Effects of methysergide and ritanserin on the prolactin and thyrotropin responses to TRH in depressed patients

Despite extensive study of the effects of various pharmacological agents on the thyrotropin (TSH) and prolactin (PRL) responses to TRH challenge, the effect of serotoninergic agents remains inconclusive. We studied the effect of the serotonin antagonists methysergide (non-selective 5-HT 1/5-HT 2 blo...

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Veröffentlicht in:European neuropsychopharmacology 1995-03, Vol.5 (1), p.15-18
Hauptverfasser: Papakostas, Yiannis G., Markianos, Manolis, Papadimitriou, George N., Zervas, Iannis M., Stefanis, Costas N.
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container_end_page 18
container_issue 1
container_start_page 15
container_title European neuropsychopharmacology
container_volume 5
creator Papakostas, Yiannis G.
Markianos, Manolis
Papadimitriou, George N.
Zervas, Iannis M.
Stefanis, Costas N.
description Despite extensive study of the effects of various pharmacological agents on the thyrotropin (TSH) and prolactin (PRL) responses to TRH challenge, the effect of serotoninergic agents remains inconclusive. We studied the effect of the serotonin antagonists methysergide (non-selective 5-HT 1/5-HT 2 blocker with dopaminergic properties) and ritanserin (selective 5-HT 2 blocker) on the TSH and PRL responses to TRH stimulation in two groups of medication-free female depressed patients in a double-blind, within-subject design. Methysergide was found to decrease significantly the PRL response to TRH, while ritanserin had no effect. Neither compound influenced the TSH response. Results suggest that 5-HT 2 mechanisms do not mediate the PRL and TSH responses to TRH challenge in depression. The reduction in PRL observed after methysergide is probably due to either 5-HT 1 or dopaminergic mechanisms.
doi_str_mv 10.1016/0924-977X(94)00126-V
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subjects Aged
Depression
Female
Humans
Methysergide
Methysergide - pharmacology
Middle Aged
Prolactin
Prolactin - metabolism
Ritanserin
Ritanserin - pharmacology
Thyrotropin - metabolism
Thyrotropin releasing hormone
title Effects of methysergide and ritanserin on the prolactin and thyrotropin responses to TRH in depressed patients
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