List of long term side effects of antipsychotics

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List of Long Term Side Effects of Antipsychotics

Antipsychotic medications, also known as neuroleptics, are primarily used to manage psychosis, including delusions, hallucinations, paranoia, or disordered thought. This class of medication is predominantly prescribed to treat conditions such as schizophrenia, bipolar disorder, and psychotic depression. However, long-term use of antipsychotics may lead to certain side effects. This article provides a comprehensive list of these potential long-term side effects.

Tardive Dyskinesia[edit | edit source]

Tardive dyskinesia is a serious side effect that may occur with long-term use of antipsychotic medications. It is characterized by involuntary, repetitive body movements that can include grimacing, sticking out the tongue, and rapid eye blinking.

Metabolic Syndrome[edit | edit source]

Long-term use of antipsychotics can lead to metabolic syndrome, a cluster of conditions that increase the risk of heart disease, stroke, and type 2 diabetes. These conditions include increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol levels.

Neuroleptic Malignant Syndrome[edit | edit source]

Neuroleptic malignant syndrome (NMS) is a rare but potentially life-threatening side effect of antipsychotic drugs. Symptoms may include high fever, sweating, unstable blood pressure, stupor, muscular rigidity, and autonomic dysfunction.

Parkinsonism[edit | edit source]

Antipsychotics can induce symptoms similar to those seen in Parkinson's disease, such as tremors, slowed movement, and rigid muscles. This condition is often referred to as drug-induced parkinsonism.

Akathisia[edit | edit source]

Akathisia is a condition characterized by a feeling of inner restlessness and inability to stay still. It is a common side effect of antipsychotic medications.

Cardiac Effects[edit | edit source]

Long-term use of antipsychotics is associated with an increased risk of cardiovascular disease. This includes conditions such as cardiomyopathy, arrhythmia, and ischemic heart disease.

Cognitive Impairment[edit | edit source]

Some studies suggest that long-term use of antipsychotics may contribute to cognitive impairment, affecting memory, attention, and problem-solving skills.

Sexual Dysfunction[edit | edit source]

Antipsychotics can cause sexual side effects, including decreased libido, erectile dysfunction, and difficulty achieving orgasm.

Bone Density Loss[edit | edit source]

Long-term use of antipsychotics is associated with decreased bone mineral density, increasing the risk of osteoporosis and fractures.

Conclusion[edit | edit source]

While antipsychotic medications can be effective in treating severe psychiatric conditions, their long-term use is associated with a range of potential side effects. Regular monitoring and consultation with a healthcare provider is essential to manage these risks.

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Contributors: Prab R. Tumpati, MD