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Retrospective data, Review, Journal: Pharmacological treatment strategies for lowering prolactin in people with a psychotic disorder and hyperprolactinaemia: A systematic review and meta-analysis. (Pubmed Central) - Jun 9, 2020 We aimed to examine the evidence from open-label studies and randomized clinical trials (RCTs) that studied four prolactin-lowering therapeutic strategies in people with psychotic disorders and hyperprolactinaemia: 1) switching to prolactin-sparing antipsychotics; 2) adding aripiprazole; 3) adding dopamine agonists; and 4) adding metformin...Nine studies explored switching antipsychotic treatment to aripiprazole (n = 4), olanzapine (n = 1), quetiapine (n = 2), paliperidone palmitate (n = 1) or blonanserin (n = 1)...Six studies explored the addition of cabergoline (n = 3), bromocriptine (n = 2) or terguride (n = 1)...The three placebo-controlled RCTs for aripiprazole addition showed similar withdrawal rates for aripiprazole (10.1%) and placebo (11.5%), without significant differences in the meta-analysis. Our study suggests that, in terms of levels of evidence, adding aripiprazole is the first option to be considered for lowering prolactin concentrations in patients with schizophrenia and hyperprolactinaemia.
- |||||||||| Preclinical, Journal: Blonanserin ameliorates social deficit through dopamine-D receptor antagonism in mice administered phencyclidine as an animal model of schizophrenia. (Pubmed Central) - Apr 26, 2020
This effect of blonanserin was antagonized by 7-OH-DPAT, a dopamine-D receptor agonist, and SCH23390, a dopamine-D receptor antagonist...These results suggest that activation of NMDA receptors due to Ser-phosphorylation of GluN1 subunit, which is a step linked to dopamine-D receptor-PKA signaling through dopamine-D receptor antagonism in the PFC, is required for the ameliorating effect of blonanserin on the PCP-induced social deficit. These findings also provide in vivo evidence that blonanserin antagonism of the dopamine-D receptors may be useful as a novel treatment strategy and that the dopamine-D receptors can be a novel therapeutic target molecule for the social deficits observed in schizophrenia.
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Clinical, Journal: Risk of seizures associated with antipsychotic treatment in pediatrics with psychiatric disorders: a nested case-control study in Korea. (Pubmed Central) - Apr 9, 2020 Risperidone, aripiprazole, quetiapine, olanzapine, paliperidone, and blonanserin were independently associated with greater seizure risk. Pediatric patients receiving antipsychotics, especially new or multiple antipsychotic users, should be carefully monitored for seizure development.
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Preclinical, Journal: Blonanserin suppresses impulsive action in rats. (Pubmed Central) - Mar 29, 2020 1-(2-Pyriidinyl)-piperazine, an active metabolite of buspirone or tandospirone, also slightly reduced impulsive actions, though it impaired motor functions. These results affirm the validity of our strategy, but require its refinement for developing anti-impulsivity drugs.
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Clinical, Journal: Switching Antipsychotics to Blonanserin in Patients with Schizophrenia: An Open-label, Prospective, Multicenter Study. (Pubmed Central) - Jul 31, 2019 The total cholesterol (baseline, 236.1 ± 47.6 mg/dl; endpoint [week 12], 209.9 ± 28.0 mg/dl; p = 0.005) and prolactin levels (baseline, 80.0 ± 85.2 ng/ml; endpoint [week 12], 63.2 ± 88.9 ng/ml; p = 0.003) were also significantly improved in patients with hypercholesterolemia or hyperprolactinemia. The results of the present study suggest that switching to blonanserin may be an effective strategy for schizophrenic patients unresponsive to other antipsychotic treatments.
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Enrollment open: Effects on Social and Cognition Functions of Blonanserin in First Episode Schizophrenia Patients (clinicaltrials.gov) - Apr 16, 2019 P4, N=248, Recruiting, These results strongly implicate changes in BDNF levels in serum and the nucleus accumbens in the pathophysiology and treatment of early life combined stress-induced depression and highlight the therapeutic potential of escitalopram and new generation antipsychotic blonanserin for treatment-resistant refractory depression. Not yet recruiting --> Recruiting
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