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Sonepiprazole is a selective antagonist of the dopamine 4 (D4) receptor (Kis = 10 nM). It is highly selective over D1, D2, and D3 receptors, serotonin 1A and 2 receptors, as well as α1- and α2-adrenergic receptors (Kis > 2,000 nM).1,2 Its safety profile in rat studies is improved in comparison to classical antipsychotics but it is not effective for positive or negative symptoms of schizophrenia in patients.1,3 In a pharmacological model of stress exposure in rhesus monkeys, sonepiprazole reverses stress-induced cognitive deficits.4
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1. Pharmacological characterization of U-
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3. Effectiveness of the selective D4 antagonist sonepiprazole in schizophrenia: A placebo-
4. The selective dopamine D4 receptor antagonist, PNU-