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Cyproheptadine, sold under the brand name Periactin among others, is a first-generation antihistamine with additional anticholinergic, antiserotonergic, and local anesthetic properties. It was patented in 1959 and came into medical use in 1961. [ 5 ]
The procedure is to take the child's weight in pounds, divide by 150 lb, and multiply the fractional result by the adult dose to find the equivalent child dosage.For example, if an adult dose of medication calls for 30 mg and the child weighs 30 lb, divide the weight by 150 (30/150) to obtain 1/5 and multiply 1/5 times 30 mg to get 6 mg.
An orexigenic, or appetite stimulant, is a drug, hormone, or compound that increases appetite and may induce hyperphagia.This can be a medication or a naturally occurring neuropeptide hormone, such as ghrelin, orexin or neuropeptide Y, [1] [2] which increases hunger and therefore enhances food consumption.
Apetamin is a potentially dangerous figure-augmentation product. [1] [2] It is a syrup containing cyproheptadine, the amino acid lysine, and some vitamins.Cyproheptadine, the active ingredient, is an antihistamine and a hepatotoxin that has many effects on the body, including increased appetite, fatigue, and drowsiness. [3]
The serotonin antagonist cyproheptadine is the recommended initial therapy, although there have been no controlled trials demonstrating its efficacy for SS. [ 9 ] [ 69 ] [ 70 ] Despite the absence of controlled trials, there are a number of case reports detailing apparent improvement after people have been administered cyproheptadine. [ 9 ]
For example, hypersensitivity in the sensory processing system can cause poor feeding due to the inability to relax, which therefore ultimately results in weight loss or poor weight gain. [7] Signs and symptoms are also grouped into three systems by the Finnegan Neonatal Abstinence Scoring System (FNASS).
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Pizotifen is able to dose-dependently and fully antagonize the discriminative stimulus effects of the serotonin–norepinephrine–dopamine releasing agent and serotonin 5-HT 2 receptor agonist MDMA in rodent drug discrimination tests. [10] Conversely, the related drug cyproheptadine was only partially effective and clozapine was ineffective. [10]