Pharmacology of Aripiprazole Quiz
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Questions and Answers

What is the main advantage of aripiprazole as a partial agonist antipsychotic?

No EPS even at 80% occupancy of D2 receptors

What are the common cardiovascular side effects of blocking a1-receptors?

Orthostatic hypotension, drowsiness, and dizziness

What is the typical proportion by which receptor blockade is reduced for a partial agonist like aripiprazole?

Approximately 25%

What are the side effects associated with H1 histamine receptor blockade?

<p>Weight gain and drowsiness</p> Signup and view all the answers

What are some of the obesity-associated disorders that excessive weight gain induced by antipsychotic drugs can lead to?

<p>Diabetes, hypertension, cardiovascular disease</p> Signup and view all the answers

What criteria characterize atypical antipsychotic drugs?

<p>Low propensity for EPS or tardive dyskinesia, broad antipsychotic efficacy, minimal prolactin elevation, low catalepsy potential, and specific receptor affinities</p> Signup and view all the answers

Which antipsychotic drugs have severe effects on weight gain, with mean increases potentially exceeding 5kg?

<p>Clozapine, olanzapine</p> Signup and view all the answers

What is the basis for the difference between atypical and typical antipsychotic agents?

<p>Relatively high 5HT2A receptor affinity compared to D2 receptor affinity</p> Signup and view all the answers

Name a few antipsychotic drugs that have negligible effects on weight gain.

<p>Ziprasidone</p> Signup and view all the answers

How do atypical antipsychotics differ from classical antipsychotics in terms of binding to the D2 receptor?

<p>Atypical antipsychotics show rapid dissociation from the D2 receptor, while classical antipsychotics bind tightly to it</p> Signup and view all the answers

What is the main difference in mechanism of action between conventional antipsychotic drugs and atypical antipsychotic drugs?

<p>Conventional drugs block dopamine D2 receptors, while atypical drugs have serotonin-dopamine antagonism</p> Signup and view all the answers

What is the role of 5-HT1A receptor partial agonism in some antipsychotic drugs like ziprasidone and aripiprazole?

<p>Protection from weight gain</p> Signup and view all the answers

What are the side effects of conventional antipsychotics due to D2 receptor blockade in the nigrostriatal pathway?

<p>Extrapyramidal symptoms (EPS) which include akathisia, Parkinsonian symptoms, and tardive dyskinesia.</p> Signup and view all the answers

What condition is produced by an increase in prolactin levels due to dopamine receptor blockade in the tuberoinfundibular pathway?

<p>Galactorrhea.</p> Signup and view all the answers

What is the syndrome of abnormal, involuntary, repetitive movements that may result from continued use of conventional antipsychotics?

<p>Tardive dyskinesia.</p> Signup and view all the answers

What pathway is responsible for the worsening of negative symptoms and potential cognitive dysfunction due to D2 receptor blockade by conventional antipsychotics?

<p>Mesocortical pathway.</p> Signup and view all the answers

What are the side effects not related to D2 receptor blockade caused by the blockade of muscarinic receptors by antipsychotics?

<p>Dry mouth, blurred vision, constipation, and cognitive impairment.</p> Signup and view all the answers

What is the condition characterized by restlessness and often alleviated by antimuscarinic drugs due to D2 receptor blockade in the nigrostriatal pathway?

<p>Akathisia.</p> Signup and view all the answers

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