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Recently, it has been found that phenibut binds to the α2δ subunit of voltage-gated calcium channels (VGCCs), with the R-enantiomer possessing five-fold greater affinity for this site relative to the GABAB receptor (the S-enantiomer does not bind to the GABAB receptor), and phenibut inhibits these channels similarly to gabapentin and pregabalin
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Dette kan forklare de dissosiative effektene ved høye doser.