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Published Online:https://doi.org/10.1176/ajp.130.1.79

Greater urinary excretion of dopamine during L-dopa administration was observed in bipolar than in unipolar depressed patients. The authors suggest that increased levels of brain dopamine may play a role in the development of hypomania and mania, since there is a tendency for bipolar patients to regularly develop hypomanic episodes during L-dopa treatment and since evidence from animal studies indicates that increased brain dopamine is highly correlated with increased psychomotor activity.

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