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Combination of clozapine and ziprasidone in treatment-resistant schizophrenia: an open clinical study.
Clin Neuropharmacol. 2005 Sep-Oct; 28(5):220-4.CN

Abstract

OBJECTIVES

Therapeutic options for patients with treatment-resistant schizophrenia are limited. In such patients, combined application of atypical antipsychotic drugs is an often-used strategy. The authors tested the hypothesis that the combination of ziprasidone and clozapine would lead to an improvement in this patient group.

METHODS

Nine patients with treatment-resistant schizophrenia participated in this open clinical trial and received a combination regimen of ziprasidone and clozapine. Patients had to have remained on a stable dose of clozapine for at least 6 months to ensure a reasonable opportunity to respond to clozapine monotherapy. Clinical status was evaluated at baseline, and at 3 and 6 months' follow-up using the Brief Psychiatric Rating Scale (BPRS).

RESULTS

All patients completed the 6-month combination treatment. The mental state of 7 patients (77.8%) was improved and there was a significant reduction in the mean BPRS score over the 6 months treatment. The coadministration of ziprasidone in clozapine-treated patients did not result in a corresponding increase in side effects. The combination allowed a 18% reduction of the daily clozapine dose.

CONCLUSION

The combined application of clozapine and ziprasidone follows a neurobiologic rationale and appears to be safe and well tolerated without increasing the risk of side effects.

Authors+Show Affiliations

Department of Social Psychiatry and Psychotherapy, Hanover Medical School (MHH), Hannover, Germany. ziegenbein.marc@mh-hannover.deNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

16239761

Citation

Ziegenbein, Marc, et al. "Combination of Clozapine and Ziprasidone in Treatment-resistant Schizophrenia: an Open Clinical Study." Clinical Neuropharmacology, vol. 28, no. 5, 2005, pp. 220-4.
Ziegenbein M, Kropp S, Kuenzel HE. Combination of clozapine and ziprasidone in treatment-resistant schizophrenia: an open clinical study. Clin Neuropharmacol. 2005;28(5):220-4.
Ziegenbein, M., Kropp, S., & Kuenzel, H. E. (2005). Combination of clozapine and ziprasidone in treatment-resistant schizophrenia: an open clinical study. Clinical Neuropharmacology, 28(5), 220-4.
Ziegenbein M, Kropp S, Kuenzel HE. Combination of Clozapine and Ziprasidone in Treatment-resistant Schizophrenia: an Open Clinical Study. Clin Neuropharmacol. 2005 Sep-Oct;28(5):220-4. PubMed PMID: 16239761.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combination of clozapine and ziprasidone in treatment-resistant schizophrenia: an open clinical study. AU - Ziegenbein,Marc, AU - Kropp,Stefan, AU - Kuenzel,Heike E, PY - 2005/10/22/pubmed PY - 2006/1/6/medline PY - 2005/10/22/entrez SP - 220 EP - 4 JF - Clinical neuropharmacology JO - Clin Neuropharmacol VL - 28 IS - 5 N2 - OBJECTIVES: Therapeutic options for patients with treatment-resistant schizophrenia are limited. In such patients, combined application of atypical antipsychotic drugs is an often-used strategy. The authors tested the hypothesis that the combination of ziprasidone and clozapine would lead to an improvement in this patient group. METHODS: Nine patients with treatment-resistant schizophrenia participated in this open clinical trial and received a combination regimen of ziprasidone and clozapine. Patients had to have remained on a stable dose of clozapine for at least 6 months to ensure a reasonable opportunity to respond to clozapine monotherapy. Clinical status was evaluated at baseline, and at 3 and 6 months' follow-up using the Brief Psychiatric Rating Scale (BPRS). RESULTS: All patients completed the 6-month combination treatment. The mental state of 7 patients (77.8%) was improved and there was a significant reduction in the mean BPRS score over the 6 months treatment. The coadministration of ziprasidone in clozapine-treated patients did not result in a corresponding increase in side effects. The combination allowed a 18% reduction of the daily clozapine dose. CONCLUSION: The combined application of clozapine and ziprasidone follows a neurobiologic rationale and appears to be safe and well tolerated without increasing the risk of side effects. SN - 0362-5664 UR - https://www.unboundmedicine.com/medline/citation/16239761/Combination_of_clozapine_and_ziprasidone_in_treatment_resistant_schizophrenia:_an_open_clinical_study_ L2 - https://doi.org/10.1097/01.wnf.0000183446.58529.30 DB - PRIME DP - Unbound Medicine ER -