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B-8 - New Psychiatric Medications
B-8 - New Psychiatric Medications

... • Higher risk of orthostasis, dizziness, and falls especially during the initial titration phase • Slow titration phase and twice daily dosing may be difficult for some patients to work with ...
Management of delirium in children and adolescents
Management of delirium in children and adolescents

... than acute inpatient aggression. • As per our search, only one study has attempted to observe the effects of risperidone in treating the aggression in an inpatient unit. ...
Guidelines on Choice and Selection of Antipsychotics
Guidelines on Choice and Selection of Antipsychotics

Fever development in neuroleptic malignant syndrome during
Fever development in neuroleptic malignant syndrome during

... Clozapine is metabolized in the liver by the cytochrome (CYP) 450 enzymes mainly into four metabolites. It is a very efficacious drug, however, it can cause NMS with fever. For the first time, NMS with fever caused by clozapine was noticed by Blum and Mauruschat [9]. Further publications of cases of ...
Slide 1
Slide 1

... important that thyroid levels are carefully monitored by a physician rapid cyclers tend to have co-occurring thyroid problems and may need to take thyroid pills in addition to their medications for bipolar disorder lithium treatment may cause low thyroid levels in some people, resulting in the need ...
Epidemiology of Psychoses
Epidemiology of Psychoses

... younger populations (under 35 years) and higher rates for women in older populations ...
Early Onset Schizophrenia - NAMI
Early Onset Schizophrenia - NAMI

... with significant side effects. The last decade has seen the introduction of a number of new anti-psychotics with reduced side effects. The most commonly used medications used now are: risperidone (Risperdal), olanzapine (Zyprexa), and quetiapine (Seroquel). Other medications include haloperidol (Hal ...
how is it prevented and treated? Tardive dyskinesia −−
how is it prevented and treated? Tardive dyskinesia −−

... Eighteen of the 19 patients were being treated with antipsychotics (mean chlorpromazine equivalent dose, 1291 (s.d. 1372) mg/day). Clonazepam in doses of 2-4.5 mg/day reduced dyskinesia scores overall by 37.1%. This effect was reversed with placebo administration. Clonazepam was more effective in pa ...
Bipolar Disorder
Bipolar Disorder

... 2. Treatment of bipolar depression with antidepressants may lead to: a) anxiety b) greater mood instability c) mania induction d) psychosis e) b and c f) all of the above ...
Modern antipsychotic drugs: a critical overview
Modern antipsychotic drugs: a critical overview

... clinical and public health perspectives and may not be predicted well by symptom improvement. In a long-term trial comparing risperidone and haloperidol in patients with chronic psychotic disorders, psychotic symptoms changed little (4.9% improvement and 3.9% worsening respectively), whereas the Kap ...
Efficacy of atypical v. typical antipsychotics in the treatment of early
Efficacy of atypical v. typical antipsychotics in the treatment of early

... may colour their attitude to medication and psychiatric treatment more generally thereafter. Antipsychotics with a benign side-effect profile thus offer an advantage in this phase of schizophrenia. This is particularly important considering the high rates of nonadherence to medication in this popula ...
Antidepressants and neuroleptic
Antidepressants and neuroleptic

... hyperpyrexia, cardiovascular shock and death. To avoid need to wait 2 weeks before switching from an SSRI to an MAOI. The exception of fluoxetine where need to wait 5 weeks because of long half-life. ...
Atypical Neuroleptics Enhance Histamine Turnover in Brain Via 5
Atypical Neuroleptics Enhance Histamine Turnover in Brain Via 5

... was further enhanced by coadministration of clozapine, olanzapine, or ketanserin, a preferential 5-HT2A-receptor antagonist (Fig. 6). A significant increase in t-MeHA level was also observed 3 h after the administration of ketanserin alone (8 mg/kg, p.o.), as compared with control mice, in the cereb ...
a review of the adverse side effects associated with antipsychotics
a review of the adverse side effects associated with antipsychotics

... FDA during the study's second phase) .The lowest rate of discontinuation was seen for olanzapine, but this was also the drug that showed the largest discontinuation due to weight gain or metabolic effects (9 percent as opposed to 1-4 percent with the other drugs, P<0.001). Olanzapine averaged 0.9 kg ...
Antipsychotic Use in Children and Adolescents: Minimizing Adverse Effects to Maximize Outcomes
Antipsychotic Use in Children and Adolescents: Minimizing Adverse Effects to Maximize Outcomes

