Sayers A C, Bürki H R
Arzneimittelforschung. 1976;26(6):1092-3.
Tardive dyskinesias, often seen in patients treated with classical neuroleptics, have been attributed to the development of receptor hypersensitivity following prolonged blockade of dopamine (DA)-receptors. In rats with unilateral striatal lesions, development of DA-receptor hypersensitivity following a 6-day treatment with haloperidol can be demonstrated by means of the increased turning response to apomorphine. Addition of atropine to the haloperidol treatment schedule resulted in a further increase in receptor sensitivity, but with a delay of 24 h in its appearance. This finding provides pharmacological support for the observation that tardive dyskinesias are more frequent and more severe in patients treated with a combination of a classical neuroleptic and an anticholinergic agent. Clozapine, despite its anticholinergic property, did not enhance the haloperidol-induced hypersensitivity.
迟发性运动障碍常见于接受传统抗精神病药物治疗的患者,其被认为是多巴胺(DA)受体长期阻断后受体超敏反应发展所致。在单侧纹状体损伤的大鼠中,用氟哌啶醇治疗6天后DA受体超敏反应的发展可通过对阿扑吗啡的旋转反应增加来证明。在氟哌啶醇治疗方案中加入阿托品会导致受体敏感性进一步增加,但出现延迟24小时。这一发现为以下观察结果提供了药理学支持,即接受传统抗精神病药物和抗胆碱能药物联合治疗的患者中迟发性运动障碍更频繁、更严重。氯氮平尽管具有抗胆碱能特性,但并未增强氟哌啶醇诱导的超敏反应。