Summary
The effects of apomorphine on psychotic symptoms were evaluated in chronic schizophrenic patients using double-blind placebo controlled procedures. Although on the basis of dopamine theory of schizophrenia, apomorphine was expected to increase schizophrenic symptoms, in this study apomorphine substantially reduced psychotic symptoms in some chronic schizophrenic patients. No patient showed the substantial increase in psychotic symptoms previously demonstrated after the administration of IV methylphenidate. These clinical effects of apomorphine in schizophrenia may be relevant to recent pharmacological research which has indicated that apomorphine also has potent effects on presynaptic dopamine neurons, in addition to its previously described postsynaptic receptor stimulation.
References
Andén, N.-E., Rubenson, A., Fuxe, K., Hökfelt, T.: Evidence for dopamine receptor stimulation by apomorphine. J. Pharm. Pharmacol.14, 627 to 629 (1968).
Aghajanian, G. K., Bunney, B. S.: Central dopaminergic neurons: Neurophysiological identification and responses to drugs. In: Frontiers of Catecholamine Research, pp. 643–648. New York. 1973.
Angrist, B. M., Shopsin, B., Gershon, S.: Comparative psychotomimetic effects of stereoisomers of amphetamine. Nature234, 152–153 (1971).
Astrachan, B. M., Harrow, M., Adler, D., Brauer, L., Schwartz, A., Schwartz, C., Tucker, G.: A checklist for the diagnosis of schizophrenia. Brit. J. Psychiat.121, 529–539 (1972).
Carlsson, A.: Receptor mediated control of dopamine metabolism. In: Pre- and Post-Synaptic Receptors, pp. 49–66. New York. 1975 a.
Carlsson, A.: Monaminergic mechanisms in basal ganglia. Paper presented before 55th annual meeting of the Association for Research in Nervous and Mental Diseases, New York (1975 b).
Carlsson, A., Perrson, T., Roos, B.-E., Wålinder, J.: Potentiation of phenothiazines byα-methylparatyrosine in treatment of chronic schizophrenia. J. Neural Transmission33, 83–90 (1972).
Ernst, A. M.: Mode of action of apomorphine and amphetamine in gnawing convulsion in rats. Psychopharmacologia (Berl.)10, 316–323 (1967).
Janowsky, D. S., El-Yousef, M. K., Davis, M. M., Sekerke, H. J.: Provocation of schizophrenic symptoms with methylphenidate. Arch. Gen. Psychiat.28, 185–191 (1973).
Janowsky, D. S., Davis, J. M.: Methylphenidate, dextroamphetamine, and levafetamine. Arch. Gen. Psychiat.33, 304–308 (1976).
Rubovits, R., Klawens, H.: Implications of amphetamine-induced stereotyped behavior as a model for tardive dyskinesias. Arch. Gen. Psychiat.27, 502–507 (1972).
Smith, R. C., Tamminga, C., Harasziti, J., Garver, D., Davis, J. M.: Effects of dopamine receptor agonists and antagonists in tardive dyskinesia. Paper presented at 129th annual meeting of the American Psychiatric Association, Miami, Florida (1976).
Snyder, S. H.: Catecholamines in the brain as mediators of amphetamine psychosis. Arch. Gen. Psychiat.27, 169–179 (1972).
Spitzer, R. L., Endicott, J., Robins, E., Kuriansky, J., Gurland, B.: Preliminary report of the reliability of research diagnostic criteria applied to psychiatric case records. In: Predictability in psychopharmacology: Preclinical and clinical correlations, pp. 1–48. New York. 1975.
Tolosa, E. S., Sparber, S. B.: Apomorphine in Huntington's chorea: Clinical observations and theoretical considerations. Life Sci.15, 1371–1380 (1975).
Walters, J. R., Bunney, B. S., Roth, R. H.: Piribedil and apomorphine: Pre- and post-synaptic effects of dopamine synthesis and neurological activity. In: Advances in Neurology, Vol. 9 (Crane, D. B., et al., eds.), pp. 273–284. New York: Raven Press. 1975.
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This work was begun when all authors were associated with the Illinois State Psychiatric Institute.
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Smith, R.C., Tamminga, C. & Davis, J.M. Effect of apomorphine on schizophrenic symptoms. J. Neural Transmission 40, 171–176 (1977). https://doi.org/10.1007/BF01250567
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DOI: https://doi.org/10.1007/BF01250567