Neuroleptic Plasma Concentrations and Clinical Response: In Search of a Therapeutic Window
John J. Sramek, Steven G. Potkin, Rhoda Hahn
Abstract
John J. Sramek, Steven G. Potkin, Rhoda Hahn
Abstract
There is much interest in finding a therapeutic window for commonly used neuroleptics so that dosage can be individualized and side effects minimized. The authors review specific requirements of good study design and survey the literature that has investigated the relationship between therapeutic response and plasma concentrations of neuroleptics. The evidence from a number of fixed-dose haloperidol studies suggests, but does not yet prove, the existence of a therapeutic window for this compound.
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There is much interest in finding a therapeutic window for commonly used neuroleptics so that dosage can be individualized and side effects minimized. The authors review specific requirements of good study design and survey the literature that has investigated the relationship between therapeutic response and plasma concentrations of neuroleptics. The evidence from a number of fixed-dose haloperidol studies suggests, but does not yet prove, the existence of a therapeutic window for this compound.
Key concepts: Therapeutic window, Haloperidol, Therapeutic effect, Plasma concentration, Window (computing), Therapeutic index, Therapeutic approach, Plasma levels