Abstract
Psychotropic drugs were developed through serendipity. In Europe in the 1900s, promethazine was used to treat circulatory shock, when a French surgeon noticed patients on promethazine became calm and somnolent. From there, chlorpromazine, reserpine, and the benzodiazepines made their entry. These drugs were considered symptomatic treatments and were used irrespective of any underlying psychiatric diagnosis. Gradually, the idea took hold that these drugs were treating certain disorders instead of just sedating patients.
Tranquillizers were renamed antidepressants, antipsychotics, anxiolytics, hypnotics, and mood stabilizers. Side effects as “an interesting inversion of clinical manifestations” were soon noted. Agitation turned into depression, and psychotic reactions and increased anxiety occurred, as did suicidal ideation and acts. Extremely violent homicides were noted in both adults and children. Akathisia, agitation, mania, and emotional blunting were present in many individuals committing acts of violence. Many psychotropic drugs react with monoamine neurotransmitters, interfering with the brain’s neural network leading to chemical lobotomies and dysexecutive syndromes.
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Abbreviations
- Ach:
-
Acetylcholine
- ADHA:
-
Attention deficit hyperactivity disorder
- CYP450:
-
Cytochrome P450
- DA:
-
Dopamine
- EM:
-
Extensive metabolizer
- EPS:
-
Extrapyramidal symptoms
- FDA:
-
Food and Drug Administration
- GABA:
-
Gamma-aminobutyric-acid
- GSK:
-
GlaxoSmithKlein
- HAM-D:
-
Hamilton Rating Scale for Depression
- 5-HT:
-
5-hydroxytryptamine, serotonin
- IM:
-
Intermediate metabolizer
- NIMH:
-
National Institute of Mental Health
- NE:
-
Noradrenaline
- OCD:
-
Obsessive compulsive disorder
- PM:
-
Poor metabolizer
- PMDD:
-
Premenstrual dysphoric disorder
- SSRI:
-
Selective serotonin reuptake inhibitor
- SK&F:
-
Smith, Kline & French
- UM:
-
Ultrarapid metabolizer
- UK:
-
United Kingdom
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Eikelenboom-Schieveld, S.J.M., Fogleman, J.C. (2023). Violence Caused by Prescription Medication. In: Martin, C.R., Preedy, V.R., Patel, V.B. (eds) Handbook of Anger, Aggression, and Violence. Springer, Cham. https://doi.org/10.1007/978-3-031-31547-3_24
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