Carpipramine

From WikiMD's medical encyclopedia

An overview of the antipsychotic medication Carpipramine


Carpipramine
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Carpipramine is a typical antipsychotic medication primarily used in the treatment of schizophrenia and other psychotic disorders. It belongs to the class of tricyclic antipsychotics, which are known for their chemical structure and pharmacological properties.

Pharmacology

Carpipramine functions as a dopamine receptor antagonist, which means it blocks the action of dopamine in the brain. This action is believed to be responsible for its antipsychotic effects. By inhibiting dopamine receptors, particularly the D2 subtype, carpipramine helps to reduce the symptoms of psychosis, such as hallucinations and delusions.

Chemical Structure

Structural formula of Carpipramine

Carpipramine is a tricyclic compound, characterized by its three-ring core structure. This structure is similar to that of other tricyclic antipsychotics and antidepressants, which contributes to its pharmacological profile.

Clinical Use

Carpipramine is prescribed for the management of schizophrenia and other psychotic disorders. It is typically used when other antipsychotic medications are not effective or cause intolerable side effects. The medication is administered orally, and the dosage is adjusted based on the patient's response and tolerance.

Side Effects

Like many antipsychotic medications, carpipramine can cause a range of side effects. Common side effects include sedation, dry mouth, constipation, and weight gain. More serious side effects may include extrapyramidal symptoms, such as tardive dyskinesia, and neuroleptic malignant syndrome, a rare but life-threatening condition.

Mechanism of Action

Carpipramine's primary mechanism of action is the blockade of dopamine receptors in the brain. This action reduces the overactivity of dopamine pathways, which is thought to be a contributing factor in the development of psychotic symptoms. Additionally, carpipramine may have effects on other neurotransmitter systems, including serotonin and norepinephrine, which could contribute to its therapeutic effects and side effect profile.

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Contributors: Prab R. Tumpati, MD