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Increase in Human Urine Homovanillic Acid Concentration After Neuroleptic Treatment Is the Same With or Without Debrisoquin Administration

Salvador A. Contreras, MD; James W. Maas, MD; Ermias Seleshi, MD; Charles L. Bowden, MD
Arch Gen Psychiatry. 1987;44(12):1109-1110. doi:10.1001/archpsyc.1987.01800240085015
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To the Editor.—  There is a current surge of interest in studying homovanillic acid (HVA) levels as a putative index of brain dopaminergic activity in psychosis and as a gauge of the dopaminergic blocking effects of neuroleptics in the central nervous system (CNS).1,2 Davidson et al3 found robust increases in the plasma HVA level 24 hours after administration of a loading dose of haloperidol. Pickar et al1,4 have consistently found significant decreases in the plasma HVA level with more prolonged administration (three to five weeks). Previously, Harris et al5 observed increased levels of plasma HVA during two weeks of neuroleptic treatment. Although inconclusive, in the aggregate these findings suggest an initial rise in circulating levels of HVA, followed by a subsequent decrease with prolonged administration of neuroleptics.We now report that the urinary HVA level increases in schizophrenic patients after three weeks of treatment with haloperidol.

REFERENCES

Pickar D, Labarca R, Linnoila M, Roy A, Hammer D, Everett D, Paul SM:  Neuroleptic induced decrease in plasma homovanillic acid and antipsychotic activity in schizophrenic patients . Science 1984;;225:954-957.
Davis KL, Davidson M, Mohs RC, Kendler KS, Davis BM, Johns CA, Denigris Y, Horvath TG:  Plasma homovanillic acid concentration and the severity of schizophrenic illness . Science 1985;;227:1601-1602.
Davidson M, Giordani AB, Mohs RC, Horvath TB, David BM, Powchick P, Davis KL:  Short term haloperidol administration acutely elevates human plasma homovanillic acid concentration . Arch Gen Psychiatry 1987;;44:189-190.
Pickar D, Labarca R, Doran AR, Walkowitz OM, Roy A, Breier A, Linnoila M, Paul SM;  Longitudinal measurement of plasma homovanillic acid levels in schizophrenic patients . Arch Gen Psychiatry 1986;;43:669-676.
Harris PQ, Brown SJ, Friedman S, Bacoupoulos NG:  Plasma drug and homovanillic acid levels in psychotic patients receiving neuroleptics . Biol Psychiatry 1984;;19:849-860.
Maas JW, Contreras SA, Bowden CL, Hattox SE:  Effects of debrisoquin on CSF and plasma homovanillic acid concentrations in man . Life Sci 1985;;36:2163-2170.
Helger R, Rindfrey H, Hilgenfeldt J:  Eine Methode für direkten Bestimmung des Creatinins Enterweissung nach einer modifizierten Jaff Methode . Z Klin Chem Klin Biochem 1974;;12:344-348.
Maas JW, Hattox SE, Martin DM, Landis DH:  A direct method for determining dopamine synthesis and output of dopamine metabolites from brain in awake animals . J Neurochem 1979;;32:839-843.

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Pickar D, Labarca R, Linnoila M, Roy A, Hammer D, Everett D, Paul SM:  Neuroleptic induced decrease in plasma homovanillic acid and antipsychotic activity in schizophrenic patients . Science 1984;;225:954-957.
Davis KL, Davidson M, Mohs RC, Kendler KS, Davis BM, Johns CA, Denigris Y, Horvath TG:  Plasma homovanillic acid concentration and the severity of schizophrenic illness . Science 1985;;227:1601-1602.
Davidson M, Giordani AB, Mohs RC, Horvath TB, David BM, Powchick P, Davis KL:  Short term haloperidol administration acutely elevates human plasma homovanillic acid concentration . Arch Gen Psychiatry 1987;;44:189-190.
Pickar D, Labarca R, Doran AR, Walkowitz OM, Roy A, Breier A, Linnoila M, Paul SM;  Longitudinal measurement of plasma homovanillic acid levels in schizophrenic patients . Arch Gen Psychiatry 1986;;43:669-676.
Harris PQ, Brown SJ, Friedman S, Bacoupoulos NG:  Plasma drug and homovanillic acid levels in psychotic patients receiving neuroleptics . Biol Psychiatry 1984;;19:849-860.
Maas JW, Contreras SA, Bowden CL, Hattox SE:  Effects of debrisoquin on CSF and plasma homovanillic acid concentrations in man . Life Sci 1985;;36:2163-2170.
Helger R, Rindfrey H, Hilgenfeldt J:  Eine Methode für direkten Bestimmung des Creatinins Enterweissung nach einer modifizierten Jaff Methode . Z Klin Chem Klin Biochem 1974;;12:344-348.
Maas JW, Hattox SE, Martin DM, Landis DH:  A direct method for determining dopamine synthesis and output of dopamine metabolites from brain in awake animals . J Neurochem 1979;;32:839-843.

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