Abstract

Clozapine is the first and most effective atypical antipsychotic drug for treatment-resistant schizophrenia (TRS). After withdrawal of clozapine due to concerns of agranulocytosis, clozapine was reintroduced with a comprehensive safety monitoring system, the clozapine patient monitoring system (CPMS). The reintroduction was a response to the pressure from psychiatrists and patients with TRS and their families. Clozapine is still the best single agent for the treatment of TRS. However, approximately 30% of patients with TRS still show psychotic symptoms. In patients with clozapine-resistant schizophrenia (CRS), augmentation of other antipsychotic agents could be considered after a thorough evaluation of proper clozapine treatment. In this review, the status of clozapine in patients with TRS and CRS will be discussed. Key Words: Antipsychotics · Clozapine · Schizophrenia · Treatment-resistant schizophrenia 중심 단어: 조현병 · ì¹˜ë£Œì €í•­ì„± 조현병 · 클로자핀 · í•­ì •ì‹ ë³‘ì•½ë¬¼

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