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Professor of Pharmacy, Department of Pharmacy Practice, College of Pharmacy, University of Rhode Island, Kingston, RI; Psychiatric Pharmacotherapy Specialist, Veterans Affairs Medical Center, Providence, RI
Reprints: Dr. Dufresne, Department of Pharmacy Practice, College of Pharmacy, University of Rhode Island, Fogarty Hall, 41 Lower College Rd., Kingston, RI 02881, fax 401/874-2181, rdu3990u{at}postoffice.uri.edu
Of all the metabolic effects of some of the atypical second-generation antipsychotics, their potential to induce glucose dysregulation has induced a storm of controversy over the past several years. The numerous published epidemiologic studies are difficult to interpret due to the high background rate of type 2 diabetes mellitus in this population, the inherent problems with analysis of observational data, and the short duration of the available studies. A plan to monitor for weight gain, hypertriglyceridemia, glucose dysregulation, and other potential adverse metabolic effects resulting from antipsychotic treatment is critical.
Key Words: antipsychotic, diabetes mellitus, hypertriglyceridemia, obesity
Published Online, September 4, 2007. www.theannals.com, DOI 10.1345/aph.1K362
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