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- Title
Aripiprazole in combination with other antipsychotic drugs may worsen psychosis.
- Authors
Adan-Manes, J; Garcia-Parajua, P
- Abstract
Aripiprazole is a new generation antipsychotic drug with a partial agonist effect on dopamine D2 and D3 receptors. We report the case of a schizophrenic patient whose symptoms worsened after adding aripiprazole to another antipsychotic drug (amisulpiride). The physiopathology of this process seems to be mediated through the dopaminergic effect of aripiprazole in hypodopaminergic environments, caused by the administration of antipsychotic drugs such as amisulpiride. Besides this, the chronic administration of neuroleptic drugs may induce a hypersensitivity to dopamine agonists. In this context, we consider that the dopaminergic effect of aripiprazole may have induced a worsening of psychotic symptoms. We conclude that clinicians should be cautious when adding aripiprazole to patients under treatment with dopamine antagonists with a high affinity for D2 and D3 receptors.
- Publication
Journal of clinical pharmacy and therapeutics, 2009, Vol 34, Issue 2, p245
- ISSN
1365-2710
- Publication type
Journal Article
- DOI
10.1111/j.1365-2710.2008.00996.x