Dr John Kruse
Dr John Kruse
@drjohnkruse·16.8K subscribers·467 videos

Acetylcholine and ADHD

Posted

June 8, 2025

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Acetylcholine is an important neurotransmitter abundant in the body and brain, but it gets far less press than dopamine or serotonin, which are present in far smaller quantities. Most of the focus on acetylcholine is directed at plant and spider poisons that interfere with the acetycholine system.

But Cobenfy, a new anti-schizophrenia medicine that binds to acetycholine receptors in the prefrontal cortex may be a game changer, not just for schizophrenia, but for additional mental health conditions. Preliminary evidence suggests that this agent can enhance both cognitive and executive functions that are based in the prefrontal cortex. It, or related agents, may prove helpful for ADHD, dementia, and other conditions.

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Free link to my Medium Article on Acetylcholine and ADHD:

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References:

FDA approves first schizophrenia drug with new mechanism of action since 1950s (Cobenfy 2024)

Cobenfy Falls Short of Statistical Significance as Additional Treatment for Schizophrenia in Phase III Clinical Trial (2025)

Targeting the Nicotinic Cholinergic System to Treat Attention-Deficit/Hyperactivity Disorder: Rationale and Progress to Date (2014)

Sofinicline: a novel nicotinic acetylcholine receptor agonist in the treatment of attention-deficit/hyperactivity disorder (2014)

Effects of Xanomeline, a Selective Muscarinic Receptor Agonist, on Cognitive Function and Behavioral Symptoms in Alzheimer Disease (1997)

Full Chapter list:

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Psychiatrist, neuroscientist, and author John Kruse, MD, PhD presents practical, actionable, well-researched information about treatment options that scientists and clinicians recommend for adult ADHD and other mental health conditions.

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Guests & Subjects Covered

Main Chapters IntroADHD TakeAceytlcholine DrugsAceytlcholine System New MedicationCobenfy Xanomeline-Trospium Chloride AcetylcholineBut CobenfyMedium ArticleADHD Follow

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Acetylcholine and ADHD · Dr John Kruse · Sentinel