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April 1, 2000American Journal of Psychiatry1,079 citations

Relationship Between Dopamine D2 Occupancy, Clinical Response, and Side Effects: A Double-Blind PET Study of First-Episode Schizophrenia

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SKShitij KapurRZRobert B. ZipurskyCJCorey Jones

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Abstract

The study confirms that D(2) occupancy is an important mediator of response and side effects in antipsychotic treatment. The data are consistent with a "target and trigger" hypothesis of antipsychotic action, i.e., that the D(2) receptor specificity of antipsychotics permits them to target discrete neurons and that their antagonist properties trigger within those neurons intracellular changes that ultimately beget antipsychotic response. While limited to haloperidol, the relationship between D(2) occupancy and side effects in this study helps explain many of the observed clinical differences between typical and atypical antipsychotics.

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Kapur et al. (2000) studied this question.

synapsesocial.com/papers/69d6d01cf174babf6cab39efhttps://doi.org/10.1176/appi.ajp.157.4.514
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