On the relationship of atypical and low-dose conventional antipsychotics with akathisia in a clinical patient population.

Abstract:

:Metabolic side-effects of atypical antipsychotics have led to concern about their relative safety compared with low doses of conventional neuroleptics. Akathisia is an often misdiagnosed side-effect, which leads to non-compliance and sometimes even exacerbation of psychosis or suicidal behaviour. In fact, little is known about the differences between antipsychotic drugs in clinical practice, since only as few as 20% of patients may be eligible for studies comparing antipsychotic medications with each other. The aim of this study was to find out if the use of conventional antipsychotics is associated with an increased risk of akathisia (compared with atypical antipsychotics) even when low doses of conventional antipsychotics are used. The Barnes Akathisia Rating Scale was used to evaluate akathisia in 100 outpatients on antipsychotic medication. Conventional antipsychotics were associated with an increased risk of akathisia compared with atypical antipsychotics, although the chlorpromazine equivalent doses of conventional antipsychotics were lower than those of the atypicals. An additional akathisia-provoking effect of SSRIs could not be ruled out. The results suggest favouring atypical antipsychotic medication in patients who may easily develop akathisia.

journal_name

Nord J Psychiatry

authors

Markkula J,Helenius H,Lauerma H

doi

10.1080/08039480701226146

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

152-7

issue

2

eissn

0803-9488

issn

1502-4725

pii

777075951

journal_volume

61

pub_type

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