A retrospective study on the long-term efficacy of clozapine in 96 schizophrenic and schizoaffective patients during a 13-year period.

Abstract:

:The effect of long-term treatment with clozapine in schizophrenia and schizoaffective disorder was evaluated in a retrospective study comprising 96 patients treated with the drug during the period 1974-1986 at the Psychiatric Research Center in Uppsala. All patients had previously been treated with different kinds of antipsychotic drugs but with insufficient clinical effect or distressing extrapyramidal side effects. When clozapine treatment was initiated, the mean duration of the illness was 8 years and 9 months. In 36% of the patients clozapine treatment was discontinued, the main reasons being lack of efficacy, poor compliance or temporary withdrawal from the market in 1975. Clinical evaluation of the effect revealed that 85% of the patients could be discharged from the hospital within a year and that 43% of the patients were significantly and 38% moderately improved compared to previous treatments. Of those patients who were still on clozapine 2 years after the treatment was initiated, 39% had employment compared to only 3% before clozapine. In ten patients a transient decrement in white blood cells (WBC) was noted but normalized during ongoing treatment. One patient developed leukopenia and one agranulocytosis, none with fatal outcome. Common side effects were sedation, hypersalivation, weight gain and obstipation. In one patient clozapine treatment was stopped because of grand mal seizures. No extrapyramidal side effects were observed or reported during clozapine treatment. It is concluded that clozapine offers particular advantages for many "therapy-resistant" schizophrenic patients when compared to classical neuroleptics.

journal_title

Psychopharmacology

authors

Lindström LH

doi

10.1007/BF00442567

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

S84-6

eissn

0033-3158

issn

1432-2072

journal_volume

99 Suppl

pub_type

杂志文章
  • Role of the strychnine-insensitive glycine binding site in the nucleus accumbens and anterodorsal striatum in sensorimotor gating: a behavioral and microdialysis study.

    abstract::This study examined the role of the strychnine-insensitive glycine binding site of the NMDA receptor in prepulse inhibition (PPI) of the acoustic startle response (ASR) in rats. PPI is an operational measure of gating processes which normally lead to a diminished ASR when a startling stimulus is preceded by a weak pre...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s002130050220

    authors: Kretschmer BD,Koch M

    更新日期:1997-03-01 00:00:00

  • Psychopharmacology of pediatric bipolar disorder: a review.

    abstract:RATIONALE:Pediatric bipolar disorder (PBD) is a chronic and debilitating psychiatric illness. It is associated with many short-term and long-term complications including poor academic and social performance, legal problems and increased risk of suicide. Moreover, it is often complicated by other serious psychiatric dis...

    journal_title:Psychopharmacology

    pub_type: 杂志文章,评审

    doi:10.1007/s00213-006-0569-y

    authors: Smarty S,Findling RL

    更新日期:2007-03-01 00:00:00

  • High-dose methadone produces superior opioid blockade and comparable withdrawal suppression to lower doses in opioid-dependent humans.

    abstract:RATIONALE:The efficacy of methadone for treating heroin dependence derives, in part, from suppression of opiate withdrawal and attenuation of the effects of heroin. OBJECTIVES:The purpose of this double-blind, within-subject, inpatient study was to determine whether larger doses of methadone, which are more effective ...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-002-1027-0

    authors: Donny EC,Walsh SL,Bigelow GE,Eissenberg T,Stitzer ML

    更新日期:2002-05-01 00:00:00

  • Platelet adenylate cyclase activity in Israeli victims of Iraqi Scud missile attacks with post-traumatic stress disorder.

    abstract::Platelet adenylate cyclase activity was measured in 16 control subjects and 16 patients who developed post-traumatic stress disorder (PTSD) as a result of damage inflicted on their homes during the Iraqi Scud missile attacks on Israel which occurred during the 1991 Gulf War. There were no differences in basal, NaF-sti...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF02249343

    authors: Weizmann R,Gur E,Laor N,Reiss A,Muller U,Yoresh A,Lerer B,Newman ME

    更新日期:1994-04-01 00:00:00

  • Similarities and differences between the subchronic and withdrawal effects of clozapine and olanzapine on forelimb force steadiness.

