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Mental illness
Our commitment to schizophrenia
Janssen-Cilag has been a major contributor to the treatment of mental disorders for over 40 years. The company has a continuing commitment to developing drugs for the treatment of these disorders, with special focus on schizophrenia.

Early developments in the drug treatment of schizophrenia
Although no neurochemical cause has yet been firmly established for schizophrenia, basic knowledge about brain chemistry and its link to schizophrenia is expanding rapidly.

 
Research

Patients with schizophrenia have been found to respond favorably to substances that inhibit the action of the neurotransmitter dopamine (a substance that allows communication between nerve cells). Janssen-Cilag's first antipsychotic was HALDOL™ (haloperidol).

 

Discovered in 1958, it blocks the effect of dopamine at particular sites. For many years the treatment of schizophrenia relied on drugs such as haloperidol. Although these drugs were effective against the positive symptoms of the illness such as hallucinations and delusions, they were ineffective against the negative symptoms such as social withdrawal.

In addition, these traditional drugs can have unpleasant side-effects, e.g. extrapyramidal symptoms such as tremor, in up to 90% of patients, which reduce patients' quality of life and often result in non-compliance with treatment.

Recent developments in the drug treatment of schizophrenia
Recent years have seen major advances in the understanding of schizophrenia. The discovery that a second brain neurotransmitter, serotonin, also appears to be associated with schizophrenia led the Janssen Research Foundation to conduct a major research programme to investigate a new class of chemical compounds. Called SDAs (serotonin and dopamine antagonists), these compounds work by blocking the transmission of both dopamine and serotonin in the brain at particular receptor subtypes (serotonin 2A and dopamine 2).
 
Research

RISPERDAL™ (risperidone) was the first of these new SDAs to become available. Studies have shown that it is effective against both positive and negative symptoms. It is effective in patients who have recently developed the illness as well as in long-term sufferers.

 

RISPERDAL™ has been prescribed for millions of patients worldwide, and is available in more than 100 countries.
Research on the use of RISPERDAL™ is continuing.

Do you want to know more about our R&D expertise in this field?
Please explore Psychiatry 24x7, an Internet site completely dedicated to schizophrenia and other psychoses.

 
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