So let's wrap this up.
Antipsychotic medications are used to treat a wide range of psychotic disorders
with Schizophrenia being the most common and also the manic phase of bipolar disorder.
Full effect of antipsychotics can take weeks to months for maximum development.
You shouldn't use antipsychotics to treat elderly dementia symptoms.
Remember it can increase the risk of mortality.
Antipsychotics are contraindicated for patients with Parkinson's disease.
We talked about that. Remember, antipsychotics block those dopamine receptors
and Parkinson's patients already struggle with not enough dopamine in their brains.
All antipsychotics are relatively equal in their antipsychotic effect
but they have different side effects.
First generation antipsychotics have an increased risk of EPS including tardive dyskinesia’s.
Second generation have a lower risk of EPS
except they have an equal risk of tardive dyskinesia’s with the first generation.
First generation antipsychotics have a higher risk of neuroleptic malignant syndrome.
Remember that is potentially life-threatening, patient could die from respiratory failure
or cardiovascular collapse and we treat it with Dantrolene or bromocriptine.
Okay, there's four main types of EPS: dystonia, Parkinsonism, and akathisia.
Those are the ones that develop early.
Tardive dyskinesia’s develop later in treatment.
Acute dystonia can involve severe spasm of the tongue, face, neck, back, or even in oculogyric crisis.
Acute dystonia and Parkinsonism may respond to anticholinergic medications like Benztropine.
Akathisia may respond to benzodiazepines or beta blockers.
Thank you for watching our video today.