The atypical antipsychotic agents clozapine and risperidone bring new
insight into the care and treatment of patients with schizophrenia. Si
nce their introduction, several names (e.g., novel, atypical, serotone
rgic-dopaminergic antagonist) have been used to describe the nature of
these compounds. The agents are unique in a number of ways compared w
ith conventional neuroleptics. In particular, they have the distinctio
n of having achieved separation between the effective dosage and the d
osage that causes extrapyramidal symptoms, which has significant impli
cations for patient care. On the whole, the advent of atypical agents
is changing treatment protocols for patients with schizophrenia.