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Antipsychotics (class)

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

About Antipsychotics

What it is

Antipsychotics are a class of medicines that act mainly by blocking or moderating dopamine D2 receptors, many of them also serotonin receptors. They are used for schizophrenia and other psychoses, for mania in bipolar disorder, and some for agitation, tics or as add-ons in depression. The class includes older agents such as haloperidol and newer ones such as risperidone, olanzapine, quetiapine and aripiprazole. This page collects studies that looked at antipsychotics as a group.

How genes come into it

Studies of the class as a whole have looked at the dopamine receptor gene DRD2, COMT, BDNF and others for response, and at genes such as MC4R and HTR2C for weight gain and movement side effects; the results are mixed and none has reached a guideline. The firm evidence is for individual medicines and the enzymes that break them down, chiefly CYP2D6 (aripiprazole, risperidone, haloperidol and others) and CYP3A4 (quetiapine), each on its own page.

What research found

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

Rated evidence (54 rated variants)

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

CYP2D6 CYP2D6*3, CYP2D6*4, CYP2D6*5, CYP2D6*6, CYP2D6*7, CYP2D6*10, CYP2D6*14: Level 3. Toxicity: Dystonia. 12.

LEP rs7799039: Level 3. Toxicity: Autism Spectrum Disorder, Mood Disorder. 4.

MC4R rs489693: Level 3. Toxicity: Weight gain. 4.

DRD2 rs1799732: Level 3. Toxicity: Psychotic Disorder. 4.

Metabolism (1 finding)

Studies of how quickly the body processes this medication.

CYP3A4 CYP3A4*1, CYP3A4*22: CYP3A4 *22 is not associated with dose-adjusted trough concentrations of antipsychotics, aripiprazole, haloperidol, pimozide or risperidone in people with Psychotic Disorders as compared to CYP3A4 *1.

Response (61 findings)

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

rs2513265: Allele A is associated with increased response to antipsychotics in people with Schizophrenia as compared to allele T.

ABCB1 rs1045642: Allele G is associated with increased response to antipsychotics in people with Schizophrenia.

ABCB1 rs1128503: Allele G is associated with increased response to antipsychotics in people with Schizophrenia.

ADCY2 rs1544938: Allele C is associated with increased response to antipsychotics in people with Schizophrenia as compared to allele G.

Dosing (6 findings)

Studies of how much of the drug people needed or tolerated.

ABCB1 rs1045642: Genotype GG is associated with increased dose of antipsychotics in people with Schizophrenia as compared to genotype AA.

ABCB1 rs1128503: Genotype AA is associated with increased dose of antipsychotics in people with Schizophrenia.

ABCB1 rs2032582: Genotype AA is associated with increased dose of antipsychotics in people with Schizophrenia.

ABCB1 rs2032582: Genotype CC is associated with increased dose of antipsychotics in people with Schizophrenia as compared to genotype AA.

Side effects (1 finding)

Studies of side effects in people carrying a variant.

GRM3 rs6465084: Genotype AA is associated with increased response to antipsychotics in people with Schizophrenia as compared to genotypes AG + GG.

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)

Bromperidol (Antipsychotics)

Clopixol (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.

Back to Medications

Content updated September 2026.

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