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Related Concept Videos

Antipsychotic Drugs: Typical and Atypical Agents01:21

Antipsychotic Drugs: Typical and Atypical Agents

Antipsychotic drugs are classified into first-generation (typical) drugs including phenothiazines; and second-generation (atypical) drugs. Chlorpromazine hydrochloride (Thorazine), a phenothiazine derivative, broadly impacts the central, autonomic, and endocrine systems. This drug, along with typical agents like haloperidol (Haldol), primarily works by antagonizing D2 receptors, thus reducing dopaminergic neurotransmission. However, typical antipsychotics can cause side effects such as sedation...
Psychosis and Antipsychotic Drugs: Overview01:28

Psychosis and Antipsychotic Drugs: Overview

The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic symptoms in all...
Antidepressant Drugs: MAOIs and Other Agents01:23

Antidepressant Drugs: MAOIs and Other Agents

Atypical antidepressants, including bupropion (Wellbutrin), mirtazapine (Remeron), nefazodone (Serzone), trazodone (Desyrel), and vilazodone (Viibryd), offer unique mechanisms of action. Bupropion weakly inhibits dopamine and norepinephrine reuptake, aiding depression treatment and smoking cessation, with a low risk of sexual dysfunction. Mirtazapine enhances serotonin and norepinephrine neurotransmission, leading to sedation, increased appetite, and weight gain. As a result, it helps treat...
Antipsychotic Drugs: Therapeutic Uses and Side Effects01:21

Antipsychotic Drugs: Therapeutic Uses and Side Effects

Antipsychotic drugs primarily block dopamine and serotonin receptors and cholinergic, adrenergic, and histaminergic receptors, thereby reducing hallucinations and delusions in conditions like schizophrenia. However, they can trigger unwanted extrapyramidal effects such as dystonias, Parkinson-like symptoms, and tardive dyskinesia.
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
Psychosis: Goals of Pharmacotherapy01:26

Psychosis: Goals of Pharmacotherapy

Antipsychotic drugs are a crucial treatment method for acute and chronic psychoses, bipolar illness, and behavioral disorders. The selection of these drugs depends on several factors, including the state of the disease, clinical judgment, possible drug interactions, and the patient's sensitivity to adverse effects. In immediate scenarios, such as delirium and dementia, short-term treatment with low doses of high-potency typical or atypical agents can effectively manage symptom exacerbation. For...

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Related Experiment Video

Updated: Jun 24, 2026

Self-Administration of Drugs in Mouse Models of Feeding and Obesity
03:37

Self-Administration of Drugs in Mouse Models of Feeding and Obesity

Published on: June 8, 2021

Weight effects associated with antipsychotics: a comprehensive database analysis.

Bruce Parsons1, David B Allison, Antony Loebel

  • 1Pfizer Inc., 235 E. 42nd Street, New York, NY 10017-5755, USA. bruce.parsons.@pfizer.com

Schizophrenia Research
|March 27, 2009
PubMed
Summary
This summary is machine-generated.

Weight gain varies significantly among atypical antipsychotics. Olanzapine and risperidone showed higher incidence of weight gain compared to placebo, while ziprasidone did not differ significantly, offering crucial insights for treatment selection.

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Multidisciplinary Approach to Obesity Management: A Case Report
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Last Updated: Jun 24, 2026

Self-Administration of Drugs in Mouse Models of Feeding and Obesity
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Self-Administration of Drugs in Mouse Models of Feeding and Obesity

Published on: June 8, 2021

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Area of Science:

  • Psychiatry
  • Pharmacology
  • Clinical Research

Background:

  • Atypical antipsychotic-induced weight gain data are limited by methodological factors.
  • This study evaluates short-term and long-term weight effects of common atypical antipsychotics.

Purpose of the Study:

  • To compare weight changes associated with amisulpride, haloperidol, olanzapine, risperidone, and ziprasidone against placebo.
  • To assess weight gain incidence and patterns across different treatment durations.

Main Methods:

  • Analysis of an integrated clinical trial database from 21 randomized, placebo-controlled studies.
  • Fixed- and random-effects models used to estimate weight change and gain percentage.
  • Defined treatment exposure windows for short-term (4-12 weeks) and long-term (6 months, 1 year) analyses.

Main Results:

  • Long-term (1-year) ziprasidone (17%) and haloperidol (41%) weight gain incidence did not significantly differ from placebo (13%).
  • Olanzapine (57%) and risperidone (39%) showed significantly higher weight gain incidence versus placebo.
  • Differential weight change patterns observed, with median monthly changes for haloperidol, ziprasidone, olanzapine, and risperidone differing from placebo.

Conclusions:

  • Confirms significant differences in long-term weight effects among atypical antipsychotics.
  • Findings align with previous meta-analyses and large-scale schizophrenia studies.
  • Highlights the importance of considering differential weight gain profiles in clinical practice.