Abstract:
BACKGROUND:Atypical antipsychotics clozapine, olanzapine, and quetiapine have significant affinity for the muscarinic receptors in vitro, while aripiprazole, risperidone, and ziprasidone do not. Dissimilarity in binding profiles may contribute to the reported differences in the anticholinergic effects of these antipsychotics. However, it is difficult with the available data to predict the likelihood of anticholinergic effects occurring with various doses of an atypical antipsychotic. METHODS:We developed a model to assess the potential anticholinergic activity (AA) of atypical antipsychotics at therapeutic doses. A radioreceptor assay was used to measure in vitro AA at 6 clinically relevant concentrations of aripiprazole, clozapine, olanzapine, quetiapine, risperidone, and ziprasidone. Using published pharmacokinetic data, in combination with the measured in vitro AA, dose-AA curves were generated. RESULTS:Clozapine, and to a lesser extent olanzapine and quetiapine showed dose-dependent increases in AA. At therapeutic doses, the AA (in pmol/mL of atropine equivalents) was estimated to range from 27-250, 1-15, and 0-5.4 pmol/mL for clozapine, olanzapine, and quetiapine, respectively. Aripiprazole, risperidone, and ziprasidone did not demonstrate AA at any of the concentrations studied. CONCLUSIONS:Therapeutic doses of clozapine, olanzapine, and, to a lesser extent, quetiapine are associated with clinically relevant AA.
journal_name
Schizophr Resjournal_title
Schizophrenia researchauthors
Chew ML,Mulsant BH,Pollock BG,Lehman ME,Greenspan A,Kirshner MA,Bies RR,Kapur S,Gharabawi Gdoi
10.1016/j.schres.2006.07.011subject
Has Abstractpub_date
2006-12-01 00:00:00pages
63-72issue
1-3eissn
0920-9964issn
1573-2509pii
S0920-9964(06)00315-Xjournal_volume
88pub_type
杂志文章abstract::This study assessed visuospatial attention in healthy adults and medicated schizophrenic patients. Participants performed a visual orientation task in which a peripheral cue was followed. at different intervals, by a target presented either at valid or invalid locations. When the long stimulus onset asynchrony (SOA) w...
journal_title:Schizophrenia research
pub_type: 杂志文章
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abstract::Due to the limitations of analytical techniques and the complicity of schizophrenia, nowadays it is still a challenge to diagnose and stratify schizophrenia patients accurately. Many attempts have been made to identify and validate available biomarkers for schizophrenia from CSF and/or peripheral blood in clinical stu...
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abstract:OBJECTIVE:Attentional deficits represent a core cognitive impairment in schizophrenia. The distractor condition Sustained Attention Task (dSAT) has been identified by the Cognitive Neuroscience Treatment to Improve Cognition in Schizophrenia (CNTRICS) initiative as a promising translational task for assessing schizophr...
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更新日期:2017-11-01 00:00:00
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journal_title:Schizophrenia research
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更新日期:2020-02-01 00:00:00
abstract::Schizophrenia and affective disorders are relatively common neuropsychiatric diseases with a complex genetic etiology. A multigenic inheritance with variable influence of unknown environmental factors may be involved. Family studies have demonstrated the existence of both phenotypes in the same kindreds, and in certai...
journal_title:Schizophrenia research
pub_type: 杂志文章,评审
doi:10.1016/s0920-9964(99)00108-5
更新日期:1999-09-29 00:00:00
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pub_type: 杂志文章
doi:10.1016/0920-9964(92)90073-e
更新日期:1992-04-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2016.01.029
更新日期:2016-03-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Schizophrenia research
pub_type: 杂志文章,评审
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pub_type: 杂志文章,随机对照试验
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doi:10.1016/j.schres.2018.05.029
更新日期:2018-11-01 00:00:00
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更新日期:1993-03-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
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更新日期:2003-09-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/0920-9964(94)00034-6
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章,meta分析,评审
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更新日期:2013-10-01 00:00:00
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更新日期:2007-02-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/0920-9964(94)00060-l
更新日期:1995-07-01 00:00:00
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更新日期:2019-04-01 00:00:00
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更新日期:2003-02-01 00:00:00
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journal_title:Schizophrenia research
pub_type: 杂志文章
doi:10.1016/j.schres.2008.08.032
更新日期:2008-12-01 00:00:00
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更新日期:1998-11-30 00:00:00
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pub_type: 杂志文章
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更新日期:2007-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2014-07-01 00:00:00