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29 Results Found

  • Article
  • Open Access
16 Citations
6,522 Views
15 Pages

HTR1A, HTR1B, HTR2A, HTR2C and HTR6 Gene Polymorphisms and Extrapyramidal Side Effects in Haloperidol-Treated Patients with Schizophrenia

  • Mirko Grubor,
  • Maja Zivkovic,
  • Marina Sagud,
  • Matea Nikolac Perkovic,
  • Alma Mihaljevic-Peles,
  • Nela Pivac,
  • Dorotea Muck-Seler and
  • Dubravka Svob Strac

Schizophrenia is a serious, chronic psychiatric disorder requiring lifelong treatment. Extrapyramidal side effects (EPS) are common adverse reactions to antipsychotic medications. In addition to the dopaminergic system, serotonergic mechanisms, inclu...

  • Article
  • Open Access
4 Citations
1,788 Views
16 Pages

29 November 2009

The present study compares the extrapyramidal and neurochemical effects of clozapine and risperidone in rat caudate (corpus striatum) and nucleus accumbens (ventral striatum) dose-dependently. Animals injected with clozapine (2.5, 5.0 and 10.0 mg/...

  • Article
  • Open Access
3 Citations
4,029 Views
21 Pages

29 September 2023

Extrapyramidal side effects (EPS) can be induced by neuroleptics that regulate the expression of transcription factor FosB and dopaminergic mediator DARPP-32 in the striatum. However, the long-term neurobiological changes in striatal projection neuro...

  • Article
  • Open Access
11 Citations
9,655 Views
12 Pages

Glycine-Binding Site Stimulants of NMDA Receptors Alleviate Extrapyramidal Motor Disorders by Activating the Nigrostriatal Dopaminergic Pathway

  • Saki Shimizu,
  • Shunsaku Sogabe,
  • Ryoto Yanagisako,
  • Akiyoshi Inada,
  • Megumi Yamanaka,
  • Higor A. Iha and
  • Yukihiro Ohno

Dysfunction of the N-methyl-d-aspartate (NMDA) receptor has been implicated in the pathogenesis of schizophrenia. Although agonists for the glycine-binding sites of NMDA receptors have potential as new medication for schizophrenia, their modulation o...

  • Perspective
  • Open Access
5 Citations
6,438 Views
10 Pages

Psychomotor Symptoms in Chronic Cocaine Users: An Interpretative Model

  • Davide Cenci,
  • Manuel Glauco Carbone,
  • Camilla Callegari and
  • Icro Maremmani

According to the latest estimates, there are around 24.6 million cocaine users worldwide, and it is estimated that around a quarter of the population worldwide has used cocaine at some point in their lifetime. It follows that such widespread consumpt...

  • Article
  • Open Access
1,032 Views
18 Pages

Voice-Based Assessment of Extrapyramidal Symptoms Using Deep Learning

  • Erandhi M. Liyanage,
  • Kun-Chan Lan,
  • Quang Ha and
  • Sai Ho Ling

11 August 2025

Extrapyramidal symptoms encompass features of Parkinsonism, including bradykinesia, cogwheel rigidity, and resting tremors, which contribute to motor impairments hindering handwriting and speech. In this study, we analyzed voice data captured using a...

  • Article
  • Open Access
3 Citations
2,250 Views
17 Pages

Clinical and Sociodemographic Correlations with Neurological Soft Signs in Hospitalized Patients with Schizophrenia: A Preliminary Longitudinal Study

  • Cristian Petrescu,
  • Oana A. Mihalache,
  • Crisanda Vilciu,
  • Diana M. Petrescu,
  • Gabriela Marian,
  • Constantin A. Ciobanu and
  • Adela M. Ciobanu

Schizophrenia is a severe, chronic neuropsychiatric disorder characterized by symptoms that profoundly impact behavior, cognition, perception, and emotions, leading to a reduced quality of life and physical impairment. Given the complexity of schizop...

