These results validate previous experiments showing that viloxazine, in addition to displaying high NET occupancy, acts as a partial agonist at 5-HT2C receptors and an antagonist at 5-HT2B and 5-HT7 receptors at clinically relevant concentrations for ADHD treatment. Therefore, both NET inhibition and serotonin receptor activity may contribute to viloxazine's clinical efficacy. These findings are contributing to a renewed understanding of viloxazine's pharmacodynamic profile and likely multimodal mechanism of action.
Garcia-Olivares et al. (Fri,) studied this question.