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Sertraline induced parkinsonism. A
case report and an in-vivo study of the effect of sertraline on dopamine
metabolism.
Di Rocco A, Brannan T, Prikhojan A,
Yahr MD.
The Mount Sinai Medical Center, Department of
Neurology, New York, NY, USA.
We report a patient with a
parkinsonian syndrome induced by sertraline (Zoloft), an SSRI
antidepressant, whose symptoms resolved after the drug was discontinued.
This case prompted us to investigate the effect of sertraline on
dopamine metabolism in animals. Sertraline (30 mg/kg, i.p.) or placebo
(vehicle) was administered to two groups of six normal, anesthetized
rats and using cerebral microdyalisis extracellular striatal levels of
dopamine, the dopamine metabolites (HVA and DOPAC), as well as the
serotonin metabolite 5-HIIA were monitored. In animals pre-treated with
sertraline, DOPAC, HVA, and 5-HIAA levels were significantly decreased
compared to control animals (p < 0.01). These data indicate that
sertraline has an effect on dopamine metabolism, which may alter
function in the striatum and induce a parkinsonian
syndrome.
Publication Types:
PMID: 9660102 [PubMed - indexed for
MEDLINE]
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