To examine the binding of antipsychotic drugs to living neurons, we applied fluoroprobe derivatives of the D2 antagonist spiperone to mesolimbic system neurons in postnatal culture . We found that rhodamine-N-(p-aminophenethyl)spiperone (rhodamine-NAPS) stereospecifically labeled the plasma membranes of 38 6% of ventral tegmental area neurons, 22 ± 7% of which were dopaminergic, and 50 ± 6% of medium-sized putatively GABAergic nucleus accumbens neurons, with a time constant of -8 min . In contrast, the BODIPY derivative of NAPS rapidly labeled intracellular sites in all neurons in a punctate pattern, consistent with acidotropic uptake . Native antipsychotics also show acidotropic uptake, which we visualized by their displacement of the fluorescent weak base vital dye acridine orange from acidic intracellular compartments . We found that acidotropic uptake correlated best with the partition coefficients of the drugs. With a time constant of 23 min, rhodamine-NAPS labeled all neurons in a pattern suggestive of lipophilic solvation . Thus, initially rhodamine-NAPS makes possible visualization of D2 receptors on living neurons ; however, acidotropic uptake and lipophilic solvation obscure receptor labeling and may account for time-dependent factors in the action of antipsychotic drugs, as well as affect their use as radioreceptor ligands.The therapeutic efficacy of antipsychotic drugs correlates with their affinity for D2-like dopamine (DA) receptors (Javitch and Kaufmann, 1991), but also with their brain-to-serum ratios , suggesting that the physiochemical properties of the drugs play a critical role in their action . Indeed, receptor binding is far more rapid than therapeutic action, indicating that factors beyond receptor binding contribute importantly to antipsychotic drug action . It is striking that most antipsychotic drugs are detectable in rat brain for days to weeks following a single administration, far longer than their receptor affinity would dic-