Clozapine Dose Reduction in Remitted Patients With Treatment-Resistant Schizophrenia: A Case Series

Reducing the clozapine maintenance dose in remitted TRS patients carried a substantial risk of relapse. The risk may be lower when dose reductions are guided by clozapine levels and implemented gradually over several months to years. Larger samples are needed to identify predictors of relapse in TRS patients undergoing clozapine deprescribing.

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Publication Details

Journal
Schizophrenia Bulletin
Published
2025-08-22
DOI
https://doi.org/10.1093/schbul/sbaf139
Primary Topic
Schizophrenia research and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Clozapine Dose Reduction in Remitted Patients With Treatment-Resistant Schizophrenia: A Case Series

Ashok Kumar, Gary Remington, Sacha Agrawal, Sri Mahavir Agarwal et al.
Schizophrenia Bulletin
Schizophrenia research and treatment
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Clozapine Dose Reduction in Remitted Patients With Treatment-Resistant Schizophrenia: A Case Series

Ashok Kumar, Gary Remington, Sacha Agrawal, Sri Mahavir Agarwal, Mohammed Alarabi, Leah Burton, Valerie Powell, Tanner Isinger
article en

Abstract

Reducing the clozapine maintenance dose in remitted TRS patients carried a substantial risk of relapse. The risk may be lower when dose reductions are guided by clozapine levels and implemented gradually over several months to years. Larger samples are needed to identify predictors of relapse in TRS patients undergoing clozapine deprescribing.

Schizophrenia Bulletin
Centre for Addiction and Mental Health (CA), University of Toronto (CA), Scarborough Health Network (CA), King Saud University (SA)
Openalex Percentile: Top 75%
Schizophrenia research and treatment
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