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Index
»
PHARMACOLOGY 1
»
ANTIPSYCHOTICS CHAPTER 11
»
Level 3
level: Level 3
Questions and Answers List
Specific Agents
level questions: Level 3
Question
Answer
Have a tricyclic structure in which TWO BENZENE RINGS are linked by a sulfur and a nitrogen atom
PHENOTHIAZINES
Types PHENOTHIAZINES
• ALIPHATIC - Chlorpromazine • PIPERAZINE - Fluphenazine, Prochlorperazine • PIPERIDINE - Thioridazine
• FIRST PHENOTHIAZINE COMPOUND introduced in therapy • used to treat INTRACTABLE HICCUPS ALIPHATIC
Chlorpromazine • Thorazine®
1 •Sparine® 2 •Vesprin® 3 • Mellaril® (PIPERIDINE) 4 •Serentil®
1 Promazine 2 Triflupromazine 3 Thioridazine 4 Mesoridazine
Promote ARRYTHMIA HIGHEST RISK for QT INTERVAL Has been issued with BLACK BOX WARNING May lead to BLINDNESS due to retinal deposits
Thioridazine
• MAINLY used for its ANTI-EMETIC EFFECT rather than as antipsychotic agent Treatment of drug-induced NAUSEA PIPERAZINE
Prochlorperazine • Compazine®
• an effective ANTIPSYCHOTIC AND ANTIEMETIC
Perphenazine
• the most POTENT antipsychotic PHENOTHIAZINE •HIGHEST RISK OF EXTRAPYRAMIDAL SYMPTOMS PIPERAZINE
Fluphenazine • Permitil®, Prolixin®
• DIFFERS FROM THE PHENOTHIAZINE SYSTEM by replacement of the N-H moiety with a carbon atom doubly bonded to the propylidine side chain THIOXANTHENE
Thiothixene • Navane®
• a POTENT antipsychotic USEFUL IN SCHIZOPHRENIA and in psychoses associated with BRAIN DAMAGE frequently chosen to TERMINATE MANIA and often used in therapy for GILLES DE LA TOURETTE BUTYROPHENONE
Haloperidol • Haldol®
• may be used alone as a PREANESTHETIC NEUROLEPTIC or as ANTIEMETIC BUTYROPHENONE
Droperidol • Inapsine®