Strategies of Treatment With Olanzapine in Schizophrenic Patients During Stable Phase: Results of a Pilot Study
Abstract
Objective There is an ongoing debate regarding doses of antipsychotic in stable schizophrenia patients. This French pilot study was undertaken to estimate two strategies of treatment with olanzapine in stable phase - maintenance of the acute dose or dose reduction. Method 6 months open, randomized trial comparing two strategies of treatment with olanzapine in 97 schizophrenia stabilized outpatients. Results Mean daily doses at 6 months in the olanzapine full dose (OFD) and reduction dose (ORD) groups were respectively 18.1 mg and 13.3 mg. 4 patients (8%) relapsed in the ORD group versus 3 (6%) in the OFD group. A secondary analysis reflecting more real life setting showed a numerically higher rate of relapse in the dose reduction group (20% versus 10%). Conclusion These results suggest that maintenance treatment with olanzapine, beyond 4 months, with the same dose that was effective acutely could be useful to prevent new psychiatric hospitalization.
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In four RCTs determining the effect of dose reduction, a paradoxical weight increase was seen in the reduced group.
“In four RCTs determining the effect of dose reduction, a paradoxical weight increase was seen in the reduced group (47, 56, 73, 96)”
From Reversibility of Antipsychotic-Induced Weight Gain: A Systematic Review and Meta-Analysis (2021) · cites this paper as [56]
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Discovering the Neural Basis of Human Social Anxiety: A Diagnostic and Therapeutic Imperative
Charney, D. S. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.1.1 · Cited by 1,428 · see citing works
The Lifetime Risk of Suicide in Schizophrenia: A Reexamination
Palmer, B. A., Pankratz, V. S., & Bostwick, J. M. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.3.247 · Cited by 1,026 · see citing works
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Definitions and drivers of relapse in patients with schizophrenia: a systematic literature review
Olivares, J. M., Sermon, J., Hemels, M., & Schreiner, A. (2013) · Annals of General Psychiatry · doi:10.1186/1744-859x-12-32 · Cited by 270 · see citing works
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Reversibility of Antipsychotic-Induced Weight Gain: A Systematic Review and Meta-Analysis
Speyer, H., Westergaard, C., Albert, N., Karlsen, M., Stürup, A. E., Nordentoft, M., & Krogh, J. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2021.577919 · Cited by 44 · see citing works
- Authors
- Rouillon, F., Chartier, F., & Gasquet, I.
- Affiliations
- Université Paris Descartes (FR)
- Inserm (FR)
- Corresponding author
- Chartier, Florence
- ORCID
- Chartier, Florence
- Venue
- European Neuropsychopharmacology
- Publisher
- Elsevier BV
- Published
- 2008-09
- Volume
- 18
- Issue
- 9
- Pages
- 646-652
- ISSN
- 0924-977X (ISSN-L)
- OpenAlex
- W2064089743
- Cited by
- 23
- References
- 2
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 4 · 2019: 1 · 2018: 1 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 1
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Neuropsychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- olanzapine, schizophrenia, long-term antipsychotic treatment, dose reduction, relapse prevention, psychiatric hospitalization, stable phase, antipsychotic dosing
- MeSH terms
- Olanzapine, Adult, Benzodiazepines, Dose-Response Relationship, Drug, Drug Evaluation, Emergency Services, Psychiatric, Female, Follow-Up Studies, France, Humans, Male, Middle Aged, Pilot Projects, Retrospective Studies, Schizophrenia, Antipsychotic Agents, Secondary Prevention
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