ANTI-PSYCHOTIC AGENTS AND LITHIUM Flashcards
D1 receptor family
D1
D4
D5
D2 receptor family
D2
D3
D2 receptors are found in:
Caudate putamen
Nucleus accumbens
Cerebral cortex
Hypothalamus
Typical anti-psychotics MOA
Blocks D2 receptors > 5-HT2 receptors
Classes of typical/classical anti-psychotics and their prototypes
- Phenothiazines (Chlorpromazine)
- Piperidine (Thioridazine)
- Butyrophenone (Haloperidol)
Corneal and lens deposits
Chlorpromazine
Retinal deposits
Thioridazine
thio(RETINAL)dazine
Has the most muscarinic blockade, has the least EPS among typical anti-psychotics
Thioridazone
Used also in Huntington and Tourette’s syndrome
Haloperidol (Butyrophenone)
Has the highest potential for EPS and neuroleptic malignant syndrome
Haloperidol (Butyrophenone)
Least sedating among typical anti-psychotics
Haloperidol
DOC for refractory and suicidal schizophrenia
CLOZAPINE
Atypical anti-psychotic that causes AGRANULOCYTOSIS
CLOZAPINE
Prototype of atypical anti-psychotic
CLOZAPINE
Atypical anti-psychotics that has the highest weight gain
CLOZAPINE
OLANZAPINE
Antagonism-binding profile of Clozapine
D4=A1>5HT2A>D2=D1
Atypical anti-psychotic used for sleep promotion and maintenance
Quietiapine
Atypical anti-psychotic that causes cataracts, priapism, and QT prolongation
Quietiapine
Only approved anti-psychotic for SCHIZOPHRENIA IN CHILDREN
Risperidone
Most common s/e of Risperidone
Hyperprolactinemia
Atypical anti-psychotic that shows the greatest risk for QT prolongation
Ziprasidone
Increased mortality in elderly patients with dementia-related pyschosis
Atypical anti-psychotic which is a partial agonist at D2 receptor
Aripiprazole
Atypical anti-psychotic used in MDD, autism, and cocaine dependence
Aripiprazole
Least sedating atypical anti-psychotic
Aripiprazole