Antipsychotics and OCD: Boon or Bane?
AAPs are a common augmentative strategy in treatment-resistant OCD. [...]some have contended that dopamine blockade is critical to facilitate 5-hydroxytryptamine (5HT) transmission in the cortico-striato-pallido-thalamo-cortical neurocircuitry in OCD. [3] have found an incidence of 12% of AAPs-induc...
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Published in | Indian journal of psychological medicine Vol. 39; no. 6; pp. 830 - 831 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
New Delhi, India
SAGE Publications
01.11.2017
Sage Publications Ltd. (UK) Sage Publications, New Delhi India Medknow Publications & Media Pvt Ltd SAGE Publishing |
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Abstract | AAPs are a common augmentative strategy in treatment-resistant OCD. [...]some have contended that dopamine blockade is critical to facilitate 5-hydroxytryptamine (5HT) transmission in the cortico-striato-pallido-thalamo-cortical neurocircuitry in OCD. [3] have found an incidence of 12% of AAPs-induced OCS in a cohort of schizophrenia and schizo-affective disorder (n = 209). Since 5HT dysregulation is central to OCD neurobiology, it seems that AAPs by virtue of 5HT2A antagonism might mechanistically induce these OCS as demonstrated by Zink. Dold M, Aigner M, Lanzenberger R, Kasper S. Antipsychotic augmentation of serotonin reuptake inhibitors in treatment-resistant obsessive-compulsive disorder: A meta-analysis of double-blind, randomized, placebo-controlled trials. |
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AbstractList | AAPs are a common augmentative strategy in treatment-resistant OCD. [...]some have contended that dopamine blockade is critical to facilitate 5-hydroxytryptamine (5HT) transmission in the cortico-striato-pallido-thalamo-cortical neurocircuitry in OCD. [3] have found an incidence of 12% of AAPs-induced OCS in a cohort of schizophrenia and schizo-affective disorder (n = 209). Since 5HT dysregulation is central to OCD neurobiology, it seems that AAPs by virtue of 5HT2A antagonism might mechanistically induce these OCS as demonstrated by Zink. Dold M, Aigner M, Lanzenberger R, Kasper S. Antipsychotic augmentation of serotonin reuptake inhibitors in treatment-resistant obsessive-compulsive disorder: A meta-analysis of double-blind, randomized, placebo-controlled trials. |
Audience | Professional |
Author | Naguy, Ahmed |
AuthorAffiliation | Al-Manara CAP Centre, Kuwait Centre for Mental Health, Shuwaikh, Kuwait |
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Copyright | 2017 Indian Psychiatric Society - South Zonal Branch COPYRIGHT 2017 Sage Publications Ltd. (UK) Copyright Medknow Publications & Media Pvt. Ltd. Nov/Dec 2017 Copyright: © 2017 Indian Psychiatric Society 2017 |
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SubjectTerms | Antidepressants Antipsychotic agents Antipsychotics Asperger syndrome Letters to Editor Mental disorders Neuroses Obsessive compulsive disorder Psychotropic drugs |
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Title | Antipsychotics and OCD: Boon or Bane? |
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