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Commentary: the risks of enforcing clozapine therapy

Published online by Cambridge University Press:  02 January 2018

Thomas R. E. Barnes*
Affiliation:
Department of Psychiatry, Division of Neuroscience and Psychological Medicine, Imperial College School of Medicine, Academic Centre, Ealing Hospital St Bernard's Wing, Uxbridge Road, Ealing UB1 3EU
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Pereira et al's paper (1999, this issue) is to be welcomed in that it highlights an area of clinical decision that requires a careful balance of short- and long-term risks and benefits in the individual patient. In this (necessarily) brief commentary I will concentrate on this aspect, and leave aside any ethical and medico-legal considerations.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 Royal College of Psychiatrists

References

Barnes, T. R. E., McEvedy, C. J. B. & Nelson, H. E. (1996) Management of treatment resistant schizophrenia unresponsive to clozapine. British Journal of Psychiatry, 169 (suppl. 31), 31 40.Google Scholar
Green, A. I., Zalma, A., Berman, I., et al (1994) Clozapine following ECT: A two-step treatment. Journal of Clinical Psychiatry, 55, 388 390.Google Scholar
James, D. V. & Gray, N. S. (1999) Elective combined electroconvulsive and clozapine therapy. International Clinical Psychopharmacology, 14, 69 72.Google Scholar
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