Atypical antipsychotics: New drugs, new challenges

Atypical antipsychotics: New drugs, new challenges
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DOI:
10.3949/ccjm.74.8.597
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发表时间:
2007-08-01
影响因子:
6.1
通讯作者:
Muzina, David J.
Muzina, David J.
中科院分区:
医学4区
文献类型:
--
作者:
Mathews, Manu;Muzina, David J.

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与第一代或“典型”抗精神病药物相比,第二代或非典型抗精神病药物引起的锥体外系(运动)问题较少,但它们带来了新的挑战,因为它们经常导致代谢紊乱,如体重增加、高脂血症、胰岛素抵抗和2型糖尿病。服用非典型抗精神病药物的患者应监测血糖和心血管危险因素,并在出现此类问题时接受治疗。
Compared with the first-generation, or "typical" antipsychotic drugs, second-generation or atypical antipsychotics cause fewer extrapyramidal (motor) problems, but they pose new challenges, as they often contribute to metabolic disturbances such as weight gain, hyperlipidemia, insulin resistance, and type 2 diabetes mellitus. Patients taking atypical antipsychotics should be monitored for glycemic and cardiovascular risk factors and should receive treatment for such problems as they arise.