Antipsychotics · Pharmacology

Which of the following describes the primary mechanism of action of first-generation (typical) antipsychotics like Haloperidol?

  1. Agonism of Serotonin receptors
  2. Antagonism of Dopamine D2 receptors
  3. Inhibition of the GABA-A receptor complex
  4. Reuptake inhibition of Norepinephrine
Show answer and explanation

Correct answer: Antagonism of Dopamine D2 receptors

Typical antipsychotics primarily work by blocking D2 receptors in the mesolimbic pathway, which reduces positive symptoms of schizophrenia. However, their high affinity for D2 receptors in the nigrostriatal pathway is responsible for extrapyramidal side effects.

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