    abstract::The purpose of this study was to compare the subchronic, low-dose effects of clozapine with those of olanzapine in a learned behavioral task previously shown to distinguish between clozapine and haloperidol with acute and subchronic treatment regimes. Rats were trained to use a single forelimb to press a force-recordi...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s002130050363

    authors: Stanford JA,Fowler SC

    更新日期:1997-08-01 00:00:00

  • Apomorphine: selective inhibition of the aversive component of lateral hypothalamic self-stimulation.

    abstract::The effects of dopamine agonists on self-stimulation are a matter of considerable dispute. Apomorphine has variously been reported to inhibit, have no effect on, or to facilitate lever-press self-stimulation. To investigate the possibility that these discrepancies may reflect peculiarities of the lever-press test situ...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/BF00433261

    authors: Atrens DM,Becker FT,Hunt GE

    更新日期:1980-01-01 00:00:00

  • Acute and chronic treatment with 5-HT reuptake inhibitors differentially modulate emotional responses in anxiety models in rodents.

    abstract::This study investigated behavioural effects of very potent 5-HT reuptake inhibitors after acute treatment (cianopramine and citalopram), as well as after chronic treatment (cianopramine), in two behavioural models of anxiety: 1) the light/dark choice procedure in mice and 2) the elevated plus-maze test in rats. In add...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/BF02245224

    authors: Griebel G,Moreau JL,Jenck F,Misslin R,Martin JR

    更新日期:1994-01-01 00:00:00

  • The effects of morphine and scopolamine on auditory discrimination in squirrel monkeys.

    abstract::In squirrel monkeys trained to discriminate between two tones, morphine consistently increased the percent of response failures during tone periods; however, it had no consistent effect on the percent correct responses. In contrast, scopolamine decreased percent correct responses as well as increasing percent response...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/BF00428404

    authors: Milar KS,Dykstra LA

    更新日期:1985-01-01 00:00:00

  • The role of 5-HT2A, 5-HT 2C and mGlu2 receptors in the behavioral effects of tryptamine hallucinogens N,N-dimethyltryptamine and N,N-diisopropyltryptamine in rats and mice.

    abstract:RATIONALE:Serotonin 5-HT2A and 5-HT2C receptors are thought to be the primary pharmacological mechanisms for serotonin-mediated hallucinogenic drugs, but recently there has been interest in metabotropic glutamate (mGluR2) receptors as contributors to the mechanism of hallucinogens. OBJECTIVE:The present study assesses...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-014-3658-3

    authors: Carbonaro TM,Eshleman AJ,Forster MJ,Cheng K,Rice KC,Gatch MB

    更新日期:2015-01-01 00:00:00

  • Metabolic correlates of toluene abuse: decline and recovery of function in adolescent animals.

    abstract:RATIONALE:Children and adolescents will readily abuse household products that contain solvents such as toluene. It is likely that reinforcing exposures to toluene alter brain glucose metabolism. OBJECTIVE:Using an animal model of drug reinforcement, we sought to identify a metabolic signature of toluene abuse in the a...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-006-0359-6

    authors: Schiffer WK,Lee DE,Alexoff DL,Ferrieri R,Brodie JD,Dewey SL

    更新日期:2006-06-01 00:00:00

  • Effects of a sedative and of a non-sedative H1-antihistamine on the event-related potential (ERP) in normal volunteers.

