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Amisulpride (Solian)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Amisulpride

What it is

Amisulpride is an antipsychotic that selectively blocks dopamine D2 and D3 receptors. At higher doses it is used for schizophrenia; at low doses, in some countries, for low mood, and as an injection to prevent nausea after surgery (Barhemsys). It is sold as Solian, among other names.

How genes come into it

Amisulpride is hardly broken down; the kidneys clear it largely unchanged, so liver-enzyme genes play little part. Studies have looked at the dopamine receptor gene DRD2 and the ANKK1 region, at HTR1A and ANKS1B for response, and at MC4R and SH2B1 for weight gain. The findings come from single or a few studies, and there is no CPIC or DPWG guideline.

What research found

Every published finding on gene variants and Amisulpride. Upload your DNA file to see which of these rows apply to you.

Rated evidence (7 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

MC4R rs489693: Level 3. Toxicity: Hypertriglyceridemia, Weight gain. 2.

MC4R rs17782313: Level 3. Toxicity: Weight gain. 1.

HTR1A rs10042486: Level 3. Efficacy: Schizophrenia. 1.

SH2B1 rs3888190: Level 3. Toxicity: Bipolar Disorder, Depressive Disorder, Psychotic Disorder, Schizoaffective disorder. 1.

Response (5 findings)

Studies of how well it worked in people carrying a variant.

ANKS1B rs7968606: Genotype CC is associated with increased response to amisulpride in people with Schizophrenia as compared to genotypes CT + TT.

DRD2 rs1079597: Allele C is associated with increased response to amisulpride in people with Schizophrenia as compared to allele T.

HTR1A rs10042486: Genotype TT is associated with increased response to amisulpride, antipsychotics, olanzapine, quetiapine or risperidone in people with Schizophrenia as compared to genotypes CC + CT.

SNAP25 rs8636: Genotype CT is associated with increased response to amisulpride in people with Schizophrenia as compared to genotypes CC + TT.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Abilify (Antipsychotics)

Antipsychotics (class) (Antipsychotics)

Bromperidol (Antipsychotics)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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