Abstract

At low doses, substituted benzamides such as sulpiride, levosulpiride, and amisulpride preferentially block the higher affinity dopamine autoreceptors that are located on the presynaptic neuron1,2; this results in increased release of dopamine,1,2 an effect that is useful for the treatment of depression,3 somatoform disorders,4 and negative symptoms of schizophrenia.3 At high doses, these drugs also block the lower affinity dopamine postsynaptic receptors,1,2 effectively ameliorating positive symptoms of schizophrenia.5 Given that dopamine inhibits the release of prolactin, would low doses of these drugs lower serum prolactin and high doses lead to hyperprolactinemia?

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