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Pharmakologische Aspekte der Neuroleptikawirkung

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Leitlinien neuroleptischer Therapie

Zusammenfassung

Seit Anfang der 50er Jahre die selektive antipsychotische Wirksamkeit des Chlor-promazins und des Reserpins gefunden wurde, hat sich die psychopharmakologische Forschung sehr intensiv bemüht, den Mechanismus der antipsychotischen Wirkung beider Substanzen und der vielen von ihnen abgeleiteten Verbindungen aufzuklären, Bemühungen, die von klinischer Seite immer mit höchstem Interesse verfolgt worden sind. Dieses außergewöhnliche Interesse der klinischen Psychiatrie an einem pharmakologischen Wirkungsmechanismus hat sicher nicht nur den Grund, daß die Kenntnis des Wirkungsmechanismus eines Pharmakons eine der Grundlagen für eine rationale Pharmakotherapie ist. Wie bei vielen anderen Psychopharmaka war in der klinischen Psychiatrie das Interesse an dem Wirkungsmechanismus der Neuroleptika wesentlich von der Hoffnung geprägt, über den biochemischen Wirkungsmechanismus dieser bei Symptomen der Schizophrenie wirksamen Arzneimittel einen Schlüssel zum Verständnis der Pathogenese der Erkrankung in die Hand zu bekommen.

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Literatur

  • Ackenheil M, Albus M, Bondy B, Müller-Spahn F, Münch U, Naber D (1985) Biochemical and neuroendocrine studies in schizophrenia: attempts to characterize the illness biochemically. In: Beckmann H, Riederer P (eds) Pathochemical markers in major psychosis. Springer, Berlin Heidelberg New York Tokyo, pp 78–87

    Chapter  Google Scholar 

  • Angrist B, van Kammen DP (1984) CNS stimulants as tools in the study of schizophrenia. TINS 7:388–390

    Google Scholar 

  • Bischoff S, Delini-Stula A, Maitre L (1985) Blockade der Dopamin-Rezeptoren im Hippokam-pus als Indikator antipsychotischer Wirksamkeit: Korrelationen zwischen Neuroleptika. In: Pflug B, Foerster K, Straube E (Hrsg) Perspektiven der Schizophrenie-Forschung. Fischer, Stuttgart, S 87–103

    Google Scholar 

  • Bürki HR (1986) Effects of fluperlapin on dopaminergic systems in rat brain. Psychopharmacology 89:77–84

    Article  PubMed  Google Scholar 

  • Carlsson A (1978) Does dopamine have a role in schizophrenia? Biological Psychiatry 13:3–21

    PubMed  CAS  Google Scholar 

  • Chang WH, Jaw SS, Tsay L (1989) Chronic haloperidol treatment with low doses may enhance the increase of homovanillic acid in rat brain. Eur J Pharmacol 162:151–156

    Article  PubMed  CAS  Google Scholar 

  • Chiodo LA, Bunney BS (1985) Possible mechanisms by which repeated clozapine administration differently affects the activity of two subpopulations of midbrain dopamine neurons. J Neurosci 5:2539–2544

    PubMed  CAS  Google Scholar 

  • Crow TJ (1982) Schizophrenia. In: Crow TJ (ed) Disorders of neurohumoral transmission. Academic Press, London, pp 287–340

    Google Scholar 

  • Delini-Stula A (1986) Neuroanatomical, neuropharmacological and neurobiochemical target systems for antipsychotic activity of neuroleptics. Pharmacopsychiatry 19:134–139

    Article  PubMed  CAS  Google Scholar 

  • Farde L, Wiesel F, Halldin C, Sedvall G (1988) Central D2-dopamine receptor occupancy in schizophrenic patients treated with antipsychotic drugs. Arch Gen Psychiatry 45:71–76

    Article  PubMed  CAS  Google Scholar 

  • Goodwin GM, Metz A (1985) Neuroleptics. In: Grahame-Smith DG (ed) Psychopharmacology 2, part 1: Preclinical psychopharmacology. Elsevier, Amsterdam, pp 206–238

    Google Scholar 

  • Gruzelier JH (1986) Theories of lateralised and interhemispheric dysfunction in syndromes of schizophrenia. In: Burrows GD, Norman TR, Rubinstein G (eds) Handbook of studies on schizophrenia, part 2: Management and research. Elsevier, Amsterdam, pp 175–187

    Google Scholar 

  • Härnryd C, Bjerkenstedt L, Björk K, Gullberg B, Oxenstierna G, Sedvall G, Wiesel FA, Wik G, Aberg-Wistedt A (1984a) Clinical evaluation of sulpiride in schizophrenic patients — a double-blind comparison with chlorpromazine. Acta Psychiatr Scand 69 [Suppl 311]:7–30

    Article  Google Scholar 

  • Härnryd C, Bjerkenstedt L, Gullberg B, Oxenstierna G, Sedvall G, Wiesel AF (1984 b) Time course for the effects of sulpiride and chlorpromazine on monamine metabolite and prolactin levels in cerebrospinal fluid from schizophrenic patients. Acta Psychiatr Scand 69 [Suppl 311]:75–92

    Article  Google Scholar 

  • Hu XT, Wang RY (1989) Haloperidol and clozapine: differential effects on the sensitivity of caudate-putamen neurons to dopamine agonists and cholecystokinin following one months continous treatment. Brain Res 486:325–333

