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Thread: schizo drugs

  1. #1
    passexam is offline Junior Member 510 points
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    schizo drugs

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    which is the best drug to give to schizos without negative signs........are atypical a better ansmwer cuz of less side effects or are neuroleptics a better choice.....thanks

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    sly2009 is offline Junior Member 510 points
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    Drugs used in schizophrenia

    Dear passusmle,

    The following aspects of a patient's profile determine the choice of an antipsychotic:

    1. Atypical antipsychotics are considered as first line medications because of less incidence of EPS & Tardive dyskinesia.

    2.Patients who have :
    A. Prior good response to typicals
    B. Prefer typicals;

    Typical antipsychotics are useful in above scenarios & may be the first choice for specific individuals.

    3.All antipsychotics generally have same efficacy in treating positive symptoms[with the possible exception of clozapine for treatment-resistant symptoms]

    4.Atypical antipsychotics have better efficacy in treating:
    A.Global Psychopathology
    B.Cognitive ,Negative & Mood symptoms

    5.Consider long acting injectable antipsychotic preparations for patients with recurrent relapses due to non-compliance

    6.Weight gain , Glucose & Lipid metabolism side effects are seen more commonly with atypicals[exceptions are ziprasidone & aripiprazole]

    I hope the above information is of some help.

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