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An open-label discontinuation trial of long-term, off-label antipsychotic medication in people with intellectual disability: Determinants of success and failure

The Journal of Clinical Pharmacology Jun 27, 2018

de Kuijper GM, et al. - Given the risks associated with long-term prescribing of off-label antipsychotics in people with intellectual disability, researchers evaluated potential causes of successful and failed discontinuation. They noted a lower prevalence of complete discontinuation in association with autism, higher dose of antipsychotic drug, higher Aberrant Behavior Checklist (ABC) and akathisia scores, and more-frequent worsening of health during discontinuation. So, in a selected sample of patients that clinicians thought discontinuation of antipsychotics could be attempted, discontinuation was achieved and maintained in 40% by end of follow-up. They recommend that physicians address patients’ conditions that could hinder discontinuation.

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