Sertindole in the Management of Schizophrenia

Nowadays, new schizophrenia treatments are more ambitious than ever, aiming not only to improve psychotic symptoms, but also quality of life and social reinsertion. Our objective is to briefly but critically review the diagnosis of schizophrenia, the atypical antipsychotics sertindole's pharmac...

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Main Authors: Mario F. Juruena, Eduardo Ponde00C9; De Sena, Irismar Reis De Oliveira
Format: Article
Language:English
Published: SAGE Publishing 2011-01-01
Series:Journal of Central Nervous System Disease
Online Access:https://doi.org/10.4137/JCNSD.S5729
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author Mario F. Juruena
Eduardo Ponde00C9; De Sena
Irismar Reis De Oliveira
author_facet Mario F. Juruena
Eduardo Ponde00C9; De Sena
Irismar Reis De Oliveira
author_sort Mario F. Juruena
collection DOAJ
description Nowadays, new schizophrenia treatments are more ambitious than ever, aiming not only to improve psychotic symptoms, but also quality of life and social reinsertion. Our objective is to briefly but critically review the diagnosis of schizophrenia, the atypical antipsychotics sertindole's pharmacology, safety and status, and mainly evaluate the effects of sertindole compared with other second generation antipsychotics for people with schizophrenia and schizophrenia-like psychosis. In vitro studies showed that sertindole exerts a potent antagonism at serotonin 5-HT 2A , 5-HT 2C , dopamine D 2 , and α l adrenergic receptors. Sertindole offers an alternative treatment option for refractory patients given its good EPS profile, favorable metabolic profile, and comparable efficacy to risperidone. Due to cardiovascular safety concerns, sertindole is available as a second-line choice for patients intolerant to other antipsychotic agents. Further clinical studies, mainly comparisons with other second-generation antipsychotic agents, are needed to define the role of sertindole in the treatment of schizophrenia.
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spelling doaj.art-b28290417d0c47b7b0bdb6db3f9646c62022-12-22T01:59:04ZengSAGE PublishingJournal of Central Nervous System Disease1179-57352011-01-01310.4137/JCNSD.S5729Sertindole in the Management of SchizophreniaMario F. Juruena0Eduardo Ponde00C9; De Sena1Irismar Reis De Oliveira2 Stress and Affective Disorders Programme, Department of Neuroscience and Behaviour, Faculty of Medicine of Ribeirao Preto, University of Sao Paulo, Sao Paulo, Brazil. Department of Pharmacology, Institute of Health Sciences, Federal University of Bahia, Salvador, Brazil. Department of Neurosciences and Mental Health, School of Medicine, Federal University of Bahia, Salvador, Brazil.Nowadays, new schizophrenia treatments are more ambitious than ever, aiming not only to improve psychotic symptoms, but also quality of life and social reinsertion. Our objective is to briefly but critically review the diagnosis of schizophrenia, the atypical antipsychotics sertindole's pharmacology, safety and status, and mainly evaluate the effects of sertindole compared with other second generation antipsychotics for people with schizophrenia and schizophrenia-like psychosis. In vitro studies showed that sertindole exerts a potent antagonism at serotonin 5-HT 2A , 5-HT 2C , dopamine D 2 , and α l adrenergic receptors. Sertindole offers an alternative treatment option for refractory patients given its good EPS profile, favorable metabolic profile, and comparable efficacy to risperidone. Due to cardiovascular safety concerns, sertindole is available as a second-line choice for patients intolerant to other antipsychotic agents. Further clinical studies, mainly comparisons with other second-generation antipsychotic agents, are needed to define the role of sertindole in the treatment of schizophrenia.https://doi.org/10.4137/JCNSD.S5729
spellingShingle Mario F. Juruena
Eduardo Ponde00C9; De Sena
Irismar Reis De Oliveira
Sertindole in the Management of Schizophrenia
Journal of Central Nervous System Disease
title Sertindole in the Management of Schizophrenia
title_full Sertindole in the Management of Schizophrenia
title_fullStr Sertindole in the Management of Schizophrenia
title_full_unstemmed Sertindole in the Management of Schizophrenia
title_short Sertindole in the Management of Schizophrenia
title_sort sertindole in the management of schizophrenia
url https://doi.org/10.4137/JCNSD.S5729
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