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Effect of serotonin antagonism in schizophrenia: A pilot study with setoperone

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Abstract

The new antipsychotic drug setoperone is pharmacologically characterized by its potent serotonin and moderate dopamine receptor blocking properties. Forty chronic schizophrenic patients were included and 34 completed this pilot study. Following a drug free period of 1 week the patients received setoperone 5 mg t.i.d. After 1 month of treatment, the psychotic symptoms, as measured by the BPRS, improved by approximately 50% (P<0.001) as compared with the condition under previous neuroleptic medication. Blockade of serotonin receptors may be related to improvement of autistic behaviour, dysphoria, and parkinson-like symptoms. In residual schizophrenic patients, the need for dopamine blockade, which is normally correlated with the therapeutic effect on positive symptoms, can be reduced substantially.

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References

  • Ceulemans D, Hoppenbrouwers ML, Gelders Y, Reyntjens A (1984a) Serotonin blockade or benzodiazepine? What kind of anxiolysis? Collegium Internationale Neuro-Psychopharmacologicum, 14th C.I.N.P. Congress. Abstracts, 727

  • Ceulemans D, Gelders Y, Hoppenbrouwers ML, Reyntjens A (1984b) Does serotonin blockade compensate for dopamine insufficiency in extrapyramidal symptoms. Collegium Internationale Neuro-Psychopharmacologicum, 14th C.I.N.P. Congress. Abstracts, 309

  • Cheshire RM, Jung Tung Cheng, Teitelbaum Ph (1982) Antiserotonergic drugs reinstate galloping forward locomotion produced by pontine tegmentum damage in rats. In: Beng Tho, Schoolar JC, and Usdin E (eds) Serotonin in biological psychiatry, vol. 34, Raven Press, New York, pp 315–317

    Google Scholar 

  • Crow TJ (1980) Molecular pathology of schizophrenia: more than one disease process? Br Med J 280:66–68

    Google Scholar 

  • DeLisi LE, Neckers LM, Weinberger DR, Wyatt RJ (1981) Increased whole blood serotonin concentrations in chronic schizophrenic patients. Arch Gen Psychiatr 38:647–650

    Google Scholar 

  • Geller E, Ritvo ER, Freeman BJ, Yuwiler A (1982) Preliminary observations in the effect of fenfluramine on blood serotonin and symptoms in three autistic boys. New Engl J Med 307:165–168

    Google Scholar 

  • Meltzer HY, Stahl SM (1976) The dopamine hypothesis of schizophrenia: a review. Schizophr Bull 2:19–76

    Google Scholar 

  • Niemegeers CJE, Leysen JE, Laduron PM, Janssen PAJ (1984a) Differential pharmacological and biochemical profiles of serotonin-S2 antagonists. Collegium Internationale Neuro-Psychopharmacologicum, 14th C.I.N.P.-Congress, Abstracts, 667

  • Niemegeers CJE, Awouters F, Janssen PAJ (1984b) Setoperone (R 52 245) a new type of neuroleptic. Collegium Internationale Neuro-Psychopharmacologicum, 14th C.I.N.P. Congress, Abstracts 814

  • Overall JE, Gorham DR (1962) The Brief Psychiatric Rating Scale. Psychol Rep 10:799–812

    Google Scholar 

  • Peroutka SJ, Snyder SH (1980) Regulation of serotonin2 (5-HT2) receptors labeled with (3H)spiroperidol by chronic treatment with the antidepressant amitriptyline. J Pharmacol Exp Ther 215:525–587

    Google Scholar 

  • Pöldinger W, Sieberns S (1983) Depression-inducing and antidepressive effects of neuroleptics, Experiences with flupenthixol and flupenthixol decanoate. Neuropsychobiology 10:131–136

    Google Scholar 

  • Simpson GM, Angus JWS (1970) A rating scale for extrapyramidal side-effects. Acta Psychiatr Scand 212:11–19

    Google Scholar 

  • van Wielinck PS, Leysen JE (1983) Farmacologische keuzecriteria voor neuroleptica. J Drug Res 8:1984–1997

    Google Scholar 

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Ceulemans, D.L.S., Gelders, Y.G., Hoppenbrouwers, ML.J.A. et al. Effect of serotonin antagonism in schizophrenia: A pilot study with setoperone. Psychopharmacology 85, 329–332 (1985). https://doi.org/10.1007/BF00428197

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  • DOI: https://doi.org/10.1007/BF00428197

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