Browse Medications by Drug Class: Serotonin Agonists

Written by Amar Lunagaria
Pharm.D • NiHowdy Founder

Reviewed by James Wong
Pharm.D • NiHowdy Founder
Published Jan 15, 2025

What are Serotonin Agonists?
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List of drugs in Serotonin Agonists
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Brief history about Serotonin Agonists?
How do Serotonin Agonists work?
What are Serotonin Agonists used to treat?
Migraines
Serotonin agonists like triptans (e.g., sumatriptan, rizatriptan) are highly effective for acute migraine treatment. By activating 5-HT1B and 5-HT1D receptors, these medications constrict dilated cranial blood vessels and reduce the release of pro-inflammatory neuropeptides, alleviating headache and associated symptoms like nausea and light sensitivity.
Anxiety
Buspirone, a 5-HT1A receptor partial agonist, is used to treat generalized anxiety disorder (GAD). By modulating serotonin signaling in the brain, it helps reduce anxiety symptoms without the sedative effects associated with other anxiolytics, such as benzodiazepines.
Irritable Bowel Syndrome (IBS)
5-HT4 receptor agonists like tegaserod are used to treat IBS with constipation by enhancing serotonin activity in the gastrointestinal tract. These medications improve bowel motility and reduce abdominal discomfort, providing significant symptom relief for affected individuals.
Depression (Adjunctive Use)
Certain serotonin agonists, such as buspirone, are used as adjunctive treatments for depression, particularly in patients with inadequate response to first-line therapies like SSRIs. They enhance serotonergic activity and provide additional mood-stabilizing effects.
Who should consider Serotonin Agonists medications?
Adults
Adults with conditions like migraines, anxiety disorders, or IBS are ideal candidates for serotonin agonists. These medications offer targeted relief by modulating specific serotonin pathways. Healthcare providers tailor therapy based on individual needs, ensuring maximum benefits and minimal side effects.
Children
Serotonin agonists are used cautiously in pediatric populations, primarily for managing migraines or gastrointestinal motility disorders. Doses are carefully adjusted to ensure safety, and close monitoring is essential to address potential side effects or interactions.
Seniors
Seniors with conditions like chronic migraines or IBS may benefit from serotonin agonists, particularly when first-line therapies are insufficient. Age-related changes in metabolism and co-existing health conditions necessitate careful dose adjustments and regular monitoring to minimize risks.
Are Serotonin Agonists safe?
Can I take Serotonin Agonists during pregnancy?
Are Serotonin Agonists safe to take while lactating?
Are Serotonin Agonists controlled substances?
Side effects of Serotonin Agonists?
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