Schizophrenia

NEI Schizophrenia

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16 Treatment Drug D 2 Antag D 2 PA D 3 5HT 1A 5HT 2A Aripiprazole +++ +++ +++ ++ Asenapine +++ +++ ++ ++++ Clozapine + + + ++ Iloperidone +++ ++ ++ +++ Lurasidone +++ ? +++ ++ Olanzapine ++ ++ +++ Paliperidone +++ +++ + ++++ Quetiapine + + +* ++* Risperidone +++ +++ + ++++ Ziprasidone +++ +++ ++ ++++ Therapeutic Effects Reduced positive symptoms Reduced positive symptoms Reduced positive symptoms; Reduced negative symptoms; Procognitive; Antidepressant Reduced EPS; Reduced hyperprolactinemia; Antidepressant; Anxiolytic Reduced EPS; Reduced hyperprolactinemia Side Effects EPS; Hyperprolactinemia; Increased negative symptoms; Increased negative symptoms; Increased cognitive deficits; Sedation Relatively lower risk of EPS Unknown Unknown Cardiometabolic + weak binding affinity (100>Ki<1000) ++ moderate binding affinity (10>Ki<100) +++ strong binding affinity (1>Ki<10) ++++ very strong binding affinity (Ki<1) ? No data yet available * Binding property due primarily to the metabolite norquetiapine Receptor Binding Profiles of Atypical Antipsychotics

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