Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Dec 16;8(12):e83539.
doi: 10.1371/journal.pone.0083539. eCollection 2013.

Clozapine prescribing in a Canadian outpatient population

Affiliations

Clozapine prescribing in a Canadian outpatient population

Silvia Alessi-Severini et al. PLoS One. .

Abstract

Objective: Description of demographics of an outpatient population of clozapine users.

Methods: Retrospective chart review study of an urban population diagnosed with schizophrenia. Assessment of therapeutic histories in relation to clinical practice guidelines.

Results: Seventy-seven of the 467 patients were on clozapine therapy. Average patients' age was 39.4 ± 11.8 years) and 68% were males. The majority of patients (68%) had tried 3 or more antipsychotics before switching to clozapine, 21% had tried two and 11% had tried one. Median length of therapy prior to clozapine initiation was 8.9 years in males and 7.7 years in females.

Conclusion: Until 2010, the use of clozapine was often delayed and more than 2 antipsychotic medications were tried for relatively long periods of time before patients were switched to this effective agent.

PubMed Disclaimer

Conflict of interest statement

Competing Interests: Silvia Alessi-Severini is an academic editor for PLOS ONE. This does not alter the authors’ adherence to all the PLOS ONE policies on sharing data and materials.

References

    1. Essali A, A-Haj Haasan N, Li C, Rathbone J (2009) Clozapine versus typical neuroleptic medication for schizophrenia (Review). Cochrane Database Syst Rev 1:1-219 - PMC - PubMed
    1. Asenjo Lobos C, Komossa K, Rummel-Kluge C, Hunger H, Schmid F et al. (2010) Clozapine versus other atypical antipsychotics for schizophrenia (Review ). Cochrane Database Syst Rev 12: 1-205 - PMC - PubMed
    1. Meltzer HY, Alphs L, Green AI, Anand R, Bertoli A et al. (2003) Clozapine treatment for suicidality in schizophrenia: International Suicide Prevention trial (InterSePT). Arch Gen Psychiatry 60(1): 81-91. PubMed: 12511175. - PubMed
    1. Werneck AP, Hallak JC, Nakano E, Elkis H (2011) Time to rehospitalization in patients with schizophrenia discharged on first generation antipsychotics, non-clozapine second generation antipsychotics, or clozapine. Psychiatry Res 188(3): 315-319. doi: 10.1016/j.psychres.2011.04.004. PubMed: 21596442. - DOI - PubMed
    1. Ciudad A, Haro JM, Alonso J, Bousoño M, Suárez D et al. (2008) The Schizophrenia Outpatient Health Outcomes (SOHO) study: 3-year results of antipsychotic treatment discontinuation and related clinical factors in Spain. Eur Psychiatry 1: 1-7. PubMed: 18023154. - PubMed

Publication types