Update on typical and atypical antipsychotic drugs.

Abstract:

:Antipsychotic drugs (APDs) are best classified as typical or atypical. The distinction is based solely on their ability to cause extrapyramidal side effects (EPS), including tardive dyskinesia (TD). The two classes differ in mechanism of action, with atypical APDs providing important modulation of serotonergic neurotransmission. TD increases the death rate and can be minimized by limiting use of typical APDs. Clozapine is unique among the atypical APDs in its efficacy for ameliorating psychosis in patients with treatment-resistant schizophrenia (TRS), for reduction of suicide, and for improving longevity. The typical and atypical APDs do not differ in improving psychopathology in non-TRS. The atypicals vary in metabolic side effects: some have little burden. Cognitive benefits of the atypical APDs may be superior for some domains of cognition and require less use of anticholinergic drugs, which impair memory, for treatment of EPS. Overall, choosing among the atypical APDs as first-line treatment represents the best course for schizophrenia and most likely other disorders for which APDs are used.

journal_name

Annu Rev Med

authors

Meltzer HY

doi

10.1146/annurev-med-050911-161504

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

393-406

eissn

0066-4219

issn

1545-326X

journal_volume

64

pub_type

杂志文章,评审
  • Recent advancements in the treatment of chronic myelogenous leukemia.

    abstract::Chronic myelogenous leukemia (CML) is a clonal hematopoetic stem cell disorder characterized by the Philadelphia chromosome and resultant production of the constitutively activated Bcr-Abl tyrosine kinase. Characterized clinically by marked myeloid proliferation, it invariably terminates in an acute leukemia. Conventi...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.53.082901.103853

    authors: O'Dwyer ME,Mauro MJ,Druker BJ

    更新日期:2002-01-01 00:00:00

  • Podocyte biology and pathogenesis of kidney disease.

    abstract::Proteinuric chronic kidney disease (CKD), once a rare affliction believed to be mainly caused by genetic mutations, has become a global pandemic that severely diminishes the quality of life for millions. Despite the changing face of CKD, treatment options and resources remain woefully antiquated and have failed to arr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-050311-163340

    authors: Reiser J,Sever S

    更新日期:2013-01-01 00:00:00

  • Progress with chronic myelogenous leukemia: a personal perspective over four decades.

    abstract::Our understanding and treatment of chronic myelogenous leukemia (CML) has progressed since 1960 in parallel with work on cancer in general. CML provided the first evidence of a specific genetic change associated with a human cancer (the Philadelphia chromosome) and the clonal nature of these disorders. With improved c...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.med.53.082901.103519

    authors: Nowell PC

    更新日期:2002-01-01 00:00:00

  • Circulating tumor cells and circulating tumor DNA.

    abstract::Solid tumors derived from epithelial tissues (carcinomas) are responsible for 90% of all new cancers in Europe, and the main four tumor entities are breast, prostate, lung, and colon cancer. Present tumor staging is mainly based on local tumor extension, metastatic lymph node involvement, and evidence of overt distant...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-062310-094219

    authors: Alix-Panabières C,Schwarzenbach H,Pantel K

    更新日期:2012-01-01 00:00:00

  • Significance of diastolic dysfunction of the heart.

    abstract::Diastolic dysfunction is an important cause of the clinical syndrome of congestive heart failure. Traditionally, the syndrome of pulmonary congestion due to the elevation of left heart filling pressure has been attributed to the depressed ability of the heart to eject blood during systole, with a secondary increase in...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.42.020191.002211

    authors: Lorell BH

    更新日期:1991-01-01 00:00:00

  • The FDA critical path initiative and its influence on new drug development.

    abstract::Societal expectations about drug safety and efficacy are rising while productivity in the pharmaceutical industry is falling. In 2004, the US Food and Drug Administration introduced the Critical Path Initiative with the intent of modernizing drug development by incorporating recent scientific advances, such as genomic...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.59.090506.155819

    authors: Woodcock J,Woosley R

    更新日期:2008-01-01 00:00:00

  • Goals of inpatient treatment for psychiatric disorders.

    abstract::The purpose of the psychiatric hospital changed dramatically during the twentieth century. Formerly the primary location for psychiatric treatment, the hospital now plays a more circumscribed role within a community-based system of care. Crisis stabilization, safety, and a focus on rapid discharge are the critical com...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.60.042607.080257

    authors: Sharfstein SS

    更新日期:2009-01-01 00:00:00

  • Graft-versus-host disease: pathophysiological and clinical aspects.

    abstract::Graft-versus-host disease (GVHD) is a syndrome observed after allogeneic marrow transplantation and presumably mediated by donor T lymphocytes reactive against the tissues of the recipient. Clinically relevant acute GVHD develops in 35-50% of patients given HLA-identical marrow grafts within the first 100 days of tran...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.35.020184.000303

    authors: Deeg HJ,Storb R

    更新日期:1984-01-01 00:00:00

  • MicroRNAs in Cancer.

