Drug Treatments Flashcards
What are atypical antipsychotics used to treat?
Positive symptoms
Give an example of a typical antipsychotic
Chlorpromazine
What are atypical drugs used to treat?
Positive and negative symptoms
Give an example of an atypical antipsychotic
Clozapine
Describe how TYPICAL antipsychotic drugs work
Typical antipsychotics are used to treat positive symptoms in SZ such as Hallunications. They were the original antipsychotics and are conventional, first generation drugs. They do this by working as dopamine antagonists so they block receptors- particularly D2 receptors but do not stimulate dopamine receptors. They reduce the stimulation of the dopamine system in the Mesolimbic dopamine lath way
Describe how atypical antipsychotic drugs work
Second generation antipsychotics were made in order to prevent as serious extrapyramidenal side effects. They work by temporarily blocking the D2 receptors and the dissociate to allow normal dopamine transmission. They also have an effect on serotonin- with serotonin also being an inhibitory nerve.
When was dopamine disocovered?
1952
What study supports the effectiveness of antipsychotics?
Leucht et al (2002)
What did Leucht et al find?
In a meta analysis of 65 studies involving 6,000 patients/ all were stabilised but some had been taken off an went on a placebo/ after 12 months 67% of those on placebo replaced come pared to 27%?
What is a weakness of typical antipsychotics?
The extrapyramidal side effects
Why do extrapyramidal side effects occur?
Can impact the teas of the brain that in involve in motor activity/ similar to symptoms of Parkinson’s
What other side effects can patients experience long term wise with typical antipsychotics?
Taridive dyskinesia- involuntary movements
What can happen as a result of side effects?
Patients stop taking medication
What did Crossley et al find?
How many studies were in their meta analysis?
15 studies/ no difference in terms of side effects
What is a weakness of antipshcitocs in general?
Can have motivational deficits