Zusammenfassung
Nur ein Teil der paranoid-halluzinatorischen Patienten profitiert von der neuroleptischen Therapie, denn die bislang verfügbaren Neuroleptika wirken hauptsächlich gegen akute produktiv-psychotische Symptome, sind jedoch wenig effektiv bei Negativ-Symptomatik (Angrust et al. 1980) und zeigen insbesondere bei chronischen Residualzuständen eine ungenügende Wirkung. Die häufig auftretenden extrapyramidalen Nebenwirkungen einschließlich der nach längerer Zeit gehäuften tardiven Dyskinesie stellen weitere schwere Nachteile der neuroleptischen Therapie dar. Die Notwendigkeit neuerer und besserer Antipsychotika ist offensichtlich.
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Kornhuber, J. (1992). (Potentielle) Antipsychotika mit neuartigen Wirkmechanismen. In: Riederer, P., Laux, G., Pöldinger, W. (eds) Neuro-Psychopharmaka Ein Therapie-Handbuch. Springer, Vienna. https://doi.org/10.1007/978-3-7091-3282-1_5
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