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...

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Autores principales: 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
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/1fcb18cc1408495db83c294b2b1b7b3a
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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
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