A client with a history of benign prostatic hyperplasia is beginning treatment for schizophrenia. Which medication might be contraindicated for this client?
1. Fluphenazine
2. Chlorpromazine
3. Aripiprazole (Abilify)
4. Risperidone (Risperdal)
Correct Answer: 2
Rationale 1: Fluphenazine produces less sedation and fewer anticholinergic effects than chlorpromazine.
Rationale 2: Chlorpromazine should be used with caution in clients with benign prostatic hyperplasia because it can cause urinary retention.
Rationale 3: Abilify was specifically formulated to eliminate or minimize anticholinergic effects.
Rationale 4: The incidences of anticholinergic effects with Risperdal are low.
Global Rationale: Chlorpromazine should be used with caution in clients with benign prostatic hyperplasia because it can cause urinary retention. Fluphenazine produces less sedation and fewer anticholinergic effects than chlorpromazine. Abilify was specifically formulated to eliminate or minimize anticholinergic effects. The incidences of anticholinergic effects with Risperdal are low.
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