    abstract::Measurements of the amplitude and latency of the P3b component of the event-related potential (ERP), simple reaction time (SRT) and four psychomotor tests (VAS, DSST, DSp and CFF) were made on 12 male subjects (aged 19-24 years) 1.0-1.5 and 4.0-4.5 h after single oral doses of triprolidine (7.5 mg), terfenadine (60 mg...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF00451699

    authors: Swire FM,Marsden CA,Barber C,Birmingham AT

    更新日期:1989-01-01 00:00:00

  • Low BDNF is associated with cognitive deficits in patients with type 2 diabetes.

    abstract:OBJECTIVE:Studies suggest that brain-derived neurotrophic factor (BDNF) plays an essential role in regulating memory-related neuroplasticity in the hippocampus. Type 2 diabetes (T2DM) is associated with impairment in many domains of cognitive function which may result from reduced BDNF; however, the correlation of BDNF...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-012-2942-3

    authors: Zhen YF,Zhang J,Liu XY,Fang H,Tian LB,Zhou DH,Kosten TR,Zhang XY

    更新日期:2013-05-01 00:00:00

  • A comparative study of the effects of carbamazepine and the NMDA receptor antagonist remacemide on road tracking and car-following performance in actual traffic.

    abstract:RATIONALE:Antiepileptic drugs are known to produce side effects which may impair driving performance. Performance effects, however, may differ substantially between individual antiepileptic drugs. OBJECTIVE:To compare the effects of carbamazepine, remacemide, and placebo on actual driving performance during a 12-day i...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s002130100898

    authors: Ramaekers G,Lamers J,Verhey F,Muntjewerff D,Mobbs E,Sanders N,Lewis M,Lockton A

    更新日期:2002-01-01 00:00:00

  • Interaction of apomorphine and haloperidol: effects on locomotion and other behaviour in the marmoset.

    abstract::The behavioural effects of increasing doses of apomorphine and haloperidol were observed in a group of six marmosets. Behaviour was classified quantitatively into categories: Locomotion, inactivity, checking (small head movements), social interaction and purposeful activities. Statistical analysis revealed that apomor...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/BF00431987

    authors: Scraggs PR,Baker HF,Ridley RM

    更新日期:1979-01-01 00:00:00

  • Effect of low-dose bromocriptine in treatment of psychosis: the dopamine autoreceptor-stimulation strategy.

    abstract::Bromocriptine (0.5-6.0 mg/day) was administered to seven unmedicated chronic schizophrenic and two schizoaffective patients. Transient slight improvement was noted in four patients and marked improvement in one other. Clinical improvement was associated with nausea and drowsiness. These doses of bromocriptine stimulat...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/BF00439271

    authors: Meltzer HY,Kolakowska T,Robertson A,Tricou BJ

    更新日期:1983-01-01 00:00:00

  • Association between major depression and cardiovascular risk: the role of antidepressant medication.

    abstract:RATIONALE AND OBJECTIVES:Major depressive disorder (MDD) is associated with an increased risk for cardiovascular disease (CVD). Apart from biological and life style factors, the use of antidepressants and their potentially adverse effects might contribute to the increased CVD risk. Therefore, we compared cardiovascular...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-016-4361-3

    authors: Kuehl LK,Muhtz C,Hinkelmann K,Dettenborn L,Wingenfeld K,Spitzer C,Otte C

    更新日期:2016-09-01 00:00:00

  • Naltrexone blockade of nicotine effects in cigarette smokers.

    abstract:RATIONALE:The role of endogenous opiate systems in cigarette smoking remains unclear. In laboratory animals, opiate antagonists block many of the effects of nicotine, but in humans they do not consistently alter smoking behavior. OBJECTIVE:This study explored the effects of naltrexone, alone and in combination with ni...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s002130050957

    authors: Brauer LH,Behm FM,Westman EC,Patel P,Rose JE

    更新日期:1999-04-01 00:00:00

  • Morphine and ethanol pretreatment effects on expression and extinction of ethanol-induced conditioned place preference and aversion in mice.

