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CHAPTER 29  Antipsychotic Agents & Lithium     531


                       C ASE  STUD Y  ANSWER


                       Schizophrenia  is  characterized  by  a  disintegration  of   more effective for treating negative symptoms and cogni-
                       thought processes and emotional responsiveness. Symp-  tive dysfunction and have lower risk of tardive dyskinesia
                       toms commonly include auditory hallucinations, paranoid   and hyperprolactinemia. Other indications for the use of
                       or bizarre delusions, disorganized thinking and speech, and   selected antipsychotics include bipolar disorder, psychotic
                       social and occupational dysfunction. For many patients,   depression, Tourette syndrome, disturbed behavior in
                       first-generation (eg, haloperidol) and second-generation   patients with Alzheimer’s disease and in the case of older
                       agents  (eg,  risperidone)  are  of  equal  efficacy  for  treating   drugs (eg, chlorpromazine), treatment of emesis, and
                       positive symptoms. Second generation agents are often   pruritus.
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