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

< td> olanzapine < td> Geodon
Jeneng umum Conto jeneng merek
aripiprazole Abilify
asenapine Saphris
brexpiprazole Rexulti
cariprazine Vraylar
clozapine Clozaril, FazaClo
iloperidone Fanapt
lurasidone Latuda
Zyprexa
paliperidone Invega
quetiapine< /td> Seroquel
risperidone Risperdal
ziprasidone

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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