A comment of mine saved from here in PSSDforum.com
As we've said before, SSRI's work in a major way by somehow enhancing histamine levels in the Brain - most probably by increasing tonic activation of 5-HT(4) receptors which cause histamine release.
--> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4648163/
--> https://www.ncbi.nlm.nih.gov/pubmed/22408061
If histamine levels are enhanced by this mechanism in SSRI's - you would think though they would be lesser in terms of sedation...unfortunately, that's not the case, because then UNTIL the 5-HT2A is sufficiently downregulated, my guess would be you'd have less histamine for the first 2 weeks on SSRI.
--> https://www.ncbi.nlm.nih.gov/pubmed/9918563 (Atypical neuroleptics enhance histamine turnover in brain via 5-Hydroxytryptamine2A receptor blockade.)
So after that 3-4 week point which IRONICALLY is the point where they "start working" and conferring serious "antidepressant" benefits correlates roughly with the direct ENHANCEMENT of histamine levels...something I think many of us have overlooked.
As Me and Ghost have published on histamine before, it has a complex role in emotional and sexual function, histamine facilitates emotional functions but also STRESS via Histamine H1 - but also alertness and logic comes from that receptor...whereas histamine H2 and H3 have "facilitative" roles in male sexual function, H2 for libido and arousal, and H3 by reducing norepinephrine release and causing vasodilation.
--> https://www.ncbi.nlm.nih.gov/pubmed/7850330
As we've said before, SSRI's work in a major way by somehow enhancing histamine levels in the Brain - most probably by increasing tonic activation of 5-HT(4) receptors which cause histamine release.
--> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4648163/
--> https://www.ncbi.nlm.nih.gov/pubmed/22408061
If histamine levels are enhanced by this mechanism in SSRI's - you would think though they would be lesser in terms of sedation...unfortunately, that's not the case, because then UNTIL the 5-HT2A is sufficiently downregulated, my guess would be you'd have less histamine for the first 2 weeks on SSRI.
--> https://www.ncbi.nlm.nih.gov/pubmed/9918563 (Atypical neuroleptics enhance histamine turnover in brain via 5-Hydroxytryptamine2A receptor blockade.)
So after that 3-4 week point which IRONICALLY is the point where they "start working" and conferring serious "antidepressant" benefits correlates roughly with the direct ENHANCEMENT of histamine levels...something I think many of us have overlooked.
As Me and Ghost have published on histamine before, it has a complex role in emotional and sexual function, histamine facilitates emotional functions but also STRESS via Histamine H1 - but also alertness and logic comes from that receptor...whereas histamine H2 and H3 have "facilitative" roles in male sexual function, H2 for libido and arousal, and H3 by reducing norepinephrine release and causing vasodilation.
--> https://www.ncbi.nlm.nih.gov/pubmed/7850330