Table 4.
Management strategies of adverse effects of antipsychotics
| Adverse effects | Option 1 | Option 2 | Option 3 |
|---|---|---|---|
| Parkisnosim (tremor, rigidity, bradykinesia) | Dose reduction | Change antipsychotic | Add anticholiergic agent |
| Akathisia | Dose reduction | Change antipsychotic | Use beta blocker |
| Sedation | Dose at night | Lower the dose | Change to non-sedating antipsychotic |
| Hyperprolactinemia, sexual dysfunctions | Dose reduction | Change to prolactin sparing antipsychotic | Add aripiprazole |
| Weight gain, dyslipidemia | Lifestyle modification | Change antipsychotic | Metformin |
| Orthostatic hypotension | Dose/scheduling titration | Adequate hydration | Change antipsychotic |
| QT prolongation | Change antipsychotic |