  • Article
  • Open Access
1 Citations
3,098 Views
16 Pages

SLC6A3, HTR2C and HTR6 Gene Polymorphisms and the Risk of Haloperidol-Induced Parkinsonism

  • Gordana Nedic Erjavec,
  • Mirko Grubor,
  • Maja Zivkovic,
  • Nada Bozina,
  • Marina Sagud,
  • Matea Nikolac Perkovic,
  • Alma Mihaljevic-Peles,
  • Nela Pivac and
  • Dubravka Svob Strac

13 December 2022

Antipsychotic-induced parkinsonism (AIP) is the most common type of extrapyramidal side effect (EPS), caused by the blockage of dopamine receptors. Since dopamine availability might influence the AIP risk, the dopamine transporter (DAT) and serotonin...

  • Review
  • Open Access
3 Citations
4,525 Views
48 Pages

21 March 2024

Schizophrenia is a serious mental disorder that significantly affects the social and professional life of patients, causing distortion of reality and loss of identity and cognitive abilities. Psychopharmacological treatment is an integral part of mod...

  • Proceeding Paper
  • Open Access
1,950 Views
4 Pages

Immunohistochemical Changes after Metoclopramide Administration in Rat Brain Cells

  • Seren Gülşen Gürgen,
  • Ayşe Tuç Yücel,
  • Nurcan Umur and
  • Gülce Naz Yazıcı

6 December 2018

Metoclopramide, used as an anti-emetic drug in clinical practice, has recently also begun being used to establish hyperprolactinemic effects in the breastfeeding. The purpose of this study was to investigate the potential side-effects of metocloprami...

  • Case Report
  • Open Access
6 Citations
1,205 Views
2 Pages

Neuroleptic Malignant Syndrome: A Case Responding to Electroconvulsive Therapy Plus Bupropion

  • Quintí Foguet-Boreu,
  • Montse Coll-Negre,
  • Montse Serra-Millàs and
  • Miquel Cavalleria-Verdaguer

26 January 2018

Neuroleptic malignant syndrome (NMS) is a severe motor syndrome occurring as a consequence of neuroleptic treatment. We present a case of a 67-year-old Caucasian woman with a history of a major depressive disorder with psychotic features. During her...

  • Article
  • Open Access
1,857 Views
13 Pages

18 October 2024

Background and Objectives: Recent studies suggest that the binary categorization of first-generation antipsychotics (FGAs) as being primarily responsible for extrapyramidal symptoms (EPSs) and second-generation antipsychotics (SGAs) for cardiometabol...

  • Review
  • Open Access
53 Citations
17,530 Views
13 Pages

Behavioral and Psychological Symptoms in Dementia (BPSD) and the Use of Antipsychotics

  • Valeria Calsolaro,
  • Grazia Daniela Femminella,
  • Sara Rogani,
  • Salvatore Esposito,
  • Riccardo Franchi,
  • Chukwuma Okoye,
  • Giuseppe Rengo and
  • Fabio Monzani

Dementia affects about 47 million people worldwide, number expected to exponentially increase within 30 years. Alzheimer’s disease (AD) is the most common dementia type, accounting on its own for almost 70% of all dementia cases. Behavioral and psych...

  • Review
  • Open Access
1 Citations
8,742 Views
17 Pages

Haloperidol for Pain Management: A Narrative Review

  • Carlos J. Roldan,
  • Jonathan W. Rowland and
  • Alice L. Ye

21 August 2024

The use of haloperidol in pain management has been a topic of interest for several decades. Haloperidol is a widely used antipsychotic medication with unique pharmacologic properties that make it a potential candidate for pain management. However, th...

  • Review
  • Open Access
6 Citations
8,433 Views
13 Pages

Exploring the Pharmacological and Clinical Features of Lumateperone: A Promising Novel Antipsychotic

  • Magdalena Sowa-Kućma,
  • Patrycja Pańczyszyn-Trzewik and
  • Rafał R. Jaeschke

11 December 2024

Lumateperone is a novel antipsychotic recently approved for the treatment of schizophrenia. Its unique pharmacological profile includes modulation of serotonergic, dopaminergic, and glutamatergic neurotransmission, differentiating it from other secon...

