Talk:Cariprazine

Quick Question about How to Handle the New BP Depression Approvals with Existing Content

(Hope I'm using this new talk editor interface right)

Upon learning that Cariprazine got the "OK" from the FDA for Bipolar Depression, I went and updated this article with such information and citations. however, I feel some follow up information in the article adds some confusion. To keep this short...

My new entry: "used in the treatment of schizophrenia, bipolar mania, (NEW -->) and bipolar depression. (<-- NEW)

3 sentences away: "Positive Phase III study results were published for schizophrenia and mania in early 2012, and for bipolar disorder I depression from a Phase II trial in 2015.

Can we move this information to another spot... possibly the pretty vacant "Research" area? I'd rather not "delete history"

Note I am not talking about the Cariprazine-MDD bits, just BP depression.

Thanks for any input! Matthew Vita

The full chemical name of this substance is not being told by the article.

The full chemical name of this substance is not being told by the article. — Preceding unsigned comment added by 2001:5B0:2249:37B8:D87A:A55:5C6A:9638 (talk) 02:46, 11 January 2020 (UTC)

3-(trans-4-{2-[4-(2,3-Dichlorophenyl)-1-piperazinyl]ethyl}cyclohexyl)-1,1-dimethylurea

here it is. It needs added to the article. — Preceding unsigned comment added by 2001:5B0:2249:37B8:D87A:A55:5C6A:9638 (talk) 02:52, 11 January 2020 (UTC)

trans-N-{4-[2-[4-(2,3-dichlorophenyl)piperazine-1-yl]ethyl]cyclohexyl}-N’,N’-dimethylurea hydrochloride

Here it is... — Preceding unsigned comment added by 72.168.128.198 (talk) 02:56, 11 January 2020 (UTC)

Last paragraph of side effects section is poorly written

Currently, it reads;

"Because of cariprazine long half-life, and the especially long half-life of one of its active metabolites, monitor for adverse effects and response for several weeks after starting cariprazine and with each dosage change; also washout of active drug will take several weeks."

I'm replacing it with this version to improve spelling, grammar, and readability, without meaningfully changing the content of the paragraph;

"Because cariprazine and its active metabolites have long half-lives, many healthcare professionals monitor for adverse effects up to several weeks after starting cariprazine. A longer monitoring period is also indicated for dosage changes, whether they represent an increase or a decrease, because elimination may take several weeks."

 Atomic putty? Rien!  13:29, 18 October 2022 (UTC)

Partial Agonist / Copy-paste Quotes

In the Cariprazine § Pharmacodynamics section, there is this quote:

Moreover, partial agonists, through their limited response triggering, ironically often have the tendency to occupy near all targeted receptors at relatively low dosages of the drug. An extreme example is aripiprazole with an average occupancy of 70% (D2) at a 2 mg dose, well below its usual antipsychotic dosage (the often cited threshold of occupancy for an antipsychotic effect is 70%). This could be another reason for akathasia from partial agonists.

The phrasing here is not very clear: it reads as if it is implying that partial agonists have a high receptor occupancy due to their "limited response triggering" (is this a way to say lower intrinsic activity?). This doesn't seem to follow; being a partial agonist does not necessarily mean it will have high receptor occupancy and v/v.

There is also a quote copied verbatim from the source (attributed fine): is it okay to edit a quotation, for example by removing the inline reference leftovers from the paper it was copied from (e.g., removing the "[39]" from … 1.0 mg/d ranged from 63 to 79% [39]. In…)? Similarly for the errant double-dagger? Kimen8 (talk) 18:42, 25 January 2024 (UTC)

Weight gain?

In another language, the Wikipedia article on Cariprazine states that weight gain may be a common side effect. If this is correct, it should be added to the English article also, ideally quantified or compared to other second-gen antipsychotics.

Note, there is document [1], page 12 (in German), which seems to provide some numbers.

[1]: https://ec.europa.eu/health/documents/community-register/2022/20220404155045/anx_155045_de.pdf 2003:D3:8727:2F00:E960:58E4:D1A9:41A1 (talk) 13:11, 31 January 2024 (UTC)

Ah, here's the English version of the doc:

https://ec.europa.eu/health/documents/community-register/2022/20220404155045/anx_155045_en.pdf

Page 11, "Weight changes" here. 2003:D3:8727:2F00:E960:58E4:D1A9:41A1 (talk) 13:13, 31 January 2024 (UTC)