Cited by 332Schizophrenia research and treatmentTreatment of Major DepressionMental Health and Psychiatry

Guidelines for the Pharmacotherapy of Schizophrenia in Adults

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Remington, Gary, Addington, Donald, Honer, William, Ismail, Zahinoor, Raedler, Thomas, Teehan, Michael·2017·The Canadian Journal of Psychiatry

Abstract

Objective: The present guidelines address the pharmacotherapy of schizophrenia in adults across different stages, phases, and symptom domains. Method: Guidelines were developed using the ADAPTE process, which takes advantage of existing guidelines. Six guidelines were identified for adaptation, with recommendations extracted from each. For those specific to the pharmacotherapy of schizophrenia in adults, a working group selected between guidelines and recommendations to create an adapted guideline. Results: Recommendations can be categorized into 6 areas that include 1) first-episode schizophrenia, 2) acute exacerbation, 3) relapse prevention and maintenance treatment, 4) treatment-resistant schizophrenia, 5) clozapine-resistant schizophrenia, and 6) specific symptom domains. For each category, recommendations are made based on the available evidence, which is discussed and linked to other established guidelines. Conclusions: In most cases, evidence-based recommendations are made that can be used to guide current clinical treatment and decision making. Notably, however, there is a paucity of established evidence to guide treatment decision making in the case of clozapine-resistant schizophrenia, a subsample that represents a sizable proportion of those with schizophrenia.

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Crossref · 10.1177/0706743717720448

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116 of 116 references verified0 citation errors · 0 not checkable

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Authors
Remington, G., Addington, D., Honer, W., Ismail, Z., Raedler, T., & Teehan, M.
Affiliations
  • Centre for Addiction and Mental Health (CA)
  • University of Calgary (CA)
  • University of British Columbia (CA)
  • Dalhousie University (CA)
Corresponding author
Remington, Gary
Venue
The Canadian Journal of Psychiatry
Published
2017-07-13
Volume
62
Issue
9
Pages
604-616
ISSN
  • 0706-7437 (ISSN-L)
  • 1497-0015
OpenAlex
W2737472140
Cited by
332
References
118
Citations by year
2026: 29 · 2025: 32 · 2024: 46 · 2023: 38 · 2022: 66 · 2021: 56 · 2020: 23 · 2019: 28 · 2018: 13 · 2017: 1
FWCI
14.59
Type
journal article
Language
en
Open access
Locations
  • The Canadian Journal of Psychiatry (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Hotchkiss Brain Institute, University of Calgary
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
schizophrenia, pharmacotherapy, adults, first-episode schizophrenia, acute exacerbation, relapse prevention, maintenance therapy, treatment-resistant schizophrenia, clozapine-resistant schizophrenia, antipsychotic drugs, symptom domains, evidence-based recommendations
MeSH terms
Adult, Canada, Humans, Schizophrenia, Antipsychotic Agents, Practice Guidelines as Topic, Evidence-Based Medicine

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