Cinqüenta Anos De Medicamentos Antipsicóticos Em Psiquiatria 1

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Cinqüenta Anos De Medicamentos Antipsicóticos Em Psiquiatria 1 CINQÜENTA ANOS DE MEDICAMENTOS ANTIPSICÓTICOS EM PSIQUIATRIA 1. FENOTIAZINAS 2.TIOXANTENOS 3. BUTIROFENONAS 4. DIFENILBUTILPIPERIDINAS/ PIPERAZINAS 5. INDÓIS 6. BENZAMIDAS 7. DIBENZOXAZEPINAS 8. DIBENZOXEPINAS 9. DIBENZAZEPINAS 10. DIBENZODIAZEPINAS 11. TIENOBENZODIAZEPINAS 12. DIBENZOTIAZEPINAS 13. DIBENZOTIEPINAS 14. BENZO-HETEROEPINAS OUTRAS 15. BENZISOXAZÓIS 16. BENZISOTIAZÓIS 17. QUINOLINONAS 18. OUTROS ANTIPSICÓTICOS LEOPOLDO HUGO FROTA REVISÃO ORTOGRÁFICA: Profa. Maria Beatriz Torres Frota Colégio Pedro II 2 Aos meus pais Eduardo e Mary; Aos meus filhos Eduardo Hugo, Lia e Camille; Aos meus irmãos, colegas, funcionários, pacientes e familiares do IPUB; À Tibá. LEOPOLDO HUGO FROTA, M.D. [email protected] MÉDICO PSIQUIATRA & PSICOTERAPEUTA Professor Adjunto do DEPARTAMENTO DE PSIQUIATRIA E MEDICINA LEGAL da Faculdade de Medicina da UNIVERSIDADE FEDERAL DO RIO DE JANEIRO (UFRJ). co-HEAD, WORLD HEALTH ORGANIZATION (WHO) COLLABORATING CENTRE IN MENTAL HEALTH - INSTITUTO DE PSIQUIATRIA IPUB/UFRJ. Preceptor do PROGRAMA DE RESIDÊNCIA MÉDICA do Instituto de Psiquiatria IPUB/UFRJ. Membro do COMITÊ DE ÉTICA EM PESQUISAS do Instituto de Psiquiatria – IPUB/UFRJ. Coordenador da DISCIPLINA DE PSICOPATOLOGIA GERAL ministrada pelo DEPARTAMENTO DE PSIQUIATRIA E MEDICINA LEGAL para alunos de graduação do INSTITUTO DE PSICOLOGIA DA UFRJ. REVISÃO ORTOGRÁFICA Profa. Maria Beatriz Torres Frota Colégio Pedro II – Rio de Janeiro 3 4 CARFENAZINA 38 SUMÁRIO - I CICLOFENAZINA 39 PREFÁCIO 11 CLORIMPIFENINA 39 DIXIRAZINA 39 FLUFENAZINA 40 INTRODUÇÃO 12 METOFENAZINA 44 OXAFLUMAZINA 45 HISTÓRICO 13 PERAZINA 45 REFERÊNCIAS 16 PERFENAZINA 46 PROCLORPERAZINA 48 I. FENOTIAZINAS 17 TIETILPERAZINA 49 TIOPROPAZATO 49 TIOPROPERAZINA 50 TRIFLUPERAZINA 51 REFERÊNCIAS 52 C. PIPERIDÍNICAS A-124 60 MEPAZINA 61 MESORIDAZINA 61 NORTIORIDAZINA 62 PERIMETAZINA 63 PIPAMAZINA 63 PIPERACETAZINA 64 PIPOTIAZINA 64 A) ALQUILAMÍNICAS OU COM PROPERICIAZINA 65 CADEIA LATERAL ALIFÁTICA SULFORIDAZINA 66 TIORIDAZINA 67 REFERÊNCIAS 71 ACEPROMAZINA 19 ALIMEMAZINA 20 D. OUTROS COMPOSTOS AMINOPROMAZINA 21 CIAMEMAZINA 22 CLOMACRAM 78 CLORPROMAZINA 22 DUOPERONA 79 ETIMEMAZINA 26 ESPICLOMAZINA 80 LEVOMEPROMAZINA 27 FLUOTRACENO 80 METIOMEPRAZINA 28 HOMOFENAZINA 81 METOPROMAZINA 29 OXIPENDIL 81 