“…Down-regulation or a decrease of receptor density has been shown to occur with repeated administration of a number of substances that affect 5HT availability in the CNS. Examples include the administration of clorgyline and nialamide, inhibitors of 5HT oxidation by monoamine oxidase A (Savage et al, 1980); fenfluramine, a releaser of 5HT (Samanin et al, 1980 a, b); inhibitors of monoamine uptake, including imipramine, amitriptyline and desipramine (Segawa et al, 1979;Maggi et al, 1980;Robaut and Fillion, 1984;Wong et al, unpublished data); selective inhibitors of 5HT uptake, including fluoxetine (Wong and Bymaster, 1981;Wong et al, 1985;Dumbrille-Ross and Tang, 1983) and zimelidine (Fuxe et al, 1983); and lithium given to increase 5HT release (Treiser and Kellar, 1980). It has been reported that the duration to bring about a down-regulation of 5HT-1 receptors with repeated administration of tricyclic antidepressants can be shortened from 2-3 weeks to 4 days when tricyclic antidepressants are co-administered with methiothepin given to block 5HT autoreceptors and increase 5HT release (Segawa and Uehara, 1982).…”