The assertive approach to clozapine: nasogastric administration.
BJPsych Bull
; 43(1): 21-26, 2019 Feb.
Article
en En
| MEDLINE
| ID: mdl-30223913
ABSTRACT
Aims and methodAn 'assertive approach' to clozapine, where nasogastric administration is approved, is assessed through a case-load analysis to provide the first systematic description of its use and outcomes worldwide. RESULTS:
Five of the most extremely ill patients with treatment-resistant schizophrenia were established and/or maintained on clozapine, resulting in improvements to their mental state; incidents were reduced, segregation was terminated and progression to less restrictive environments was achieved.Clinical implicationsDespite being underutilised and rarely enforced, in extreme circumstances, an assertive approach to clozapine can be justified. Nasogastric clozapine can be safely delivered and the approach itself, rather than actual nasogastric administration, may be enough to help establish and maintain patients with treatment-resistant schizophrenia on the most effective treatment.Declaration of interestE.S. has received speaker fees from Jansen Pharmaceuticals and Novartis.
Texto completo:
1
Bases de datos:
MEDLINE
Idioma:
En
Revista:
BJPsych Bull
Año:
2019
Tipo del documento:
Article
País de afiliación:
Reino Unido