Antipsychotics are safer in the patient with
(B) Hypertension # CVS:> Neuroleptics produce hypotension (primarily postural) by a central as well as peripheral action on sympathetic tone.> Chlorpromazine lowers seizure threshold and can precipitate fits in untreated epileptics.> The piperazine side chain compounds have a lower propensity for this action.# Endocrine:> They reduce gonadotropin secretion but amenorrhoea and infertility occur only occasionally.> ACTH release in response to stress is diminished -- corticosteroid levels fail to increase under such circumstances.> Release of GH is also reduced but this is not sufficient to cause growth retardation in children or to be beneficial in acromegaly.
Infertility
Hypertension
Epilepsy
All of the above
Miscellaneous