Rats were injected daily with haloperidol, 0.5 mg/kg i.p., or pimozide,
2 mg/kg i.p., for a period of 8 or 16 days, respectively. 24 h after the last injection of
haloperidol, these rats were challenged with gamma-butyrolactone (GBL) in doses of 200-
750 mg/kg i.p. In haloperidol-treated rats, higher doses of GBL are needed in order to
increase the rate of dopa accumulation. This finding demonstrates the development of
supersensitivity of dopamine (DA) autoreceptors towards endogenously released DA.
Pimozide had no effect on the increased rate of dopa accumulation induced by increasing
doses of GBL. From this data it is concluded that pimozide in our model is mainly active
on postsynaptic DA receptors and haloperidol is active on pre- and postsynaptic DA
receptors.
In rats treated chronically with daily injections of haloperidol, benztropine, in a dose
of 50 mg/kg, induced a decrease in dopa accumulation which was more marked than the
decrease seen with benztropine, 50 mg/kg in animals treated with a single injection of
haloperidol only. The opiate antagonist, naloxone at a dose of 10 mg/kg, had no effect on
these results. Benztropine, 50 mg/kg i.p., had no effect on the increased rate of dopa accumulation
induced by GBL, 400 mg/kg. The data support the hypothesis that in parallel to
the development of supersensitive postsynaptic DA receptors, there is a development of
subsensitivity in cholinergic receptors within the nigro-neostriatal system. Further the
results show that a new DA-acetylcholine equilibrium is reached during long-term haloperidol
treatment. The implications of these findings in regard to extrapyramidal side effects
during long-term neuroleptic treatment are briefly discussed.