    abstract::MicroRNAs (miRNAs) are small, noncoding RNAs with important functions in development, cell differentiation, and regulation of cell cycle and apoptosis. MiRNA expression is deregulated in cancer by a variety of mechanisms including amplification, deletion, mutation, and epigenetic silencing. Several studies have now sh...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.59.053006.104707

    authors: Garzon R,Calin GA,Croce CM

    更新日期:2009-01-01 00:00:00

  • Surgical implications of obesity.

    abstract::Obesity is perhaps the most significant public health problem facing the United States today. Obese patients are at increased risk for numerous medical problems, which can adversely affect surgical outcome. However, these risks have not uniformly translated into increased or prohibitive operative morbidity and mortali...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.49.1.215

    authors: Flancbaum L,Choban PS

    更新日期:1998-01-01 00:00:00

  • Adjuvant Bisphosphonates and Breast Cancer Survival.

    abstract::Randomized trials have studied bisphosphonates in the adjuvant setting of early breast cancer to investigate their ability to prevent treatment-induced bone loss. Trial results have also suggested their potential to prevent disease recurrence and metastases. These trials are summarized in this review. A recent patient...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-053014-103600

    authors: Strobl S,Korkmaz B,Devyatko Y,Schuetz M,Exner R,Dubsky PC,Jakesz R,Gnant M

    更新日期:2016-01-01 00:00:00

  • Medical management of influenza infection.

    abstract::Antiviral drugs are important in the management of seasonal influenza and critical to pandemic planning. Although several other classes of anti-influenza compounds exist, the neuraminidase (NA) inhibitors are currently the only option in most clinical settings. These drugs, zanamivir and oseltamivir, prevent the relea...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.59.061506.213121

    authors: Moscona A

    更新日期:2008-01-01 00:00:00

  • The erbB family: targets for therapeutic development against cancer and therapeutic strategies using monoclonal antibodies and tyrosine kinase inhibitors.

    abstract::The overexpression and aberrant function of members of the erbB family of receptors, particularly erbB1 (also known as epidermal growth factor receptor), and its ligands in many human cancers have provided a rationale for targeting this signaling network with novel approaches. erbB1 is a selective target for inhibitin...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.55.091902.104433

    authors: Rowinsky EK

    更新日期:2004-01-01 00:00:00

  • Imaging of atherosclerosis.

    abstract::It is now well recognized that the atherosclerotic plaques responsible for thrombus formation are not necessarily those that impinge most on the lumen of the vessel. Nevertheless, clinical investigations for atherosclerosis still focus on quantifying the degree of stenosis caused by plaques. Many of the features assoc...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-041709-133809

    authors: Owen DR,Lindsay AC,Choudhury RP,Fayad ZA

    更新日期:2011-01-01 00:00:00

  • Recent advances in surgery for emphysema.

    abstract::Volume reduction surgery is based on the removal of volume-occupying but nonfunctioning emphysematous lung, which is thought to improve pulmonary elastic recoil. The reduction in thoracic volume may also improve thoracic cage and inspiratory muscle function. In addition, dyspnea is lessened, exercise tolerance is incr...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.387

    authors: Lefrak SS,Yusen RD,Trulock EP,Pohl MS,Patterson A,Cooper JD

    更新日期:1997-01-01 00:00:00

  • New approaches to the treatment of osteoporosis.

    abstract::Although safe and effective agents are currently available to treat osteoporosis, fragility fractures remain a significant problem worldwide. Recent improvements in the understanding of the cellular, biochemical, and molecular pathways of bone biology have led to the development of newer agents to treat osteoporosis, ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-061709-145401

    authors: Silva BC,Bilezikian JP

    更新日期:2011-01-01 00:00:00

  • Innovations in Ventricular Assist Devices for End-Stage Heart Failure.

    abstract::The number of patients with end-stage heart failure (HF) continues to increase over time, but there has been little change in the availability of organs for cardiac transplantation, intensifying the demand for left ventricular assist devices (LVADs) as a bridge to transplantation. There is also a growing number of pat...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev-med-041217-011015

    authors: Miller RJH,Teuteberg JJ,Hunt SA

    更新日期:2019-01-27 00:00:00

  • Cellular action of calcium channel blocking drugs.

    abstract::The calcium antagonists are an exciting "class" of drugs that are already making an important impact in the treatment of coronary artery disease. All three drugs in use in the US, verapamil, nifedipine, and diltiazem, are effective coronary vasodilators. In addition, verapamil and diltiazem have antiarrhythmic activit...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.35.020184.001545

    authors: Schwartz A,Triggle DJ

    更新日期:1984-01-01 00:00:00

  • Ductal carcinoma in situ of the breast.

    abstract::Ductal carcinoma in situ of the breast is a heterogeneous group of lesions with diverse malignant potential. It is the most rapidly growing subgroup in the breast cancer family; it is projected that more than 39,000 new cases will be diagnosed in the United States during 1999. Most new cases are nonpalpable and are di...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.51.1.17

    authors: Silverstein MJ

    更新日期:2000-01-01 00:00:00

  • Cardiac resynchronization treatment of heart failure.

