Who described the fast dissociative mechanism of Clozapine (Clozaril)?

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From the Research

The fast dissociative mechanism of clozapine was first described by Herbert Meltzer, a psychiatrist and pharmacologist. Meltzer proposed that clozapine's unique clinical efficacy in treatment-resistant schizophrenia and reduced extrapyramidal side effects were related to its rapid dissociation from dopamine D2 receptors, as discussed in a study published in 2012 1. This "fast-off" theory suggests that clozapine binds to D2 receptors but quickly dissociates from them, allowing normal dopamine neurotransmission while still providing antipsychotic effects. The study published in 2012 1 provides evidence that fast dissociation of clozapine from D2 receptors is a key factor in its unique clinical profile.

Key Points

  • The fast dissociative mechanism of clozapine is related to its rapid dissociation from dopamine D2 receptors.
  • This mechanism allows clozapine to block dopamine when levels are pathologically high, but permits normal dopamine transmission when levels return to baseline.
  • The fast dissociation of clozapine from D2 receptors is a key factor in its unique clinical profile, as discussed in a study published in 2012 1.
  • The study published in 2012 1 provides evidence that fast dissociation of clozapine from D2 receptors is a key factor in its unique clinical profile, and is more recent and of higher quality than other studies, such as those published in 2008 2 and 1994 3.

Clinical Implications

  • The fast dissociative mechanism of clozapine has implications for its use in clinical practice, particularly in the treatment of treatment-resistant schizophrenia.
  • The unique clinical profile of clozapine, including its reduced extrapyramidal side effects, makes it an important treatment option for patients with schizophrenia, as discussed in a study published in 2018 4.
  • Further research is needed to fully understand the mechanisms of action of clozapine and to develop new treatments for schizophrenia, as discussed in a study published in 2012 5.

References

Research

The role of D1-D2 receptor hetero-dimerization in the mechanism of action of clozapine.

European neuropsychopharmacology : the journal of the European College of Neuropsychopharmacology, 2008

Research

An overview of the mechanism of action of clozapine.

The Journal of clinical psychiatry, 1994

Research

Unique Effects of Clozapine: A Pharmacological Perspective.

Advances in pharmacology (San Diego, Calif.), 2018

Research

Role of dopamine D(2) receptors for antipsychotic activity.

Handbook of experimental pharmacology, 2012

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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