Antipsychotics Flashcards
2 Types of Antipsychotics
First generation (typical)
Second generation (atypical)
they block dopamine receptors in the brain leading to decreased dopaminergic neurotransmission
Antipsychotics
Extrapyramidal side effects of First Generation Antipsychotics
acute dystonia
akithisia
akinesia
tardive akinesia
First Generation Antipsychotics
Chlorpromazine
Fluphenazine
Haloperidol
SGAs typically has more metabolic side effects such as:
weight gain
diabetes
hypercholesterolemia
Second Generation Antipsychotics
Clozapine
Olanzapine
Asenapine
Lurisidone
Ziprazidone
Risperidone
Paliperidone
Sulpiride
first SGA introduced into the market
Clozapine
Although considered the most effective antipsychotic, it is not first line due to small chance of the dangerous side effects such as agranulocytosis and cardiac toxicity
Clozapine
Clozapine, although considered the most effective antipsychotic, it is not first line due to small chance of the dangerous side effects such as
agranulocytosis and cardiac toxicity
partial agonist at dopamine D2 receptor
Aripiprazole
Distrupt areas of brain where dopamine acts strongly on these receptors leading to decreased response (response is greater than antagonists)
Aripiprazole
a phenothiazine antipsychotic, primarily acts by blocking D2 dopamine receptors in the brain, particularly in the mesolimbic and mesocortical pathways, reducing symptoms of psychosis like hallucinations and delusions. It also inhibits dopamine in the chemoreceptor trigger zone (CTZ), providing effective relief from nausea and vomiting. Additionally, its H1 histamine receptor blockade produces sedative effects, aiding in the management of agitation.
Chlorpromazine
works primarily by blocking dopamine (D2) receptors in the brain. This action reduces the symptoms of psychosis such as hallucinations, delusions, and agitation. It is considered a first- generation (typical) antipsychotic with potent dopamine antagonism, which is effective in managing psychiatric symptoms but also associated with a higher risk of extrapyramidal side effects (EPS) compared to atypical antipsychotics.
Haloperidol