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Metiapine is a small molecule classified as a dibenzothiazepine derivative. It has been investigated for its potent antipsychotic characteristics, particularly in the treatment of schizophrenia. Its mechanism of action involves blocking GABA(A) receptors, a property it shares with other antipsychotic and antidepressant drugs like clozapine. Clinical trials in the 1970s compared metiapine to chlorpromazine for acute and chronic schizophrenia, with a 2017 review concluding that further research comparing the two drugs was unlikely due to a lack of clinical relevance.
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