Related Experiment Video
Updated: May 12, 2026
06:45
Rating L-DOPA-Induced Dyskinesias in the Unilaterally 6-OHDA-Lesioned Rat Model of Parkinson's Disease
Published on: October 4, 2021
Dopamine partial agonism in antipsychotic-induced sexual dysfunction
Natalia Mesa1, Jose de la Oliva, Alexandra Bagney
1Servicio de Psiquiatría, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España. nataliamr79@gmail.com
Actas Espanolas De Psiquiatria
|April 18, 2013
Summary
Aripiprazole can reverse antipsychotic-induced sexual dysfunction, such as amenorrhea and erectile dysfunction. This adjunctive treatment improves patient quality of life without compromising antipsychotic efficacy.
Area of Science:
- Psychiatry and Pharmacology
- Neuroscience
Background:
- Antipsychotic medications commonly cause sexual dysfunction due to D2 receptor blockade and subsequent hyperprolactinemia.
- Aripiprazole's partial dopaminergic agonism may mitigate or reverse these effects.
Observation:
- Two patients experiencing amenorrhea and erectile dysfunction during treatment with D2 dopaminergic antagonists for a first psychosis episode were studied.
- Aripiprazole was added to their existing antipsychotic regimen.
Findings:
- The addition of aripiprazole successfully reverted the sexual dysfunction in both patients.
- Therapeutic efficacy and treatment adherence remained unaffected by the adjunctive aripiprazole therapy.
Implications:
- Pharmacological interventions like aripiprazole can improve compliance and quality of life for patients experiencing antipsychotic-induced sexual dysfunction.
- Aripiprazole shows promise as an effective adjunctive treatment for managing sexual side effects in early psychosis treatment.
Related Concept Videos
01:28Drugs Affecting GI Tract Motility: Dopamine Receptor Antagonists
Prokinetic agents are specialized medications that stimulate gastrointestinal (GI) motility, promoting food movement through the GI tract. Dopamine, an inhibitory neurotransmitter, plays a significant role in this process, reducing GI motility and indirectly controlling the speed of digestion. Dopamine receptor antagonists, such as metoclopramide and domperidone, offer a unique advantage as prokinetic agents. By blocking the dopamine receptors, these drugs increase GI motility, improving food...
01:24Parkinson's Disease: Treatment
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of its...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of its...
01:21Antipsychotic 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...
01:21Antipsychotic 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...
Despite these side effects, antipsychotics are used therapeutically for various purposes, including managing schizophrenia, preventing nausea and vomiting, curbing...
01:25Drug-Receptor Interaction: Agonist
Agonists are drugs that interact with specific receptors in the body to produce a biological response. When an agonist binds to a receptor, it activates or enhances the receptor's function, leading to physiological effects. The interaction between agonist drugs and receptors is crucial for their therapeutic action in various medical treatments.
Agonists can bind to receptors in different ways. Some agonists bind directly to the receptor's active site, mimicking the endogenous ligand's action.
Agonists can bind to receptors in different ways. Some agonists bind directly to the receptor's active site, mimicking the endogenous ligand's action.
01:23Antidepressant 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...