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#Clozapine saves lives—but #myocarditis is a hidden #risk 🫀 Using patient #heart cells, researchers found #DNA methylation markers that could help predict who’s at risk. Toward safer personalized #psychiatry 🧠 #Schizophrenia #iPSC
https://ow.ly/XSgP50Yh82W

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Dextromethorphan augmented #clozapine in new randomized trial of #schizophrenia with a large effect.

With few options in clozapine-resistant cases, even a small trial is a worthy addition.

More details:
psych-partners.com/clozapine-de...

#psychiatry #pmhnp

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Dextromethorphan Helps When Clozapine Fails in Schizophrenia - PsychPartners Dextromethorphan is the key ingredient in the antidepressant Auvelity, and in this study it improved difficult-to-treat schizophrenia

Dextromethorphan augmented #clozapine in new randomized trial of #schizophrenia with a large effect.

With few options in clozapine-resistant cases, even a small trial is a worthy addition.

More details:
psych-partners.com/clozapine-de...

#psychiatry #pmhnp

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Clozapine After Failed Drug Trial in First-Episode Psychosis This randomized clinical trial investigates if clozapine is more efficacious than olanzapine or amisulpride in patients who fail to respond to an initial antipsychotic drug trial.

Mayoría de los pacientes con un primer episodio psicótico responden a risperidona y amisulpiride, y en los que no responden, clozapina es más eficaz que olanzapina y amisulpiride #clozapine #psychosis jamanetwork.com/journals/jam...

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#Clozapine can be life-changing for treatment-resistant #schizophrenia — but rare #heart inflammation limits its use.
New #prize-winning research uncovers epigenetic differences that may explain why some #patients are at risk. 🫀🧬
https://ow.ly/jYX150Ypc94

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In a case of treatment-resistant schizophrenia, low-dose #fluvoxamine increased #clozapine levels by >500%, with effects comparable to higher doses, suggesting CYP1A2 inhibition may be dose-independent in some patients.

🔗Read more in JCP: journals.lww.com/psychopharma...

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How can specialist services tackle unmet need in severe mental illness?

The Targeted TUNE‑UP clinic shows how.

A new study highlights how this service improves access to #clozapine, enabling safe initiation outside hospital and better outcomes for patients.

tinyurl.com/OHBRCclozapine

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#Clozapine through the lens of Instagram #Clozapine through the lens of Instagram

Proper use of drug

#Clozapine through the lens of Instagram

#Clozapine #Psychotropic #Drug #Social #Networks

www.em-consulte.com/article/1795...

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New JCP data from long-term #clozapine therapeutic drug monitoring show that #smokers have lower plasma clozapine serum levels than nonsmokers, yet adverse reactions can occur at lower concentrations in smokers.

🔗 Read more in our current issue: journals.lww.com/psychopharma...

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#Weight loss can affect #clozapine levels in patients with treatment-resistant #schizophrenia 📉 New case shows substantial decrease in drug levels with lifestyle changes and semaglutide use—highlighting the importance of therapeutic drug monitoring. #Clozapine #GLP1 #Ozempic
doi.org/10.1503/jpn....

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Clozapine’s agranulocytosis risk peaks in the first 6 months then drops but never disappears
FDA dropped REMS but left old monitoring rules
New guidance:
🩸 Weekly ANCs ×18 wks
📅 Monthly ×2 yrs
✅ Then stop if stable
#Psychiatry #Clozapine #schizophrenia #mentalhealth #medication #psychiatrist

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A new study in JCP found that higher BMI was significantly associated with remission in patients on #clozapine, supporting the idea of a “metabolic threshold” for antipsychotic efficacy.

🔗 Read more in our current issue: journals.lww.com/psychopharma...

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Clozapine and infection risk: new evidence from Hong Kong’s 20-year cohort study 🧵

This study of 11,000+ patients found clozapine users had a 25% higher risk of infections compared to those on olanzapine, with older adults most vulnerable.

#Schizophrenia #Clozapine #InfectionRisk #ParityOfEsteem

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Competence and confidence of health care professionals in using clozapine: a qualitative systematic review and thematic synthesis | Acta Neuropsychiatrica | Cambridge Core Competence and confidence of health care professionals in using clozapine: a qualitative systematic review and thematic synthesis - Volume 37

Check the paper to understand how this meta-analysis explored global disparities and charts a path to build competence across the entire healthcare team🌍
doi.org/10.1017/neu....

#Clozapine #Schizophrenia #MentalHealthPolicy #InterprofessionalEducation #Psychiatry #Pharmacy #Nursing

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Clozapine remains underutilized despite its efficacy in treatment-resistant #schizophrenia. In a new 12-year review published in our current issue, only 7.5% of #clozapine users discontinued due to serious side effects, most manageable with monitoring.

🔗 journals.lww.com/psychopharma...

