Indication |
Sulpiride is indicated for the treatment of schizophrenia. |
Pharmacodynamics |
Sulpiride is a substituted benzamide derivative and a selective
dopamine D2 antagonist with antipsychotic and antidepressant activity.
Other benzamide derivatives include metoclopramide, tiapride, and
sultopride. |
Mechanism of action |
In contrast to most other neuroleptics which block both dopamine
D1 and D2 receptors, Sulpiride is more selective and acts primarily as a
dopamine D2 antagonist. Sulpiride appears to lack effects on
norepinephrine, acetylcholine, serotonin, histamine, or
gamma-aminobutyric acid (GABA) receptors. |
Absorption |
Sulpiride is absorbed slowly from the gastrointestinal tract. Its
oral bioavailability is only 25 to 35% with marked interindividual
differences. |
Volume of distribution |
Not Available |
Protein binding |
Not Available |
Metabolism |
Not Available |
Route of elimination |
Not Available |
Half life |
6 to 8 hours |
Clearance |
Not Available |
Toxicity |
Sulpiride has a relatively low order of acute toxicity.
Substantial amounts may cause severe but reversible dystonic crises with
torticollis, protrusion of the tongue, and/or trism. In some cases all
the classical symptoms typical of severe Parkinson's Disease may be
noted; in others, over-sedation/coma may occur. |