Flupentixol: Difference between revisions

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'''Flupentixol''' (also known as '''Fluanxol''') is a typical [[antipsychotic]] drug from the [[thioxanthene]] class. It is primarily used in the treatment of [[schizophrenia]] and other [[psychosis|psychotic disorders]].  
{{Short description|A typical antipsychotic medication}}
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'''Flupentixol''', also known as '''flupenthixol''', is a typical [[antipsychotic]] medication primarily used in the treatment of [[schizophrenia]] and other psychotic disorders. It belongs to the class of drugs known as [[thioxanthenes]], which are similar to [[phenothiazines]] in their chemical structure and pharmacological effects.


==Pharmacology==
==Pharmacology==
Flupentixol is a potent antagonist of both [[dopamine]] D1 and D2 receptors, inhibiting the effects of dopamine in the brain. It also has some affinity for the [[serotonin]] 5-HT2A receptor, which may contribute to its antipsychotic effects.
Flupentixol acts as an antagonist at various [[neurotransmitter]] receptors in the brain, including [[dopamine]] D1 and D2 receptors, as well as [[serotonin]] 5-HT2 receptors. This action helps to alleviate symptoms of psychosis such as [[hallucinations]], [[delusions]], and thought disorders by modulating the activity of these neurotransmitters.
 
===Mechanism of Action===
The primary mechanism of action of flupentixol is the blockade of dopamine D2 receptors. This reduces the overactivity of dopamine pathways in the brain, which is thought to be a contributing factor in the development of psychotic symptoms. By reducing dopamine activity, flupentixol helps to stabilize mood and reduce psychotic symptoms.
 
==Clinical Uses==
Flupentixol is used in the management of several psychiatric conditions:


==Clinical Use==
* '''Schizophrenia''': It is effective in reducing both positive symptoms (such as hallucinations and delusions) and negative symptoms (such as social withdrawal and lack of motivation).
Flupentixol is used in the treatment of acute and chronic schizophrenia, other psychotic disorders, and as an adjunct in the treatment of severe depression. It is available in oral and injectable forms. The injectable form, flupentixol decanoate, is a long-acting preparation used for maintenance therapy.
* '''Depressive Disorders''': In some cases, flupentixol is used in combination with [[antidepressants]] to treat depression, particularly when accompanied by psychotic features.
* '''Bipolar Disorder''': It may be used as an adjunctive treatment in bipolar disorder to manage manic episodes.
 
==Administration and Dosage==
Flupentixol is available in various forms, including oral tablets and long-acting injectable formulations. The dosage and frequency of administration depend on the specific condition being treated and the individual patient's response to the medication.
 
===Oral Formulation===
The oral form is typically administered daily, with doses adjusted based on therapeutic response and side effects.
 
===Depot Injection===
The depot injection form of flupentixol is administered intramuscularly, usually every two to four weeks. This formulation is particularly useful for patients who have difficulty adhering to daily oral medication regimens.


==Side Effects==
==Side Effects==
Common side effects of flupentixol include [[extrapyramidal symptoms]] such as tremor, rigidity, and akathisia, [[dystonia]], and [[tardive dyskinesia]]. Other side effects can include dry mouth, blurred vision, constipation, and weight gain.  
Common side effects of flupentixol include [[drowsiness]], [[dry mouth]], [[constipation]], and [[weight gain]]. More serious side effects can include [[extrapyramidal symptoms]] such as [[tardive dyskinesia]], [[akathisia]], and [[parkinsonism]].


==Contraindications==
==Contraindications==
Flupentixol is contraindicated in patients with known hypersensitivity to the drug or any of its components. It should be used with caution in patients with cardiovascular disease, liver disease, and in elderly patients.
Flupentixol is contraindicated in patients with known hypersensitivity to the drug or any of its components. It should be used with caution in patients with a history of [[seizures]], [[cardiovascular disease]], or [[liver impairment]].


==See Also==
==Related Pages==
* [[Antipsychotic]]
* [[Antipsychotic]]
* [[Schizophrenia]]
* [[Schizophrenia]]
* [[Psychosis]]
* [[Dopamine receptor antagonist]]
* [[Dopamine]]
* [[Thioxanthene]]
* [[Serotonin]]


[[Category:Antipsychotics]]
[[Category:Antipsychotics]]
[[Category:Thioxanthenes]]
[[Category:Thioxanthenes]]
[[Category:Medicine]]
[[Category:Dopamine antagonists]]
 
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Latest revision as of 10:47, 23 March 2025

A typical antipsychotic medication


Flupentixol
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Flupentixol, also known as flupenthixol, is a typical antipsychotic medication primarily used in the treatment of schizophrenia and other psychotic disorders. It belongs to the class of drugs known as thioxanthenes, which are similar to phenothiazines in their chemical structure and pharmacological effects.

Pharmacology[edit]

Flupentixol acts as an antagonist at various neurotransmitter receptors in the brain, including dopamine D1 and D2 receptors, as well as serotonin 5-HT2 receptors. This action helps to alleviate symptoms of psychosis such as hallucinations, delusions, and thought disorders by modulating the activity of these neurotransmitters.

Mechanism of Action[edit]

The primary mechanism of action of flupentixol is the blockade of dopamine D2 receptors. This reduces the overactivity of dopamine pathways in the brain, which is thought to be a contributing factor in the development of psychotic symptoms. By reducing dopamine activity, flupentixol helps to stabilize mood and reduce psychotic symptoms.

Clinical Uses[edit]

Flupentixol is used in the management of several psychiatric conditions:

  • Schizophrenia: It is effective in reducing both positive symptoms (such as hallucinations and delusions) and negative symptoms (such as social withdrawal and lack of motivation).
  • Depressive Disorders: In some cases, flupentixol is used in combination with antidepressants to treat depression, particularly when accompanied by psychotic features.
  • Bipolar Disorder: It may be used as an adjunctive treatment in bipolar disorder to manage manic episodes.

Administration and Dosage[edit]

Flupentixol is available in various forms, including oral tablets and long-acting injectable formulations. The dosage and frequency of administration depend on the specific condition being treated and the individual patient's response to the medication.

Oral Formulation[edit]

The oral form is typically administered daily, with doses adjusted based on therapeutic response and side effects.

Depot Injection[edit]

The depot injection form of flupentixol is administered intramuscularly, usually every two to four weeks. This formulation is particularly useful for patients who have difficulty adhering to daily oral medication regimens.

Side Effects[edit]

Common side effects of flupentixol include drowsiness, dry mouth, constipation, and weight gain. More serious side effects can include extrapyramidal symptoms such as tardive dyskinesia, akathisia, and parkinsonism.

Contraindications[edit]

Flupentixol is contraindicated in patients with known hypersensitivity to the drug or any of its components. It should be used with caution in patients with a history of seizures, cardiovascular disease, or liver impairment.

Related Pages[edit]