Receptor binding

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AGONIST WITH POTENCY EFFICACY REMARKS EXAMPLE
(A) Competitive antagonist No change Can be overcome by ↑ agonist concentration Diazepam (agonist) + flumazenil (competitive antagonist) on GABAₐ receptor.
(B) Noncompetitive antagonist No change Cannot be overcome by ↑ agonist concentration Norepinephrine (agonist) + phenoxybenzamine (noncompetitive antagonist) on α-receptors.
(C) Partial agonist (alone) Independent Acts at same site as full agonist Morphine (full agonist) vs buprenorphine (partial agonist) at opioid μ-receptors.
Inverse agonist (alone) Independent Independent Binds to a constitutively active receptor, thereby reducing its activity; has the opposite effect of an agonist H₁ antihistamines (eg, diphenhydramine)