... treatment. In another, more recent study, however, 0 of 38 patients developed withdrawal dyskinesia after risperidone (mean dose 2 mg/day) was discontinued after 4 months of treatment (21). The risk for withdrawal dyskinesia can be reduced with slow cross-titration and overlapping cross-titration (5 ...
Depression and Bipolar Disorder in Children and Adolescents
Depression and Bipolar Disorder in Children and Adolescents

... • Less response for younger children, except with fluoxetine • Suicidality on medications vs placebo: 2% vs 1% (statistically significant across all disorders but not MDD alone) • More efficacy with shorter depression duration • Concluded a favorable benefit to risk comparison for cautious use as fi ...
Antipsychotics in children and adolescents
Antipsychotics in children and adolescents

... utilization of these agents and stirred controversy among both experts and the general public (Elias, 2006, Harris, 2008). After having been hailed as a safer alternative to first-generation antipsychotics because of their lower tendency to induce neurological effects, the SGA are now recognized to ...
The Influence of Chronic Exposure to
The Influence of Chronic Exposure to

... 2003; Pantelis et al, 2003; Sporn et al, 2003) that are potentially related to disease progression, but that might also reflect an effect of treatment. In addition to their effects on the brain in vivo (eg druginduced changes in cell number in a given brain region), antipsychotic drugs might also in ...
Delusional parasitosis or Ekbom syndrome: a case series To the
Delusional parasitosis or Ekbom syndrome: a case series To the

... clinical superiority of a specific antipsychotic. Until recently, pimozide was the drug of choice in the treatment of DP [17]. Based on a better side-effect profile and tolerability, atypical antipsychotics have been prescribed to DP patients. There are some case reports on the use of atypical antip ...
Why Olanzapine Beats Risperidone, Risperidone Beats Exploratory Analysis of Head-to-Head Comparison
Why Olanzapine Beats Risperidone, Risperidone Beats Exploratory Analysis of Head-to-Head Comparison

... second-generation antipsychotics have largely replaced typical antipsychotics as the treatment of choice for schizophrenia. Consequently, trials comparing two drugs of this class—so-called head-tohead studies—are gaining in relevance. The authors reviewed results of head-tohead studies of second-gen ...
Guidelines for Antipsychotic Medication Switches
Guidelines for Antipsychotic Medication Switches

... based on informed discussion on the relative benefits and side effects which is recorded in the notes A risk assessment should be performed by the clinician responsible for treatment and the multidisciplinary team regarding compliance with medication. Depot preparations should be prescribed when app ...
Psychopharmacology in Psychiatry
Psychopharmacology in Psychiatry

... Treat both anxiety and depressive sx Most common side effects include GI upset, sexual dysfunction (30%+!), anxiety, restlessness, nervousness, insomnia, fatigue or sedation, dizziness Very little risk of cardiotoxicity in overdose Can develop a discontinuation syndrome with agitation, nausea, diseq ...
Antipsychotic Presentation
Antipsychotic Presentation

...  Stimulant drugs which act through dopamine can produce schizophrenic-like behaviors (eg.amphetamines).  Levodopa, a dopamine precursor, can exacerbate schizophrenic symptoms, or occasionally elicit them in non-schizophrenic patients.  Higher levels of dopamine receptors measured in brains of sch ...
PSYCHOTIC DISORDERS - Eleanor L. Ronquillo MD October 13
PSYCHOTIC DISORDERS - Eleanor L. Ronquillo MD October 13

...  Chlorpromazine (Thorazine), which was introduced in the mid-1950s, was the first drug that significantly and consistently reduced symptoms of psychosis.  Antipsychotic activity was related to high-affinity antagonism of dopamine D2 receptors.  Other terms used to refer to these drugs are first-g ...
CLINICAL IMPLICATIONS OF PREDOMINANT POLARITY AND THE
CLINICAL IMPLICATIONS OF PREDOMINANT POLARITY AND THE

... maintenance treatment of BD was: 12.09 for risperidone, 4.38 for aripiprazole, 3.91 for ziprasidone, 2.98 for olanzapine, 1.39 for lithium, 1.14 for quetiapine, and 0.40 for lamotrigine [1]. PI for patients’ current treatment was calculated as mean value of all prescribed drugs in each patient. ...
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Olanzapine



Olanzapine (originally branded Zyprexa) is an atypical antipsychotic. It is approved by the U.S. Food and Drug Administration (FDA) for the treatment of schizophrenia and bipolar disorder.Olanzapine is structurally similar to clozapine and quetiapine, but is classified as a thienobenzodiazepine. The olanzapine formulations are manufactured and marketed by the pharmaceutical company Eli Lilly and Company; the drug went generic in 2011. Sales of Zyprexa in 2008 were $2.2B in the US, and $4.7B worldwide.
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