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Neuroleptic Treatment, Symptoms of Schizophrenia, and Plasma Homovanillic Acid Concentrations Revisited
JAN VOLAVKA, MD, PHD
The Nathan S. Kline Institute for Psychiatric Research Orangeburg, NY 10962
RICHARD DOUYON, MD;
ANTONIO CONVIT, MD;
PAL CZOBOR, PHD;
THOMAS B. COOPER, MA
Orangeburg, NY
Arch Gen Psychiatry. 1992;49(12):999-1000.
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To the Editor.—
Davidson et al1 reported that plasma homovanillic acid (pHVA) concentrations decreased in a group of neuroleptic responders (n=7) but were unchanged in nonresponders (n=13). Within the framework of a large experiment,2 we collected analogous data. To replicate their results, we emulated their analyses with our data set.
Our experiment2 used 176 acutely exacerbated schizophrenic or schizoaffective patients. After a placebo period, they were randomly assigned to one of three plasma levels of haloperidol for 6 weeks. Weekly measures included haloperidol plasma levels, the Brief Psychiatric Rating Scale (BPRS), Clinical Global Impression (CGI), and, in a subset of patients, pHVA (assayed with a modification of a published method3 using gas chromatography/mass spectroscopy and deuterated HVA as an internal standard).
Emulating the sampling criteria of Davidson et al,1 we selected 28 schizophrenic patients who had a minimum of four points on the CGI at baseline
. . . [Full Text PDF of this Article]
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