Anti-Psychotics Flashcards
Indications for use of anti-psychotics
Schizophrenia
Schizoaffective Disorders
Bipolar
Psychotic depression
What are the 2 main groups of anti-psychotics
Typical
Atypical
Are typical or atypical anti-psychotics recommended 1st line for schizophrenia
Atypicals
What are the 2 broad types of typical anti-psychotics
High potency typical
Low potency typical
What is the mode of action typically
D2 dopamin receptor antagonist
Action of high potency typicals
High potency typical bind to D2 receptor with high affinity
Action of low potency typicals
Have less affinity for D2 receptors
But tend to interact with non-dopaminergic receptors
Drug examples of high potency typicals
Fluphenazine
Haloperidol
Pimozide
Drug examples of low potency typicals
Chlorpromazine
Thioridazine
Action of atypical
Serotonin dopamin 2 antagonists
Drug examples of atypical
Risperidone Olanzapine Quetiapine Aripiprazole Clozapine
What is the most common cause of relapse in psychosis
Lack of insight which leads to lack of compliance
Which anti-psychotic is reserved for treatment resistant patients
Clozapine
Are typicals or atypical more likely to cause extra-pyramidal side effects
Typicals