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Navigating clozapine discontinuation in clinical practice: An updated framework

AI Summary
  • Clozapine remains the most effective treatment for treatment-resistant schizophrenia.
  • Discontinuation may be required for adverse effects, patient preference, or lack of efficacy, posing clinical risks and management challenges.
  • An eight-step, clinically informed framework is recommended to guide safe planning, implementation and monitoring of clozapine discontinuation.
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Australas Psychiatry. 2026 Sep 25:10398562261491662. doi: 10.1177/10398562261491662. Online ahead of print.

ABSTRACT

Clozapine remains the most effective treatment for treatment-resistant schizophrenia (TRS), yet clinicians are frequently faced with situations where discontinuation must be considered due to adverse effects, patient preference, or lack of effectiveness. This article proposes an eight-step, clinically informed approach to guide the safe planning, implementation, and monitoring of clozapine discontinuation.

PMID:42788864 | DOI:10.1177/10398562261491662

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