Newer antipsychotics and upcoming molecules for schizophrenia.
Article Details
- CitationCopy to clipboard
George M, Amrutheshwar R, Rajkumar RP, Kattimani S, Dkhar SA
Newer antipsychotics and upcoming molecules for schizophrenia.
Eur J Clin Pharmacol. 2013 Aug;69(8):1497-509. doi: 10.1007/s00228-013-1498-4. Epub 2013 Apr 2.
- PubMed ID
- 23545936 [ View in PubMed]
- Abstract
BACKGROUND: The management of schizophrenia has seen significant strides over the last few decades, due to the increasing availability of a number of antipsychotics. Yet, the diminished efficacy in relation to the negative and cognitive symptoms of schizophrenia, and the disturbing adverse reactions associated with the current antipsychotics, reflect the need for better molecules targeting unexplored pathways. PURPOSE: To review the salient features of the recently approved antipsychotics; namely, iloperidone, asenapine, lurasidone and blonanserin. METHODS: We discuss the advantages, limitations and place in modern pharmacotherapy of each of these drugs. In addition, we briefly highlight the new targets that are being explored. RESULTS: Promising strategies include modulation of the glutamatergic and GABAergic pathways, as well as cholinergic systems. CONCLUSIONS: Although regulatory bodies have approved only a handful of antipsychotics in recent years, the wide spectrum of targets that are being explored could eventually bring out antipsychotics with improved efficacy and acceptability, as well as the potential to revolutionize psychiatric practice.
DrugBank Data that Cites this Article
- Drugs
- Drug Targets
Drug Target Kind Organism Pharmacological Action Actions Iloperidone Alpha-1A adrenergic receptor Protein Humans UnknownAntagonistDetails Iloperidone Dopamine D3 receptor Protein Humans UnknownAntagonistDetails Lurasidone 5-hydroxytryptamine receptor 1A Protein Humans UnknownAntagonistDetails Lurasidone 5-hydroxytryptamine receptor 2A Protein Humans YesAntagonistDetails Lurasidone 5-hydroxytryptamine receptor 7 Protein Humans UnknownAntagonistDetails Lurasidone Alpha-2C adrenergic receptor Protein Humans UnknownAntagonistDetails Lurasidone Dopamine D2 receptor Protein Humans YesAntagonistDetails - Drug Enzymes
Drug Enzyme Kind Organism Pharmacological Action Actions Lurasidone Cytochrome P450 3A4 Protein Humans UnknownSubstrateDetails