The effect of bezafibrate in preventing glucolipid abnormalities induced by the antipsychotic risperidone

Psychiatry Res. 2019 Nov:281:112584. doi: 10.1016/j.psychres.2019.112584. Epub 2019 Sep 27.

Abstract

The present study aimed to investigate the effect of bezafibrate on glucolipid abnormalities induced by antipsychotics in schizophrenia. Patients in the treatment group (group A) were treated with antipsychotics and a daily dose of 200 mg bezafibrate for 12 weeks, and patients in the control group (group B) were treated with antipsychotics; sugar, fat and weight changes before and after the treatment were compared between the two groups. Before treatment the differences in TG, TC, LDL-C, HDL-C, body weight and blood glucose between groups A and B were not statistically significant. However, in group B, levels of TG, TC, LDL-C, body weight and blood glucose after treatment showed statistically significant increases, although levels of HDL-C did not register any statistically significant change. By contract, in group A, there were no statistically significant changes in any of the variables measured. Bezafibrate can prevent an increase in sugar, fat and weight gain in treating schizophrenia patients with antipsychotics, and low doses of bezafibrate are safe in the antipsychotic treatment for schizophrenia.

Keywords: Bezafibrate; Glucolipid abnomal prevention; Schizophrenia.

MeSH terms

  • Adolescent
  • Adult
  • Antipsychotic Agents / administration & dosage*
  • Antipsychotic Agents / adverse effects
  • Bezafibrate / administration & dosage*
  • Blood Glucose / drug effects*
  • Blood Glucose / metabolism
  • Body Weight / drug effects
  • Body Weight / physiology
  • Drug Therapy, Combination
  • Female
  • Humans
  • Hypolipidemic Agents / administration & dosage*
  • Male
  • Middle Aged
  • Risperidone / administration & dosage*
  • Risperidone / adverse effects
  • Schizophrenia / blood
  • Schizophrenia / drug therapy*
  • Weight Gain / drug effects
  • Weight Gain / physiology
  • Young Adult

Substances

  • Antipsychotic Agents
  • Blood Glucose
  • Hypolipidemic Agents
  • Risperidone
  • Bezafibrate