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5-HT3 receptors occur in peripheral nervous system, especially nociceptive afferent neurons and enteric neurons and in CNS, chiefly in the area postrema (a region of the medulla involved in vomiting) and other parts of the brainstem, extending to the dor­sal horn of the spinal cord. They are also widely, but more sparsely, present in certain parts of the cortex. Effects are excitatory, mediated via direct receptor-couped ion channels.

5-HT4 – receptors occur mainly in the enteric nervous system (also in CNS). Effects are excitatory, causing increased gastrointestinal motility. Acts by stimulation adenylate cyclase.