzhen Hospital)

Development stage
Unknown
Lead developer
Peking University Shenzhen Hospital
Modality
Small Molecules
Administration
Intravenous
01

Overview

Esketamine + dexmedetomidine is a drug combination being evaluated by Peking University Shenzhen Hospital for its effects on postoperative sleep quality, pain management, and cognitive function in elderly patients undergoing hip fracture surgery. Esketamine, the S-enantiomer of ketamine, functions as a non-competitive N-methyl-D-aspartate (NMDA) receptor antagonist, providing potent analgesia and anesthetic effects. Dexmedetomidine is a highly selective alpha-2 adrenergic receptor agonist known for its sedative, analgesic, and sympatholytic properties without causing significant respiratory depression. The combination is administered intravenously via a loading dose followed by a continuous infusion to leverage the synergistic effects of both agents while potentially reducing the required dosage and side effect profile of each component.

Other names
esketamine combined with dexmedetomidine
02

Targets

DOR (Opioid Receptor Delta 1)SERT (Sodium-dependent serotonin transporter)NMDAR (Glutamate receptor ionotropic, NMDA)HTR3A (5-hydroxytryptamine receptor 3A)KOR (Kappa opioid receptor)ADRA2A (α2A)DAT (Dopamine plasma membrane transport protein)MOR (Mu opioid receptor)DRD2 (Dopamine D2 Receptor)NET (Norepinephrine Transporter)

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