The DOI matches its Crossref record; 100 of the 100 references it cites were found in a registry or an index.
Metabolic side effects of antipsychotic medication
Abstract
The use of second-generation antipsychotics (SGAs) is associated with metabolic side effects including weight gain, diabetes mellitus and an atherogenic lipid profile. These adverse effects are not only the risk factors for cardiovascular disease, insulin resistance and diabetes mellitus leading to increased morbidity and mortality but may also impair the patient's adherence to treatment. SGAs in particular are associated with significant weight gain with clozapine and olanzapine carrying the highest risk, whereas newer agents, such as risperidone and aripiprazole, are considered to be less prone to cause weight gain. Consequently, a consensus development conference convened issuing recommendations on patient monitoring when treated with SGAs. The metabolic effects of antipsychotic drugs should be of concern when planning a patient's treatment strategy. Baseline screening and regular follow-up monitoring whose intervals should depend on the individual predisposition are advised. Possible therapeutical strategies for the management of drug-induced obesity include therapeutic approaches, such as life style change and pharmaceutical intervention. Drugs with a weight reducing effect become more important because of the lack of compliance with behavioural intervention. Topiramate, histamine-antagonists, dopaminergic- and serotoninergic agents have shown positive results in the management of psychotropic medication induced weight gain. However, further trials are required to support a specific therapeutical approach as well as studies to investigate the underlying mechanisms for future drug development.
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Cites
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Cited by
DE HERT, M., CORRELL, C. U., BOBES, J., CETKOVICH‐BAKMAS, M., COHEN, D., ASAI, I., DETRAUX, J., GAUTAM, S., MÖLLER, H., NDETEI, D. M., et al. (2011) · World Psychiatry · doi:10.1002/j.2051-5545.2011.tb00014.x · Cited by 2,488
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“Antipsychotics interact with many different brain receptors involved with appetite regulation, the most important of which are the histamine H1 receptor, 5-HT2c receptor and b3 and a1 adrenergic receptors [5,71,96,99,100,116,117,130].”
BackgroundInfluentialMetabolic syndrome in people with schizophrenia: a review
DE HERT, M., SCHREURS, V., VANCAMPFORT, D., & VAN WINKEL, R. (2009) · World Psychiatry · doi:10.1002/j.2051-5545.2009.tb00199.x · Cited by 634
Differential effects of psychotropic drugs on microbiome composition and gastrointestinal function
Cussotto, S., Strain, C. R., Fouhy, F., Strain, R. G., Peterson, V. L., Clarke, G., Stanton, C., Dinan, T. G., & Cryan, J. F. (2019) · Psychopharmacology · doi:10.1007/s00213-018-5006-5 · Cited by 266
Association between Short Sleep Duration and High Incidence of Metabolic Syndrome in Midlife Women
Choi, J.-K., Kim, M.-Y., Kim, J.-K., Park, J.-K., Oh, S.-S., Koh, S.-B., & Eom, A. (2011) · The Tohoku Journal of Experimental Medicine · doi:10.1620/tjem.225.187 · Cited by 86
Metadata
- Authors
- Tschoner, A., Engl, J., Laimer, M., Kaser, S., Rettenbacher, M., Fleischhacker, W. W., Patsch, J. R., & Ebenbichler, C. F.
- Venue
- International Journal of Clinical Practice
- Publisher
- Hindawi Limited
- Published
- 2007-07-10
- Volume
- 61
- Issue
- 8
- Pages
- 1356-1370
- ISSN
- 1368-5031 (ISSN-L)
- OpenAlex
- W1894553643
- Cited by
- 253
- References
- 100
- FWCI
- 10.19
- Type
- journal article
- Language
- en
- Open access
- closed
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- Tschoner, A., Engl, J., Laimer, M., Kaser, S., Rettenbacher, M., Fleischhacker, W. W., Patsch, J. R., & Ebenbichler, C. F. (2007). Metabolic side effects of antipsychotic medication. International Journal of Clinical Practice. https://doi.org/10.1111/j.1742-1241.2007.01416.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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