Applicability of antipsychotic monopharmacy and dose reduction for patients with chronic schizophrenia.

Accession number;02A0472878
Title;Applicability of antipsychotic monopharmacy and dose reduction for patients with chronic schizophrenia.
Author; SUZUKI TAKEFUMI (Keiodai I Seishinshinkeika) WATANABE KOICHIRO (Keiodai I Seishinshinkeika) TAKANO HARUMASA (Keiodai I Seishinshinkeika) TSUNODA KEN'ICHI (Keiodai I Seishinshinkeika) UCHIDA HIROYUKI (Keiodai I Seishinshinkeika) YAGI GOHEI (Keiodai I Seishinshinkeika) KASHIMA HARUO (Keiodai I Seishinshinkeika)
Journal Title;Annual Report of the Pharmacopsychiatry Research Foundation
Journal Code:Y0939A
ISSN:0286-7591
VOL.;NO.34;PAGE.84-92(2002)
Figure&Table&Reference;TBL.5, REF.21
Pub. Country;Japan
Language;Japanese
Abstract;Antipsychotic polypharmacy and high-dose therapy have long been used for the treatment of schizophrenia without little evidence. In order to critically evaluate their effectiveness, we I Revised usage of multiple antipsychotics(polypharmacy) to the single main agent(monopharmacy), while keeping the approximate total amount of medication II Reduced the dose of antipsychotic(s) for those receiving more than 1000mg/day. 40 chronic subjects were recruited for each study. Results from study I showed that 29(72.5%) cases were successfully maintained by monopharmacy and overall GAF score stayed unchanged. Study II indicated 35(87.5%) instances of high-dose therapy were ameliorated and GAF/CGI improved significantly. It is suggested these pharmacotherapy are overused. Antipsychotic polypharmacy is invalid for most of the cases and mere reduction of medication can be a plausible step to take. (author abst.)