Muscimol is a potent but non-selective GABA-A agonist. Structure-activity studies on the (S)-and (/?)-forms of chiral muscimol analogues have disclosed a high degree of agonist stereoselectivity of the GABA-A receptors. THlP (4,5,6,7-tetrahydroisoxazolo[5,4-c]pyridin-3-01) is a specific GABA-A agonist, which has been the subject of clinical studies in different groups of patients. Even minor alterations of the structure of THlP result in substantial or complete loss of GABA-A agonist activity. 4-PIOL (5-(4-piperidyl)isoxazol-3-ol) shows in vivo GABA-A agonist activity on spinal neurones, whereas the in vitro pharmacological effects in brain tissue preparations are consistent with a GABA-A antagonist profile of 4-PIOL in the brain. Whereas nipetcotic acid and related GABA uptake inhibitors are substrates for the neuronal and glial transport carriers, the glia-selective GABA uptake inhibitors THPO (4,5,6,7-tetrahydroisoxazolo[4,5-c]pyridin-3-ol) and probably also THAO (5,6,7, 8-tetrahydro-4H-isoxazolo[4,5-c]azepin-3-oI) are not being transported by the glial uptake carrier. Introduction of the DPB (4,4-diphenyl-3-butenyl) or BEE (benzhydryl ethyl ether) substituents on the basic nitrogen atoms of GABA uptake inhibitors, including nipecotic acid and THPO, results in markedly more potent inhibitors. However, unlike THPO, N-DPB-THPO interacts non-selectively with neuronal and glial GABA uptake, and, in contrast to nipecotic acid, N-DPB-nipecotic acid (SKF-89976-A) has been shown not to be transported by the neuronal or glial GABA carriers. Whereas N-DPB-and N-BEE-GABA are weak inhibitors of synaptosomal GABA uptake, N-methylation of these compounds gives potent uptake inhibitors.