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Tetrahydropalmatine is an isoquinoline alkaloid found primarily in plants of the Corydalis and Stephania genera. It is widely used in China as a sedative and analgesic agent. Tetrahydropalmatine acts mainly as a dopamine receptor antagonist and also blocks other monoamine receptors. It has additional pharmacological actions including blockade of voltage-activated L-type calcium channels and activation of potassium channels. The compound exhibits muscle relaxant properties and has been investigated for its potential use in treating schizophrenia, drug addiction (notably cocaine use disorder), anxiety, insomnia, heart disease, liver damage, neuropathic pain, inflammatory diseases, dysmenorrhea, cancer-related symptoms, and brain edema[1][2][3][5][6][8]. Its mechanism involves modulation of dopaminergic neurotransmission as well as possible effects on GABAA receptor benzodiazepine sites[5][6]. Tetrahydropalmatine is considered non-addictive with a favorable safety profile at therapeutic doses.
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