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Evidence-Based Mental Health 2009;12:50; doi:10.1136/ebmh.12.2.50
Copyright © 2009 by BMJ Publishing Group Ltd, Royal College of Psychiatrists, & British Psychological Society.

THERAPEUTICS

Switching to aripiprazole from olanzapine leads to weight loss in overweight people with schizophrenia or schizoaffective disorder

The first 150 words of the full text of this article appear below.

QUESTION

Question:

Does switching to aripiprazole from olanzapine improve metabolic status in overweight people with schizophrenia or schizoaffective disorder?

Patients:

Patients with schizophrenia or schizoaffective disorder (DSM-IV-TR) treated with olanzapine only (10–20 mg/day for 1–24 months). Inclusion criteria: body mass index >=27; Clinical Global Impressions-Severity score <=4. Main exclusion criteria: other axis I disorder; diabetes; neurological condition or mental retardation; suicide risk; alcohol or drug dependence or electroconvulsive therapy 3 months prior to study; previous failure to respond to aripiprazole; clinically significant ECG, blood result or vital sign; pregnant, breastfeeding or not reliably using contraception for the duration of the study plus 4 weeks after study completion.

Setting:

Multinational (countries not stated); recruitment 30 March 2004 to 8 August 2006.

Intervention:

Switch to aripiprazole (n = 88) or continued olanzapine (n = 85) for 16 weeks. Switch participants received up to 15 mg/day aripiprazole across 2 weeks while decreasing olanzapine dose to nil, then 15 . . . [Full text of this article]

Tim J R Lambert

Concord Centre for Cardiometabolic Health in Psychosis and The Brain and Mind Research Institute, University of Sydney, Australia


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