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Mr. X was 39 years old man with a previous history of bipolar disorder.
Mr. X was found to be often aggressive and showing bizarre behavior. Mr. X was admitted to the psychiatric unit of the hospital. During transport to the psychiatric unit, he thought that he was in a doorway to hell or heaven and that the psychiatric unit was a torture chamber. Mr. X was prescribed 1st generation antipsychotics. After few months, Mr. X exhibited extrapyramidal symptoms. Based on your knowledge describe the following:
1. If Mr. X must keep on using the same antipsychotic regardless of his extrapyramidal symptom? answer as "yes" or "no"
2. If you think, Mr. X can use any other antipsychotic, suggest the name of class of that antipsychotic drug
3. What is the difference in the pharmacological mechanism of action of 1st generation antipsychotics and your suggested antipsychotic
4. Is there any possibility of any other type of side effect profile in future due to your suggested antipsychotic? If yes, mention at least three "specific" side-effects of this drug?
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