4.5 Article

Relationship between prolactin secretion, and plasma risperidone and 9-hydroxyrisperidone concentrations in adolescents with schizophreniform disorder

Journal

PSYCHONEUROENDOCRINOLOGY
Volume 33, Issue 2, Pages 255-259

Publisher

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.psyneuen.2007.10.010

Keywords

risperidone; 9-hydroxyrisperidone; prolactin; adolescents; schizophreniform disorder

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Background: Treatment with the atypical antipsychotic risperidone can result in elevated protactin levels. To date, the relationships between plasma concentrations of prolactin, risperidone and its active 9-hydroxy-metabolite have been little investigated in adolescents with psychosis. Methods: Protactin levels were determined at baseline in 16 hospitalized drug-naive adolescents meeting DSM-IV criteria for schizophreniform disorder. Protactin, risperidone, 9-hydroxyrisperidone levels were subsequently determined after 3 weeks of oral risperidone treatment. Results: Compared with pretreatment values, prolactin levels at endpoint were significantly increased (p<0.00001) and correlated with risperidone doses (r=0.58, N = 16, p<0.02), and plasma levels of risperidone (r = 0.60, N = 16, p<0.02) and 9-hydroxyrisperidone (r = 0.54, N = 16, p = 0.03). Conclusions: These data suggest that risperidone's effect on prolactin release is dose-dependent in adolescents and is linked to both plasma risperidone and 9-hydroxyrisperidone concentrations. (c) 2007 Elsevier Ltd. All rights reserved.

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