    abstract:RATIONALE:Opioid receptor antagonists reliably alter the expression or extinction of ethanol's conditioned motivational effects as indexed by the place conditioning procedure, suggesting endogenous opioids are normally involved. These studies examined how exogenous stimulation of opioid receptors alters ethanol's condi...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-020-05658-x

    authors: Cunningham CL,Bakner L,Schuette LM,Young EA

    更新日期:2021-01-01 00:00:00

  • Nefazodone, meta-chlorophenylpiperazine, and their metabolites in vitro: cytochromes mediating transformation, and P450-3A4 inhibitory actions.

    abstract:RATIONALE:Understanding of the mechanisms of biotransformation of antidepressant drugs, and of their capacity to interact with other medications, is of direct relevance to rational clinical psychopharmacology. OBJECTIVES:To determine the human cytochromes P450 mediating the metabolism of nefazodone, and the inhibitory...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s002130051039

    authors: von Moltke LL,Greenblatt DJ,Granda BW,Grassi JM,Schmider J,Harmatz JS,Shader RI

    更新日期:1999-07-01 00:00:00

  • Dose-dependent effect of ethanol on extracellular dopamine in mesolimbic striatum of awake rhesus monkeys: comparison with cocaine across individuals.

    abstract:RATIONALE:Dependence on both alcohol and cocaine is a widespread example of polydrug abuse/dependence. It has been hypothesized that ethanol reward is mediated via increased dopaminergic neurotransmission in mesolimbic striatum, as is the case for cocaine. However, little is known about the neurobiology of ethanol in p...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-002-1233-9

    authors: Bradberry CW

    更新日期:2002-12-01 00:00:00

  • Pain sensitivity is altered in animals after subchronic ketamine treatment.

    abstract:RATIONALE:Clinical observations have shown that pain sensitivity is altered in some schizophrenic patients. OBJECTIVES:To study alterations in pain sensitivity, the ketamine model in schizophrenia research was employed. MATERIALS AND METHODS:Rats were subchronically injected with the dissociative anaesthetic ketamine...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-006-0557-2

    authors: Becker A,Grecksch G,Schröder H

    更新日期:2006-12-01 00:00:00

  • Modulation of prepulse inhibition and stereotypies in rodents: no evidence for antipsychotic-like properties of histamine H3-receptor inverse agonists.

    abstract:RATIONALE:H(3)-receptor inverse agonists raise a great interest as innovative therapeutics in several central disorders. Whereas their procognitive properties are well established, their antipsychotic-like properties are still debated. OBJECTIVES:We further explored the effect of maximal doses (3-10 mg/kg) of ciproxif...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-010-1863-2

    authors: Burban A,Sadakhom C,Dumoulin D,Rose C,Le Pen G,Frances H,Arrang JM

    更新日期:2010-07-01 00:00:00

  • Effect of depletion of brain 5-hydroxytryptamine by 5,7-dihydroxytryptamine on ethanol tolerance and dependence in the rat.

    abstract::Brain 5-hydroxytryptamine (5-HT) was depleted in rats by intraventricular injection with 5,7-dihyroxytryptamine (5,7-DHT) prior to feeding rats a liquid diet containing ethanol. After withdrawal of ethanol, withdrawal reactions were significantly less severe in 5-HT-depleted rats than control rats. Sleeping times afte...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/BF00427597

    authors: Wood JM

    更新日期:1980-01-01 00:00:00

  • Changes in extracellular 5-HIAA concentrations as measured by in vivo microdialysis technique in relation to changes in 5-HT release.

    abstract:RATIONALE:The cerebral microdialysis technique has been widely used to monitor the release of 5-hydroxytryptamine (5-HT). The extracellular concentration of 5-HT has generally been shown to change after pharmacological manipulation as expected. Extracellular levels of the metabolite, 5-hydroxyindoleaceticacid (5-HIAA) ...

