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. 2014 Sep;39(9):638–645.

Table 1.

Comparative Risks of Weight Gain and Extrapyramidal Symptoms With Typical and Atypical Antipsychotic Agents2

Drug Weight Gain Extrapyramidal Symptoms
Typical Antipsychotics (First-Generation Antipsychotics)
Chlorpromazine (Thorazine) ++ +++
Fluphenazine (Prolixin) + ++++
Haloperidol (Haldol) + ++++
Perphenazine (Trilafon) + ++++
Thioridazine (Mellaril) + +++
Thiothixene (Navane) + ++++
Atypical Antipsychotics (Second-Generation Antipsychotics)
Aripiprazole (Abilify) + +
Asenapine (Saphris) + ++
Clozapine (Clozaril) ++++ +
Iloperidone (Fanapt) ++ ±
Lurasidone (Latuda) ± +
Olanzapine (Zyprexa) ++++ ++
Paliperidone (Invega) ++ ++
Quetiapine (Seroquel) ++ +
Risperidone (Risperdal) ++ ++
Ziprasidone (Geodon) + ++

± = negligible risk; + = low risk; ++ = moderate risk; +++ = moderately high risk; ++++ = high risk