Antipsychotics Flashcards
Use of all antipsychotic medication in this group of patients is associated with increased risk of deaths
Elderly with dementia-related psychosis
Antipsychotics that repress primarily the positive symptoms of schizophrenia
Typical antipsychotics
Primary mechanism of action of typical antipsychotics
Inhibits D2 receptors
Common endocrine side effects of all typical
Hyperprolactinemia, galactorrhea
Two low potency, typical antipsychotic drugs
Chlorpromazine, thioridazine
Typical antipsychotic associated with retinopathy and cardiac toxicity
Thioridazine
Common side effects of low potency typical antipsychotic drugs
Dry mouth (anticholinergic), sedation (antihistamine), hypotension (α1 block)
Three high potency, typical antipsychotic drugs
Haloperidol, fluphenazine, trifluoperazine
Typical antipsychotic that can also be used for Tourette syndrome
Haloperidol
Side effects more commonly associated with high potency typical antipsychotic drugs
Dystonia, akathisia, bradykinesia, tardive dyskinesia (extrapyramidal symptoms)
Treatment for drug-induced acute extrapyramidal symptoms
Benztropine, diphenhydramine
Life-threatening side effect associated with typical antipsychotic drugs
Neuroleptic malignant syndrome
Treatment for drug-induced neuroleptic malignant syndrome
Dantrolene
Advantage of atypicals over typical antipsychotics
Less extrapyramidal symptoms, more effect against negative symptoms of schizophrenia
Primary mechanism of action of atypical antipsychotics
Inhibit 5-HT2 receptors