front |1 |2 |3 |4 |5 |6 |7 |8 |9 |10 |11 |12 |13 |14 |15 |16 |17 |18 |19 |20 |21 |22 |review |
4.Cerebrovascular
system Neuroleptics produce hypotension (primarily postural) by a central as well as peripheral action on sympathetic tone, which is more marked after parenteral administration and roughly parallels the á-adrenergic blocking potency. This is not prominent in psychotic patients and is accentuated by hypovolemia. Partial tolerance develops after chronic use. Reflex tachicardia accompanies hypotension. High doses of chlorpromazine directly depress the heart and produce ECG changes – QT prolongation and suppression of T wave. It exerts some antiarrhythmic action, probably due to membrane stabilization. Arrhythmia may occur in overdose, especially with thioridazine. |