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Re: Geodon and nausea, anyone? » Sunnely

Posted by SLS on April 23, 2001, at 18:26:18

In reply to Re: Geodon and nausea, anyone?, posted by Sunnely on April 22, 2001, at 22:35:17

Dear Sunnely,


> Again, above opinion is just a "hunch" and needs to be supported by scientific study.
>
> References:
>
> 1. Package Insert, Geodon (ziprasidone HCl), Pfizer, February 2001.
>
> 2. Essential Psychopharmacology, 2000, second ed., Stephen M. Stahl, Cambridge University Press, Cambridge, UK.
>
> ++++++++++++++++++++++++++++++++++


I apologize for the misunderstanding. My wording of the question pretty much sucked.

I was not asking you about your hunch. Based upon the supposition that ziprasidone inhibits the reuptake of norepinephrine and serotonin, it seems very reasonable.

> I am sure you know that Geodon is both a reuptake inhibitor of serotonin and norepinephrine.

That's just the thing. I'm not. I am not contending otherwise, but I want to see the data resulting from experiments, not just a repetitive pronouncement of the acceptance of these properties as being putative. It might be important information to be considered when making a decision to combine ziprasidone with an MAO inhibitor.

I would like to see any references that may be cited in the package insert. I believe that I have come across instances in the past where a single physiological study has served as the basis for subsequent statements and considerations. I would like to know that there are some experiments that demonstrate and corroborate the contention that ziprasidone is a reuptake inhibitor other than this one study that I found cited in a piece I found on the Internet:

Seeger TF, et al. Ziprasidone (CP-88,059): A new antipsychotic with combined dopamine and serotonin receptor antagonist activity. J Pharmacol Exp Ther 1995;275:101-113.

Since I read in another piece that alluded to previous work demonstrating reuptake inhibition using 'in vitro' synaptosomal preparations, I am guessing that they were referring to the Seeger study. I couldn't find the abstract on Medline.

What is the source of Dr. Stahl's information?

Now, having said and asked all of that, I want to thank you very much for supplying the information and your perspective to Anita. Your post provided her with true guidence and support, something I was then incapable of. You have also helped me because I might try ziprasidone in the near future.

Thanks again.


Sincerely,
Scott

 

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