Antipsikotik atipikal
Apa iku antipsikotik atipikal?
Antipsikotik atipikal yaiku antipsikotik sing luwih cilik tinimbang antipsikotik tradisional nyebabake efek samping tartamtu, kayata gejala ekstrapiramidal (EPS). EPS minangka kelainan gerakan sing disebabake obat-obatan lan kalebu tremor, gejala kaya Parkinson (mlaku kanthi acak, fitur rai kaya topeng) lan tardive dyskinesia (iki nggambarake gerakan rai sing ora normal, bola-bali kayata lip smacking utawa poking ilat metu).< /p>
Aneka antipsikotik atipikal ditemokake bubar; Nanging, clozapine asring diarani minangka antipsikotik atipikal sanajan ditemokake luwih saka 60 taun kepungkur. Antipsikotik atipikal uga dikenal minangka antipsikotik generasi kapindho.
Para ahli ora ngerti persis cara kerja antipsikotik atipikal nanging katon mblokir reseptor kimia tartamtu ing otak, sing mengaruhi tingkat macem-macem neurotransmitter kayata dopamin, asetilkolin, noradrenalin. , utawa serotonin. Antipsikotik atipikal katon duwe afinitas sing luwih dhuwur kanggo reseptor serotonin lan afinitas sing luwih murah kanggo reseptor dopamin tinimbang antipsikotik khas.
Apa sing digunakake antipsikotik atipikal?
Antipsikotik atipikal digunakake kanggo ngilangi gejala. kayata khayalan (kapercayan sing salah), krungu swara, ndeleng barang sing ora ana (halusinasi), utawa pikirane paranoid utawa bingung sing biasane digandhengake karo sawetara penyakit mental.
Bisa digunakake kanggo nambani gejala skizofrenia utawa episode psikotik; ing perawatan saka depresi abot; agitasi abot utawa kuatir; utawa kanggo stabil episode mania ing wong kelainan Bipolar. Sawetara sing disetujoni FDA kanggo bocah-bocah kanggo nambani iritasi sing ana gandhengane karo kelainan Autistik.
Apa bedane antarane antipsikotik atipikal?
Atipsikotik atipikal beda-beda ing cara diserap menyang awak. , carane padha dimetabolisme, dawa efeke, lan carane diekskresi. Ana uga beda-beda ing antarane:
- Tambahan bobot: Clozapine katon duwe risiko paling dhuwur banjur olanzapine lan quetiapine
- Panyurangan ing risiko acara bunuh diri lan prilaku: Clozapine katon luwih unggul tinimbang olanzapine
- Penghentian amarga efek samping: Clozapine nduweni tingkat penghentian paling dhuwur ing jangka pendek nanging tingkat paling murah tinimbang antipsikotik ing jangka panjang (rong taun utawa luwih). )
- Risperidone katon duwe tingkat EPS sing luwih dhuwur tinimbang olanzapine
- Risperidone bisa uga duwe tingkat disfungsi seksual sing luwih dhuwur dibandhingake karo quetiapine, nanging tingkat sing padha yen dibandhingake karo ziprasidone
- Wanita bisa uga luwih responsif marang clozapine lan olanzapine tinimbang wong lanang.
Kanthi prabédan antarane antipsikotik atipikal lan antipsikotik khas, antipsikotik atipikal kurang bisa ngasilake EPS nanging luwih cenderung nyebabake bobot awak. gain. Bubar, ora ana bedane efektifitas babagan perbaikan gejala antarane antipsikotik atipikal lan antipsikotik khas wis ditampilake.
Antipsikotik Atipikal Umum Kasedhiya ing AS
Jeneng umum | Conto jeneng merek |
---|---|
aripiprazole | Abilify td> |
asenapine | Saphris |
brexpiprazole | Rexulti | tr>
cariprazine | Vraylar |
clozapine | Clozaril, FazaClo |
iloperidone | Fanapt |
lurasidone | Latuda |
Zyprexa | |
paliperidone | Invega |
quetiapine< /td> | Seroquel |
risperidone | Risperdal |
ziprasidone | < td> Geodon
Apa antipsikotik atipikal aman?
Kabeh obat duwe risiko lan mupangat lan antipsikotik atipikal ora kajaba. Nalika dijupuk kaya sing diwenehake dening dokter ing wong sing ora duwe contraindications kanggo nggunakake, antipsikotik atipikal dianggep aman; Nanging, sawetara, kayata clozapine, mbutuhake pemantauan terus-terusan.
Kira-kira 1 saka 10 wong sing njupuk clozapine ngalami neutropenia, yaiku mundhut kapasitas ngasilake sel getih putih sing dibutuhake kanggo nglawan infeksi. Iki bisa nyebabake infeksi serius lan bisa nyebabake pati. Sapa wae sing njupuk clozapine mbutuhake tes getih biasa kanggo mriksa jumlah sel getih. Clozapine uga bisa nyebabake owah-owahan denyut jantung utawa tekanan getih, konstipasi, salivasi sing berlebihan, sedasi, utawa bobot awak. Nanging, ora cenderung nyebabake gejala sing gegandhengan karo gerakan kayata EPS.
Kabeh antipsikotik digandhengake karo tambah risiko pati nalika digunakake ing wong tuwa, utamane sing nandhang demensia, lan ora disetujoni. nggunakake iki. Kajaba iku, antipsikotik atipikal bisa nyebabake owah-owahan ing metabolisme lan nambah risiko diabetes lan kolesterol dhuwur.
Apa efek samping saka antipsikotik atipikal?
Antipsikotik atipikal luwih cenderung tinimbang antipsikotik khas. antipsikotik sing nyebabake bobot lan gangguan metabolisme kalebu paningkatan insiden diabetes tipe 2 lan kolesterol dhuwur.
