• J Head Trauma Rehabil · Mar 2003

    Review

    The use of atypical antipsychotics in traumatic brain injury.

    • Elie Paul Elovic, Ramon Lansang, Yali Li, and Joseph H Ricker.
    • Traumatic Brain Injury Research, Kessler Medical Rehabilitation Research Education Corporation (KMRREC), West Orange, NJ, USA.
    • J Head Trauma Rehabil. 2003 Mar 1; 18 (2): 177-95.

    AbstractThe use of antipsychotic medication in treating individuals with traumatic brain injury (TBI) has been controversial. Much of the caution derives from animal studies (and limited human data) with regard to typical antipsychotics. Of note, however, is that similar assumptions have been made about the newer generation of atypical antipsychotics as well. Because these agents have different mechanisms of action as well as different neurotransmitter targets, this may very well be unwarranted. In this article, mechanisms of action of typical and atypical antipsychotics are discussed, with particular attention paid to their use in TBI. Indications and contraindications are presented, and recommendations are made for the responsible prescribing of antipsychotic medications after TBI.

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