Document Detail


Aripiprazole: a new atypical antipsychotic with a different pharmacological mechanism.
MedLine Citation:
PMID:  15588748     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aripiprazole is a new atypical antipsychotic with a mode of action that is distinct from currently available antipsychotic drugs. In phase III comparative clinical studies, aripiprazole 15-30 mg/day was at least as effective as haloperidol and risperidone in short term treatment of acute exacerbation of schizophrenia but superior to haloperidol in long term maintenance therapy. Consistent with an atypical profile, aripiprazole is effective against positive, negative and cognitive symptoms of schizophrenia and has a favourable side effect profile with the incidence of extrapyramidal symptoms (EPS) comparable to placebo. It is also devoid of side effects such as clinically significant hyperprolactinaemia, hypercholesterolaemia and cardiotoxicity, and has a low propensity for weight gain. Symptom relief is achieved without significant sedation. These clinical data suggest its usefulness in psychosocial rehabilitation, as well as in long-term prevention of schizophrenic relapse. Recent results from a multicentre, open-label study in a general psychiatric setting provide the first evidence that aripiprazole is also effective under naturalistic conditions. However, only post-marketing experience will show whether the positive results of these controlled trials can be replicated in everyday practice.
Authors:
Dieter Naber; Martin Lambert
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Progress in neuro-psychopharmacology & biological psychiatry     Volume:  28     ISSN:  0278-5846     ISO Abbreviation:  Prog. Neuropsychopharmacol. Biol. Psychiatry     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-13     Completed Date:  2005-03-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8211617     Medline TA:  Prog Neuropsychopharmacol Biol Psychiatry     Country:  England    
Other Details:
Languages:  eng     Pagination:  1213-9     Citation Subset:  IM    
Affiliation:
Department of Psychiatry and Psychotherapy, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, Hamburg 20246, Germany. naber@uke.uni-hamburg.de
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MeSH Terms
Descriptor/Qualifier:
Antipsychotic Agents / pharmacology,  therapeutic use*
Clinical Trials, Phase III as Topic
Haloperidol / therapeutic use
Humans
Meta-Analysis as Topic
Piperazines / pharmacology,  therapeutic use*
Quinolones / pharmacology,  therapeutic use*
Risperidone / therapeutic use
Schizophrenia / drug therapy*
Time Factors
Chemical
Reg. No./Substance:
0/Antipsychotic Agents; 0/Piperazines; 0/Quinolones; 106266-06-2/Risperidone; 129722-12-9/aripiprazole; 52-86-8/Haloperidol

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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