Third Generation Antipsychotics: Mechanisms and Side Effects
(Atypical Anti-Psychotics) Example: Aripiprazole
Dopamine D2 Receptor Partial Agonist
• Binds to the D2 receptor, then very quickly releases, then re-binds. This repetitive binding pattern does not allow for the normal dopamine molecules in the synapse to bind to the D2 receptor
• Prevents excess DA from over-stimulating receptors, and deficient DA from under-stimulating receptors
Serotonin 1A Partial Agonist
• Bind to 5-HT 1A receptor in stabilizing manner, similar to D2-receptor agonism; does not allow excess or deficient 5-HT to over-stimulate or under-stimulate receptors
• Antidepressant Effects
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