Atypical Antipsychotics Induced Metabolic Syndrome

Yıl 2015, Cilt: 7 Sayı: 1, 81 - 97, 01.03.2015

Ayşegül Demirel Ömer Demirel Müfit Uğur

https://doi.org/10.5455/cap.20140527123634

Öz

The use of atypical antipsychotics in patients with schizophrenia is tightly related to the metabolic abnormalities like weight gain, diabetes, dyslipidemia and/or hypertension. Beside of having unique receptor binding features, their heterogeneous receptor binding properties ara also involved in the occurence of the metabolic side effects caused by atypical antipsychotics. It is striking that atypical antipschotics related metabolic side effects have the potential to influence each other in a negative way. Metabolic abnormalities related to atypical antipschotics do not only lead to increase in mortality, but also worsen clinical course and functionality of patients with schizophrenia. Thus, patients treated with atypical antipsychotics should be evaluated routinely with respect to their metabolic states. In this article, metabolic side effects of atypical antipsychotics and their mechanisms were investigated on pharmacological basis.

Anahtar Kelimeler

Schizophrenia, metabolic syndrome, atypical antipsychotics

Atipik Antipsikotiklere Bağlı Metabolik Sendrom

Öz

Şizofreni hastalarında atipik antipsikotik ilaçların kullanımının kilo alımı, diyabet, dislipidemi ve/veya hipertansiyon gibi metabolik anormalliklerle sıkı sıkıya ilişkili olduğu bilinmektedir. Metabolik yan etkiler atipik antipsikotiklerin sadece kendilerine has reseptör bağlama özelliklerinin olmasının dışında bu ilaçların heterojen reseptör bağlama özellikleriyle de ilişkili bulunmuştur. Ayrıca bu ajanlarla ortaya çıkan metabolik yan etkilerin birbirlerini tetikleme potansiyelinin olması dikkati çekmektedir. Metabolik bozukluklarla ilişkili olarak hastalarda sadece mortalitenin artmadığı, aynı zamanda kliniğin kötüleştiği ve işlevselliğin azaldığı da gözlemlenmektedir. Bu nedenlerle atipik antipsikotiklerle tedavi edilen hastaların rutin olarak metabolik durumunun gözden geçirilmesi gereklidir. Bu derlemede atipik antipsikotiklerin metabolik yan etkileri ve mekanizmaları farmakolojik boyutta incelenmiştir.

Anahtar Kelimeler

Şizofreni, metabolik sendrom, atipik antipsikotikler

Kaynakça

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