  • Perspective
  • Open Access
5 Citations
6,870 Views
23 Pages

Over the years, the growing “epidemic” spread of cocaine use represents a crucial public health and social problem worldwide. According to the 2023 World Drug Report, 0.4% of the world’s population aged 15 to 64 report using cocaine...

  • Article
  • Open Access
2 Citations
2,450 Views
17 Pages

Pimozide Increases a Delayed Rectifier K+ Conductance in Chicken Embryo Vestibular Hair Cells

  • Roberta Giunta,
  • Giulia Cheli,
  • Paolo Spaiardi,
  • Giancarlo Russo and
  • Sergio Masetto

Pimozide is a conventional antipsychotic drug largely used in the therapy for schizophrenia and Tourette’s syndrome. Pimozide is assumed to inhibit synaptic transmission at the CNS by acting as a dopaminergic D2 receptor antagonist. Moreover, p...

  • Review
  • Open Access
17 Citations
8,724 Views
13 Pages

3 August 2023

Therapeutic intervention for schizophrenia relies on blockade of dopamine D2 receptors in the associative striatum; however, there is little evidence for baseline overdrive of the dopamine system. Instead, the dopamine system is in a hyper-responsive...

  • Article
  • Open Access
9 Citations
2,301 Views
16 Pages

Quetiapine Albumin Nanoparticles as an Efficacious Platform for Brain Deposition and Potentially Improved Antipsychotic Activity

  • Hend Mohamed Abdel-Bar,
  • Alaa S. Tulbah,
  • Hany W. Darwish,
  • Rania Salama,
  • Ibrahim A. Naguib,
  • Heba A. Yassin and
  • Hadel A. Abo El-Enin

Quetiapine (QP) is a second-generation short-acting antipsychotic drug extensively metabolized in the liver, producing pharmacologically inactive metabolites and leading to diminished bioavailability. Therefore, this study aimed to develop an intrave...

  • Review
  • Open Access
61 Citations
8,243 Views
20 Pages

Antioxidant Properties of Second-Generation Antipsychotics: Focus on Microglia

  • Giuseppe Caruso,
  • Margherita Grasso,
  • Annamaria Fidilio,
  • Fabio Tascedda,
  • Filippo Drago and
  • Filippo Caraci

12 December 2020

Recent studies suggest a primary role of oxidative stress in an early phase of the pathogenesis of schizophrenia and a strong neurobiological link has been found between dopaminergic system dysfunction, microglia overactivation, and oxidative stress....

  • Review
  • Open Access
2,727 Views
15 Pages

Considerations for Augmenting Aripiprazole Long-Acting Injectables with Other Antipsychotics: A Mini-Review

  • Jonathan Shaw,
  • Ethan Kim,
  • Emily Ton,
  • Charles Lai,
  • Peter Bota and
  • Tina Allee

21 August 2025

Aripiprazole is a third-generation antipsychotic, approved in 2002, notable for its partial agonism of the Dopamine D2 receptor and lower risk of metabolic and extrapyramidal adverse effects. It is available in a long-acting injectable formulation, w...

  • Article
  • Open Access
6 Citations
3,459 Views
22 Pages

The Impact of Antipsychotic Treatment on Neurological Soft Signs in Patients with Predominantly Negative Symptoms of Schizophrenia

  • Cristian Petrescu,
  • Ioana R. Papacocea,
  • Crisanda Vilciu,
  • Oana A. Mihalache,
  • Diana M. Vlad,
  • Gabriela Marian,
  • Brindusa E. Focseneanu,
  • Cristian T. Sima,
  • Constantin A. Ciobanu and
  • Adela M. Ciobanu
  • + 1 author

15 November 2022

Schizophrenia is a complex and incompletely elucidated pathology that affects sensorimotor function and also produces numerous therapeutic challenges. The aims of this cross-sectional study were to identify the profile of neurological soft signs (NSS...

