Table 3:
Comparison of Newer Atypical Antipsychotics
Atypical Antipsychotic
Initial Dose(mg)
Standard Dose(mg/day)
Dosing
Frequency
Max
Dose
Advantages
Disadvantages
Clozapine
25-50
300-600
bid
900
Effective in refractory schizophrenia

Lowest risk of extrapyramidal symptoms (EPS)
Agranulocytosis

No liquid form

No injectable form

Weight gain, seizures
Olanzapine
5-10
15-20
qd to bid
20
Well tolerated

Approved for acute mania
Weight gain

No liquid form

No injectable form
Quetiapine
25-50
400-600
bid
800
Well tolerated

Lowest EPS risk
Slow titration

Sedation

No liquid form

No injectable form
Risperidone
1-2
4-8
qd to bid
16
Well tolerated

Well-defined dose range
Dose-dependent EPS

No injectable form
Ziprasidone
40-80
80-160
bid
160
Well tolerated

No weight gain

Injectable form
qT prolongation

Taken with food

Nausea, insomnia

No liquid form

 

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