Drug class

Selective serotonin 5-HT2A inverse agonists (SSIA)

Selective serotonin 5-HT2A inverse agonists (SSIAs) are a novel class of atypical antipsychotics characterized by preferential binding to and inactivation of serotonin 5-HT2A receptors. Read more about Selective serotonin 5-HT2A inverse agonists (SSIA)

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About Selective serotonin 5-HT2A inverse agonists (SSIA).

Selective serotonin 5-HT2A inverse agonists (SSIAs) are a novel class of atypical antipsychotics characterized by preferential binding to and inactivation of serotonin 5-HT2A receptors.

Unlike conventional and second-generation antipsychotics, they lack meaningful affinity for dopamine D2, muscarinic, histaminergic, or adrenergic receptors, suppressing basal serotonergic neurotransmission without provoking dopamine blockade.

Clinically exemplified by pimavanserin, this dopamine-sparing mechanism enables SSIAs to manage psychotic symptoms—specifically hallucinations and delusions—without deteriorating motor function.

Consequently, their primary therapeutic application is in Parkinson's disease psychosis, with additional investigation into other neurodegenerative and neuropsychiatric disorders.