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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
CO
2
L-Tyrosine
Tetrahydrobiopterin
O
2
Dihydrobiopterin
H
2
O
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
CO
2
Tyr
BH4
O
2
BH3
H
2
O
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