Difference between revisions of "Risperidone LA-Clozapine"

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Revision as of 10:57, 25 August 2009

Risperidone
long acting
Type Antipsychotic
Group Atypical AP
links
Medscape Risperidone
PubChem 5073
PubMed Risperidone
Kompas (Dutch) Risperidone
Wikipedia Risperidone
Clozapine
Type Antipsychotic
Group Atypical AP
links
Medscape Clozapine
PubChem 2818
PubMed Clozapine
Kompas (Dutch) Clozapine
Wikipedia Clozapine

Switch medication from Risperidone_LA to Clozapine.[1] [2]

Nietinrijdenbord.png Stop Risperidone_LA
  • Day 1: Last depot injection
Eenrichtingbord.png Start Clozapine
  • Day 1: start with 12,5 mg at night
  • Day 2: 25 mg in divided doses
  • Day 3-15: increase daily dose every 1-2 day(s) with 25 mg
  • Day 16-28: if necessary, increase dose with 50-100 mg/week
  • Low dose in the morning, high dose at night (twice daily dosage)
  • Increments are dependent on the status of patient
Infobord.png More information
  • During this switch you could monitor ECG, especially in patients prone to QT-conduction problems.
  • There is a possibility of QT interval prolongation.[3]
    Empty.jpg
Nietinrijdenbord.png — Risperidone_LA
Eenrichtingbord.png — Clozapine


  1. Switches are based on literature references on this page and expert opinions of the authors. The authors have used pharmacokinetic and receptor affinity properties to determine the switch schedules
  2. Stahl, S. M. (2013). Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). Cambridge University Press.
  3. Stöllberger C, Huber JO, Finsterer J, Antipsychotic drugs and QT prolongation. Int Clin Psychopharmacol. 2005 Sep;20(5):243-51.
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