ADVERTISEMENT

Treatment-resistant psychosis: Are 2 antipsychotics more effective than 1?

Current Psychiatry. 2005 July;04(07):12-20
Author and Disclosure Information

Combining antipsychotics is ‘safe’ for schizophrenia patients when the benefits outweigh the risks of ineffective single-drug therapy.

Table 3

3 tips for managing risk and medications

Use objective, quantifiable symptom measures at regular intervals
Document patient’s risk of persistent psychosis, based on history
Discuss risks and benefits of other treatment options with the patient and/or family at regular intervals
Related resources
  • How to use medication in a systematic and effective way, as part of the overall treatment for severe mental illness. In: Evidence-based practices: Shaping mental health services toward recovery. Medication management approaches in psychiatry. Substance Abuse and Mental Health Services Administration. U.S. Department of Health and Human Services. https://mentalhealth.samhsa.gov/cmhs/communitysupport/toolkits/medication/.
  • Texas Medication Algorithm Project (TMAP). https://www.dshs.state.tx.us/mhprograms/TIMA.shtm.
  • Lehman AF, Lieberman JA, Dixon LB, et al. Practice guideline for the treatment of patients with schizophrenia, 2nd ed. Am J Psychiatry 2004;161(suppl):1–56.
Drug brand names
  • Clozapine • Clozaril
  • Haloperidol • Haldol
  • Quetiapine • Seroquel
  • Risperidone • Risperdal
  • Ziprasidone • Geodon
Disclosures

Dr. Miller receives research support from or is a consultant or speaker for Abbott Laboratories, Almirall, AstraZeneca Pharmaceuticals, Bristol-Myers Squibb Co., Eli Lilly and Co., Janssen Pharmaceutica, Pfizer Inc., and InforMedix.