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Timing of optimal antipsychotic dosing: chronopharmacology

Research Project

Project/Area Number 15K09812
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Psychiatric science
Research InstitutionKeio University

Principal Investigator

Uchida Hiroyuki  慶應義塾大学, 医学部(信濃町), 講師 (40327630)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords統合失調症 / ドパミン / 抗精神病薬 / 時間薬理学
Outline of Final Research Achievements

In the maintenance treatment of schizophrenia, prescription regimens and new drugs are designed to keep drug concentrations as constant as possible in order for antipsychotics to block the dopamine D2 receptor in the brain. However, our results have revealed that the appearance and disappearance of hallucinations within a day in patients with schizophrenia is not always related to the degree of blockade of dopamine D2 receptors by antipsychotics, but rather the presence of circadian rhythms. Moreover, hallucinations more frequently occurred at night. Thus, if psychotic symptoms remain after the acute phase treatment of schizophrenia, it does not seem necessary to sustain blockade of dopamine receptors as in the acute phase; rather, the treatment focusing on circadian rhythm of symptoms may be effective.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (6 results)

All 2017 2016 Other

All Int'l Joint Research (1 results) Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (4 results) (of which Int'l Joint Research: 1 results)

  • [Int'l Joint Research] University of Buffalo/Department of Pharmacology(米国)

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Representativeness of clinical PET study participants with schizophrenia: a systematic review2017

    • Author(s)
      Kirino S, Suzuki T, Takeuchi H, Mimura M, Uchida H
    • Journal Title

      J Psychiatr Res

      Volume: 5 Pages: 72-29

    • DOI

      10.1016/j.jpsychires.2016.12.023

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Presentation] Fluctuations in hallucination within a day in relation to dopamine D2 receptor blockade with antipsychotics in schizophrenia2017

    • Author(s)
      Koizumi T, Suzuki T, Takeuchi H, Bies RR, Pollock BG, Mimura M, Uchida H
    • Organizer
      5th Congress of Asian Collage of Neuropsychopharmachology
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Fluctuations in hallucinatory experiences within a day in relation to dopamine D2 eceptor blockade with antipsychotics in patients with schizophrenia2016

    • Author(s)
      Uchida H, Koizumi T, Bies RR, Pollock BG, Suzuki T
    • Organizer
      55th Annual Meeting of the American College of Neuropsychopharmacology
    • Place of Presentation
      ハリウッド、米国
    • Year and Date
      2016-12-04
    • Related Report
      2016 Research-status Report
  • [Presentation] 統合失調書患者における幻聴体験と抗精神病薬によるドパミンD2受容体遮断の関連2016

    • Author(s)
      小泉輝樹, 鈴木健文, 萬木浩, 三村將, 内田裕之
    • Organizer
      第26回日本臨床精神神経薬理学会年会
    • Place of Presentation
      ホルトホール大分(大分県大分市)
    • Year and Date
      2016-11-17
    • Related Report
      2016 Research-status Report
  • [Presentation] Fluctuations in hallucinatory experiences within a day in relation to dopamine D2 receptor blockade with antipsychotics in patients with schizophrenia2016

    • Author(s)
      Koizumi T, Suzuki T, Bies RR, Pollock BG, Endo A, Ohtani A, Mimura M, Uchida H
    • Organizer
      30th CINP World Congress of Neuropsychopharmacology
    • Place of Presentation
      ソウル、韓国
    • Year and Date
      2016-07-02
    • Related Report
      2016 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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