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Published on: May 10, 2018
Disturbances of glucose and lipid metabolism during treatment with new generation antipsychotics
1Department of Biological Psychiatry, Medical University Innsbruck, Innsbruck, Austria. maria.rettenbacher@uibk.ac.at
Purpose Of Review:
The purpose of this paper is to review the recent literature about alterations of lipid and glucose metabolism in patients treated with second generation antipsychotics. This article also addresses possible underlying mechanisms of these changes and discusses ways of preventing these side-effects as well as their management.
Recent Findings:
There is a considerable number of reports on this issue but very few prospective controlled trials dealing with this very important subject. This review further focuses on the question of whether there is a difference with respect to such alterations between the available new generation antipsychotics, depending on their receptor profiles.
Summary:
As adverse metabolic effects have a high impact on the physical health of schizophrenia patients as well as on their treatment adherence, this is a topic of major clinical relevance, with implications for public health.
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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