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Cited by 253

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

Tschoner, A., Engl, J., Laimer, M., Kaser, S., Rettenbacher, M., Fleischhacker, W. W., Patsch, J. R., Ebenbichler, C. F.·2007·International Journal of Clinical Practice

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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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
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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CoChat. (2026). Citation check: Metabolic side effects of antipsychotic medication. https://app.cochat.ai/papers/10.1111/j.1742-1241.2007.01416.x
The paper
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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