Disturbances of glucose and lipid metabolism during treatment with new generation antipsychotics

Maria A Rettenbacher1

  • 1Department of Biological Psychiatry, Medical University Innsbruck, Innsbruck, Austria. maria.rettenbacher@uibk.ac.at

Abstract

Insights

Second-generation antipsychotics can alter lipid and glucose metabolism. This review examines these metabolic changes, their mechanisms, and management strategies in patients.

Area of Science:

  • Metabolic disorders
  • Pharmacology
  • Psychiatry

Background:

  • Second-generation antipsychotics (SGAs) are widely used for psychiatric disorders.
  • SGAs are associated with significant adverse metabolic effects.
  • These effects impact patient health and treatment adherence.

Purpose of the Study:

  • To review recent literature on lipid and glucose metabolism alterations in patients treated with SGAs.
  • To explore potential mechanisms underlying these metabolic changes.
  • To discuss prevention and management strategies for SGA-induced metabolic side effects.

Main Methods:

  • Literature review of recent studies.
  • Focus on prospective controlled trials.
  • Analysis of receptor profiles and their relation to metabolic alterations.

Main Results:

  • Numerous reports exist, but prospective controlled trials are limited.
  • Investigates potential differences in metabolic alterations among various SGAs.
  • Highlights the role of receptor profiles in mediating these effects.

Conclusions:

  • Adverse metabolic effects of SGAs are clinically relevant.
  • These effects significantly impact the physical health of schizophrenia patients.
  • Addressing metabolic concerns is crucial for treatment adherence and public health.

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