Effect of clonazepam treatment on antipsychotic drug-induced Meige syndrome and changes in plasma levels of GABA, HVA, and MHPG during treatment

Psychiatry Clin Neurosci. 2001 Oct;55(5):543-6. doi: 10.1046/j.1440-1819.2001.00903.x.

Abstract

We demonstrated the effect of clonazepam (2 mg/day) on Meige syndrome in two schizophrenic patients under continuous treatment with antipsychotic drugs, and changes in the plasma levels of gamma-aminobutyric acid (GABA), homovanillic acid (HVA), and 3-methoxy-4-hydroxyphenylglycol (MHPG) in these cases. The plasma levels of HVA and MHPG during treatment with clonazepam were decreased in the responder, while not changed in the non-responder to clonazepam. A difference between the responder and the non-responder was not found in the plasma GABA levels. These results suggest that hyperactivities of the central dopaminergic and noradrenergic neurones are involved in the pathophysiology of Meige syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antipsychotic Agents / adverse effects*
  • Antipsychotic Agents / therapeutic use
  • Clonazepam / adverse effects
  • Clonazepam / therapeutic use*
  • Female
  • Homovanillic Acid / blood*
  • Humans
  • Meige Syndrome / blood
  • Meige Syndrome / chemically induced*
  • Meige Syndrome / drug therapy
  • Methoxyhydroxyphenylglycol / blood*
  • Schizophrenia, Disorganized / blood
  • Schizophrenia, Disorganized / drug therapy
  • Schizophrenia, Paranoid / blood
  • Schizophrenia, Paranoid / drug therapy
  • gamma-Aminobutyric Acid / blood*

Substances

  • Antipsychotic Agents
  • Methoxyhydroxyphenylglycol
  • gamma-Aminobutyric Acid
  • Clonazepam
  • Homovanillic Acid