PROMAZINA 29 PROTIPENDIL 82 PROMETAZINA 30 REFERÊNCIAS 83 TRIFLUPROMAZINA 32 REFERÊNCIAS 32 II. TIOXANTENOS 85 B) PIPERAZÍNICAS CLORPROTIXENO 86 CLOTIXAMIDA 88 ACETOFENAZINA 37 FLUPENTIXOL 88 BUTAPERAZINA 37 PIFLUTIXOL 92 5 TEFLUTIXOL 93 CINUPERONA 138 TIOTIXENO 93 FENAPERONA 138 ZUCLOPENTIXOL 95 FG-5803 139 REFERÊNCIAS 99 FLUANISONA 139 REFERÊNCIAS 140 III. BUTIROFENONAS C) BUTIROFENONAS 108 4-PIPERIDILPIPERIDÍNICAS & PIPERIDÍNICAS OUTRAS INTRODUÇÃO 108 AL-449 141 BROMPERIDOL 142 CARPERONA 143 CLOFLUPEROL 143 CLOROPERONA 144 ID-4708 144 LEMPERONA 144 MELPERONA 145 MOPERONA 148 PIPAMPERONA 149 PIREMPERONA 150 PROPIPERONA 151 TRIFLUPERIDOL 151 W-6123 152 REFERÊNCIAS 153 A) O HALOPERIDOL E AS BUTIROFENONAS D) OUTRAS 4-ANILINOPIPERIDÍNICAS BUTIROFENONAS BEMPERIDOL 112 AHR-1900 158 BROMOSPIPERONA 113 NONAPERONA 159 DROPERIDOL 113 U-25927 159 ESPIPERONA 115 REFERÊNCIAS 159 FLUSPIPERONA 116 HALOPERIDOL 116 IODOSPIPERONA 123 IV.DIFENILBUTILPIPER TIMIPERONA 123 REFERÊNCIAS 124 IDINAS / PIPERAZINAS B) BUTIROFENONAS 160 4-ARILPIPERAZÍNICAS AMPEROZIDA 160 AZABUPERONA 135 CLOPIMOZIDA 161 AZAPERONA 135 FLUSPIRILENO 162 BIRIPERONA 136 PENFLURIDOL 163 BUTROPIPAZONA 137 PIMOZIDA 165 CENTPIRAQUIM 137 REFERÊNCIAS 168 6 V. INDÓIS 175 VI. BENZAMIDAS 201 INTRODUÇÃO 175 A) DERIVADOS AMINO-ETIL REFERÊNCIAS 178 BROMOPRIDA 205 METOCLOPRAMIDA 206 TIAPRIDA 207 REFERÊNCIAS 208 B) DERIVADOS 4-PIPERIDINIL CISAPRIDA 211 CLEBOPRIDA 212 PRIDEPERONA 213 REFERÊNCIAS 213 A) A RESERPINA & OS ALCALÓIDES DA C) DERIVADOS 2- RAUWOLFIA PIRROLIDINIL DESERPIDINA 179 ALPIROPRIDA 215 RESCINAMINA 179 AMISSULPRIDA 215 RESERPINA 180 LUR 2366 218 REFERÊNCIAS 183 PROSSULPRIDA 219 RACLOPRIDA 219 REMOXIPRIDA 220 B) OUTROS INDÓLICOS SULMEPRIDA 222 AL-1612 184 SULPIRIDA 223 CARBIDINA 185 SULTOPRIDA 226 FLUTROLINA 185 VERALIPRIDA 227 MILIPERTINA 186 REFERÊNCIAS 228 MOLINDONA 187 D) DERIVADOS 3- OXIPERTINA 188 PIQUINDONA 189 PIRROLIDINIL ROXINDOL 189 NEMONAPRIDA 236 SOLIPERTINA 190 REFERÊNCIAS 237 TEPIRINDOL 190 REFERÊNCIAS 191 E) OUTRAS BENZAMIDAS C) O SERTINDOL E AS 2- 5-Ome-BPAT 239 IMIDAZOLIDINONAS BRL 34778 240 BW-1192U90 240 AL-1965 195 DAZOPRIDA 241 SERTINDOL 195 HALOPEMIDA 241 ZETIDOLINA 197 Y 20024 242 REFERÊNCIAS 198 REFERÊNCIAS 242 7 SUMÁRIO - II XII. DIBENZOTIAZEPINAS INTRODUÇÃO ÀS BENZO- CLOTIAPINA 318 METIAPINA 319 HETEROEPINAS 244 QUETIAPINA 320 REFERÊNCIAS 245 REFERÊNCIAS 329 XIII. DIBENZOTIEPINAS VII. DIBENZOXAZEPINAS CITATEPINA 335 AMOXAPINA 246 CLOFLUMIDA 