Atypical antipsychotic metabolism and excretion.

Abstract:

BACKGROUND:The metabolic/biotransformation pathways of atypical antipsychotics (aripiprazole, clozapine, iloperidone, olanzapine, paliperidone, quetiapine, risperidone, and ziprasidone) have been characterized and reviewed. However, comparisons of excretory pathways remain unexplored. OBJECTIVE:To analyze the excretion profile of atypical antipsychotic agents and compare the overall magnitude of metabolism (changed vs. unchanged drug) and route of excretion (feces vs. urine). Secondary objectives include providing: 1) dosing information in hepatic and renal impairment, and 2) context of the specific enzymes and pathways involved in each agents' biotransformation. METHODS:Published literature and each manufacturer's radiolabeled drug absorption, distribution, metabolism and excretion data and U.S. prescribing information were reviewed. RESULTS:With the exception of paliperidone, atypical antipsychotics undergo extensive metabolism (i.e.,

journal_name

Curr Drug Metab

journal_title

Current drug metabolism

authors

Sheehan JJ,Sliwa JK,Amatniek JC,Grinspan A,Canuso CM

doi

10.2174/138920010791636202

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

516-25

issue

6

eissn

1389-2002

issn

1875-5453

pii

BSP/CDM/E-Pub/00081

journal_volume

11

pub_type

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