Sections
History and Discovery | Structure–Activity Relations | Pharmacological Profile | Pharmacokinetics and Disposition | Mechanism of Action | Indications and Efficacy | Side Effects and Toxicology | Drug–Drug Interactions | Conclusion | References
Excerpt
The story of specific antipsychotic medications for patients
with schizophrenia and other severe psychiatric illnesses began
in the early 1950s, when chlorpromazine was first given to psychotic
patients in France (Delay and Bernitzer 1952). The
antipsychotic qualities of this compound, as well as its "tranquilizing" effect,
were dramatic and substantial. Studies performed around the world
during the 1950s showed the usefulness of this new compound and
the others that followed. As is well known, multicenter trials of
antipsychotic medications found that the approved medications were
substantially and significantly better than placebo (Cole et al. 1964). Furthermore, despite the range of chemical
structures, the clinical effects were similar. In addition, the
need to investigate the new medications for psychiatric illness
led to improved clinical trial methodology for the field. During
the 1960s, randomized and placebo-controlled trials became the standard
for assessing the new medications for schizophrenia. These trials
led to the neuroleptic medications becoming the standard somatic
treatment for schizophrenia.