336 LOXAPINA 247 CLOROTEPINA 336 REFERÊNCIAS 250 DOCLOXITEPINA 337 ISOFLOXITEPINA 338 VIII. DIBENZOXEPINAS METITEPINA 338 OXIPROTEPINA 339 ASENAPINA 255 PERATIEPINA 340 CIPAZOXAPINA 256 ZOTEPINA 340 MAROXEPINA 256 REFERÊNCIAS 343 METOXEPINA 257 RMI 61140 257 RMI 61280 258 XIV. OUTRAS BENZO- REFERÊNCIAS 258 HETEROEPINAS SCH 23390 347 IX. DIBENZAZEPINAS SCH 24518 348 SKF 38393 348 CARPIPRAMINA 260 SKF 83566 348 CLOCAPRAMINA 262 SKF 83692 349 ERESEPINA 263 TREPIPAM 349 FLUPERLAPINA 263 REFERÊNCIAS 349 MOSAPRAMINA 265 PERLAPINA 266 RMI 81582 266 XV. BENZISOXAZÓIS REFERÊNCIAS 267 ABAPERIDONA 352 ILOPERIDONA 353 X. DIBENZODIAZEPINAS NEFLUMOZIDA 355 OCAPERIDONA 355 CLOZAPINA 267 RISPERIDONA 356 REFERÊNCIAS 288 REFERÊNCIAS 379 XI. TIENOBENZODIAZEPI- XVI. BENZISOTIAZÓIS NAS PEROSPIRONA 396 FLUMEZAPINA 297 SUPIDIMIDA 397 OLANZAPINA 298 TIOSPIRONA 398 REFERÊNCIAS 308 ZIPRASIDONA 399 8 REFERÊNCIAS 405 KC-5944 438 L-741,626 438 XVII. QUINOLINONAS L-745,870 438 LEK 8829 439 ARIPIPRAZOL 410 LINTITRIPT 439 OPC-4392 416 M-100907 440 REFERÊNCIAS 417 MANASSANTINA A 440 MAZAPERTINA 441 XVIII. OUTROS MEZILAMINA 442 MILACEMIDA 442 ANTIPSICÓTICOS MILEMPERONA 443 2-Daodp 420 NAFADOTRIDA 443 3-Fbpt 421 NE-100 444 8-NLE-CER(4,10) 421 ODAPIPAM 444 74-637 421 OXIPEROMIDA 445 ALENTAMOL 422 PALINDOR 445 ALTANSERINA 422 PD-112488 446 AMPACINA CX516 423 PD-143168 446 APREPIPANTO 424 PENTIAPINA 447 AXAMOZIDA 424 PINOXEPINA 447 BALAPERIDONA 425 PNU-96415E 448 BATELAPINA 425 QM 7184 448 BERUPIPAM 426 SCS 100 448 BIFEPRUNOX 426 SDZ HDC-912 449 BLONANSERINA 427 SETOPERONA 449 BMY-13980-1 428 SONEPIPRAZOL 450 BRL 20596 428 SR 31742A 451 BROFOXINA 429 SR-141716A 451 BROMERGURIDA 429 TEFLUDAZINA 452 BUTACLAMOL 430 THE-JL-13 452 CARVOTROLINA 430 TILOZEPINA 453 CI-943 431 TIMELOTEM 453 CICLINDOL 431 TRABOXOPINA 454 CICLOTIZOLAM 432 TREBENZOMINA 454 CLOPIPAZAM 432 UMESPIRONA 455 CLORMETILSILATRANO 432 XANOMELINA 455 DAPIPRAZOL 433 ZOLOPERONA 456 DN 1417 433 REFERÊNCIAS 456 Dup 734 434 ECOPIPAM 434 OUTROS COMPOSTOS COM FANANSERINA 435 POTENCIAL UTILIDADE NA FLUCINDOL 435 ESQUIZOFRENIA 456 GEVOTROLINA 436 HP 236 436 ÍNDICE REMISSIVO DE IB-503 436 ANTIPSICÓTICOS 469 JINKO-HEREMOL 437 9 10 país ou no exterior. Pretendeu-se uma obra Prefácio completa, de referência, não somente para o psiquiatra clínico como para investigadores, Vive a Psiquiatria o limiar de nova era bioquímicos, farmacólogos, médicos legistas e na História da terapêutica das psicoses com a