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Clozapine-induced agranulocytosis [PDF]
AbstractWider use of clozapine, one of the most effective antipshychotic drugs, is precluded by its propensity to cause agranulocytosis. Currently, clozapine is used for treatment-resistant schizophrenia, with mandatory blood count monitoring for the duration of treatment.
Aleksandar Mijovic, James H. MacCabe
openaire +4 more sources
Treatment-resistant schizophrenia (TRS) will affect about one in three patients with schizophrenia. Clozapine is the only treatment approved for TRS, and patients should be treated as soon as possible to improve their chances of achieving remission ...
C. Correll+6 more
semanticscholar +1 more source
This international guideline proposes improving clozapine package inserts worldwide by using ancestry-based dosing and titration. Adverse drug reaction (ADR) databases suggest that clozapine is the third most toxic drug in the United States (US), and it ...
J. de Leon+103 more
semanticscholar +1 more source
Clozapine was synthesized in 1958. The Food and Drug Administration approved it in 1989 when comprehensive pharmacokinetic studies were not required and it was not known that clozapine was metabolized by the cytochrome P450 1A2 (CYP1A2).
Jose de Leon
semanticscholar +1 more source
The wider use of clozapine is limited by the risk of agranulocytosis and the associated requirement for monitoring of neutrophil counts. We searched local electronic patient records for cases of agranulocytosis occurring during clozapine treatment during
David Taylor+4 more
semanticscholar +1 more source
Efficacy and safety of clozapine in psychotic disorders—a systematic quantitative meta-review
A recent increase in the literature regarding the evidence base for clozapine has made it increasingly difficult for clinicians to judge “best evidence” for clozapine use. As such, we aimed at elucidating the state-of-the-art for clozapine with regard to
E. Wagner+8 more
semanticscholar +1 more source
A Focused Review of the Metabolic Side-Effects of Clozapine
The second generation antipsychotic drug clozapine represents the most effective pharmacotherapy for treatment-resistant psychosis. It is also associated with low rates of extrapyramidal symptoms and hyperprolactinemia compared to other antipsychotic ...
Jessica W. Y. Yuen+5 more
semanticscholar +1 more source
Changes in Brain Glutamate on Switching to Clozapine in Treatment-Resistant Schizophrenia
It has been suggested that the antipsychotic clozapine may modulate brain glutamate, and that this effect could contribute to its efficacy in treatment-resistant schizophrenia (TRS).
Grant McQueen+15 more
semanticscholar +1 more source
Clozapine levels as a predictor for therapeutic response: A systematic review and meta‐analysis
Clozapine levels may be a more useful predictor of therapeutic response than the dose, given the variability in clozapine metabolism between individuals.
D. Siskind+6 more
semanticscholar +1 more source
Using Richardson and Davidson’s model and the sciences of pharmacokinetics and clinical pharmacopsychology, this article reviewed the: (1) poor life expectancy associated with treatment-resistant schizophrenia (TRS), which may be improved in patients who
J. de Leon+3 more
semanticscholar +1 more source