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Review
. 2015 Oct 19:69:1169-75.
doi: 10.5604/17322693.1175009.

[The neurotoxicity of pyridinium metabolites of haloperidol]

[Article in Polish]
Affiliations
Review

[The neurotoxicity of pyridinium metabolites of haloperidol]

[Article in Polish]
Agnieszka Górska et al. Postepy Hig Med Dosw (Online). .

Abstract

Haloperydol is a butyrophenone, typical neuroleptic agent characterized as a high antipsychotics effects in the treatment of schizophrenia and in palliative care to alleviation many syndromes, such as naursea, vomiting and delirium. Clinical problems occurs during and after administration of the drug are side effects, particularly extrapyrramidal symptoms (EPS). The neurotoxicity of haloperydol may be initiated by the cationic metabolites of haloperydol, HPP+, RHPP+, formed by oxidation and reduction pathways. These metabolites are transported by human organic cation transporters (hOCT) to several brain structures for exapmle, in substantia nigra, striatum, caudate nucleus, hippocampus. After reaching the dopaminergic neurons inhibits mitochondrial complex I, evidence for free radical involvement, thus leading to neurodegeneration.

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