FPGEE for National Association of Boards of Pharmacy (NABP) Practice Exam 2025 - Free NABP Practice Questions and Study Guide

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Which of the following is NOT a characteristic of atypical antipsychotics?

High affinity for dopamine receptors

The correct response identifies a key characteristic that differentiates atypical antipsychotics from typical antipsychotics. Atypical antipsychotics are specifically recognized for their lower affinity for dopamine receptors. This results in lower occupancy of D2 receptors compared to typical antipsychotics, which often lead to greater affinity for these same receptors. Atypical antipsychotics are designed to have a more balanced effect on neurotransmitters, impacting serotonin and dopamine pathways differently.

Typically, atypical antipsychotics also have a high degree of occupancy of 5-HT2A receptors, which helps in alleviating mood symptoms and reducing psychotic experiences without the same level of motor side effects that are characteristic of traditional dopaminergic blockade, which causes extrapyramidal symptoms (EPS).

Consequently, the identification of high affinity for dopamine receptors is not a characteristic of atypical antipsychotics since they generally target other receptors more effectively, which contributes to their clinical profile and therapeutic benefits, making this the correct answer.

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Lower occupancy of D2 receptors

High degree of occupancy of 5-HT2A receptors

Reduced extrapyramidal symptoms (EPS)

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