Dose equivalents for second generation long-acting injectable antipsychotics: The minimum effective dose method.

Abstract:

BACKGROUND:The concept of dose equivalence of depot medication is important for many scientific and clinical purposes. METHODS:A systematic literature search on four second-generation antipsychotics available as long-acting injectable drugs and haloperidol was conducted. We used the minimum effective dose method which is based on randomized fixed dose studies where the smallest dose which was significantly more efficacious than placebo in the primary outcome was declared as minimum effective dose. We calculated equivalent doses from acute phase studies but we also reported the minimum effective doses found in relapse prevention studies. RESULTS:The acute phase minimum effective doses/olanzapine equivalents were: aripiprazole lauroxil 441mg (300mg aripiprazole)/4wks/0.71; aripiprazole 400mg/4weeks/0.95 (aripiprazole maintena); paliperidone palmitate 25mg/4weeks/0,06; risperidone 25mg/2weeks/0,12; RBP-7000 90mg/4weeks/0,21; olanzapine 210mg/2weeks/1. CONCLUSIONS:The minimum effective dose method is an operationalized and evidence-based approach for determining antipsychotic dose equivalence which can also be applied to long-acting injectable formulations. Doses may not have been chosen low enough to find the truly minimum effective dose. Comparisons with other methods will be necessary to come to ultimate conclusions.

journal_name

Schizophr Res

journal_title

Schizophrenia research

authors

Rothe PH,Heres S,Leucht S

doi

10.1016/j.schres.2017.07.033

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

23-28

eissn

0920-9964

issn

1573-2509

pii

S0920-9964(17)30444-9

journal_volume

193

pub_type

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