Effect of d-amphetamine on prepulse inhibition of the startle reflex in humans

Rationale: Prepulse inhibition of the startle reflex (PPI) is attenuated in animals after administration of d-amphetamine and other drugs that stimula te mesolimbic dopamine activity. Objective: The aim of the present study wa s to evaluate the effects of d-amphetamine (20 mg) on a variety of psychoph ysiological and subjective measures, including PPI, in humans. Method: Thir ty-six participants (18 women) participated in a double-blind, placebo cont rolled, repeated measures study. In one session, participants received d-am phetamine (20 mg) orally, and in the other session, participants received a n identical appearing placebo. Participants were assessed at 60, 90, and 12 0 min after ingestion with a 5-min block of startle trials (six control tri als and six prepulse trials) followed by subjective measures of stimulation and mood. Results: d-Amphetamine increased subjective measures of stimulat ion and euphoria, attenuated PPI, and increased heart rate, relative to pla cebo treatment. Conclusions: The effect of d-amphetamine on the subjective measures was substantial and consistent over time, while the effect on PPI was only observed at 90 min after:ingestion, and the effect on heart rate w as limited to 90 and 120 min after ingestion.