Guideline 15: Selecting Antipsychotics for a Patient With a Complicating Condition

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The experts would avoid clozapine, olanzapine, and conventional antipsychotics, especially low and mid-potency agents, in patients who have diabetes, obesity, or dyslipidemia. They would avoid clozapine, ziprasidone, and conventional antipsychotics, especially low- and mid-potency agents, in patients with QTc prolongation or congestive heart failure. They preferred quetiapine or olanzapine for patients with prolactin-related disorders such as galactorrhea or gynecomastia and quetiapine for patients with Parkinson’s disease.’ ‹