Abstract

This study demonstrated that cyclomethyline (<b>2</b>) and the corresponding enantiomers (<i>R</i>)-(−)-<b>2</b> and (<i>S</i>)-(+)-<b>2</b>, displaying α<sub>2C</sub>-adrenoreceptor (AR) agonism/α<sub>2A</sub>-AR antagonism, similarly to allyphenyline (<b>1</b>) and its enantiomers, significantly decreased the naloxone-precipitated withdrawal symptoms in mice at very low doses. It also highlighted that such positive effects on morphine dependence can even be improved by additional serotoninergic 5-HT<sub>1A</sub> receptor (5-HT<sub>1A</sub>-R) activation. Indeed, <b>1</b> or the single (<i>S</i>)-(+)-<b>1</b>, <b>2</b>, or both its enantiomers, all behaving as α<sub>2C</sub>-AR agonists/α<sub>2A</sub>-AR antagonists/5-HT<sub>1A</sub>-R agonists, alone and at the same low dose, improved morphine withdrawal syndrome and exerted a potent antidepressant-like effect. Therefore, considering the elevated comorbidity between opiate abuse and depressed mood and the benefit of these multifunctional compounds to both disorders, it is possible that they prove more efficacious and less toxic than a cocktail of drugs in managing opioid addiction

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