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Journal of Psychopharmacology
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5-HT 2C receptor sensitivity during treatment with selective serotonin re-uptake inhibitors

R. Williams

Psychopharmacology Research Unit, University Department of Psychiatry, Littlemore Hospital, Oxford OX4 4XN, UK

A.L. Sharpley

Psychopharmacology Research Unit, University Department of Psychiatry, Littlemore Hospital, Oxford OX4 4XN, UK

P.J. Cowen

Psychopharmacology Research Unit, University Department of Psychiatry, Littlemore Hospital, Oxford OX4 4XN, UK

We studied the effect of repeated treatment with selective serotonin re-uptake inhibitors (SSRIs) on the sensitivity of brain 5-HT2C receptors, by measuring the decrease in slow wave sleep (SWS) that follows administration of meta-chlorophenylpiperazine (mCPP) (7.5 mg orally). mCPP significantly lowered SWS both in patients taking SSRIs and in a group of healthy controls. There was, however, no difference in the response between the two groups. The results do not support the suggestion that repeated SSRI treatment alters the sensitivity of 5-HT2C receptors in the human brain. The present study, however, cannot exclude the possibility that a decrease in 5-HT2C receptor sensitivity was offset by higher plasma levels of mCPP in the SSRI-treated group.

Key Words: 5-HT2C receptors • SSRIs • mCPP • slow wave sleep

Journal of Psychopharmacology, Vol. 8, No. 3, 168-170 (1994)
DOI: 10.1177/026988119400800305


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