The clozapine conundrum: Navigating neutropenia and the pursuit of effective care in treatment-resistant schizophrenia.
| Autor: | Kar A; Wotton Lawn Hospital, Gloucestershire Health and Care NHS Foundation Trust, UK., Nutting T; Wotton Lawn Hospital, Gloucestershire Health and Care NHS Foundation Trust, UK., Ikram M; Wotton Lawn Hospital, Gloucestershire Health and Care NHS Foundation Trust, UK., Sullivan C; Wotton Lawn Hospital, Gloucestershire Health and Care NHS Foundation Trust, UK. |
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| Jazyk: | angličtina |
| Zdroj: | International journal of psychiatry in medicine [Int J Psychiatry Med] 2024 Sep; Vol. 59 (5), pp. 536-544. Date of Electronic Publication: 2023 Nov 16. |
| DOI: | 10.1177/00912174231214647 |
| Abstrakt: | Background: This case explores the challenges encountered in managing treatment-resistant paranoid schizophrenia, focusing on the limitations of using clozapine due to the risk of neutropenia. The United Kingdom Clozapine Patient Monitoring Service (UK CPMS) and its eligibility criteria are discussed, highlighting the potential benefits of expanding access to clozapine for patients who could potentially benefit from this medication. The integration of clozapine genetic testing as a personalized approach is explored, emphasizing the importance of identifying patients with a favorable genetic profile for clozapine response. Methods: Case report. Results: The case presentation of Mr. X exemplifies the difficulties faced in managing treatment-resistant schizophrenia when access to clozapine is restricted, leading to persistent negative symptoms. Conclusion: The article underscores the importance of innovative solutions and personalized care to enhance the treatment outcomes for patients with treatment-resistant paranoid schizophrenia. It acknowledges that certain restrictions of clozapine use may limit the effective management of patients with this condition. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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