Efek samping liyane sing umum kalebu:
- kangel konsentrasi utawa ngomong< /li>
- owah-owahan tekanan getih
- sembelit
- susah turu
- ngiler
- ngantuk
- rai kaya topeng
- rasa gelisah utawa kudu tetep obah
- disfungsi seksual
- mlaku-mlaku shuffling
- tremor
- masalah penglihatan (kabur utawa penglihatan ganda).
Kabeh antipsikotik bisa nyebabake rasa ngantuk. Umume antipsikotik digandhengake karo tingkat penghentian sing dhuwur amarga efek samping utawa ora ana efek.
Dhaptar obat karo Antipsikotik atipikal
Jeneng Obat |
---|
Abilify Generic name: Aripiprazole (oral) |
Abilify (Aripiprazole Intramuscular) Generic name: Aripiprazole |
Abilify (Aripiprazole Oral) Generic name: Aripiprazole |
Abilify Discmelt Generic name: Aripiprazole |
Abilify Maintena Generic name: Aripiprazole Lauroxil (injection) |
Abilify Maintena Prefilled Syringe injection Generic name: Aripiprazole (injection) |
Abilify Mycite Generic name: Aripiprazole |
Abilify MyCite Maintenance Kit oral with sensor Generic name: Aripiprazole (oral With Sensor) |
Abilify MyCite Starter Kit oral with sensor Generic name: Aripiprazole (oral With Sensor) |
Aripiprazole Generic name: Aripiprazole (oral) |
Aripiprazole (Intramuscular) Generic name: Aripiprazole |
Aripiprazole (Oral) Generic name: Aripiprazole |
Aripiprazole injection Generic name: Aripiprazole (injection) |
Aripiprazole lauroxil Generic name: Aripiprazole Lauroxil |
Aripiprazole oral with sensor Generic name: Aripiprazole (oral With Sensor) |
Aristada Generic name: Aripiprazole Lauroxil (injection) |
Aristada Initio Generic name: Aripiprazole Lauroxil |
Aristada Initio injection Generic name: Aripiprazole (injection) |
Aristada injection Generic name: Aripiprazole (injection) |
Asenapine sublingual Generic name: Asenapine (sublingual) |
Asenapine transdermal Generic name: Asenapine (transdermal) |
Clozapine Generic name: Clozapine |
Clozaril Generic name: Clozapine |
Brexpiprazole Generic name: Brexpiprazole |
Caplyta Generic name: Lumateperone |
Cariprazine Generic name: Cariprazine |
Fanapt Generic name: Iloperidone |
Fanapt Titration Pack Generic name: Iloperidone |
Fazaclo Generic name: Clozapine |
Geodon Generic name: Ziprasidone |
Geodon (Ziprasidone Intramuscular) Generic name: Ziprasidone |
Geodon (Ziprasidone Oral) Generic name: Ziprasidone |
Iloperidone Generic name: Iloperidone |
Invega Generic name: Paliperidone (oral) |
Invega Hafyera Generic name: Paliperidone Palmitate |
Invega Hafyera injection Generic name: Paliperidone (injection) |
Invega Sustenna Generic name: Paliperidone (injection) |
Invega Trinza Generic name: Paliperidone Palminate |
Latuda Generic name: Lurasidone |
Lumateperone Generic name: Lumateperone |
Lurasidone Generic name: Lurasidone |
Nuplazid Generic name: Pimavanserin |
Olanzapine Generic name: Olanzapine (oral) |
Olanzapine (Intramuscular) Generic name: Olanzapine |
Olanzapine (Oral) Generic name: Olanzapine |
Olanzapine injection Generic name: Olanzapine (injection) |
Paliperidone Generic name: Paliperidone (oral) |
Paliperidone (Intramuscular) Generic name: Paliperidone |
Paliperidone (Oral) Generic name: Paliperidone |
Paliperidone injection Generic name: Paliperidone (injection) |
Perseris Generic name: Risperidone |
Perseris injection Generic name: Risperidone (injection) |
Pimavanserin Generic name: Pimavanserin |
Quetiapine Generic name: Quetiapine |
Rexulti Generic name: Brexpiprazole |
Risperdal Generic name: Risperidone (oral) |
Risperdal Consta Generic name: Risperidone (injection) |
Risperdal M-Tab Generic name: Risperidone |
Risperidone Generic name: Risperidone (oral) |
Risperidone (Intramuscular, Subcutaneous) Generic name: Risperidone |
Risperidone (Oral) Generic name: Risperidone |
Risperidone injection Generic name: Risperidone (injection) |
RisperiDONE M-Tab Generic name: Risperidone |
Rykindo Generic name: Risperidone |
Saphris Generic name: Asenapine (sublingual) |
Secuado Generic name: Asenapine |
Secuado transdermal Generic name: Asenapine (transdermal) |
Seroquel Generic name: Quetiapine |
Seroquel XR Generic name: Quetiapine |
Uzedy Generic name: Risperidone (injection) |
Uzedy injection Generic name: Risperidone (injection) |
Versacloz Generic name: Clozapine |
Vraylar Generic name: Cariprazine |
Ziprasidone Generic name: Ziprasidone (oral/injection) |
Ziprasidone (Intramuscular) Generic name: Ziprasidone |
Ziprasidone (Oral) Generic name: Ziprasidone |
Zyprexa Generic name: Olanzapine (oral) |
ZyPREXA injection Generic name: Olanzapine (injection) |
Zyprexa IntraMuscular Generic name: Olanzapine |
Zyprexa Relprevv Generic name: Olanzapine (injection) |
Zyprexa Zydis Generic name: Olanzapine (oral) |
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