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D2 Receptor Occupancy During High- and Low-Dose Therapy with the Atypical Antipsychotic Amisulpride: A 123I-Iodobenzamide SPECT Study

Christian la Fougère, MD1, Eva Meisenzahl, MD2, Gisela Schmitt, MD2, Jan Stauss, MD1, Thomas Frodl, MD2, Klaus Tatsch, MD1, Klaus Hahn, MD1, Hans-Jürgen Möller, MD2 and Stefan Dresel, MD1

1 Department of Nuclear Medicine, University of Munich, Munich, Germany
2 Department of Psychiatry, University of Munich, Munich, Germany



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FIGURE 1. Specific binding ([STR – BKG]/BKG) of 123I-IBZM in healthy controls and in schizophrenic patients treated with high or low doses of amisulpride.

 


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FIGURE 2. Dose–response relationship between striatal dopamine D2 receptor occupancy ([SBcontrol –SBpatient]/SBcontrol) and daily dose of amisulpride (mg/kg of body weight [b.w.]).

 


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FIGURE 3. Dose–response relationship between striatal dopamine D2 occupancy ([SBcontrol –SBpatient]/SBcontrol) and amisulpride plasma concentration (µg/L).

 


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FIGURE 4. 123I-IBZM SPECT images of dopamine D2 receptor binding at equilibrium: drug-naive schizophrenic patient (A) and schizophrenic patients being treated with 50 mg (B), 300 mg (C), or 800 mg (D) of amisulpride per day.

 





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