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University Laboratory of Physiology, University of Oxford, Oxford OX1 3PT, United Kingdom
Received 12 March 1997; accepted in final form 22 May 1997.
Pedersen, Michala E. F., Keith L. Dorrington, and Peter A. Robbins. Effects of haloperidol on ventilation during isocapnic hypoxia in humans. J. Appl. Physiol.
83(4): 1110-1115, 1997.
Exposure to isocapnic hypoxia produces an
abrupt increase in ventilation [acute hypoxic ventilatory
response (AHVR)], which is followed by a subsequent decline
[hypoxic ventilatory depression or decline (HVD)]. In cats, both anesthetized and awake,
haloperidol has been reported to increase AHVR and almost entirely
abolish HVD. To investigate whether this occurs in humans, the
ventilatory responses of 15 healthy young volunteers to 20 min of
isocapnic hypoxia (end-tidal PO2 = 50 Torr) were assessed at 1, 2, and 4.5 h after placebo (control) and
after oral haloperidol (Seranace, 0.05 mg/kg) on different days. Three
subjects were unable to complete the study because of akathisia. AHVR
was significantly greater with haloperidol compared with control
(P < 0.01, analysis of variance).
However, no significant change in HVD was found [control HVD = 9.3 ± 1.6 (SD) l/min, haloperidol HVD = 9.9 ± 2.1 l/min;
P = not significant, analysis of
variance]. We conclude that combined central and peripheral
dopamine-receptor antagonism in humans with haloperidol produces a
similar pattern of change to that reported previously with the
peripheral antagonist domperidone. We have been unable to show in
humans a decrease in HVD by the centrally acting drug as observed in
cats.
dopamine; acute hypoxic ventilatory response; hypoxic ventilatory decline
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