Gupta S, Sonnenberg S J, Frank B
SUNY Health Science Center at Syracuse, New York, USA.
Ann Clin Psychiatry. 1998 Sep;10(3):113-5. doi: 10.1023/a:1022350221192.
In clinical practice, patients are encountered who are partial responders or nonresponders to clozapine. There are others who are unable to tolerate a high dosage of clozapine. In the two cases presented, we propose an alternative strategy using olanzapine in combination with clozapine in treatment-refractory patients. Olanzapine was found to be helpful in these patients, however, controlled studies are needed.
在临床实践中,会遇到对氯氮平部分有效或无效的患者。还有一些患者无法耐受高剂量的氯氮平。在本文介绍的两个病例中,我们提出了一种替代策略,即在难治性患者中使用奥氮平联合氯氮平。结果发现奥氮平对这些患者有帮助,然而,仍需要对照研究。