    Article  PubMed  CAS  Google Scholar 

  • Jenner P, Mardsen CD (1983) Neuroleptics. In: Grahame-Smith DG (ed) Psychopharmacology 1, part 1: Preclinical psychopharmacology. Elsevier, Amsterdam, pp 180–247

    Google Scholar 

  • Jain AK, Kelwala S, Gershon S (1988) Antipsychotic drugs in schizophrenia: current issues. Int J Clin Psychopharmacol 3:1–30

    Article  CAS  Google Scholar 

  • Ljungberg T (1986) The dopamine theory, where are we today? In: Rafaelsen OJ, Christensen AV (eds) What can basic biological psychiatry do for the treatment of acute psychosis? Lundbeck, Copenhagen, pp 10–18

    Google Scholar 

  • Lund-Laursen A, Gerlach J (1986) Antipsychotic effect of remoxipiride, a new substituted benz-amide with selective antidopaminergic activity. Acta Psychiatr Scand 73:17–21

    Article  PubMed  CAS  Google Scholar 

  • Meltzer HY, Bastani B, Ramirez L, Matsubara S (1989) Clozapine: new research on efficacy and mechanism of action. Eur Arch Psychiatry Neurol Sci 238:332–337

    Article  PubMed  CAS  Google Scholar 

  • Müller WE (1987) Neurobiochemie der Neuroleptika. In: Pichot P, Möller HJ (Hrsg) Neurolep-tika, Rückschau 1985–1986, künftige Entwicklungen. Springer, Berlin Heidelberg New York Tokyo, S 9–26

    Google Scholar 

  • Müller WE (1989) Wirkungsmechanismus niedrigdosierter Neuroleptika bei Angst und Depression. In: Pöldinger W (Hrsg) Niedrigdosierte Neuroleptika bei ängstlich-depressiven Zu-standsbildern und psychosomatischen Erkrankungen. Braun, Karlsruhe (im Druck)

    Google Scholar 

  • Niemegeers CJE (1988) Pharmakologie und Biochemie niedrig dosierter Neuroleptika. In: Hippius H, Laakmann G (Hrsg) Therapie mit Neuroleptika-Niedrigdosierung. Perimed, Erlangen, S 10–19

    Google Scholar 

  • Ögren SO, Hall H, Köhler C, Magnusson O, Lindbom LO, Ängeby K, Florvall L (1984) Remoxipiride, a new potential antipsychotic compound with selective antidopaminergic actions in the rat brain. Eur J Pharmacol 102:459–474

    Article  PubMed  Google Scholar 

  • Ortiz A, Gershon S (1986) The future of neuroleptic psychopharmacology. J Clin Psychiatry 47 [Suppl 5]:3–11

    PubMed  Google Scholar 

  • Puech AJ, Simon P, Boissier JR (1978) Benzamides and classical neuroleptics: comparison of their actions using 6 apomorphine-induced effects. Eur J Pharmacol 50:291–300

    Article  PubMed  CAS  Google Scholar 

  • Puech AJ, Rioux P, Simno P (1983) Pharmacological classification of central effects of neuroleptics. In: Ackenheil M, Matussek N (eds) Special aspects of psychopharmacology. Expansion Scientifique Francaise, Paris, pp 361–374

    Google Scholar 

  • Reynolds GP (1983) Increased concentrations and lateral asymmetry of amygdala dopamine in schizophrenia. Nature 305:527–529

    Article  PubMed  CAS  Google Scholar 

  • Riederer P, Reynolds GP (1985) Brain biochemistry in schizophrenia: an assessment. In: Beckmann H, Riederer P (eds) Pathochemical markers in major psychoses. Springer, Berlin Heidelberg New York Tokyo, pp 35–43

    Chapter  Google Scholar 

  • Roth RH, Bacopoulos NG, Bustos G, Redmond DE (1980) Antipsychotic drugs: differential effects on dopamine neurons in basal ganglia and mesocortex following chronic administration in human and nonhuman primates. In: Cattabeni F, Racagnis G, Spano PF, Costa E (eds) Long-term effects of neuroleptics. Raven, New York, pp 513–520

    Google Scholar 

  • Seeman P (1986) Dopamine/neuroleptic receptors in schizophrenia. In: Burrows GD, Norman TR, Rubinstein G (eds) Handbook of studies on schizophrenia, part 2: Management and research. Elsevier, Amsterdam, pp 243–251

    Google Scholar 

  • Seeman P (1987) Dopamine receptors and the dopamine hypothesis of schizophrenia. Synapse 1:133–152

    Article  PubMed  CAS  Google Scholar 

  • Snyder SH, Greenberg D, Yamamura HI (1974) Antischizophrenic drugs and brain cholinergic receptors. Arch Gen Psychiatry 31:58–61

    Article  PubMed  CAS  Google Scholar 

  • Stoof JC, Kebabian JW (1984) Two dopamine receptors: biochemistry, physiology, and pharmacology. Life Sci 35:2281–2296

    Article  PubMed  CAS  Google Scholar 

  • Waddington JL (1988) Therapeutic potential of selective D1 dopamine receptor agonists and antagonists in psychiatry and neurology. Gen Pharmacol 19:55–60

    Article  PubMed  CAS  Google Scholar 

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© 1990 Springer-Verlag Berlin Heidelberg

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Müller, W.E. (1990). Pharmakologische Aspekte der Neuroleptikawirkung. In: Heinrich, K. (eds) Leitlinien neuroleptischer Therapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-93466-7_2

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  • DOI: https://doi.org/10.1007/978-3-642-93466-7_2

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52723-7

  • Online ISBN: 978-3-642-93466-7

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