12
Treatment
Table
4.
Choice
of
Medication
in
the
Acute
Phase
of
Schizophrenia
Patient
Profile
Atypical
Agents
Clozapine
Conventional
Agents
Long-Acting
Injectable
Antipsychotic
Agents
First
episode
Yes
Yes
Persistent
suicidal
ideation
or
behavior
Yes
Yes
Persistent
hostility
and
aggressive
behavior
Yes
Yes
Tardive
dyskinesia
Yes,
all
atypical
antipsychotics
may
not
be
equal
in
their
lower
or
non-tardive
dyskinesia
liability
Yes
History
of
sensitivity
to
extrapyramidal
side
effects
Yes,
except
risperidone
History
of
sensitivity
to
prolactin-
related
side
effects
Yes,
except
risperidone
or
paliperidone
History
of
sensitivity
to
weight
gain,
hyperglycemia,
or
hyperlipidemia
Ziprasidone,
lurasidone,
asenapine,
paliperidone
ER,
iloperidone
or
aripiprazole
Repeated
nonadherence
to
pharmaco-
logical
treatment
Yes