Dopamine Antagonist - Side Effects

Side Effects

  • Dysphoria
  • Parkinsonism – due to effects on the nigrostriatal pathway
  • Hyperprolactinaemia – due to effects on the tuberoinfundibular pathway
  • Tardive dyskinesia (long term use)
  • galactorrhea - due to removal of dopamine-mediated inhibition of prolactin release from lactotroph cells in the anterior pituitary
  • sexual dysfunction and impotence - due to blockage of the pleasure center (dopaminergic pathways)
  • Sedation
  • Irritability
  • Narcolepsy
  • Symptoms similar to ADHD
  • Increased risk of severe depression
  • Anxiety disorders (such as Social Phobia)
  • Increased appetite
  • Increased risk of obesity
  • Paranoia
  • Aggression
  • Psychomotor agitation (e.g. pacing)
  • Increased risk of Type 2 Diabetes mellitus
  • Akathisia
  • Extrapyramidal symptoms
  • Clinical depression

Other side effects may include menstrual dysfunction, low libido, and impotence.

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