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CNS & Neurological Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5273
ISSN (Online): 1996-3181

Mini-Review Article

Mini Review on Cariprazine: A Promising Antipsychotic Agent

Author(s): Ashish Patel*, Arya Patel, Darshini Patel, Krina Patel and Tushar Bambharoliya

Volume 22, Issue 2, 2023

Published on: 22 April, 2022

Page: [226 - 236] Pages: 11

DOI: 10.2174/1871527321666220324121935

Price: $65

Abstract

Cariprazine is a piperazine derivative approved by the USFDA in 2015 as a novel atypical antipsychotic drug (APD) to treat adults with schizophrenia and bipolar manic or mixed episodes in adults. However, due to the partial agonist action on dopamine D2, D3 receptors, and serotonin 5-HT1A receptors as well as the antagonist effect on 5-HT2A, 5-HT2B, and H1 receptors, cariprazine differs pharmacologically from other APDs, both typical and atypical. Moreover, cariprazine also has a unique pharmacokinetic profile due to the formation of two clinically significant metabolites: desmethyl-cariprazine (DCAR) and desmethyl-cariprazine (DDCAR). They are eliminated by CYP3A4 and also, to a lesser extent, by CYP2D6. Here, we also review the effectiveness, safety, as well as current clinical update of cariprazine in bipolar I disorder associated with/without mania and schizophrenia through randomized and post-hoc analysis. The potential benefits of cariprazine as a promising therapeutic alternative in addressing major clinical requirements for better therapy of such severe neuropsychiatric conditions were demonstrated in this summarized review study.

Keywords: Cariprazine, Dopamine(D2/D3) Receptor, DCAR, DDCAR, Schizophrenia, Bipolar I disorder.

Graphical Abstract


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