    abstract::Cardiac resynchronization therapy (CRT) is well established as a treatment for patients with moderate to severe heart failure on optimal medical therapy. Early studies demonstrated improved functional capacity and evidence of reverse remodeling; more recently, CRT has been associated with a survival benefit in advance...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.57.051804.122251

    authors: Hasan A,Abraham WT

    更新日期:2007-01-01 00:00:00

  • Collagenous colitis and lymphocytic colitis.

    abstract::Collagenous and lymphocytic colitis are newly recognized causes of chronic watery diarrhea that typically affect middle-aged patients. Although endoscopic studies are normal, inflammatory changes and (in the case of collagenous colitis) collagen deposition occur histologically in the colonic mucosa. The pathogenesis o...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.45.1.105

    authors: Zeroogian JM,Chopra S

    更新日期:1994-01-01 00:00:00

  • Toxicity of parathyroid hormone in uremia.

    abstract::The most significant complication of elevated parathyroid hormone (PTH) levels in uremia is the development of osteitis fibrosa cystica. The hormone also appears to play a role in soft-tissue and organ calcification, metabolic abnormalities (glucose, lipids), and electroencephalographic changes seen in uremic patients...

    journal_title:Annual review of medicine

    pub_type: 杂志文章

    doi:10.1146/annurev.me.37.020186.000443

    authors: Klahr S,Slatopolsky E

    更新日期:1986-01-01 00:00:00

  • Progress in antisense technology.

    abstract::Antisense technology exploits oligonucleotide analogs to bind to target RNAs via Watson-Crick hybridization. Once bound, the antisense agent either disables or induces the degradation of the target RNA. Antisense agents can also alter splicing. During the past decade, much has been learned about the basic mechanisms o...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.55.091902.104408

    authors: Crooke ST

    更新日期:2004-01-01 00:00:00

  • Thrombopoietin: understanding and manipulating platelet production.

    abstract::Until recently, platelet production was the least understood aspect of blood cell development. This gap in our understanding resulted from the scarcity of megakaryocytes, the marrow precursor of blood platelets, and from confusion surrounding the cytokines and hormones that support their development. The recent clonin...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.48.1.1

    authors: Kaushansky K

    更新日期:1997-01-01 00:00:00

  • Organ preservation.

    abstract::Organ preservation is the supply line for organ transplantation. Currently, the liver, pancreas, and kidney can be successfully preserved for up to two days by flushing the organs with the University of Wisconsin (UW) organ preservation solution and storing them at hypothermia (0-5 degree C). The UW solution is effect...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.med.46.1.235

    authors: Southard JH,Belzer FO

    更新日期:1995-01-01 00:00:00

  • The genetics of multiple endocrine neoplasia syndromes.

    abstract::The familial nature of multiple endocrine neoplasia syndromes (FMEN) has been recognized for some time but little is known about their cause. Recent application of new molecular techniques has mapped FMEN syndromes to specific chromosomes and provided evidence for the mechanism through which neoplasia occurs. In this ...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.43.020192.001345

    authors: Nanes MS,Catherwood BD

    更新日期:1992-01-01 00:00:00

  • Effects of anesthesia on intermediary metabolism.

    abstract::Major inhalational anesthetics cause inhibition in the electron transport chain in the region of Complex I resulting in decreased oxygen utilization, inhibition of metabolism of NAD-linked substrates, but not of succinate, inhibition of mitochondrial calcium uptake, and depression of synaptic transmission because of p...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.26.020175.002135

    authors: Brunner EA,Cheng SC,Berman ML

    更新日期:1975-01-01 00:00:00

  • Endothelial dysfunction in coronary artery disease.

    abstract::The endothelium is a physical barrier between the blood and vascular smooth muscle, a source of enzymes activating and deactivating cardiovascular hormones and a site of production of relaxing and contracting factors. In addition, the endothelium is a source of growth inhibitors and promoters of vascular smooth muscle...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.44.020193.002143

    authors: Lüscher TF,Tanner FC,Tschudi MR,Noll G

    更新日期:1993-01-01 00:00:00

  • Mediators of ischemic renal injury.

    abstract::Acute renal failure is a serious consequence of renal ischemia. The diagnosis carries an associated high mortality rate. When blood flow to the kidneys is inadequate to supply metabolic demands, a number of pathophysiological changes occur that ultimately result in cell death and tissue dysfunction, characterized by a...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.39.020188.002531

    authors: Bonventre JV

    更新日期:1988-01-01 00:00:00

  • Neuromodulation techniques for medically refractory chronic pain.

    abstract::Advances in our knowledge of the physiology of pain transmission and modulation have created new surgical options for the control of chronic pain. The pain modulation network can be activated by administration of spinal opiates or by electrical stimulation of the nervous system with transcutaneous, peripheral nerve, s...

    journal_title:Annual review of medicine

    pub_type: 杂志文章,评审

    doi:10.1146/annurev.me.44.020193.001431

    authors: Landau B,Levy RM

    更新日期:1993-01-01 00:00:00