EXTRAPYRAMIDAL SIDE-EFFECTS AND INCREASED SERUM PROLACTIN FOLLOWING FLUOXETINE, A NEW ANTI-DEPRESSANT

被引:171
作者
MELTZER, HY [1 ]
YOUNG, M [1 ]
METZ, J [1 ]
FANG, VS [1 ]
SCHYVE, PM [1 ]
ARORA, RC [1 ]
机构
[1] ILLINOIS STATE PSYCHIAT INST, CHICAGO, IL 60612 USA
关键词
D O I
10.1007/BF01250091
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Fluoxetine (Lilly 110140) is a potent, specific serotonin (5-HT) uptake blocker which is being tested in man for antidepressant activity. One of 9 depressed patients receiving this drug developed a dystonic reaction, parkinsonian rigidity, and increased serum prolactin levels, all signs of decreased dopaminergic activity. Homovanillic acid levels also decreased in the cerebrospinal fluid of this subject. We postulate that fluoxetine, via the increase in 5-HT activity resulting from 5-HT uptake blockade, inhibited both the nigro-striatal and tubero-infundibular dopaminergic neurons. These results provide additional evidence for a linkage between serotonergic and dopaminergic neurons in man. © 1979 Springer-Verlag.
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页码:165 / 175
页数:11
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