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Biochemical and behavioural properties of clozapine

โœ Scribed by D. M. Coward; A. Imperato; S. Urwyler; T. G. White


Book ID
104775951
Publisher
Springer
Year
1989
Tongue
English
Weight
722 KB
Volume
99
Category
Article
ISSN
0033-3158

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โœฆ Synopsis


The selection and early development of clozapine was based upon its gross behavioural, arousal-inhibiting, sleep-promoting, and caudate spindle-prolonging properties. Compared to classical neuroleptics, clozapine causes only a short-lasting elevation of plasma prolactin levels, elevates both striatal homovanillic acid and dopamine content, is devoid of marked apomorphine-inhibitory or eataleptogenic activity and fails to induce supersensitivity of striatal dopaminergic systems after chronic administration. Clozapine's intrinsic anticholinergic activity, while stronger than that of other neuroleptic agents, does not appear to underlie either its failure to induce tardive dyskinesias or its superior antipsychotic activity. Furthermore, the overlap between clozapine and several classical neuroleptics with regard to alpha-adrenergic-, serotonin-and histamineblocking activity makes it unlikely that one or more of these properties is the key to its atypical characteristics. More recent findings show that clozapine and classical neuroleptics differ with regard to their indirect effects on nigral GABA-ergic mechanisms implicated in the induction of tardive dyskinesias and, possibly in keeping with this, that clozapine and similar agents exhibit preferential blockade of D-1 dopamine receptors in the whole animal. Such an action of clozapine in man could well explain both its low EPS liability and, in some subjects, its superior antipsychotic activity.


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Alpha-methyl tyrosine (~-MT) has been shown in vitro (NAGATSU et al., 1964) and in vivo in rat and guinea pig (Sev.cTo~ et aI., 1965a; WV, ISSMAN and Ko~, 1965; MAIT~]~, 1965; Moog]~, 1966; R]~cH et at., 1966) to be a potent and specific competitive inhibitor of tyrosine hydroxylase, the rate-limiti