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Aripiprazole is a second generation, atypical antipsychotic medication used in the treatment of schizophrenia, schizo-affective disorder, and acute bipolar mania. The mechanism of action of this drug is not entirely known; however, it has been shown to have high affinity agonistic activity at D2 dopamine and serotonin 5-HT1A receptors, and antagonistic activity at serotonin 5-HT2A receptors. Other affinities noted in premarketing studies [1] demonstrated moderate affinities for dopamine D4, serotonin 5-HT2C, histamine H1, and α1-adrenergic receptors.

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