Abstract:
:In vivo studies of dopamine D2 receptor occupancy with atypical antipsychotics have suggested good clinical efficacy at occupancy rates less than those observed with typical neuroleptics, and few extrapyramidal side effects (EPS), possibly even at high levels of D2 occupancy. We used [123I]IBZM-SPECT to investigate striatal D2 receptor occupancy in 10 schizophrenic patients who were treated with both a low (5 mg) and a high dose (20 mg) of the novel antipsychotic olanzapine without concomitant medications. The mean D2 occupancy at 5 mg was 59.8% (range 33-81%); the mean D2 occupancy at 20 mg was 82.8% (range 56-97%). Although the D2 occupancy rates on 5 and 20 mg olanzapine were significantly different (P < 0.001), there were no significant differences in clinical ratings for psychiatric symptoms or extrapyramidal side effects between the two doses of olanzapine. These data suggest that: (1) olanzapine doses below those used routinely occupy D2 receptors at levels approaching those associated with therapeutic response; (2) higher doses produce relatively high levels of D2 occupancy rates; and (3) EPS are mild even at relatively high levels of D2 occupancy.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Raedler TJ,Knable MB,Lafargue T,Urbina RA,Egan MF,Pickar D,Weinberger DRdoi
10.1016/s0925-4927(99)00010-4subject
Has Abstractpub_date
1999-04-26 00:00:00pages
81-90issue
2eissn
0165-1781issn
1872-7123journal_volume
90pub_type
杂志文章abstract::This report of a pilot study examines 29 pairs of twins from a population-based registry on whom four domains of schizotypy have been measured: personal interview using the Structured Interview for Schizotypy, self-report questionnaire formed from eight published self-report scales, attentional battery of eight indivi...
journal_title:Psychiatry research
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journal_title:Psychiatry research
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journal_title:Psychiatry research
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