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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
11
pubmed:dateCreated
2007-10-25
pubmed:abstractText
Treating primary 'negative symptoms' of schizophrenia with a combination of a typical antipsychotic and a selective serotonin reuptake inhibitor, is more effective than with antipsychotic alone and is similar to the effect of the atypical antipsychotic, clozapine. The mechanism of this treatment combination is unknown and may involve changes in dopaminergic and serotonin systems. We studied dopamine and serotonin metabolism in different rat brain areas at 1.5 and 24 h after the last dosage of chronic treatment (30 days), with haloperidol plus fluvoxamine, each drug alone, and clozapine. Haloperidol-fluvoxamine combination, haloperidol, and clozapine treatments increased striatal and frontal cortex dopamine turnover and reduced striatal tyrosine hydroxylase activity at 1.5 h. At 24 h both dopamine turnover and tyrosine hydroxylase activity were reduced. Thus, in chronically treated animals, release of striatal dopamine increases following a drug pulse and returns to baseline by 24 h. Serotonin and 5-hydroxyindoleacetic acid concentrations were decreased at 1.5 h in haloperidol-fluvoxamine and clozapine groups and returned to normal levels by 24 h. A limited behavioral assessment showed that treatment with haloperidol plus fluvoxamine reduced motor activity compared to haloperidol, and increased sniffing compared to haloperidol, fluvoxamine and clozapine. These findings indicate that combining antipsychotic with SSRI results in specific changes in dopaminergic and serotonergic systems and in behavior. The possibility that these may be relevant to the mechanism underlying the clinical effectiveness of augmentation treatment warrant further study.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0300-9564
pubmed:author
pubmed:issnType
Print
pubmed:volume
114
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1443-54
pubmed:meshHeading
pubmed-meshheading:17576515-Animals, pubmed-meshheading:17576515-Antipsychotic Agents, pubmed-meshheading:17576515-Behavior, Animal, pubmed-meshheading:17576515-Body Weight, pubmed-meshheading:17576515-Brain, pubmed-meshheading:17576515-Clozapine, pubmed-meshheading:17576515-Dopamine, pubmed-meshheading:17576515-Dopamine Antagonists, pubmed-meshheading:17576515-Drug Interactions, pubmed-meshheading:17576515-Fluvoxamine, pubmed-meshheading:17576515-Haloperidol, pubmed-meshheading:17576515-Immunohistochemistry, pubmed-meshheading:17576515-Male, pubmed-meshheading:17576515-Motor Activity, pubmed-meshheading:17576515-Neostriatum, pubmed-meshheading:17576515-Rats, pubmed-meshheading:17576515-Rats, Sprague-Dawley, pubmed-meshheading:17576515-Serotonin, pubmed-meshheading:17576515-Serotonin Uptake Inhibitors, pubmed-meshheading:17576515-Tyrosine 3-Monooxygenase
pubmed:year
2007
pubmed:articleTitle
Dopamine and serotonin metabolism in response to chronic administration of fluvoxamine and haloperidol combined treatment.
pubmed:affiliation
Molecular Neuropsychiatry Unit, Shaar Menashe Brain Behavior Laboratory, Shaar Menashe MHC and Technion-Faculty of Medicine, Haifa, Israel.
pubmed:publicationType
Journal Article