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Hustig & Norrie, Box 2 | Common side effects of oral antipsychotic drugs |
| Drugs | Sedation | Postural hypotension | Anticholinergic effects | Extrapyramidal side effects | Other* |
Phenothiazines |
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| Chlorpromazine | +++ | +++ | ++ | ++ | Photosensitivity |
| Pericyazine | +++ | ++ | +++ | ++ | |
| Thioridazine | +++ | ++ | ++ | ++ | Severe decrease in libido Retinal pigmentation Cardiotoxicity in overdose |
Fluphenazine |
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| Trifluoperazine | ++ | + | + | ++ | |
Butyrophenones |
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| Haloperidol | + | + | + | +++ | Young men most at risk of side effects Acute dystonic reactions |
Thioxanthines |
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| Thiothixene | ++ | + | + | +++ | Slightly activating |
Diphenylbutyl |
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| Pimozide | + | + | + | +++ | Sudden death due to arrhythmia at high doses ECG monitoring of benefit |
Atypical neuroleptic agents |
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| Clozapine | ++++ | +++ | +++ | + | Agranulocytosis Weight gain |
| Risperidone | + | ++ | + | + | Extrapyramidal symptoms increase in higher doses |
| Olanzapine | ++ | + | ++ | + | Weight gain |
*A more comprehensive discussion of side effects is available in the Psychotropic drug guidelines. | |||||
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