Schizophrenia is a serious chronic illness that requires lifelongmedication. In some patients, the illness is refractory to evenhighly effective medications such as clozapine, and these patientsdesperately need more effective treatment regimens. Less dopamineis blocked with clozapine than with other antipsychotic medications,and adding more potent dopamine-blocking drugs, such as risperidone,to clozapine may achieve better efficacy. Three randomized,controlled trials examined the strategy of adding risperidoneto clozapine for patients whose illness is refractory to treatmentwith clozapine alone. In this issue of the Journal, Honer etal.1 report the results of a trial supported by . . . [Full Text of this Article]
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From the Psychiatric Institute, University of Illinois at Chicago, Chicago, and the University of Maryland Psychiatric Research Center, Baltimore.
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