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Serotonin or  5-hydroxytryptamine ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
N C N C NH 2 COOH COOH NH 2 OH N C NH 2 OH H Tryptophan 5-Hydroxytryptophan 5-Hydroxytryptamine N C COOH 5-OH Indole  Acetaldehyde 5-Hydroxy Indole  Acetic Acid Tryptophan hydroxylase 5-OH Tryptophan decarboxylase MAO Aldehyde  dehydrogenase (Rate limiting) In diet. Active CNS transport www.freelivedoctor.com
Synthesis and Metabolism ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Interference with the system ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Non-selective www.freelivedoctor.com
Serotonin Receptors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Endogenous Function ,[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Serotonin  Pharmacological Effects ,[object Object],[object Object],[object Object],www.freelivedoctor.com
[object Object],[object Object],[object Object],[object Object],[object Object],Serotonin  Pharmacological Effects -2 www.freelivedoctor.com
[object Object],[object Object],[object Object],[object Object],Serotonin in the  Central Nervous System www.freelivedoctor.com
Migraine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Migraine: Drug Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Migraine: Prophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Serotonin in Migraine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Unknown Trigger Activation antidromic Orthodromic conduction Trigeminal  neuron Inhibitory receptor (5-HT1D) Mast cell PAIN Cortex Thalamus Trigem. Nucleus caudalis Blood Vessel nausea autonomic www.freelivedoctor.com
Serotonin Agonists ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com
Serotonin Antagonists ,[object Object],[object Object],[object Object],[object Object],www.freelivedoctor.com

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Migrane

  • 1.
  • 2. N C N C NH 2 COOH COOH NH 2 OH N C NH 2 OH H Tryptophan 5-Hydroxytryptophan 5-Hydroxytryptamine N C COOH 5-OH Indole Acetaldehyde 5-Hydroxy Indole Acetic Acid Tryptophan hydroxylase 5-OH Tryptophan decarboxylase MAO Aldehyde dehydrogenase (Rate limiting) In diet. Active CNS transport www.freelivedoctor.com
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Unknown Trigger Activation antidromic Orthodromic conduction Trigeminal neuron Inhibitory receptor (5-HT1D) Mast cell PAIN Cortex Thalamus Trigem. Nucleus caudalis Blood Vessel nausea autonomic www.freelivedoctor.com
  • 15.
  • 16.