Answer BOF 2.43

 

   

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BOF: 2.43

 A 46-year-old female has been on long-term treatment for schizophrenia. She has been referred to the medical clinic as she has put on a lot of weight and developed diabetes mellitus. You see her at the clinic and take a detailed drug history, as you are aware that the following drug could be responsible for her weight gain and the development of diabetes mellitus:

a)      Chlorpromazine

b)      Haloperidol

c)      Clozapine

d)      Risperidone

e)      Olanzapine

Answer:

e)

The drugs used in the treatment of schizophrenia are:

Antipsychotic Drugs (Neuroleptics)

These drugs act by blocking the D1 and D2 groups of dopamine receptors.

The drugs are:

Phenothiazines

Chlorpromazine

Trifluoperazine

Fluphenazine

Butyrophenones

Haloperidol

Atypical Antipsychotics

(Block D2 less than D1)

Clozapine

Risperidone

Olanzapine (causes weight gain and increases risk of diabetes mellitus)

Sulpiride

Quietiapine

Ziprasidone

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