Table 5.
Side effect | Guideline(s) |
---|---|
Weight gain | APA (Andersen et al., 2005), TMAP, RANZCP |
Other metabolic complications/metabolic syndrome | RANZCP |
Glucose dysregulation/diabetes mellitus | APA |
Dyslipidaemia | Hypertriglyceridemia (APA), hypercholesterolemia and hyperglycemia (particularly for olanzapine; TMAP) |
Hyperprolactinemia | APA, MPG |
QTc prolongation | APA, BAP (Haddad and Anderson, 2002; Leucht et al., 2013), MPG |
Coronary heart disease/risk of sudden cardiac death | MPG (Ray et al., 2001; Hennessy et al., 2002; Reilly et al., 2002; Straus et al., 2004; Liperoti et al., 2005; Osborn et al., 2007; Stroup et al., 2009; Murray-Thomas et al., 2013) |
Extrapyramidal side effects (including tardive dyskinesia and neuroleptic malignant syndrome)a | NICE, MPG (Baldessarini et al., 1988; Peluso et al., 2012), RANZCP, APA, TMAP |
Acute kidney injury | MPG |
Sedation | MPG |
Postural hypotension | MPG |
Anticholinergic effects | MPG |
Hyponatraemia | MPG (Littrell et al., 1997; Kawai et al., 2002; Montgomery and Tekell, 2003; Meulendijks et al., 2010) |
Sexual dysfunction | MPG |
Increased risk of pneumonia | MPG |
Increased risk of thromboembolism | MPG (Zhang et al., 2011; Barbui et al., 2014) |
Abbreviations: APA, American Psychiatric Association; BAP, British Association of Psychopharmacology; CANMAT, Canadian Network for Mood and Anxiety Disorders; CPG-S, Clinical Practice Guidelines in the Spanish NHS; ICSI, Institute for Clinical Systems Improvement; NICE, National Institute for Health and Care Excellence; QTc, corrected QT interval; RANZCP, Royal Australian and New Zealand College of Psychiatrists; MPG, Maudsley Prescribing Guidelines; TMAP; Texas Medication Algorithm Project; WFSBP, World Federation of Societies of Biological Psychiatry.
aSee individual guidelines for specific symptoms.