In a case report by Zeiler et al, (15) 2 patients with aSAH demonstrated worsening neurological examination after
norepinephrine was initiated to treat delayed cerebral ischemia and then showed neurologic improvement as soon as
norepinephrine was discontinued.
In the more recent research, Segal and her colleagues discovered that levels of salivary alpha amylase, a biomarker that reflects
norepinephrine activity in the brain, significantly increased in participants after exercise.
Clonidine, an [alpha]-2 adrenergic agonist, decreases
norepinephrine and has been found to reduce hot flushes.
Droxidopa is a synthetic catecholamine that is directly converted to
norepinephrine (NE) via decarboxylation, resulting in increased levels of NE in the nervous system, both centrally and peripherally.
Growing observational evidence among Intensivist indicate that
norepinephrine compared to dopamine may be associated with better outcomes.
At the Baker Medical Research Institute in Australia, the method was introduced to characterize sympathetic nerve function and central nervous system turnover of
norepinephrine in depression, heart failure, hypertension, panic disorder, and obesity (4).
When
norepinephrine increases, QseC alerts a response regulator called "QseB" inside the bacterial cell.
Results: The levels of epinephrine and
norepinephrine were significantly higher in patients than in normal controls and decreased under propranolol.
In Japan, Dops, which is a precursor of
norepinephrine, is currently available for the treatment of frozen gait and dizziness associated with Parkinson's disease, and vertigo, dizziness and fatigue associated with orthostatic hypotension in hemodialysis patients.
Effexor, Cymbalta, and Remeron, a newer group of antidepressants, boost brain levels of serotonin and
norepinephrine, like the tricyclics.
The patient received intensive supportive care including dopamine and
norepinephrine. After improvement, the patient was extubated on May 9.
Three neurotransmitters in particular--serotonin,
norepinephrine and dopamine--have been most studied in terms of their role in mood disorders.