toxicologistas, neurologistas e outros reabilitação da clozapina e o desenvolvimento, especialistas, além de estudantes de graduação e nos últimos anos, de nova e revolucionária série pós-graduação, profissinais, planejadores e de antipsicóticos: os atípicos de segunda geração. gerenciadores da Área da Saúde e da indústria Neste momento, quando simultaneamente farmacêutica. são completados 50 anos da introdução dos O estudo pretende abarcar os 250 neurolépticos ou antipsicóticos típicos, compostos mais relevantes obtidos nestes consagram-se os novos medicamentos e acaba de cinqüenta anos, estudados por 18 capítulos com ser mapeado o genoma humano -que espera-se, 36 seções ou subseções, que foram identificados a venha em futuro não muito distante permitir o partir de uma ampla revisão da literatura, da desenvolvimento de terapêuticas revolucionárias, qual estão selecionadas cerca de 5500 referências não-farmacológicas, para a esquizofrenia- nada bibliográficas. Na intenção de facilitar mais conveniente para dar-nos a correta consultas, foi incluído um Índice Remissivo com perspectiva e melhor calçar avanços futuros, do quase 2000 verbetes, contendo não somente que um amplo olhar retrospectivo a fim de nomes genéricos, como nomes de marca e nomes inventariar o alcançado até aqui, dando fecho a codificados, incluindo possíveis variações, pelos esta dura etapa de conquistas e realizações. quais cada composto tornou-se inicialmente A extensão do tema obrigou-nos à conhecido nas publicações de fases pré-clínicas divisão da matéria em duas partes. Esta divisão ou clínicas pré-licenciamento, um recurso acabou obedecendo, fortuitamente e ainda que indispensável para a precisa e abrangente com importantes exceções, à distinção em grupos localização das referências nos bancos de dados químicos tradicionais (parte I) e grupos químicos químicos, toxicológicos e bibliográficos hoje recentes (parte II). Entretanto, o leitor deve disponibilizados na Internet. estar advertido de que haverá capítulos onde são Procuramos, sempre que possível, simultaneamente examinados antipsicóticos destacar a produção científica nacional e dos típicos e atípicos, medicamentos convencionais e autores de países da Língua Portuguesa mas, novos, como por exemplo, os capítulos sobre os dadas as habituais dificuldades de registro e derivados indólicos (V) ou o das benzamidas (VI), intercâmbio entre nós,
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