New global treatment guidelines for schizophrenia

What we found

The guideline is structured around shared decision making and early, personalised intervention. Initial pharmacotherapy should be guided by side effect profile, prior treatment history, and patient preference, with low-dose initiation and proactive titration. The guideline recommends first-line treatment with an antipsychotic with a lower overall side effect burden, such as a D2 partial agonist (eg, aripiprazole). If two antipsychotics are ineffective at therapeutic doses for 4–6 weeks, clozapine is recommended, with plasma monitoring and adjunctive metformin to reduce metabolic risk. If clozapine is not feasible, switching to olanzapine or augmentation strategies (eg, with aripiprazole or electroconvulsive therapy) may be appropriate."

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I’d like to hear them talking about more than drugs for treatment.

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Apparently one person was waiting for 92 hours in emergency room to be admitted to psychiatric care hospital.

That’s outrageous.

This is in Australia :australia:.

And apparently it’s common to let them wait .

A psychotic traumatised person to sit in stressful environment amoung others and not be attended to is not good enough.

Australia :australia: needs to improve its health care for everyone.

Also treatment and so .

Handlers who are abusive and “dominate “ their clients who want nothing to do with them but they opress them and their voice and steal from them such as financial abuse n sexual abuse and etc

One person managed to get away from her “handler” who was destroying her and stealing from her and everything improved .
She was abled .
Actually superior than her abusive handlers when truth be told .

God help Australia :australia:.

Make it a friendly better place again instead of bullying isolation excluding stealing identity theft and other nasty stuff .
Apparently too many Aussies are homeless and dumpster diving or eating expired food .

Everyone in Australia :australia: should have food drink healthcare good place to live social inclusion human rights etc

Wtf happened ..

They say crooks are the real boss over all politicians and they own all the politicians on all sides of politics .

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Also common in Canada. It’s not done intentionally, there are just no beds available for new patients. They have to wait until one is freed up. Some of the psych beds are clogged by elder dementia patients who are too much for staff in Long Term Care to handle, but there is no specialized care for them so they’re stuck in a psych ward preventing other mentally ill in crisis from getting a bed.

:frowning:

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I held off clozapine for years because the side effect profile seemed similar to Olanzapine from my uneducated opinion

Clozapine has fixed my insomnia, made me calmer and the symptoms are not as bothersome to me

But managing constipation is probably the worst side effect I have

Think now back to the amount of time I spent trying new drugs when I should have just accepted the doctors wishes

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I tried practically every AP except clozapine.

But then I tried olanzapine 20 mg and added 1 mg of risperidone.

After 10 years of not being able to leave my house alone and very little with others, I’m now working!

I’m also losing weight while olanzapine. I do have to work hard at it but it is possible to do.

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