    journal_title:Psychopharmacology

    pub_type: 杂志文章,评审

    doi:10.1007/s00213-003-1736-z

    authors: Stenfors C,Ross SB

    更新日期:2004-03-01 00:00:00

  • Separate mechanisms for behavioral, cardiovascular, and hormonal responses to dextroamphetamine in man.

    abstract::The neurochemical specificity of physiological, biochemical, and psychological responses to dextroamphetamine was tested by pretreating volunteers with haloperidol (0.014 mg/kg IM), propranolol (0.1 mg/kg IV), thymoxamine (0.1 mg/kg IV), or placebo prior to 0.3 mg/kg IV amphetamine. Healthy volunteers (N = 12) partici...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF00427446

    authors: Nurnberger JI Jr,Simmons-Alling S,Kessler L,Jimerson S,Schreiber J,Hollander E,Tamminga CA,Nadi NS,Goldstein DS,Gershon ES

    更新日期:1984-01-01 00:00:00

  • REM sleep suppression induced by selective monoamine oxidase inhibitors.

    abstract::The effects of 4 weeks of treatment with the selective monoamine oxidase (MAO) inhibiting antidepressant clorgyline and pargyline on the sleep of affectively disordered patients were studied. Both inhibitors resulted in near total suppression of REM sleep, a decrease in total sleep time, and an increase in the percent...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF00432251

    authors: Cohen RM,Pickar D,Garnett D,Lipper S,Gillin JC,Murphy DL

    更新日期:1982-01-01 00:00:00

  • Anti-aggressive effects of the selective high-efficacy 'biased' 5-HT₁A receptor agonists F15599 and F13714 in male WTG rats.

    abstract:BACKGROUND:The serotonin (5-HT) deficiency hypothesis of aggression is being seriously challenged by pharmacological data showing robust anti-aggressive effects of 5-HT1A receptor agonists in dose ranges that concomitantly inhibit 5-HT neurotransmission. Hence, an adequate interpretation of the role of 5-HT activity in...

    journal_title:Psychopharmacology

    pub_type: 杂志文章

    doi:10.1007/s00213-015-4173-x

    authors: de Boer SF,Newman-Tancredi A

    更新日期:2016-03-01 00:00:00

  • DRD4 VNTR polymorphism is associated with transient fMRI-BOLD responses to smoking cues.

    abstract:RATIONALE:A dopamine receptor 4 variable number tandem repeat (DRD4 VNTR) polymorphism has been related to reactivity to smoking cues among smokers, but the effect of this genetic variation on brain responses to smoking cues has not been evaluated. OBJECTIVES:The present study evaluated the relationship between carryi...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00213-007-0860-6

    authors: McClernon FJ,Hutchison KE,Rose JE,Kozink RV

    更新日期:2007-11-01 00:00:00

  • Assessment of benzodiazepine receptor heterogeneity in vivo: apparent pA2 and pKB analyses from behavioral studies.

    abstract::The purpose of this review was to establish in vivo apparent pA2 and pKB values for antagonism of the discriminative stimulus effects of benzodiazepine ligands, and to compare these values to those obtained from other behavioral procedures. Articles were chosen from the Medline data base from January 1976 to August 19...

    journal_title:Psychopharmacology

    pub_type: 杂志文章,meta分析

    doi:10.1007/s002130050103

    authors: Rowlett JK,Woolverton WL

    更新日期:1996-11-01 00:00:00

  • Sleep pattern alterations by naloxone. Partial prevention by haloperidol.

    abstract::A continuous intravenous infusion of the opiate receptor antagonist naloxone, at doses ranging from 0.7 to 1.0 micrograms/kg/min (total dose 8.8-13.2 mg), was performed in eight normal subjects during the first 240 min of night sleep. A significant reduction in stage REM and in stage 4 percent duration was observed. P...

    journal_title:Psychopharmacology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/BF00429731

    authors: Cianchetti C,Masala C,Olivari P,Giordano G

    更新日期:1984-01-01 00:00:00