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Clozapine: is it time to relax blood monitoring rules? For Claire*, the fear that her 32-year-old son could be taken off the antipsychotic clozapine for the second time as a result of blood monitoring is huge. “This outdated rule caused months of…

Clozapine — is the stringency of its blood monitoring rules causing more harm than good?
#mentalhealth #schizophrenia #clozapine #ukhealthcare

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Clozapine is often avoided in treatment-resistant #schizophrenia due to concerns about its metabolic side effects. A new study in JCP challenges that assumption by comparing #metabolic outcomes in patients treated with #clozapine versus other #antipsychotics.

🔗 journals.lww.com/psychopharma...

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FDA Eliminates the Clozapine REMS This Viewpoint provides suggestions to address challenges after elimination of the Clozapine Risk Evaluation and Mitigation Strategies (REMS) system by the US Food and Drug Administration (FDA).

while 18% to 55% of people with #schizophrenia & schizoaffective disorder experience suicide attempts, clozapine is the only approved & to reduce suicidal behaviour & recently FDA Eliminates the #Clozapine REMS What Comes Next? @jama.com

jamanetwork.com/journals/jam...

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#Medsky🧪 #neurosky #publichealth #Clozapine is the only Rx approved by FDA for #Trichotillomania . It is considered the gold standard & a 1st-line #antipsychotic for TRS in treatment guidelines, incl those published by the APA.

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A new retrospective study of 14 pregnancies in women with schizophrenia treated with #clozapine found a 36% #miscarriage rate, but no congenital malformations among live births, normal infant growth, and no adverse effects during breastfeeding.

🔗 Read more: journals.lww.com/psychopharma...

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Clozapine: is it time to relax blood monitoring rules? For Claire*, the fear that her 32-year-old son could be taken off the antipsychotic clozapine for the second time as a result of blood monitoring is huge. “This outdated rule caused months of…

*Clozapine: is it time to relax blood monitoring rules?*

New evidence suggests that the stringency of rules around #clozapine may be causing more harm than good. #SophieWillis reports

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Clozapine: is it time to relax blood monitoring rules? For Claire*, the fear that her 32-year-old son could be taken off the antipsychotic clozapine for the second time as a result of blood monitoring is huge. “This outdated rule caused months of…

Clozapine — is the stringency of its blood monitoring rules causing more harm than good?
#mentalhealth #schizophrenia #clozapine #ukhealthcare

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Clozapine: is it time to relax blood monitoring rules? For Claire*, the fear that her 32-year-old son could be taken off the antipsychotic clozapine for the second time as a result of blood monitoring is huge. “This outdated rule caused months of…

In our latest feature, #SophieWillis highlights how new evidence suggests that the stringency of frequent blood monitoring for patients taking clozapine may be causing more harm than good
#ukpharmacy #mentalhealth #clozapine

buff.ly/HJtqX0A

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Elevated neutrophil-to-lymphocyte ratios correlate with increased clozapine concentration-to-dose ratios during titration - Schizophrenia Schizophrenia - Elevated neutrophil-to-lymphocyte ratios correlate with increased clozapine concentration-to-dose ratios during titration

💡 New Findings in Clozapine Pharmacokinetics

🔗 Read the study here: doi.org/10.1038/s415...

#Clozapine #Pharmacokinetics #Inflammation #Schizophrenia

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Plasma Clozapine in Treatment Refractory Schizophrenia:... : Journal of Clinical Psychopharmacology g service, 1993–2017, with respect to age, sex, smoking status, clozapine dose, estimated clozapine treatment duration, plasma clozapine and norclozapine concentrations, and reason for the request. R...

New study of over 120,000 #clozapine therapeutic drug monitoring samples finds #smokers may need lower #plasma levels than nonsmokers for treatment-resistant #schizophrenia. Adverse drug reactions appear earlier in nonsmokers, particularly in women.

🔗 Read more: journals.lww.com/psychopharma...

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Thanks @valeriamondelli.bsky.social yes it was a great session and allowed us to discuss important #psychiatry treatments like #clozapine, #ECT, #valproate and #antipsychotics, and to hear also the voice of people with #livedexperience of #mentalhealth difficulties.

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Fantastic clinical session with final panel discussion at #BAP2025 on “Myth-busting the (should not be) controversial treatments in psychiatry: A review of clinical evidence” chaired by @carminepariante.bsky.social

#valproate
#antipsychotic
#clozapine
#ECT
#livedexperience
@bapsych.bsky.social

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⚠️ART. Riesgo comparativo de mortalidad de los antipsicóticos en 41.695 pacientes con #esquizofrenia: un estudio de cohorte poblacional de 11 años en Hong Kong #schizophrenia #clozapine #antipsicoticos

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People with #schizophrenia lived longer on #clozapine than other antipsychotics in this 11-year study of 41,695 from Hong Kong, confirming earlier findings:
www.ncbi.nlm.nih.gov/pubmed/40412...

Long-acting injectables (LAIs) also had an edge, particularly paliperidone.

#psychiatry #pmhnp

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🎧 New JCP podcast: Dr. Jose de Leon joins Dr. Julia Ann Koretski to discuss practical strategies for prescribing #clozapine — from titration to genetic variability — and why it’s a life-saving tool in #schizophrenia care.

jcpjournal.libsyn.com/practical-st...

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