
Effect of (des-Tyr1)- -endorphin on Prolactin Secretion
Herbert Y. Meltzer, MD;
Daniel A. Busch, MD;
Paul M. Schyve, MD;
Victor S. Fang, MD
Department of Psychiatry Pritzker School of Medicine The University of Chicago 950 E 59th St Chicago, IL 60637
Arch Gen Psychiatry. 1981;38(10):1183.
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To the Editor.—
Verhoeven and colleagues (ARCHIVES 1979;36:294-298) have reported that (des-Tyr1)- -endorphin (DT E; β-lipotropin62-77) has antipsychotic properties in some schizophrenic patients, but this was not replicated in two recent studies.1.2 Animal experiments have suggested that DT E may have direct or indirect neuroleptic properties. Neuroleptics are potent stimulants of prolactin secretion in the rat; most neuroleptics, with the exception of clozapine and melperone, are also potent stimulants of prolactin secretion at therapeutic dosages in man.3 (Des-Tyr1)- -endorphin has been identified in the pituitary of man and the rat.4 We were interested in determining the effect of DT E on prolactin secretion in man and laboratory rats.
Subjects and Methods.—
We have now treated four male schizophrenic patients (diagnosis by Research Diagnostic Criteria) with intramuscular injections of DT E in dosages of 1 to 10 mg/day. All were admitted because of a recent exacerbation of their psychoses. Dosages greater
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