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Some Clinical and Metabolic Aspects of Propranolol in Chronic Schizophrenia

Published online by Cambridge University Press:  29 January 2018

D. J. King
Affiliation:
Department of Therapeutics and Pharmacology, Queen's University of Belfast, and Holywell Hospital, Antrim
S. N. A. Turkson
Affiliation:
Holywell Hospital, Antrim
J. Liddle
Affiliation:
Department of Therapeutics and Pharmacology, Queen's University of Belfast
C. D. Kinney
Affiliation:
Department of Therapeutics and Pharmacology, Queen's University of Belfast

Summary

No benefit attributable to propranolol (1000 mg/day) could be detected in a trial lasting at least 22 weeks, 6 weeks of which was double-blind placebo-controlled, in 5 chronic schizophrenic patients. The mean propranolol CSF/plasma ratio was 0.08, and there was good agreement between CSF and free plasma propranolol levels. Basal plasma prolactin was slightly but insignificantly reduced by propranolol, and metoclopramide-stimulated prolactin release was unaffected. Propranolol was associated with a significant temporary increase in HVA, a non-significant rise in 5-HIAA and a significant decrease in MHPG, in the lumbar cerebrospinal fluid of 4 patients.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1980 

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