Fernstrom J D, Van Itallie C M, Fernstrom M H
Life Sci. 1983 Dec 19;33(25):2559-65. doi: 10.1016/0024-3205(83)90166-2.
Trazodone was tested for its ability to elevate serum prolactin levels in mature female rats. When the drug was administered acutely to female rats at doses up to 80 mg/kg ip, it induced a clear rise in serum prolactin levels, with a minimum effective dose of 20 mg/kg; blood trazodone levels at these doses were between 1.6-2.4 micrograms/ml. However, trazodone could not be considered to be a potent stimulator of prolactin secretion, since the injection of haloperidol at 2 mg/kg elevated serum prolactin to values twice those seen in animals receiving the 80 mg/kg dose of trazodone. When trazodone was administered chronically in the diet for two or four weeks, at an average daily dose of 80 mg/kg, serum trazodone levels were found to be 100-200 ng/ml when measured at each stage of the estrous cycle. Serum prolactin levels in trazodone-treated animals, however, did not differ from those in control rats. Moreover, drug-treated animals showed normal proestrus surges in serum prolactin. The results of these studies thus indicate that acutely, at very high doses, trazodone probably can stimulate prolactin secretion modestly in female rats. However, when consumed chronically at 80 mg/kg/day, the drug has no effects on serum prolactin levels. Therefore, if trazodone stimulates prolactin secretion by altering neurotransmission across dopamine and/or serotonin synapses in brain, it is probably not potent in these actions, at least as concerns those dopamine and serotonin neurons that influence the secretion of prolactin.
在成年雌性大鼠中测试了曲唑酮升高血清催乳素水平的能力。当以高达80mg/kg腹腔注射的剂量对雌性大鼠急性给药时,它会引起血清催乳素水平明显升高,最小有效剂量为20mg/kg;这些剂量下的曲唑酮血药水平在1.6 - 2.4微克/毫升之间。然而,曲唑酮不能被认为是催乳素分泌的强效刺激剂,因为注射2mg/kg的氟哌啶醇会使血清催乳素升高到接受80mg/kg曲唑酮剂量动物的两倍。当在饮食中慢性给予曲唑酮两周或四周,平均每日剂量为80mg/kg时,在动情周期的每个阶段测量发现血清曲唑酮水平为100 - 200ng/ml。然而,曲唑酮治疗组动物的血清催乳素水平与对照大鼠无差异。此外,药物治疗组动物血清催乳素在动情前期有正常的激增。因此,这些研究结果表明,在非常高的剂量下急性给药时,曲唑酮可能能适度刺激雌性大鼠的催乳素分泌。然而,当以80mg/kg/天的剂量长期服用时,该药物对血清催乳素水平没有影响。因此,如果曲唑酮通过改变大脑中多巴胺和/或5-羟色胺突触的神经传递来刺激催乳素分泌,那么至少就影响催乳素分泌的那些多巴胺和5-羟色胺神经元而言,它在这些作用中可能不强效。