  • Article
  • Open Access
4 Citations
3,636 Views
13 Pages

Genes of the Glutamatergic System and Tardive Dyskinesia in Patients with Schizophrenia

  • Olga Yu. Fedorenko,
  • Diana Z. Paderina,
  • Elena G. Kornetova,
  • Evgeniya G. Poltavskaya,
  • Ivan V. Pozhidaev,
  • Anastasiia A. Goncharova,
  • Maxim B. Freidin,
  • Anna V. Bocharova,
  • Nikolay A. Bokhan and
  • Svetlana A. Ivanova
  • + 1 author

Background: Tardive dyskinesia (TD) is an extrapyramidal side effect of the long-term use of antipsychotics. In the present study, the role of glutamatergic system genes in the pathogenesis of total TD, as well as two phenotypic forms, orofacial TD a...

  • Article
  • Open Access
13 Citations
4,759 Views
9 Pages

Effect of Pharmacist Intervention on a Population in Taiwan with High Healthcare Utilization and Excessive Polypharmacy

  • Tzu-Chueh Wang,
  • Damien Trezise,
  • Pou-Jen Ku,
  • Hai-Lin Lu,
  • Kung-Chuan Hsu and
  • Po-Cheng Hsu

Patients with high healthcare utilization are at increased risk of polypharmacy and drug interactions. This study investigated the changes in the number of medications, drug interactions and interaction severity in high frequency outpatients with pol...

  • Review
  • Open Access
17 Citations
6,520 Views
20 Pages

Unlocking the Therapeutic Potential of Ulotaront as a Trace Amine-Associated Receptor 1 Agonist for Neuropsychiatric Disorders

  • Savelii R. Kuvarzin,
  • Ilya Sukhanov,
  • Kirill Onokhin,
  • Konstantin Zakharov and
  • Raul R. Gainetdinov

All antipsychotics currently used in clinic block D2 dopamine receptors. Trace amine-associated receptor 1 is emerging as a new therapeutic target for schizophrenia and several other neuropsychiatric disorders. SEP-363856 (International Nonproprietar...

  • Case Report
  • Open Access
474 Views
7 Pages

11 December 2025

Background and Clinical Significance: Wilson disease is a rare autosomal recessive disorder of copper metabolism that can initially present with psychiatric symptoms, leading to delays in accurate diagnosis and treatment. Adult-onset cases may be mis...

  • Article
  • Open Access
1 Citations
1,379 Views
24 Pages

Tunable Intranasal Polymersome Nanocarriers Triggered Olanzapine Brain Delivery and Improved In Vivo Antipsychotic Activity

  • Ahmed A. Katamesh,
  • Hend Mohamed Abdel-Bar,
  • Rania Mahafdeh,
  • Mohammed Khaled Bin Break,
  • Shimaa M. Hassoun,
  • Gehad M. Subaiea,
  • Mostafa E. El-Naggar,
  • Khaled Almansour,
  • Hadel A. Abo El-Enin and
  • Heba A Yassin

Background: Olanzapine (Ola) is a second-generation antipsychotic with clinical utility limited by poor brain bioavailability due to blood–brain barrier restriction, hepatic first-pass metabolism, and systemic side effects. This study aimed to...

  • Review
  • Open Access
2,983 Views
16 Pages

Long-Acting Injectable Antipsychotics in Adolescents: From Current Evidence and Gaps to Clinical Practice

  • Simone Pardossi,
  • Alessandro Cuomo,
  • Giacomo Gualtieri,
  • Mario Pinzi and
  • Andrea Fagiolini

18 October 2025

Background: Adolescence is a vulnerable period for the onset of severe psychiatric conditions, such as psychotic spectrum disorders. Non-adherence to antipsychotics is a common problem in young people with these conditions and paves the way for relap...

  • Review
  • Open Access
48 Citations
17,391 Views
27 Pages

Neurodegenerative disorders (NDs) include a range of chronic conditions characterized by progressive neuronal loss, leading to cognitive, motor, and behavioral impairments. Common examples include Alzheimer’s disease (AD) and Parkinson’s...