Clozapine and risperidone influence on cortisol and estradiol levels in male patients with schizophrenia. 2015

G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania ; Sapoca Neuropsychiatry Hospital, Buzau, Romania.

Estrogens role in schizophrenia patients is a subject, which has gained an increased attention from the medical community. Estrogens have been shown to inhibit dopamine actions, improve neuronal regeneration, and overall, have a protective role in the pathology of schizophrenia. The adjunctive estrogen therapy for men is currently under debate. Antipsychotic medication is known to influence the hypothalamo-hypophyseal - gonadal axis by inducing variable degrees of hyperprolactinemia. Several studies have found that some of the atypical antipsychotics lower cortisol levels in patients and also in healthy controls. We have investigated the effects of clozapine and risperidone on estradiol levels in men with schizophrenia. We have also evaluated the levels of prolactin and cortisol, taking into account the possible influence of antipsychotic drugs on both these hormones. Both prolactin and cortisol also have the potential to regulate sexual hormones biosynthesis. Our study found decreased estradiol levels in men with schizophrenia treated with clozapine and risperidone, while prolactin levels were increased only in the risperidone treated group. Cortisol levels are not statistically significant different between groups.

UI MeSH Term Description Entries
D006966 Hyperprolactinemia Increased levels of PROLACTIN in the BLOOD, which may be associated with AMENORRHEA and GALACTORRHEA. Relatively common etiologies include PROLACTINOMA, medication effect, KIDNEY FAILURE, granulomatous diseases of the PITUITARY GLAND, and disorders which interfere with the hypothalamic inhibition of prolactin release. Ectopic (non-pituitary) production of prolactin may also occur. (From Joynt, Clinical Neurology, 1992, Ch36, pp77-8) Prolactin Hypersecretion Syndrome,Prolactin, Inappropriate Secretion,Hyperprolactinaemia,Inappropriate Prolactin Secretion,Inappropriate Prolactin Secretion Syndrome,Hyperprolactinemias,Hypersecretion Syndrome, Prolactin,Inappropriate Secretion Prolactin,Prolactin Secretion, Inappropriate,Secretion Prolactin, Inappropriate,Secretion, Inappropriate Prolactin,Syndrome, Prolactin Hypersecretion
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011388 Prolactin A lactogenic hormone secreted by the adenohypophysis (PITUITARY GLAND, ANTERIOR). It is a polypeptide of approximately 23 kD. Besides its major action on lactation, in some species prolactin exerts effects on reproduction, maternal behavior, fat metabolism, immunomodulation and osmoregulation. Prolactin receptors are present in the mammary gland, hypothalamus, liver, ovary, testis, and prostate. Lactogenic Hormone, Pituitary,Mammotropic Hormone, Pituitary,Mammotropin,PRL (Prolactin),Hormone, Pituitary Lactogenic,Hormone, Pituitary Mammotropic,Pituitary Lactogenic Hormone,Pituitary Mammotropic Hormone
D003024 Clozapine A tricylic dibenzodiazepine, classified as an atypical antipsychotic agent. It binds several types of central nervous system receptors, and displays a unique pharmacological profile. Clozapine is a serotonin antagonist, with strong binding to 5-HT 2A/2C receptor subtype. It also displays strong affinity to several dopaminergic receptors, but shows only weak antagonism at the dopamine D2 receptor, a receptor commonly thought to modulate neuroleptic activity. Agranulocytosis is a major adverse effect associated with administration of this agent. Clozaril,Leponex
D004958 Estradiol The 17-beta-isomer of estradiol, an aromatized C18 steroid with hydroxyl group at 3-beta- and 17-beta-position. Estradiol-17-beta is the most potent form of mammalian estrogenic steroids. 17 beta-Estradiol,Estradiol-17 beta,Oestradiol,17 beta-Oestradiol,Aerodiol,Delestrogen,Estrace,Estraderm TTS,Estradiol Anhydrous,Estradiol Hemihydrate,Estradiol Hemihydrate, (17 alpha)-Isomer,Estradiol Monohydrate,Estradiol Valerate,Estradiol Valeriante,Estradiol, (+-)-Isomer,Estradiol, (-)-Isomer,Estradiol, (16 alpha,17 alpha)-Isomer,Estradiol, (16 alpha,17 beta)-Isomer,Estradiol, (17-alpha)-Isomer,Estradiol, (8 alpha,17 beta)-(+-)-Isomer,Estradiol, (8 alpha,17 beta)-Isomer,Estradiol, (9 beta,17 alpha)-Isomer,Estradiol, (9 beta,17 beta)-Isomer,Estradiol, Monosodium Salt,Estradiol, Sodium Salt,Estradiol-17 alpha,Estradiol-17beta,Ovocyclin,Progynon-Depot,Progynova,Vivelle,17 beta Estradiol,17 beta Oestradiol,Estradiol 17 alpha,Estradiol 17 beta,Estradiol 17beta,Progynon Depot
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D006854 Hydrocortisone The main glucocorticoid secreted by the ADRENAL CORTEX. Its synthetic counterpart is used, either as an injection or topically, in the treatment of inflammation, allergy, collagen diseases, asthma, adrenocortical deficiency, shock, and some neoplastic conditions. Cortef,Cortisol,Pregn-4-ene-3,20-dione, 11,17,21-trihydroxy-, (11beta)-,11-Epicortisol,Cortifair,Cortril,Epicortisol,Hydrocortisone, (11 alpha)-Isomer,Hydrocortisone, (9 beta,10 alpha,11 alpha)-Isomer,11 Epicortisol
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001569 Benzodiazepines A group of two-ring heterocyclic compounds consisting of a benzene ring fused to a diazepine ring. Benzodiazepine,Benzodiazepine Compounds

Related Publications

G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
November 2004, Di 1 jun yi da xue xue bao = Academic journal of the first medical college of PLA,
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
June 2000, The Australian and New Zealand journal of psychiatry,
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
February 2006, The New England journal of medicine,
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
January 2004, The Journal of clinical psychiatry,
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
January 2014, Pharmacogenomics,
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
September 2007, Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999),
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
November 2001, Psychiatric services (Washington, D.C.),
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
July 2018, Drug research,
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
March 2001, Schizophrenia research,
G Piriu, and E Torac, and L E Gaman, and L Iosif, and I C Tivig, and C Delia, and M Gilca, and I Stoian, and V Atanasiu
October 2013, Neurochemical research,
Copied contents to your clipboard!