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D(2) dopamine receptor Voltage- dependent P/Q-type calcium channel subunit alpha-1A Voltage- dependent L-type calcium channel subunit beta-1 Voltage- dependent calcium channel subunit alpha-2/delta-2 Sodium- dependent dopamine transporter Synaptic vesicular amine transporter Aromatic-L- amino-acid decarboxylase Tyrosine 3-monooxygenase Dopamine Ca+ Triflupromazine Ca+ Dopamine Dopamine Triflupromazine Triflupromazine L-Dopa CO2 L-Tyrosine Tetrahydrobiopterin O2 Dihydrobiopterin H2O Na+ Na+ Pyridoxal 5'-phosphate Chemoreceptor trigger zone vomiting reflex Fe2+ Cytosol Postsynaptic Neuron Presynaptic Neuron Cytosol Synaptic Vesicle Synapse Brain Blood vessel ↓ nausea and vomiting passive diffusion dopamine receptors in the chemoreceptor trigger zone is stimulated to cause nausea and vomiting Triflupromazine acts as an antagonist to D2 receptors present in the vagus nerves from brain to gut Vomiting centre (medulla) Triflupromazine blocks the chemoreceptor trigger zone Triflupromazine is taken orally
DRD2 CACNA1A CACNB1 CACNA2D2 SLC6A3 SLC18A2 DDC TH Dopamine Calcium Triflupromazine Calcium Dopamine Dopamine Triflupromazine Triflupromazine L-Dopa Carbon dioxide L-Tyrosine Tetrahydrobiopterin Oxygen Dihydrobiopterin Water Sodium Sodium vomiting reflex
DRD2 CACNA1A CACNB1 CACNA2D2 SLC6A3 SLC18A2 DDC TH LDP Ca+ Triflup Ca+ LDP LDP Triflup Triflup L-Dopa CO2 Tyr BH4 O2 BH3 H2O Na+ Na+ Pyr-5'P Chemoreceptor trigger zone vom ref Fe2+ Cytosol Postsynaptic Neuron Presynaptic Neuron Cytosol Synaptic Vesicle Synapse Brain Blood vessel ↓ nausea and vomiting passive diffusion dopamine receptors in the chemoreceptor trigger zone is stimulated to cause nausea and vomiting Triflupromazine acts as an antagonist to D2 receptors present in the vagus nerves from brain to gut Vomiting centre (medulla) Triflupromazine blocks the chemoreceptor trigger zone Triflupromazine is taken orally
DRD2 CACNA1A CACNB1 CACNA2D2 SLC6A3 SLC18A2 DDC TH LDP Ca2+ Triflup Ca2+ LDP LDP Triflup Triflup L-Dopa CO2 Tyr BH4 O2 BH3 H2O Na+ Na+ vom ref