Taiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia
In the last decade, long-acting injectable antipsychotics has been widely used in schizophrenia. Aripiprazole long-acting once-monthly (AOM) is the only long-acting dopamine partial agonist antipsychotic approved for schizophrenia; however, a literature search revealed no guidance on safely switchin...
Guardado en:
Autores principales: | , , , , , , , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
MDPI AG
2021
|
Materias: | |
Acceso en línea: | https://doaj.org/article/1fcb18cc1408495db83c294b2b1b7b3a |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:1fcb18cc1408495db83c294b2b1b7b3a |
---|---|
record_format |
dspace |
spelling |
oai:doaj.org-article:1fcb18cc1408495db83c294b2b1b7b3a2021-11-25T18:07:57ZTaiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia10.3390/jpm111111982075-4426https://doaj.org/article/1fcb18cc1408495db83c294b2b1b7b3a2021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1198https://doaj.org/toc/2075-4426In the last decade, long-acting injectable antipsychotics has been widely used in schizophrenia. Aripiprazole long-acting once-monthly (AOM) is the only long-acting dopamine partial agonist antipsychotic approved for schizophrenia; however, a literature search revealed no guidance on safely switching from oral and long-acting injectable antipsychotics to AOM. This study aimed to develop recommendations of AOM use based on existing data and expert consensus. A committee of 30 experts in psychopharmacology from major hospitals across Taiwan was invited. A modified Delphi method was conducted, consisting of two rounds of questionnaires, literature review, three rounds of face-to-face discussion meeting, and two rounds of anonymous voting. The consensus recommendations were developed based on existing data, clinical experiences, and consensus opinions, with 80% agreement among panel members required for final adoption. The panel developed nine consensus statements of switching to AOM for both acute and stable schizophrenia patients receiving oral or long-acting injectable atypical antipsychotics. Recommendations regarding dose adjustment of oral medication and pregnancy/breastfeeding were also included. The nine consensus recommendations provide a guidance on safely switching to AOM. Substantial gaps in knowledge, and more research is necessary.Chih-Sung LiangTung-Ping SuMing-Hsien HsiehChau-Shoun LeeJoseph KuoNan-Ying ChiuPo-See ChenYung-Chieh YenYa-Mei BaiMDPI AGarticleschizophrenialong-acting injectable antipsychoticaripiprazoleatypical antipsychoticexpert consensusguidanceMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1198, p 1198 (2021) |
institution |
DOAJ |
collection |
DOAJ |
language |
EN |
topic |
schizophrenia long-acting injectable antipsychotic aripiprazole atypical antipsychotic expert consensus guidance Medicine R |
spellingShingle |
schizophrenia long-acting injectable antipsychotic aripiprazole atypical antipsychotic expert consensus guidance Medicine R Chih-Sung Liang Tung-Ping Su Ming-Hsien Hsieh Chau-Shoun Lee Joseph Kuo Nan-Ying Chiu Po-See Chen Yung-Chieh Yen Ya-Mei Bai Taiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia |
description |
In the last decade, long-acting injectable antipsychotics has been widely used in schizophrenia. Aripiprazole long-acting once-monthly (AOM) is the only long-acting dopamine partial agonist antipsychotic approved for schizophrenia; however, a literature search revealed no guidance on safely switching from oral and long-acting injectable antipsychotics to AOM. This study aimed to develop recommendations of AOM use based on existing data and expert consensus. A committee of 30 experts in psychopharmacology from major hospitals across Taiwan was invited. A modified Delphi method was conducted, consisting of two rounds of questionnaires, literature review, three rounds of face-to-face discussion meeting, and two rounds of anonymous voting. The consensus recommendations were developed based on existing data, clinical experiences, and consensus opinions, with 80% agreement among panel members required for final adoption. The panel developed nine consensus statements of switching to AOM for both acute and stable schizophrenia patients receiving oral or long-acting injectable atypical antipsychotics. Recommendations regarding dose adjustment of oral medication and pregnancy/breastfeeding were also included. The nine consensus recommendations provide a guidance on safely switching to AOM. Substantial gaps in knowledge, and more research is necessary. |
format |
article |
author |
Chih-Sung Liang Tung-Ping Su Ming-Hsien Hsieh Chau-Shoun Lee Joseph Kuo Nan-Ying Chiu Po-See Chen Yung-Chieh Yen Ya-Mei Bai |
author_facet |
Chih-Sung Liang Tung-Ping Su Ming-Hsien Hsieh Chau-Shoun Lee Joseph Kuo Nan-Ying Chiu Po-See Chen Yung-Chieh Yen Ya-Mei Bai |
author_sort |
Chih-Sung Liang |
title |
Taiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia |
title_short |
Taiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia |
title_full |
Taiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia |
title_fullStr |
Taiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia |
title_full_unstemmed |
Taiwan Expert Consensus Recommendations for Switching to Aripiprazole Long-Acting Once-Monthly in Patients with Schizophrenia |
title_sort |
taiwan expert consensus recommendations for switching to aripiprazole long-acting once-monthly in patients with schizophrenia |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/1fcb18cc1408495db83c294b2b1b7b3a |
work_keys_str_mv |
AT chihsungliang taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT tungpingsu taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT minghsienhsieh taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT chaushounlee taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT josephkuo taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT nanyingchiu taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT poseechen taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT yungchiehyen taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia AT yameibai taiwanexpertconsensusrecommendationsforswitchingtoaripiprazolelongactingoncemonthlyinpatientswithschizophrenia |
_version_ |
1718411546976059392 |