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Comment · Thu, March 7, 2013 · Ceretropic

Questions about acetylcholine receptor antagonism and various interactions

Original post in this thread

amirrorbehind · 1 points

I take Tramadol and I'm trying to understand what exactly it's doing to my body and what I might stack with it to alleviate anything unwanted.

* What are, in general, the consequences of acetylcholine receptor antagonism? By preventing ACh from binding from its receptors (nicotinic [alpha-7] and muscarinic [m1, m3]) is ACh actually not doing its job? Or doing its job less?

* Should I be supplementing choline in this situation? It seems like antagonism would prevent choline (and then ACh) from performing its functions, so perhaps choline supplementation would be a waste?

* In this situation, what would an acetylcholinesterase inhibitor do? I'm looking at Huperzine-A.

I'm looking at the table just under here[1] and I'm wondering, for M1 and M3, by antagonising these receptors, am I preventing those actions from occuring ? Or at least somewhat?

[1] http://en.wikipedia.org/wiki/Muscarinic_acetylcholine_receptor#Difference_in_G_proteins

Thanks for any and every response :).

What they were answering

[deleted] · 2 points

[deleted]

u/MisterYouAreSoDumb · Ceretropic

I cannot find anything on how a racetam might affect Tramadol's opioid agonism.

It shouldn't affect the opioid agonism. However, Tramadol is only a weak opioid agonist. Most of it's effects arise from other systems like serotonin and norepiniephrine. Ach plays a role as well, so racetams may affect that.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1573343/

In conclusion, tramadol inhibits catecholamine secretion at least partly by inhibiting nicotinic AChR functions at clinically relevant concentrations in a manner independent of opioid receptors. The inhibitory effects of tramadol on nicotinic AChR functions might be one of the antinociceptive mechanisms exerted by tramadol.

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