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| Routes of administration | Oral |
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| Formula | C15H22N2O |
| Molar mass | 246.354 g·mol−1 |
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Piquindone (Ro 22-1319) is anatypical antipsychotic with atricyclicstructure that was developed in the 1980s but was never marketed.[1][2][3] It acts as aselectiveD2 receptorantagonist,[4][5][6] though based on its effects profile its selectivity may be considered controversial. Unlike most other D2 receptor ligands, piquindone displaysNa+-dependentbinding, a property it shares withtropapride,zetidoline, andmetoclopramide.[7]
Inclinical trials piquindone was found to possess moderate efficacy in treatingpositive symptoms of schizophrenia, and notably, was also modestly effective fornegative symptoms, though this was just under statistical significance.[1] Additionally, relative tohaloperidol, it was found to possesses significantly fewerextrapyramidal symptoms and had a much lower propensity for inducingtardive dyskinesia, indicating itsatypical nature.[1][3] In addition topsychosis, piquindone has also been found to be effective in the treatment ofTourette's syndrome in numerous clinical studies.[8][9][10][11]