n. a
multifunctional antidepressant chemically related to
trazodone but with some important pharmacological distinctions. It is an antagonist at 5-HT
2 serotonin receptors and an inhibitor of both serotonin and norepinephrine reuptake. This combination of actions is thought to be related to the lack of
SSRI-like side effects associated with its antidepressant properties. Its sedative effects may be useful in the treatment of depression-related anxiety and insomnia; however, due to the risk of serious hepatic injury associated with nefazodone, it is now rarely used.