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First-Generation Antipsychotics as a Bridge to Second-Generation Antipsychotics in the Japanese Pharmaceutical Industry: Mosapramine, Timiperone, Zotepine, and Nemonapride

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NeuroPsychopharmacotherapy

Abstract

The introduction of antipsychotics into Japan began with chlorpromazine in 1955. Haloperidol was introduced in 1964, and several butyrophenone antipsychotics, benzamides. In 1961, carpipramine was first synthesized as the world’s first iminodibenzyl antipsychotic drug with a strong consciousness that Japan should develop its own antipsychotic drug, followed by clocapramine and mosapramine as improved versions. Furthermore, zotepine, the dibenzothiazepine-based antipsychotic, was synthesized in 1981. In 1973, the butyrophenone-based timiperone and, in 1978, the benzamide-based nemonapride were synthesized. Both were successfully marketed on the basis of clinical trials, and they have been widely used. Some of them, such as zotepine, were unique antipsychotics that were later classified as atypical antipsychotics. In this chapter, we describe the substance entry of four antipsychotics developed in Japan (mosapramine, timiperone, zotepine, and nemonapride).

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Correspondence to Ken Inada .

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Inada, K., Murasaki, M., Ishigooka, J. (2021). First-Generation Antipsychotics as a Bridge to Second-Generation Antipsychotics in the Japanese Pharmaceutical Industry: Mosapramine, Timiperone, Zotepine, and Nemonapride. In: Riederer, P., Laux, G., Nagatsu, T., Le, W., Riederer, C. (eds) NeuroPsychopharmacotherapy. Springer, Cham. https://doi.org/10.1007/978-3-319-56015-1_417-1

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  • DOI: https://doi.org/10.1007/978-3-319-56015-1_417-1

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