PMID: 15232336Jul 3, 2004Paper

Long-term treatment with clozapine does not affect morning circulating levels of allopregnanolone and THDOC in patients with schizophrenia: a preliminary study

Journal of Clinical Psychopharmacology
Palmiero MonteleoneMario Maj

Abstract

Clozapine has been shown to acutely increase the rat brain and plasma concentrations of the neuroactive steroids 3alpha,5alpha-tetrahydroprogesterone (3alpha,5alpha-THP) or allopregnanolone and THDOC, 2 positive allosteric modulators of GABA-A receptors. Hence, it has been suggested that this effect could underlie the therapeutic efficacy of this drug, contributing to its atypical profile. So far, no study assessed whether the effects on neurosteroids reported in the experimental animal occur also in humans. Therefore, we measured plasma levels of 3alpha,5alpha-THP and THDOC in a sample of drug-resistant schizophrenic patients before and after 1, 2, 4, 6, 8, 12, and 24 weeks of clozapine administration (600 mg/d by the end of the 6th week). No significant changes in circulating concentrations of 3alpha,5alpha-THP and THDOC were observed in the course of clozapine administration in spite of the patients' good clinical response to the drug. These findings provide evidence, for the first time, that clozapine is not able to affect morning circulating levels of 3alpha,5alpha-THP and THDOC in humans. Therefore, although we cannot exclude that changes in neuroactive steroids could occur immediately after the daily administration of cl...Continue Reading

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Citations

Jan 20, 2007·Cellular and Molecular Neurobiology·Erin M MacKenzieGlen B I Baker
Jul 21, 2006·Journal of Clinical Psychopharmacology·Maria Carolina HardoyGiovanni Biggio
Apr 11, 2019·Journal of Molecular Neuroscience : MN·Katarzyna BogusRyszard Wiaderkiewicz

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