The tetrahydrocarbazolone moiety of the 5-HT3 receptor antagonist onda
nsetron has been combined with molecular fragments of typical 5-HT2A r
eceptor ligands. Several of the resulting compounds are potent 5-HT2A
antagonists. The antipodes of the most potent compound, a N-substitute
d 4-(4-fluorobenzoyl)piperidine, are analogues of ketanserin which dis
play a high degree of stereoselectivity at 5-HT2A receptors (148:1).