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Switching from clozapine to paliperidone palmitate-3-monthly improved obesity, hyperglycemia and dyslipidemia lowering antipsychotic dose equivalents in a treatment-resistant schizophrenia cohort.
Author: García-CarmonaJuan Antonio, Martínez-AndrésJuan Andrés
Original Abstract of the Article :
Clozapine, an antipsychotic developed in 1958, is considered the gold standard and the treatment of choice in treatment-resistant schizophrenia despite its side effects and despite 40-70% of these patients not responding to clozapine. In the last decade, new antipsychotics, such as paliperidone palm...See full text at original site
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引用元:
https://pubmed.ncbi.nlm.nih.gov/31851035
データ提供:米国国立医学図書館(NLM)
A New Route for Treatment-Resistant Schizophrenia
The [schizophrenia] landscape is a complex one, with many patients struggling to find effective treatments. [Clozapine], considered the gold standard for treatment-resistant schizophrenia, carries significant side effects. This research explores the potential of [paliperidone palmitate (PP)], a newer antipsychotic with long-acting injectable (LAI) formulations, as an alternative treatment option. The study investigates the endocrine and hepatic profiles of patients with treatment-resistant schizophrenia who switched from [clozapine] to [PP3M] (paliperidone palmitate-3-monthly).
PP3M Shows Promise for Improved Metabolic Outcomes
The study found that switching from [clozapine] to [PP3M] led to significant improvements in metabolic parameters, such as body mass index (BMI), glucose levels, cholesterol, and triglycerides. This suggests that [PP3M] may offer a more metabolically favorable option for patients with treatment-resistant schizophrenia, potentially mitigating the metabolic side effects associated with [clozapine]. The study also found that switching to [PP3M] resulted in lower pharmacological exposure to antipsychotics, highlighting the potential for a lower overall drug burden.
Finding a Balance Between Efficacy and Side Effects
This research highlights the ongoing search for effective and well-tolerated treatments for [schizophrenia]. While [PP3M] shows promise, further research is needed to establish its role in treatment-resistant schizophrenia and compare its efficacy and safety to [clozapine] in a controlled setting. Finding a balance between treatment efficacy and side effects is crucial for improving the quality of life of patients living with this complex and often debilitating disease.
Dr.Camel's Conclusion
The search for effective treatments for [schizophrenia] is like a long journey across a vast desert, seeking out the oasis of relief. This research offers a potential path forward, with [PP3M] emerging as a promising alternative to [clozapine]. While the journey continues, this research provides hope for a future where patients with treatment-resistant schizophrenia can find a treatment that effectively manages their symptoms while minimizing side effects.
Date :
- Date Completed 2021-01-13
- Date Revised 2021-02-07
Further Info :
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