Classical and atypical neuroleptics, and bone mineral density, in patients with schizophrenia.
There are some reports that classical neuroleptics may lead to osteoporosis or reduced bone mineral density (BMD). However, there is no adequate information about the effects of atypical neuroleptics on BMD. The aim of this study was to measure BMD in schizophrenic patients taking classical and atypical neuroleptics, compared to healthy controls. Seventy-five patients with schizophrenia (40 taking classical neuroleptics [CN], 35 taking atypical neuroleptics [AN]) and 20 healthy controls (HC) were included in the study. Spine (L1-L4) BMD was measured by dual-energy X-ray absorptiometry. ANOVA showed that BMD was higher in HC than AN and CN. In addition, there was a negative correlation between the duration of neuroleptic treatment and BMD and the duration of the illness. These findings suggest that atypical neuroleptics may be safer than the classical neuroleptics in terms of reduced BMD.
Bilici
Mustafa
M
BlackSea Technical University, School of Medicine, Department of Psychiatry, 61080, Trabzon, Turkey. mbilici@meds.ktu.edu.tr
Cakirbay
Hasim
H
Guler
Mustafa
M
Tosun
Mehmet
M
Ulgen
Metin
M
Tan
Uner
U
D000328:Adult; D000704:Analysis of Variance; D014150:Antipsychotic Agents / Q000145:classification / Q000627:therapeutic use*; D001569:Benzodiazepines; D015519:Bone Density / Q000187:drug effects* / Q000502:physiology; D003006:Clopenthixol / Q000627:therapeutic use; D003024:Clozapine / Q000627:therapeutic use; D005260:Female; D005476:Fluphenazine / Q000627:therapeutic use; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D008297:Male; D000077152:Olanzapine; D010890:Pirenzepine / Q000031:analogs & derivatives* / Q000627:therapeutic use; D018967:Risperidone / Q000627:therapeutic use; D012559:Schizophrenia / Q000188:drug therapy* / Q000503:physiopathology
D014150:Antipsychotic Agents; D001569:Benzodiazepines; D010890:Pirenzepine; D003006:Clopenthixol; D003024:Clozapine; D006220:Haloperidol; D018967:Risperidone; D000077152:Olanzapine; D005476:Fluphenazine