Antipsychotics Flashcards
What is the MOA of antipsychotics
D2 receptor antagonists
What is the pharmacokinetic profile of antipsychotics
highly lipophilic, large Vd, long half life, may takes weeks to achieve maximal response
What is a high potency 1st gen drug
haloperidol
What is a low potency 1st gen drug
chlorpromazine
What are features of high potency 1st gen drugs
higher risk of EPSE lower sedation
What are features of low potency 1st gen drugs
lower EPSE risk, higher sedation.
What is the prototype second gen drug
clozapine
What are reasons for using second gen drug
recalcitrant schizophrenia, suicidal behavior
failure of other antipsychotic drugs due to agranulocytosis
absent of EPSE
What are the 5-HT2A> D2 agonists (4)
risperidone, olanzapine, quetiapine, ziprasidone
Which drug is a D2 receptor partial agonist
ariprazole (Abilify)