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Ifenprodil is a small molecule cerebral vasodilator and non-competitive antagonist of the N-methyl-D-aspartate (NMDA) receptor, with selectivity for receptors containing the GluN2B subunit. It also inhibits G protein-activated inwardly rectifying potassium (GIRK) channels and interacts with α1-adrenergic, serotonin, and sigma receptors. Ifenprodil has been marketed in some countries for cerebral vasodilation and dizziness after brain ischemia. It is under investigation for additional indications including neuroprotection, anti-inflammatory effects (notably in viral-induced lung injury), substance use disorders such as methamphetamine dependence and alcohol dependence, as well as COVID-19. Its mechanism involves modulation of glutamatergic neurotransmission via NMDA receptor antagonism[1][2][3][6].
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