Drug reference
Sulpiride
Atypical Antipsychotic · Antipsychotic
Also known as Sulpride
Atypical AntipsychoticAntipsychotic
CDSCO approved
EXCRETION
—
not curated
INTERACTIONS
—
none in our sources
PREGNANCY
—
not curated
Mechanism
Sulpiride acts as an antagonist with equivalent potency at dopamine D2 and D3 receptors. It also functions as an antagonist at 5-HT7 receptors, contributing to its antipsychotic effects.
Indications
PsychosesSchizophrenia
Dosing
- Geriatric
- Initial doses of antipsychotic drugs in elderly patients should be reduced (to half the adult dose or less), taking into account factors such as the patient’s weight, co-morbidity, and concomitant medication.
Side effects
Common
Reduced sedative effectsReduced antimuscarinic effectsReduced extrapyramidal effects
Serious
- Extrapyramidal symptoms
- Elevated prolactin levels
- Tardive dyskinesia
- Increased risk of mortality (in elderly patients with dementia)
- Increased risk of stroke or transient ischaemic attack (in elderly patients with dementia)
Related guidelines
Other Atypical Antipsychotic drugs
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Sources: Katzung, BNF·Verified: 2026-05-10 · House clinical team