Schizophrenia is usually treated with a combination of individualized talk therapy and medications. Antipsychotics are often recommended as initial treatment for symptoms of acute schizophrenic episodes. These medications reduce the symptoms of schizophrenia, including hallucinations, delusions, and disorganized thinking, primarily by modulating neurotransmitter levels. Antipsychotics can usually reduce anxiety or feelings of aggression within hours of use, but it may take days or weeks to reduce other symptoms, such as hallucinations or delusions.
Treatments for schizophrenia are divided into first-generation (mainly dopamine D2 receptor antagonists), second-generation (multi-target antagonists whose antagonism of 5-hydroxytryptamine 5-HT2A receptors is greater than that of dopamine D2 receptors), and third-generation antipsychotics, such as aripiprazole, brexpiprazole and carpoprazine as representatives.
Advantages of Different Anti-schizophrenia Drugs
First-generation anti-schizophrenic drugs | Second-generation anti-schizophrenic drugs | Third-generation anti-schizophrenic drugs |
---|---|---|
Effective control of schizophrenic symptoms. Lower cost. |
Fewer extrapyramidal side effects. Better therapeutic effect and duration of efficacy. More manageable side effects. More significant improvement in sleep and affective disorders. |
Less risk of metabolic syndrome (abdominal obesity, hypertension, hyperglycemia, hyperlipidemia) More significant improvement in cognitive function and negative symptoms in patients. |
Disadvantages of Different Anti-schizophrenia Drugs
First-generation anti-schizophrenic drugs | Second-generation anti-schizophrenic drugs | Third-generation anti-schizophrenic drugs |
---|---|---|
Obvious extrapyramidal side effects, including muscle stiffness, tremor, stuttering, and eye rolling up. Long-term use is prone to adverse reactions such as neoplastic pyramidal signs and progeny dyskinesia. |
Some drugs can still cause metabolic disorders and heavy weight gain. Some drugs have adverse effects on cardiovascular function. |
Higher cost than first-generation drugs. Less improvement in metabolic disorders than second-generation drugs. |
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