Commentary

Weighing clozapine’s risks


 

Thank you for publishing “Clozapine for schizophrenia: Life-threatening or life-saving treatment?” (Current Psychiatry, December 2009). In recent years, prescription rates for clozapine and long-acting injectables have been low, which is a disservice to our patients. We have seen the amazing impact clozapine can have on our patients’ lives compared with other antipsychotics, and it is a shame to not prescribe it because of red tape. I am amazed that patients will stay on a medication that has so many untoward side effects, as we saw in the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) study. I think this is a testament to how effective the medication is.

Corey Yilmaz, MD
Southwest Behavioral Health Services
Tolleson, AZ

Recommended Reading

Side Effects Vary by Diagnosis
MDedge Psychiatry
Short Course of Atypicals Led to Rapid Weight Gain
MDedge Psychiatry
Schizophrenia in Older Adults: There Is Hope
MDedge Psychiatry
Iloperidone for schizophrenia
MDedge Psychiatry
Asenapine for schizophrenia and bipolar I disorder
MDedge Psychiatry
Opioid use could cause mania
MDedge Psychiatry
Corticosteroid psychosis: Stop therapy or add psychotropics?
MDedge Psychiatry
Let the "script" of your patient's suicide attempt help you plan effective treatment
MDedge Psychiatry
When clozapine may be right for your patient, and how to initiate therapy
MDedge Psychiatry
Psychosis in women: Consider midlife medical and psychological triggers
MDedge Psychiatry