Agonist-antagonist

In pharmacology the term agonist-antagonist or mixed agonist/antagonist is used to refer to a drug which under some conditions behaves as an agonist (a substance that fully activates the receptor that it binds to) while under other conditions, behaves as an antagonist (a substance that binds to a receptor but does not activate and can block the activity of other agonists).For synaptic receptors, an agonist is a compound that increases the activation of the receptor by binding directly to it or by increasing the amount of time neurotransmitters are in the synaptic cleft.An antagonist is a compound that has the opposite effect of an agonist.It decreases the activation of a synaptic receptor by binding and blocking neurotransmitters from binding or by decreasing the amount of time neurotransmitters are in the synaptic cleft.At the alpha adrenoceptors, (R)-3-nitrobiphenyline is an α2C selective agonist as well as being a weak antagonist at the α2A and α2B subtypes.
The figure shows the difference in action between an agonist and an antagonist, compared to native neurotransmitter function.
Agonist vs. antagonist
agonistantagonistreceptor ligandsselective receptor modulatorsneurotransmittersreuptake inhibitionalpha adrenoceptors(R)-3-nitrobiphenylineopioidspentazocinemu opioid receptorbutorphanoldelta opioid receptornalbuphineceiling effectpsychotomimeticmu opioid receptorstoleranceCompetitive antagonistInverse agonistPartial agonist